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Stage IB-IIB Cutaneous T-Cell LymphomaPhase 2MOGATNCT04128072

Anti-CCR4 Monoclonal Antibody (Mogamulizumab) and Total Skin Electron Beam Therapy (TSEB) in Patients With Stage IB-IIB Cutaneous T-Cell Lymphoma

A Phase 2 study testing Mogamulizumab, Total Skin Electron Beam Therapy (TSEB) and Mogamulizumab (subsequent cycles post TSEB) in people with Stage IB-IIB Cutaneous T-Cell Lymphoma, run by European Organisation for Research and Treatment of Cancer - EORTC at 13 sites in 7 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
Search all trials

Trial summary

Cutaneous T-Cell Lymphoma (CTCL) has a chronic, relapsing course with patients undergoing multiple, consecutive therapies. Treatment aims at the clearance of skin disease, minimization of recurrence, prevention of disease progression and preservation of quality of life. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Stage IB-IIB Cutaneous T-Cell Lymphoma
What is being tested?
Mogamulizumab, Total Skin Electron Beam Therapy (TSEB) and Mogamulizumab (subsequent cycles post TSEB)
Could I receive a placebo?
No, everyone receives an active treatment
How many people
43 participants
Where
13 sitesin 7 countries
Study dates
7 Mar 2023to Jan 2027
Phase
Phase 2
Are there results?
Not yet: the study is under way

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

  • Diagnosis of MF stage IB, IIA or IIB at registration, and MF stage should have never met criteria for stage IIIA or higher.
  • Subjects who have failed (refractory or relapsed) at least one prior course of systemic therapy.
  • All clinically significant toxic effects of prior cancer therapy to grade ≤ 1 according to the National Cancer Institute Common Terminology Criteria for Adverse Events version 5.0 (NCI-CTCAE, v.5.0), excluding the specifications required in the criteria 'Adequate haematological and organ function' below
  • Males and female subjects ≥ 18 years
  • WHO performance status 0-1
  • Adequate haematological and organ function:
Show all 18Show fewer
  • absolute neutrophil count (ANC) ≥ 1.0 × 109/L
  • platelets ≥ 75 × 109/L (≥ 75,000/mm3)
  • bilirubin ≤ 1.5 × upper limit of normal (ULN) except for subjects with Gilbert's syndrome;
  • aspartate transaminase (AST) and alanine transaminase (ALT) ≤ 2.5 × ULN
  • serum creatinine ≤ 1.5 × ULN or calculated creatinine clearance > 50 mL/min using the Cockcroft-Gault formula
  • Subjects previously treated with anti-CD4 antibody or alemtuzumab are eligible provided a washout period ≥ 3 months and CD4+ cell counts ≥ 200/mm3
  • Clinically normal cardiac function based on 12-lead ECG and above the institutional lower limit of normal for left ventricular ejection fraction assessed either by multi-gated acquisition scan or cardiac ultrasound
  • Women of child bearing potential (WOCBP) must have a negative serum pregnancy test within 3 days prior to the first dose of study treatment
  • WOCBP must agree to use effective contraception, defined as oral contraceptives, double barrier method (condom plus spermicide or diaphragm plus spermicide) or practice through abstinence from sexual intercourse during the study and for 6 months after the last dose.
  • Male subjects and their female partners of child bearing potential must be willing to use an appropriate method of contraception defined as oral contraceptives, double barrier method (condom plus spermicide or diaphragm plus spermicide) or practice through abstinence from sexual intercourse (periodic abstinence, e.g., calendar, ovulation, symptothermal, post-ovulation methods and withdrawal are not acceptable methods of contraception) during the study and for 6 months after the last dose.
  • Female subjects who are breast feeding should discontinue nursing prior to the first dose of study treatment and until 6 months after the last study treatment
  • Before patient registration, written informed consent must be given according to ICH/GCP, and national/local regulations

Who cannot join

  • Prior treatment with mogamulizumab, or any other anti-CCR4
  • Prior TSEB
  • Patients who received localised radiotherapy within 2 weeks prior to registration
  • Patients who received any systemic therapy for MF within 4 weeks prior to registration.
  • Note: In case of rapid progression, if patient has recovered from all toxicities AND last dose occurred more than 5 half lives of the drug/treatment used, patient could be allowed to start earlier after consultation with medical monitor
  • History of other malignancy in the past 5 years with the exception of treated carcinoma in situ of the cervix, localized prostate cancer with PSA <0.1, in-situ melanoma, and non-melanoma skin cancer
Show all 30Show fewer
  • History of severe allergic anaphylactic reactions to chimeric, human or humanized antibodies, or fusion proteins
  • Known hypersensitivity to CHO cell products or any component of the mogamulizumab formulation (see section 6.1.1)
  • Significant uncontrolled intercurrent illness including, but not limited to:
  • uncontrolled infection requiring antibiotics;
  • clinically significant cardiac disease (class III or IV of the New York Heart Association [NYHA] classification);
  • unstable angina pectoris;
  • angioplasty, stenting, or myocardial infarction within 6 months;
  • clinically significant cardiac arrhythmia
  • Have active sign of herpes zoster
  • Patients with a history of autoimmune-related hypothyroidism who are on thyroid replacement hormone are eligible for the study.
  • Patients with eczema, psoriasis, lichen simplex chronicus, with dermatologic manifestations only (e.g., patients with psoriatic arthritis are excluded) are eligible for the study provided all of following conditions are met:
  • Rash must cover <10% of body surface area
  • Disease is well controlled at baseline and requires stable use of low to mild potency topical corticosteroids for at least 4 weeks.
  • No occurrence of acute exacerbations of the underlying condition requiring psoralen plus ultraviolet A radiation, methotrexate, retinoids, biologic agents, oral calcineurin inhibitors, or high potency or oral corticosteroids within the previous 4 months.
  • Immunomodulatory drugs or high-dose systemic steroids for concomitant or intercurrent conditions other than T-cell lymphoma within 7 days of registration.
  • However, stable dose of a low dose systemic systemic corticosteroid (≤10 mg prednisone equivalent per day) or stable dose of a low potency topical corticosteroid for at least 4 weeks prior to the registration is permitted. Subjects may receive intra-articular, intraocular, inhalation or nasal corticosteroids. Initiation of treatment with corticosteroids or increase in dose while on study is not permitted except for the treatment of adverse events.
  • Patients who are planned to receive stem cell transplantation
  • Has a known history of Human T-lymphotropic virus 1 (HTLV-1), or human immunodeficiency virus (HIV) (test to be performed within 21 days of registration if allowed by local legislation)
  • Has known active Hepatitis B or Hepatitis C
  • Note: patient will be eligible if:
  • Negative hepatitis B surface antigen (HBsAg) test at screening
  • Negative total hepatitis B core antibody (HBcAb) test at screening, or positive total HBcAb test followed by a negative hepatitis B virus (HBV) DNA test at screening . The HBV DNA test will be performed only for patients who have a positive total HBcAb test.
  • Has a history or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the trial, interfere with the subject's participation
  • Any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule; those conditions should be discussed with the patient before registration in the trial

Trial locations and contacts

13 sites in 7 countries. Contact the study team or a site near you to ask about taking part.

EORTC EORTC HQ contact

+32 2 774 1611

eortc@eortc.org

13 sites in 7 countries

Spain3 sites, 3 recruiting
  • Hospital De La Santa Creu I Sant Pau

    Barcelona, 08041

    Recruiting
  • Hospital Universitario 12 De Octubre

    Madrid, 28041

    Recruiting
  • Hospital Universitario Puerta De Hierro

    Madrid, 28222

    Recruiting

Other trials in Spain

France2 sites, 2 recruiting
  • CHU de Bordeaux - Groupe Hospitalier Saint-Andre - Hopital Saint-Andre

    Bordeaux, 33075

    Recruiting
  • Assistance Publique Hopitaux Paris- APHP Nord - Univ De Paris Cite - Hop. Saint Louis

    Paris, 75010

    Recruiting

Other trials in France

Germany2 sites, 2 recruiting
  • UniversitaetsMedizin Mannheim

    Mannheim, 68167

    Recruiting
  • Muehlenkreiskliniken Johannes Wesling Klinikum Minden

    Minden, 32429

    Recruiting

Other trials in Germany

Italy2 sites, 2 recruiting
  • Azienda Socio Sanitaria Territoriale Degli Spedali Civili Di Brescia

    Brescia, 25123

    Recruiting
  • Azienda Ospedaliera Città della Salute e della Scienza di Torino - Ospedale San Lazzaro

    Torino, 10126

    Recruiting

Other trials in Italy

United Kingdom2 sites, 2 recruiting
  • University Hospitals Birmingham NHS Foundation Trust (UHB) -Queen Elizabeth Medical Centre

    Birmingham, B15 2TH

    Recruiting
  • The Christie NHS Foundation Trust

    Manchester, M20 4BX

    Recruiting

Other trials in United Kingdom

Denmark1 site, 1 recruiting
  • University Hospitals Copenhagen - Rigshospitalet

    Copenhagen, 2100

    Recruiting

Other trials in Denmark

Greece1 site, 1 recruiting
  • Athens University - Attikon University General Hospital

    Athens, 12462

    Recruiting

Other trials in Greece

About this study

Official title: MOGAT: Open-Label, Phase II, Multi-Centre, Study of Anti-CCR4 Monoclonal Antibody (Mogamulizumab) and Total Skin Electron Beam Therapy (TSEB) in Patients With Stage IB-IIB Cutaneous T-Cell Lymphoma

Cutaneous T-Cell Lymphoma (CTCL) has a chronic, relapsing course with patients undergoing multiple, consecutive therapies. Treatment aims at the clearance of skin disease, minimization of recurrence, prevention of disease progression and preservation of quality of life.

The treatment of CTCL is primarily determined by the disease extent. Prolonged complete remissions have been obtained with skin-directed therapies in early stage Mycosis fungoides (MF) (IA-IIA), whereas advanced stages CTCL (IIB-IVB) are often refractory to treatment and, thus, have an unfavorable prognosis.

Read more

Currently, there is no standard treatment option for CTCL, especially for advanced stages, and the optimal treatment sequence is still debated with a large variability in the therapeutic approach across countries. Patients with advanced-stage disease or refractory cutaneous CTCL should be treated with systemic therapies and, whenever possible, should be offered to participate in clinical trials. Currently, there is a urgent call for new treatments in CTCL with higher response rate and prolonged time to progression;

In this study, we propose a very innovative treatment schedule in which mogamulizumab is used before Total Skin Electron Beam therapy (TSEB) for systemic disease control and as a maintenance treatment after skin-directed therapy. We hypothesize that our regimen will show a more manageable toxicity profile than a combination treatment and allow for a long-term mogamulizumab administration.

Being tested
Mogamulizumab, Total Skin Electron Beam Therapy (TSEB), Mogamulizumab (subsequent cycles post TSEB)
Keywords
Cutaneous T-Cell Lymphoma, Mogamulizumab, Total Skin Electron Beam therapy
Medical subject headings
Lymphoma, T-Cell, Cutaneous

What participants receive

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

  • MogamulizumabDrug

    • Patients will receive mogamulizumab 1.0 mg/kg IV over at least 1 hour on Days 1, 8, 15 and 22 of the first 28 day treatment cycle (C1) and on Days 1 and 15 of subsequent 28 day cycle (C2).
  • Total Skin Electron Beam Therapy (TSEB)Radiation

    • After completion of C2, patients will be administered TSEB at a dose of 12 Gy in 8 fractions (4 fractions per week). TSEB will start 28 days (window of + 7 days) after mogamulizumab (C2 D1).
    • In case of toxicity from mogamulizumab, the maximum delay permitted for the start of TSEB is 2 weeks.
    • If recovery to at least grade 1 from toxicity exceeds the 2 weeks interval, please contact the medical monitor.
    • Mogamulizumab is stopped during TSEB administration.
  • Mogamulizumab (subsequent cycles post TSEB)Drug

    • Mogamulizumab will be restarted at a dose of 1.0 mg/kg IV on Days 1, 8, 15 and 22 for cycle 3. Subsequent cycles will be administered as for C2.

    Treatment with mogamulizumab will be continued until disease progression (PD) or the occurrence of another withdrawal criterion.

Study groups in NCT04128072
Study groupRoleWhat they receive
Mogamulizumab + Total Skin Electron Beam Therapy (TSEB)ExperimentalTreatment with mogamulizumab will be continued until disease progression or the occurrence of another withdrawal criterion as specified in the protocol. TSEB will start 28 days after mogamulizumab cycle 2 day 1 at a dose of 12 Gy in 8 fractions over two weeks (4 fractions per week).
Receives: Drug: Mogamulizumab; Radiation: Total Skin Electron Beam Therapy (TSEB); Drug: Mogamulizumab (subsequent cycles post TSEB)

What is being measured

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

  1. Progression Free Survival Rate at 48 weeks

    The primary endpoint is the progression free survival rate, assessed at 48 weeks after start of mogamulizumab

    Measured: Up to 48 weeks after start of mogamulizumab for each patient

Secondary outcomes (7)
  1. Occurrence of Adverse Events

    Measured: 48 months after last patient in

  2. Response rate to both mogamulizumab and TSEB

    Proportion of patients achieving partial response or complete response according to EORTC-ISCL-USCLC criteria

    Measured: From the first patient treatment start till 48 weeks as of last patient in

  3. Progression-free survival

    From start of mogamulizumab to the first date of progressive disease or death from any cause

    Measured: From the first patient treatment start till 48 weeks as of last patient in

  4. Overall survival

    Start of mogamulizumab till the date of death from any cause

    Measured: From the first patient treatment start till 5 years after last patient treatment

  5. Time to progression

    From start of mogamulizumab to the date of first documentation of progressive disease or death due to progressive disease, whichever occurs first

    Measured: From the first patient treatment start till 48 weeks as of last patient in

  6. Duration of response

    Duration of response will be measured for patients achieving a partial response or complete response are first met until the first date that recurrent or progressive disease

    Measured: From the first patient treatment start till 48 weeks as of last patient in

  7. Time to next treatment

    From time from initiation of mogamulizumab until the time the initiation of any total skin-equivalent treatment (topical treatment to >50% of body surface, phototherapy, second TSEB) or systemic treatment is recorded

    Measured: From the first patient treatment start till 48 weeks as of last patient in

Timeline

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

  1. First posted16 Oct 2019
  2. Study start7 Mar 2023
  3. Primary completionOct 2026 (estimated)
  4. Study completionJan 2027 (estimated)

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 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
43 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04128072
Sponsor's protocol ID
EORTC-1820-CLTF
Acronym
MOGAT
Status last verified
Apr 2024
First submitted
14 Oct 2019
Last updated
5 Apr 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Mogamulizumab, Total Skin Electron Beam Therapy (TSEB) and Mogamulizumab (subsequent cycles post TSEB) in people with Stage IB-IIB Cutaneous T-Cell Lymphoma, run by European Organisation for Research and Treatment of Cancer - EORTC at 13 sites in 7 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 18 inclusion and 30 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: looking for participants now, as of the sponsor's last update on 5 Apr 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 13 sites in Spain, France, Germany, Italy, United Kingdom and 2 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact EORTC EORTC HQ (+32 2 774 1611, eortc@eortc.org), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Progression Free Survival Rate at 48 weeks (time frame: Up to 48 weeks after start of mogamulizumab for each patient). 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 5 Apr 2024; AzTrials last refreshed its copy on 8 Nov 2026.

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