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Peripheral T-cell LymphomaPhase 3NCT01420679

Pralatrexate vs Observation Following CHOP-based Chemotherapy in Undiagnosed Peripheral T-cell Lymphoma Patients

A Phase 3 study testing Pralatrexate Injection in people with Peripheral T-cell Lymphoma, run by Spectrum Pharmaceuticals, Inc at 55 sites in 13 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The purpose of this study is to see if pralatrexate extends response and survival following CHOP-based chemotherapy (CHOP: cyclophosphamide, doxorubicin, vincristine, and prednisone) and if pralatrexate improves response in patients with partial response following CHOP-based chemotherapy. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Peripheral T-cell Lymphoma
What is being tested?
Pralatrexate Injection
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
21 participants
Where
55 sitesin 13 countries
Study dates
Aug 2011to Dec 2017
Phase
Phase 3
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patient has one of the following peripheral T-cell lymphoma (PTCL) subtypes confirmed by an independent central pathology reviewer, using the Revised European American Lymphoma World Health Organization disease classification:
  • T/natural killer (NK)-cell leukemia/lymphoma
  • Adult T-cell lymphoma (TCL)/leukemia (human T-cell leukemia virus 1+)
  • Angioimmunoblastic TCL
  • Anaplastic large cell lymphoma (ALCL), primary systemic type, excluding anaplastic lymphoma kinase positive (ALK+) with International Prognostic Index (IPI) score less than 2 at initial diagnosis and complete response (CR) after CHOP-based therapy
  • PTCL-unspecified
Show all 24Show fewer
  • Enteropathy-type intestinal lymphoma
  • Hepatosplenic TCL
  • Subcutaneous panniculitis TCL
  • Transformed mycosis fungoides (tMF)
  • Extranodal T/NK-cell lymphoma nasal or nasal type
  • Primary cutaneous gamma-delta TCL
  • Primary cutaneous CD8+ aggressive epidermic cytotoxic TCL
  • Documented completion of at least 6 cycles of CHOP-based therapy:
  • CHOP 21
  • CHOP 14
  • CHOP + etoposide
  • Other CHOP variants: substitution allowed for 1 component with a drug of the same mechanism of action. Additional components, except alemtuzumab, are allowed. Rituximab may be added if not given within 3 cycles of randomization.
  • Patient has achieved CR or partial response (PR) per per investigator's assessment following completion of CHOP-based therapy and has had radiological assessment within 21 days prior to randomization.
  • Eastern Cooperative Oncology Group performance status less than or equal to 2.
  • Adequate blood, liver, and kidney function as defined by laboratory tests.
  • Women of childbearing potential must have a negative serum pregnancy test within 14 days prior to randomization and agree to practice a medically acceptable contraceptive regimen from study treatment initiation until at least 30 days after the last administration of pralatrexate.
  • Men who are sexually active, including those with a pregnant partner, must agree to practice a medically acceptable barrier method contraceptive regimen (eg, condoms) while receiving pralatrexate and for 90 days after the last administration of pralatrexate.
  • Has given written informed consent.

Who cannot join

  • Patient has:
  • Precursor T/NK neoplasms
  • ALCL (ALK+) with IPI score less than 2 at initial diagnosis and CR after CHOP-based therapy
  • T cell prolymphocytic leukemia
  • T cell large granular lymphocytic leukemia
  • Mycosis fungoides, except tMF
Show all 27Show fewer
  • Sézary syndrome
  • Primary cutaneous CD30+ disorders: ALCL and lymphomatoid papulosis
  • If there is a history of prior malignancies other than those below, must be disease free for at least 5 years. Patients with malignancies listed below less than 5 years before study entry may be enrolled if they have received treatment resulting in complete resolution of the cancer and have no clinical, radiologic, or laboratory evidence of active/recurrent disease.
  • non-melanoma skin cancer
  • carcinoma in situ of the cervix
  • localized prostate cancer
  • localized thyroid cancer
  • Receipt of prior chemotherapy (CT) or radiation therapy (RT) for PTCL, other than a single allowed CHOP regimen, except:
  • Patients with nasal NK lymphoma who received local RT less than 4 weeks prior to randomization.
  • Patients with tMF who received 1 systemic single-agent CT (except methotrexate) prior to transformation.
  • Prior exposure to pralatrexate.
  • Receipt of systemic corticosteroids within 3 weeks of study treatment, unless patient has been taking a continuous dose of 10 mg/day or less of oral prednisone or equivalent for at least 4 weeks or as part of a CHOP prednisone taper.
  • Planned use of any treatment for PTCL during the course of the study.
  • Patient has:
  • Human immunodeficiency virus (HIV)-positive diagnosis with a CD4 count of less than 100 mm3 or detectable viral load within past 3 months and receiving anti-retroviral therapy.
  • Hepatitis B (HBV)-positive serology and is receiving interferon therapy or has liver function test results outside the parameters of study inclusion criteria. Other antiviral therapies are permitted if at a stable dose for at least 4 weeks.
  • Hepatitis C (HCV) virus with detectable viral load or immunological evidence of chronic active disease or receiving/requiring antiviral therapy.
  • Symptomatic central nervous system metastases or lesions requiring treatment.
  • Uncontrolled hypertension or congestive heart failure Class III/IV per the New York Heart Association's Heart Failure Guidelines
  • Active uncontrolled infection, underlying medical condition including unstable cardiac disease, or other serious illness impairing the ability of the patient to receive protocol treatment.
  • Major surgery within 2 weeks prior to study entry, except for line placement or biopsy procedure.

Trial locations and contacts

55 sites in 13 countries.

55 sites in 13 countries

United Kingdom11 sites
  • Antrim Area Hospital

    Antrim, Northern Ireland, BT41 2RL

  • Belfast City Hospital

    Belfast, BT9 7AB

  • Velindre Hospital

    Cardiff, CF14 2TL

  • NHS Greater Glasgow and Clyde Western Infirmary

    Glasgow, Scotland, G11 6NT

  • Royal Liverpool University Hospital

    Liverpool, L7 8XP

  • Mount Vernon Cancer Centre

    Middlesex, HA6 2RN

  • Derriford Hospital

    Plymouth, England, PL68DH

  • Poole Hospital NHS Foundation Trust, Poole General Hospital

    Poole, Dorset, BH15 2JB

  • Royal Cornwall Hospital

    Truro, Cornwall, TR1 3LJ

  • UHCW (University Hospital Coventry and Warwickshire)

    Warwick, CA34 5BW

  • Sandwell & West Birmingham Hospitals NHS Trust

    West Bromwich, England, B71 4HJ

Other trials in United Kingdom

Australia8 sites
  • Royal Adelaide Hospital

    Adelaide, South Australia, 5000

  • Flinders Medical Center

    Bedford Park, South Australia, 5042

  • Monash Medical Centre

    Clayton, Victoria, 3168

  • Saint Vincent's Hospital Melbourne

    Fitzroy, Victoria, 3109

  • Frankston Hospital

    Frankston, Victoria, 3199

  • Royal Hobart Hospital

    Hobart, Tasmania, 7001

  • Cabrini Health

    Malvern, Victoria, 3144

  • Royal Perth Hospital

    Perth, Western Australia, 6000

Other trials in Australia

Spain8 sites
  • Complejo Hospitalario Universitario A Coruña- Hospital A Coruña

    A Coruña, 15006

  • Hospital General Vall d'Hebron

    Barcelona, 08035

  • Hospital Clínic i Provincial de Barcelona

    Barcelona, 08036

  • Hospital Universitario Ramón y Cajal

    Madrid, 28034

  • Hospital de Madrid Norte-Sanchinarro

    Madrid, 28050

  • Hospital Universitario Puerta de Hierro Majadahonda

    Madrid, 28222

  • Clinica Universidad de Navarra

    Pamplona, Navarre, 31008

  • Complejo Hospitalario de Navarra, Servicio de Hematologia

    Pamplona, Navarre, 31008

Other trials in Spain

Italy6 sites
  • Az. Ospedaliera Universitaria S. Orsola Malpighi

    Bologna, 40138

  • Spedali Civili di Brescia

    Brescia, 25123

  • Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori

    Meldola, Forli, 47014

  • Ospedale S. Maria delle Croci

    Ravenna, 48121

  • Università Cattolica del Sacro Cuore

    Roma, 00168

  • Az. Ospedaliera Università Senese

    Siena, 53100

Other trials in Italy

Israel4 sites
  • Shaare Zedek Medical Center

    Jerusalem, 91031

  • Hadassah Ein-Kerem Medical Centre

    Jerusalem, 91120

  • Rabin Medical Center

    Petah Tikva, 49100

  • Chaim Sheba Medical Center

    Tel HaShomer, 52621

Other trials in Israel

New Zealand4 sites
  • Auckland City Hospital / Auckland University

    Auckland, 1010

  • Christchurch Hospital

    Christchurch, 8011

  • North Shore Hospital

    Milford

  • Middlemore Hospital

    Otahuhu, Auckland, 1640

Other trials in New Zealand

United States3 sites
  • New York Presbyterian Hospital

    New York, New York, 10021

  • Memorial Sloan-Kettering Cancer Center

    New York, New York, 10065

  • Detroit Clinical Research Center, PC

    Novi, Michigan, 48377

Other trials in United States

Poland3 sites
  • Dept of Hematology and Transplantology

    Gdansk, 80-952

  • Małopolskie Centrum Medyczne

    Krakow, 30-510

  • Klinika Nowotworów Ukladu Chlonnego Centrum Onkologii Instytut Marii Sklodowskiej-Curie

    Warsaw, Masovian Voivodeship, 02-781

Other trials in Poland

Belgium2 sites
  • AZ Sint-Jan

    Bruges, 8000

  • Universitair Ziekenhuis Gent

    Ghent, 9000

Other trials in Belgium

Canada2 sites
  • Hôpital du Sacré-Coeur de Montréal

    Montreal, Quebec, H4J 1C5

  • Sunnybrook Health Science Centre

    Toronto, Ontario, M4N 3M5

Other trials in Canada

France2 sites
  • Hôpital Morvan

    Brest, 29609

  • CHU Haut-Leveque

    Pessac, 33604

Other trials in France

Ireland1 site
  • St James Hospital

    Dublin

Other trials in Ireland

Puerto Rico1 site
  • Auxilio Mutuo Cancer Center

    San Juan, 00918

Other trials in Puerto Rico

About this study

Official title: A Multi-center, Randomized, Phase 3 Study of Sequential Pralatrexate Versus Observation in Patients Previously Undiagnosed Peripheral T-cell Lymphoma Who Achieved an Objective Response After Initial Treatment With CHOP-based Chemotherapy

The purpose of this study is to see if pralatrexate extends response and survival following CHOP-based chemotherapy (CHOP: cyclophosphamide, doxorubicin, vincristine, and prednisone) and if pralatrexate improves response in patients with partial response following CHOP-based chemotherapy. Patients will either receive pralatrexate or be under observation. All patients will receive vitamins B12 and folic acid and attend regular clinic visits to evaluate their disease and health.

Read the detailed description

This was an international, multi-center, randomized, Phase 3, open-label study of sequential pralatrexate versus observation in patients with previously undiagnosed PTCL who have achieved an objective response following initial treatment with CHOP-based chemotherapy.

Upon documentation of completion of an objective response following at least 6 cycles of a designated CHOP-based chemotherapy confirmation of histopathology by independent review, and confirmation that all eligibility criteria were met, patients were randomized in a 2:1 ratio to either pralatrexate or observation, according to a permuted block design with stratification factor of Tumor Response per Investigator at completion of CHOP-based therapy (Complete Response [CR] vs Partial Response [PR]).

All patients who receive at least 1 dose of pralatrexate were followed for safety through 35 (± 5) days after their last dose of pralatrexate or until all treatment-related AEs have resolved or returned to baseline/Grade 1, whichever is longer, or until it was determined that the outcome does not change with further follow-up.

Being tested
Pralatrexate Injection
Keywords
Lymphoproliferative Disorders, Lymphoma, Non-Hodgkin's Lymphoma, T-cell Lymphoma
Medical subject headings
Lymphoma, T-Cell, Peripheral, Lymphoproliferative Disorders, Lymphoma, Lymphoma, Non-Hodgkin, Lymphoma, T-Cell

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Pralatrexate InjectionDrug

    Also called FOLOTYN, PDX, Pralatrexate, (RS)-10-propargyl-10-deazaaminopterin

    Intravenous (IV) push administration over 30 seconds to 5 minutes via a patent IV line containing normal saline (0.9% sodium chloride).

    Initial dose: 30 mg/m2

    Administered weekly for 3 weeks of a 4-week cycle until criteria for discontinuation per the protocol are met.

Study groups in NCT01420679
Study groupRoleWhat they receive
PralatrexateExperimentalPatients randomized to the Pralatrexate Arm will receive pralatrexate injection and Vitamins B12 and Folic Acid until a criterion for pralatrexate injection treatment discontinuation is met.
Receives: Drug: Pralatrexate Injection
ObservationNo interventionPatients randomized to the Observation Arm will receive Vitamins B12 and Folic Acid and remain under observation until a criterion for observation discontinuation is met.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Progression-Free Survival (PFS)

    PFS was defined as the time in days from randomization to the date of objective documentation of progressive disease (PD) or death, regardless of cause (date of PD or death - date of randomization + 1). PFS was to be assessed according to the International Workshop Criteria (IWC) without including positron emission tomography (PET). PD was defined as any new lesion or increase by greater than or equal to (>=) 50 percent (%) of previously involved sites from nadir. Participants who were alive without a disease response assessment of PD was to be censored at their last disease assessment date or the date of randomization, whichever was later. Date of progression was not to be imputed for participants with missing tumor assessments before an assessment of PD. Participants who withdraw from treatment prior to PD were to be followed for disease status whenever possible. Participants who have no response assessments after baseline were to be censored at randomization.

    Measured: From randomization to the date of progression of disease or death due to any cause (up to 76 months)

  2. Overall Survival (OS)

    Overall survival was defined as the time in days from randomization to the date of death, regardless of cause (date of death - date of randomization + 1).

    Measured: From randomization until death (up to 76 months)

Secondary outcomes (2)
  1. Objective Response Rate

    Objective response rate was defined as percentage of participants with an objective response of complete response (CR) or partial response (PR), relative to disease status at the time of study entry. The percentage was to be calculated by dividing number of participants within each category of response by the number of participants with measurable disease at baseline. Objective response was assessed according to the IWC without including PET. CR was defined as complete disappearance all detectable clinical evidence of disease and disease-related symptoms if present before therapy. PR was defined as regression of measurable disease and no new sites.

    Measured: Up to 2 years

  2. Number of Participants With Worst Grade Adverse Events (AEs), Deaths, Serious Adverse Events (SAEs), and SAEs Leading to Discontinuation of Study Treatment, and Worst Grade Laboratory Abnormalities

    An AE was any untoward medical occurrence in a participant who received study treatment without regard to possibility of causal relationship. An SAE was an AE resulting in any of following outcomes or deemed significant for any other reason: death, initial or prolonged inpatient hospitalization, life-threatening experience (immediate risk of dying), persistent or significant disability or incapacity, congenital anomaly. AE included both serious and non- SAEs. An AE of "Hematology and Chemistry" was collected and graded as per National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) Version 4.03, where Grade 3 refers to severe or medically significant but not immediately life threatening and Grade 4 refers to life-threatening consequences.

    Measured: From first dose of study drug to 35 (±5) days after last dose of study drug for the Pralatrexate Arm, and until 35 (± 5) days after the study treatment discontinuation for the Observation Arm (Up to 2 years)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted22 Aug 2011 (estimated)
  2. Study startAug 2011
  3. Primary completionDec 2017
  4. Study completionDec 2017

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
21 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT01420679
Sponsor's protocol ID
PDX-017
Other IDs
2010-022230-81
Status last verified
Nov 2021
First submitted
18 Aug 2011
Last updated
19 Nov 2021
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Pralatrexate Injection in people with Peripheral T-cell Lymphoma, run by Spectrum Pharmaceuticals, Inc at 55 sites in 13 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 24 inclusion and 27 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: stopped early, as of the sponsor's last update on 19 Nov 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 55 sites in United Kingdom, Australia, Spain, Italy, Israel and 8 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 19 Nov 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression-Free Survival (PFS) (time frame: From randomization to the date of progression of disease or death due to any cause (up to 76 months)). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Nov 2021.

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