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CTCLPhase 2NCT06854653

A Phase 2 Study of PTX 100 in Patients With Relapsed/Refractory CTCL

A Phase 2 study testing PTX-100 in people with CTCL, run by Prescient Therapeutics, Ltd. at 15 sites in 4 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

This is an open-label, phase 2 randomized study to evaluate the efficacy, safety, pharmacokinetics (PK) and pharmadynamics (PD), of PTX-100 monotherapy at 500 or 1000 mg/m2 in patients with relapsed/refractory Cutaneous T-Cell Lymphoma (CTCL). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
CTCL
What is being tested?
PTX-100
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
115 participants
Where
15 sitesin 4 countries
Study dates
28 Mar 2025to Jun 2028
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

  • Adult patient ≥18 years of age at the time of signing the informed consent.
  • Patient is capable of giving adequate signed informed consent
  • Have a confirmed diagnosis of CTCL with histological confirmation
  • Patients must have greater than or equal to Stage Ib disease.
  • Has received and failed (or intolerant of) at least 2 prior lines of prior systemic therapy for their disease.
  • Has measurable disease defined by at least one of the following, within 28 days prior to start of study treatment: by evaluable by mSWAT or quantifiable by flow cytometry or morphology in blood or measurable by Lugano Criteria.
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  • On a stable dose of systemic corticosteroid (< 10 mg prednisone or equivalent) are permitted. Participants on a stable dose of topical corticosteroids are permitted.
  • Washout period- must be 2 weeks (4 weeks for monoclonal antibodies) or 5 -half-lives (whichever is longer) since any prior anti-cancer therapy.
  • Must be human T-cell lymphotropic virus type 1 (HTLV1) negative.
  • Has an ECOG PS of 0 to 2.
  • Life expectancy of 3 months or greater
  • Has adequate bone marrow function.
  • Has adequate hepatic function.
  • Has adequate Renal function.
  • Has adequate coagulation function.
  • Patients with Human Immunodeficiency virus (HIV) must be on established and stable effective anti-retroviral therapy for at least 4 weeks and have an HIV viral load of less than 400 copies/mL.
  • Male patients are eligible to participate if they agree to use a highly effective contraception during the treatment period and for at least 3 months after the last dose of study treatment and refrain from donating sperm during this period.
  • Female patients are eligible to participate if they are not pregnant, not breastfeeding, and at least one of the following conditions applies:
  • -Not a woman of childbearing potential (WOCBP).
  • OR
  • A WOCBP who agrees to use a contraceptive method that is highly effective (with a failure rate of < 1% per year) or be abstinent from heterosexual intercourse as their preferred method and usual lifestyle, beginning the time of informed consent, during the treatment period and for at least 3 months after the last dose of study treatment.
  • A WOCBP must have a negative serum pregnancy within 72 hours of the first dose of study treatment.
  • Must be willing and able to adhere to the study as judged by the Investigator.

Who cannot join

  • Patients with known central nervous system involvement.
  • Patients who require the use of strong inhibitors or inducers of CYP enzymes or transporters (e.g., CYP3A4, 2D6, 2C19) or (P-gp, BCRP, OATP1B1, OATP1B3, OAT1. OAT3, OCT2, MATE1 and MATE2-K). Patients who are receiving these medications at Screening can be enrolled into the trial if they discontinue them for at least 14 days or 5 half-lives, whichever is longer, before they commence PTX-100. An alternative pharmacological treatment should be instituted by the treating clinician based on clinical judgement.
  • Significant cardiovascular disease. A history of, or concurrent interstitial lung disease or severely impaired lung function.
  • 5. Active viral, bacterial, fungal infection or other serious infection requiring ongoing systemic treatment. Routine antimicrobial prophylaxis is permitted.
  • 6. Medical history of another malignant tumor within the past 5 years. Exceptions are patients with basal cell carcinoma of the skin, squamous cell carcinoma of the skin or carcinoma in situ who have undergone curative therapy with no evidence of disease.
  • 7. On an immunomodulatory drug for concomitant or intercurrent conditions or who have received any of these agents within 4 weeks of baseline.
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  • 8. Patients with active viral (any etiology) hepatitis are excluded. However, patients with serologic evidence of chronic hepatitis B virus (HBV) infection (defined by a positive hepatitis B surface antigen test and a positive anti-hepatitis core antigen antibody test) who have a viral load below the limit quantification (HBV deoxyribose nucleic acid titer < 1000 cps/mL or 200 IU/mL) and are not currently on viral suppressive therapy may be eligible and should be discussed with the Medical Monitor. Patients with a history of hepatitis C virus infection who have completed curative antiviral treatment and have a viral load below the limit of quantification may be eligible and should be discussed with the Medical Monitor.
  • 9. A history or current evidence of any condition, laboratory abnormality or other circumstance that might confound the results of the study or interfere with patient participation for the full duration of the study.
  • 10. Prior allogeneic or autologous hematopoietic transplantation 11. Has a known psychiatric disorder that would interfere with compliance with the requirements of the study.
  • 12. Is a consumer of illicit or recreational drugs or has a recent history (within the last year) of drug or alcohol abuse or dependence that in the judgment of the Investigator, would interfere with compliance with the requirements of the study.

Trial locations and contacts

15 sites in 4 countries. Contact the study team or a site near you to ask about taking part.

15 sites in 4 countries

United States6 sites, 5 recruiting
  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 022155450

    +1 877-442-3324

    Eric Jacobsen, MD

    Recruiting
  • City of Hope Comprehensive Cancer Cente

    Duarte, California, 91010

    Linda Devine, +1 800-826-4673

    Christiane Querfeld, MD, PhD

    Recruiting
  • University of California Irvine

    Irvine, California, 92697

    Completed
  • Yale Cancer Center

    New Haven, Connecticut, 06510

    203-785-4095

    Francine M Foss, MD

    Recruiting
  • Virginia Commonwealth University Massey Comprehensive Cancer Cente

    Richmond, Virginia, 980037

    804-828-7999

    Bruce Hough, MD

    Recruiting
  • Rochester Skin Lymphoma Medical Group. PLLC

    Rochester, New York, 14642

    Brian Poligone, MD, PhD, 585-364-1188, bpoligone@roclymphoma.com

    Brian Poligone, MD, PhD

    Recruiting

Other trials in United States

Australia3 sites, 3 recruiting
  • Epworth Healthcare

    Melbourne, Victoria, 3002

    Ashna Saini, 61 (03)9483 6039, Ashna.saini@epworth.org.au

    Miles Prince, MD

    Recruiting
  • Linear Clinical Research

    Nedlands, Western Australia, 6009

    61 1300 546 327

    Dejan Radeski, MD

    Recruiting
  • Westmead Hospital

    Westmead, New South Wales, 2145

    61 (02) 8890 5555

    Ian Bilmon, MD

    Recruiting

Other trials in Australia

France3 sites, 3 recruiting
  • CHU de Bordeaux - Hopital Saint André

    Bordeaux, Bordeaux, 33000

    +33 5 56 79 56 79

    Marie Beylot-Barry, MD, PhD

    Not yet recruiting
  • Hopital Lyon Sud

    Lyon, Pierre-Benite, 69310

    +33 4 78 86 16

    Stephane Dalle, MD, PhD

    Not yet recruiting
  • Hopital Saint Louis

    Paris, Île-de-France Region, 75010

    +33 1 42 49 49 49

    Adele De Masson, MD

    Not yet recruiting

Other trials in France

Italy3 sites, 3 recruiting
  • IRCCS Azienda Ospedaliero Universitaria di Bologna - Policlinico S. Orsola-Malpighi

    Bologna, Bologna, 40138

    +39 051 214 1111

    Pier Luigi Zinzani, MD

    Recruiting
  • Universita degli Studi Di Brescia-Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia

    Brescia, Brescia, 25123

    +39 030 39951

    Alessandra Tucci, MD

    Recruiting
  • Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) - Ospedale San Raffaele (HSR) (Istituto Scientifico Universitario San Raffaele)

    Milan, Milano, 20132

    +39 02 26431

    Andres M J J. Ferreri, MD

    Recruiting

Other trials in Italy

About this study

Official title: An Open-Label, Phase 2 Study of PTX-100 Monotherapy in Patients With Relapsed or Refractory Cutaneous T-Cell Lymphoma.

This is an open-label, phase 2 randomized study to evaluate the efficacy, safety, pharmacokinetics (PK) and pharmadynamics (PD), of PTX-100 monotherapy at 500 or 1000 mg/m2 in patients with relapsed/refractory Cutaneous T-Cell Lymphoma (CTCL).

PTX-100 will be administered by IV infusion over 60 minutes on days 1 to 5 of a 14-day cycle for 4 cycles, then 21 day cycle thereafter. Subjects will be treated or followed up, if subjects discontinue treatment, for up to 18 months.

Read the detailed description

PTX-100 from a Phase I study shown to help some CTCL patients. This Phase II study will be conducted in a larger population size and there will be initially two groups/arms in the first phase called Phase 2a. This phase will randomize and enroll 20 subjects into the 500 mg/m2 and 20 subjects into the 1000 mg/m2 PTX treatment arms. After determining the recommended optimal dose from phase 2a, for Phase 2b, 75 subjects will then be allocated into this single arm part of the study.

Once subject has signed the informed consent, subject will undergo a 28 day screening period, where eligibility would be determined. Once subject is eligible, subject will be dosed with IP. Safety bloods will be taken on the first day of every cycle. Pharmacokinetics (PKs) which are blood samples sent to the Sponsors associated laboratory and will be analysed on how PTX-100 interacts biologically. PKs will be taken on Cycle1Day1(C1D1) to C1D5 and C1D8 for the first 4 cycles. Subject will also undergo skin evaluation and safety exams at every Cycle Day 1. Subjects will also complete quality of life questionnaires at every Cycle Day1. Subjects will be on the study for 18months, until disease progression, unacceptable toxicity, participant or Investigator decision, or until study treatment discontinuation criteria are met, whichever occurs first.

Conditions
CTCL
Being tested
PTX-100
Keywords
Relapsed or refractory Cutaneous T Cell Lymphoma, CTCL, PTX-100, Mycosis Fungoides, Sezary Syndrome, T Cell Lymphoma, Non-Hodgkin Lymphoma, Cutaneous Lymphoma
Medical subject headings
Recurrence, Lymphoma, T-Cell, Cutaneous, Mycosis Fungoides, Sezary Syndrome, Lymphoma, T-Cell, Lymphoma, Non-Hodgkin

What participants receive

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

  • PTX-100Drug

    Peptidomimetic inhibitor of GGTase 1

Study groups in NCT06854653
Study groupRoleWhat they receive
Phase 2a PTX-100 500mg/m2ExperimentalPhase 2a PTX-100 will be 500mg/m2 IV infusion over 60 minutes on days 1 to 5 of a 14-day cycle for 4 cycles. This is then followed by IV infusion over 60 minutes on days 1 to 5 of a 21-day cycle for up to 18months.
Receives: Drug: PTX-100
Phase 2a PTX-100 1000mg/m2ExperimentalPhase 2a PTX-100 will be 1000mg/m2 IV infusion over 60 minutes on days 1 to 5 of a 14-day cycle for 4 cycles. This is then followed by IV infusion over 60 minutes on days 1 to 5 of a 21-day cycle for up to 18months.
Receives: Drug: PTX-100
Phase 2b PTX-100 Recommended Optimal Dose (ROD).ExperimentalPhase 2b PTX-100 will be the Recommended Optimal Dose form Phase 2a and follow the same infusion timeline outlined previously. IV infusion of RD over 60 minutes on days 1 to 5 of a 14-day cycle for 4 cycles then followed by IV infusion of RD over 60 minutes on days 1 to 5 of a 21-day cycle up to 18months.
Receives: Drug: PTX-100

What is being measured

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

  1. To determine the efficacy of PTX-100 as determined by ORR.

    Objective response rate (ORR): ORR is defined as the proportion of patients who achieved CR or PR as their best response

    Measured: 18 months from day of first treatment until disease progression, unacceptable toxicity, participant or Investigator decision.

Secondary outcomes (10)
  1. To further characterize the efficacy of PTX-100

    Skin response as per Modified Severity-Weighted Assessment Tool (mSWAT). The mSWAT uses body surface area in 12 body areas to calculate involvement. A weighting factor is also used: Patches, which are flat, earned a multiplier of one. Plaques, which are raised, earned a multiplier of two. Tumors, which are larger and solid, earned a multiplier of three. Lesion BSA multiplied with the weighting factor with the sum of regions affected gives a final mSWAT score.

    The SWAT result is a number is monitored over time. A stable number suggested a stable condition. A lower number suggested less active CTCL and conversely, a higher number suggested more active CTCL.

    Measured: Within 18 months after PTX-100 initial dose.

  2. Progression-free survival (PFS)

    Defined as the time from the date of PTX-100 initiation to the date of first documented progression or death.

    Measured: Within 18 months after PTX-100 initial dose.

  3. Time to response (TTR)

    TTR: defined as the time from the date of PTX-100 initiation to first confirmed objective response (CR or PR)

    Measured: Within 18 months after PTX-100 initial dose.

  4. Overall survival (OS)

    OS: defined as the time interval between the date of PTX-100 initiation and the date of death due to any cause

    Measured: Within 18 months after PTX-100 initial dose.

  5. Duration of response (DoR)

    DoR: defined as the time interval between the first confirmed objective response (CR or PR) and the first occurrence of objective progression (PD) or death from any cause.

    Measured: Within 18 months after PTX-100 initial dose.

  6. Complete response rate (CRR)

    Complete response rate (CRR) evaluated according to the Lugano2014 criteria.

    Measured: Within 18 months after PTX-100 initial dose.

  7. Pharmacokinetics (PK) of PTX-100: Cmax

    PTX-100 peak plasma concentration (Cmax) in plasma

    Measured: Cycle 1: Day 1 and Day 5: pre-dose, 5 mins post-infusion, and at 1, 2, 4, 6, and 8 hours after dose. Day 2, 3 and 4: 24 hours after previous dose, bloods taken at Pre and at 5 mins post-infusion. Day 8; 72 hours after the Day 5 dose and prior to dosing.

  8. Pharmacokinetics (PK) of PTX-100: Tmax

    Time to peak drug concentration in plasma (Tmax)

    Measured: Cycle 1: Day 1 and Day 5: pre-dose, 5 mins post-infusion, and at 1, 2, 4, 6, and 8 hours after dose. Day 2, 3 and 4: 24 hours after previous dose, bloods taken at Pre and at 5 mins post-infusion. Day 8; 72 hours after the Day 5 dose and prior to dosing.

  9. Pharmacokinetics (PK) of PTX-100: Cmin

    Cmin for the minimum blood plasma concentration reached by PTX-100 during the time interval between administration of two doses

    Measured: Cycle 1: Day 1 and Day 5: pre-dose, 5 mins post-infusion, and at 1, 2, 4, 6, and 8 hours after dose. Day 2, 3 and 4: 24 hours after previous dose, bloods taken at Pre and at 5 mins post-infusion. Day 8; 72 hours after the Day 5 dose and prior to dosing.

  10. Pharmacokinetics (PK) of PTX-100: AUCtau

    AUCtau, area under the curve from time 0 to time tau (the dosing interval) at steady state. AUCtau is typically expressed in units of concentration multiplied by time (e.g., ng·h/mL)

    Measured: Cycle 1: Day 1 and Day 5: pre-dose, 5 mins post-infusion, and at 1, 2, 4, 6, and 8 hours after dose. Day 2, 3 and 4: 24 hours after previous dose, bloods taken at Pre and at 5 mins post-infusion. Day 8; 72 hours after the Day 5 dose and prior to dosing.

Timeline

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

  1. First posted3 Mar 2025
  2. Study start28 Mar 2025
  3. Primary completionJan 2028 (estimated)
  4. Study completionJun 2028 (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
Randomised
Intervention model
Parallel groups
Model description
Randomised parallel recruitment into 2 treatment arms, 500mg/m2 and 1000-mg/m2 for Phase 2a. Phase 2b will be non-randomised and are single arm treatment group. The recommended optimal dose which was determined in Phase 2a will be used in Phase 2b.
Masking
None (open label)
Enrolment
115 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT06854653
Sponsor's protocol ID
PTX-100-02-2024
Status last verified
Sep 2026
First submitted
18 Feb 2025
Last updated
9 Sep 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing PTX-100 in people with CTCL, run by Prescient Therapeutics, Ltd. at 15 sites in 4 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 23 inclusion and 10 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 9 Sep 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 15 sites in United States, Australia, France, Italy. 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 Upaly Bahadure (+61 3 9692 7222, upaly@ptxtherapeutics.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To determine the efficacy of PTX-100 as determined by ORR. (time frame: 18 months from day of first treatment until disease progression, unacceptable toxicity, participant or Investigator decision.). 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 9 Sep 2026.

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