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Treatment-naïvePhase 1NCT04548700

Liposomal Mitoxantrone Hydrochloride Injection,Cyclophosphamide, Vincristine and Prednisone in the Treatment of PTCL

A Phase 1 study testing Dose-finding stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and Prednisone and Dose-expansion stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and Prednisone in people with Treatment-naïve and Peripheral T Cell Lymphoma, run by CSPC ZhongQi Pharmaceutical Technology Co., Ltd. at 1 site in China.

Terminated

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

Official record
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Trial summary

This is a multicentre, open-label, single-arm, phase Ib clinical study to evaluate the safety, tolerability, efficacy and pharmacokinetics of liposomal mitoxantrone hydrochloride in combination with Cyclophosphamide, Vincristine and Prednisone in the frontline treatment of patients with peripheral T cell lymphoma… Read more about this study

Who is it for?
Ages 18 to 70 years
Conditions the study is for
Treatment-naïve, Peripheral T Cell Lymphoma
What is being tested?
Dose-finding stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and Prednisone and Dose-expansion stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and Prednisone
Could I receive a placebo?
No, everyone receives an active treatment
How many people
38 participants
Where
1 siteChina
Study dates
24 Dec 2020to 30 Nov 2023
Phase
Phase 1
Are there results?
None posted in the registry

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 to 70 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects fully understand and voluntarily participate in this study and sign informed consent
  • Age ≥18, ≤70years, no gender limitation
  • Histologically confirmed diagnosis of treatment-naïve PTCL. Eligible histologies are limited to the following: Peripheral T-cell lymphoma - not otherwise specified (PTCL-NOS),Angioimmunoblastic T-cell lymphoma (AITL), ALK -positive Anaplastic Large cell Lymphoma(ALCL), ALK-negative ALCL; Other PTCL that investigators consider to be appropriate to be enrolled
  • PTCL with fluorodeoxyglucose (FDG) avidity that can be evaluated by PET/CT
  • Eastern Cooperative Oncology Group (ECOG) Performance Status (PS) 0-1
  • The following required baseline laboratory data: Absolute neutrophil count (ANC) ≥1.5×109/L, Platelet count (PLT) ≥75×109/L, Hemoglobin(HB)≥ 80g/L, Total bilirubin (TBIL) ≤1.5X upper limit of normal (ULN) , Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) ≤2.5X ULN , Serum creatinine (Scr) ≤1.5X ULN
  • Females of childbearing potential must have a negative serum beta human chorionic gonadotrophin (β-hCG) pregnancy test result prior to enrollment and must agree to use an effective contraception method for the duration of the study treatment and 12 months after the last dose of study therapy
  • Males of reproductive potential must agree to use an effective contraceptive method for the duration of the study treatment and 12 months after the last dose of study therapy

Who cannot join

  • Current diagnosis of any of the following: extranodal natural killer/T-cell lymphoma, nasal type(NKTCL), Mycosis fungoides (MF)/ Sézary syndrome (SS), Primary cutaneous ALCL,and Adult T-cell leukemia/lymphoma
  • Leukemic phase of lymphoma (≥20% lymphoma cell in the bone marrow), or central nervous system (CNS) involvement, or hemophagocytic syndrome
  • Life expectancy < 6 months
  • History of allergy to anthracyclines or liposomes
  • History of contraindications to cyclophosphamide, vincristine or prednisone
  • Prior anti-lymphoma therapy except short-term or low-dose corticosteroid treatment
Show all 19Show fewer
  • Impaired cardiac function or significant cardiac disease
  • Positive test results for HBsAg antigen and HBV-DNA, or hepatitis C virus (HCV) antibody or human immunodeficiency virus (HIV) antibody
  • Major surgery within 4~6weeks prior to screening. Or have a surgical schedule during the study
  • A serious infection within 4 weeks prior to screening and not suitable for the study according to the judgment of the investigator
  • Uncontrolled hypertension at screening
  • Uncontrolled diabetes at screening
  • History of active visceral hemorrhage in the recent 3 months prior to screening
  • History of other tumors in the past five years prior to screening. Patients with curable tumors (such as skin basal cell carcinoma, carcinoma in situ of the cervix or of the breast, intramucosal carcinoma in situ of the gastrointestinal tract or localized prostate cancer) could be enrolled after completely cured
  • History of solid organ transplantation
  • Known psychiatric disorders or cognitive disorder
  • Known alcohol or drug abuse
  • Pregnant or breastfeeding women
  • Not suitable for this study as determined by the investigator due to other reasons

Trial locations and contacts

1 site in 1 country.

China1 site
  • Sun Yat-sen University Cancer Center

    Guangzhou, Guangdong, 510060

Other trials in China

About this study

Official title: Clinical Study to Evaluate the Safety, Tolerability, Efficacy and Pharmacokinetics of Liposomal Mitoxantrone Hydrochloride Injection Combined With Cyclophosphamide, Vincristine and Prednisone in the Treatment of Untreated PTCL

This is a multicentre, open-label, single-arm, phase Ib clinical study to evaluate the safety, tolerability, efficacy and pharmacokinetics of liposomal mitoxantrone hydrochloride in combination with Cyclophosphamide, Vincristine and Prednisone in the frontline treatment of patients with peripheral T cell lymphoma (PTCL).

Read the detailed description

The study is to investigate the safety, tolerability, efficacy and pharmacokinetics of liposomal mitoxantrone hydrochloride in combination with Cyclophosphamide, Vincristine and Prednisone in the frontline treatment of patients with PTCL by conducting in two stages, Dose-finding stage and Dose-expansion stage.In Dose-finding stage, patients with treatment-naïve PTCL will be assigned to receive sequentially higher doses of liposomal mitoxantrone hydrochloride ranging from 12 to 18 mg/m2 plus Cyclophosphamide, Vincristine and Prednisone (28 days per cycle). The dose escalation will follow the classic 3+3 design. The recommended Phase 2 dose (RP2D) of liposomal mitoxantrone hydrochloride will be determined according to the Dose-finding results. In Dose-expansion stage, additional patients will be recruited into two groups, the Q4W group(28 days per cycle)and the Q3W group(21 days per cycle), to receive liposomal mitoxantrone hydrochloride at the RP2D combined with Cyclophosphamide, Vincristine and Prednisone. All patients will receive the treatment for the planned 6 cycles or until disease progression or unacceptable drug-related adverse events.

Being tested
Dose-finding stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and Prednisone, Dose-expansion stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and Prednisone
Medical subject headings
Lymphoma, T-Cell, Peripheral

What participants receive

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

  • Dose-finding stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and PrednisoneDrug

    Also called Part1

    Drug: Liposomal mitoxantrone hydrochloride (12 mg/m2, 15 mg/m2, 18 mg/m2) will be administered by an intravenous infusion on day 1 of each 28-day cycle.

    Drug: Cyclophosphamide (750 mg/m2) will be administered by an intravenous infusion on day 1 of each 28-day cycle.

    Drug: Vincristine (1.4 mg/m2 with 2 mg as the maximum dose) will be administered by an intravenous injection on day 1 of each 28-day cycle.

    Drug: Prednisone (100 mg/d) will be taken orally from day 1 to day 5 of each 28-day cycle.

  • Dose-expansion stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and PrednisoneDrug

    Also called Part2

    Drug: Liposomal mitoxantrone hydrochloride (at RP2D) will be administered by an intravenous infusion on day 1 of each 28- or 21-day cycle.

    Drug: Cyclophosphamide (750 mg/m2) will be administered by an intravenous infusion on day 1 of each 28- or 21-day cycle.

    Drug: Vincristine (1.4 mg/m2 with 2 mg as the maximum dose) will be administered by an intravenous injection on day 1 of each 28- or 21-day cycle.

    Drug: Prednisone (100 mg/d) will be taken orally from day 1 to day 5 of each 28- or 21-day.

Study groups in NCT04548700
Study groupRoleWhat they receive
Dose-finding and dose-expansionExperimentalDose-finding stage: Patients with treatment-naïve PTCL will receive sequentially higher doses of liposomal mitoxantrone hydrochloride in combination with Cyclophosphamide, Vincristine and Prednisone for 6 cycles (planned) (28 days per cycle). The initial dose of liposomal mitoxantrone hydrochloride is 12 mg/m2. Dose-expansion stage: Patients with treatment-naïve PTCL will receive liposomal mitoxantrone hydrochloride at RP2D in combination with Cyclophosphamide, Vincristine and Prednisone for 6 cycles (planned) (28 or 21 days per cycle).
Receives: Drug: Dose-finding stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and Prednisone; Drug: Dose-expansion stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and Prednisone

What is being measured

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

  1. Dose-finding stage: The incidence of dose limited toxicities (DLTs)

    To identify the DLTs

    Measured: Cycle 1 (28 days)

  2. Dose-finding stage:The incidence of AE and SAE

    To identify the incidence of AE and SAE, abnormalities in clinical laboratory assessments, ECGs, echocardiography, vital sign assessments, and physical exams

    Measured: up to 24 weeks

  3. Dose-expansion stage: The incidence of AE and SAE

    To identify the incidence of AE and SAE, abnormalities in clinical laboratory assessments, ECGs, echocardiography, vital sign assessments, and physical exams

    Measured: up to 18-24 weeks

Secondary outcomes (12)
  1. Dose-finding stage: complete response(CR) rate

    To investigate the preliminary antitumor efficacy

    Measured: up to 24 weeks

  2. Dose-finding stage: duration of complete response(DoCR)

    To investigate the preliminary antitumor efficacy

    Measured: Throughout study completion,an average of 18 months

  3. Dose-finding stage: overall response rate (ORR)

    To investigate the preliminary antitumor efficacy

    Measured: up to 24 weeks

  4. Dose-finding stage: progression-free survival(PFS)

    To investigate the preliminary antitumor efficacy

    Measured: Throughout study completion,an average of 18 months

  5. Dose-finding stage:the pharmacokinetic parameters Cmax

    To investigate the PK characteristics

    Measured: Cycle 1 to Cycle 6(each cycle is 28 days)

  6. Dose-finding stage:the pharmacokinetic parameters AUC0-t

    To investigate the PK characteristics

    Measured: Cycle 1 to Cycle 6(each cycle is 28 days)

  7. Dose-expansion stage: CR rate

    To investigate the preliminary antitumor efficacy

    Measured: up to 24 weeks

  8. Dose-expansion stage: DoCR

    To investigate the preliminary antitumor efficacy

    Measured: Throughout study completion,an average of 18 months

  9. Dose-expansion stage: ORR

    To investigate the preliminary antitumor efficacy

    Measured: up to 18-24 weeks

  10. Dose-expansion stage: PFS

    To investigate the preliminary antitumor efficacy

    Measured: Throughout study completion,an average of 18 months

  11. Dose-expansion stage: the pharmacokinetic parameters Cmax

    To investigate the PK characteristics

    Measured: Cycle 1(each cycle is 21or28 days)

  12. Dose-expansion stage: the pharmacokinetic parameters AUC0-t

    To investigate the PK characteristics

    Measured: Cycle 1(each cycle is 21or28 days)

Timeline

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

  1. First posted14 Sep 2020
  2. Study start24 Dec 2020
  3. Primary completion30 Jun 2023
  4. Study completion30 Nov 2023

Why it stopped: The sponsor has adjusted its R\&D strategy.

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 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
38 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04548700
Sponsor's protocol ID
HE071-CSP-011
Status last verified
Aug 2020
First submitted
28 Aug 2020
Last updated
7 Mar 2024
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing Dose-finding stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and Prednisone and Dose-expansion stage: Liposomal mitoxantrone hydrochloride, Cyclophosphamide, Vincristine and Prednisone in people with Treatment-naïve and Peripheral T Cell Lymphoma, run by CSPC ZhongQi Pharmaceutical Technology Co., Ltd. at 1 site in China.

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 8 inclusion and 19 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 7 Mar 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

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

Are results available for this study?

The study was stopped early (reason given: The sponsor has adjusted its R\&D strategy.). Results are not available in the source record.

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?

Dose-finding stage: The incidence of dose limited toxicities (DLTs) (time frame: Cycle 1 (28 days)). The study lists 3 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 7 Mar 2024.

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