E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Patients with relapsed or refractory peripheral T-cell limphoma |
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MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 9.1 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10034622 |
E.1.2 | Term | Peripheral T-cell lymphomas NEC |
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E.1.3 | Condition being studied is a rare disease | Yes |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To determine the objective response rate in patients with peripheral T cell lymphoma who are treated with belinostat monotherapy. |
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E.2.2 | Secondary objectives of the trial |
to determine: safety of belinostat monotherapy time to response duration of response time to progression (TTP) progression-free survival (PFS) one-year progression-free rate one-year survival rate overall survival (OS) Additional objectives are to assess: population pharmacokinetics patient and tumor characteristics that might distinguish responding from non-responding patients and factors associated with potential acquired drug resistance (correlative studies) patient baseline characteristics, including laboratory values, that might distinguish patients with differing safety profiles (correlative studies) medical care utilization during treatment with belinostat monotherapy |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
1. A histologically confirmed diagnosis of PTCL based on pathology review at the local institution, using the most recent edition of the WHO Classification of Tumors of Haematopoietic and Lymphoid Tissues as guidance leading to the diagnosis of:  Anaplastic large cell lymphoma, ALK-positive  Anaplastic large cell lymphoma, ALK-negative  Angioimmunoblastic T-cell lymphoma  Enteropathy-associated T-cell lymphoma  Extranodal NK/T-cell lymphoma, nasal type  Hepatosplenic T-cell lymphoma  Peripheral T-cell lymphoma, not otherwise specified (NOS)  Subcutaneous panniculitis-like T-cell lymphoma 2. Pathology material must be available at the site for each patient before enrolment so that it can be sent to the Sponsor (or designee) for central pathology review. 3. Patients must have relapsed or refractory disease after at least one prior systemic anticancer regimen. Systemic anticancer therapy is defined as chemotherapy or immunotherapy administered systemically. 4. Patients must have at least one site of disease measurable in two dimensions by computed tomography (CT). 5. Age ≥ 18 years. 6. Laboratory status as follows: a. Absolute neutrophil count ≥ 1.0 x 109/L, platelets ≥ 50 x 109/L. b. Total bilirubin ≤1.5 x upper normal limit, or ≤ 3 x upper normal limit if documented hepatic involvement with lymphoma, or ≤ 5 x upper normal limit if history of Gilberts Disease. c. Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 x upper normal limit (≤ 5 x upper normal limit if documented hepatic involvement with lymphoma). d. Serum potassium within normal range. e. Calculated creatinine clearance ≥ 45 mL/min/1.73 m2 based on Cockcroft and Gaults method (Cockcroft 1976). f. PT or INR, and APTT ≤ 1.5 x upper limit of normal unless patient is receiving anticoagulants. If patient is on anticoagulation therapy, levels should be within therapeutic range. 7. Eastern Cooperative Oncology Group (ECOG) performance status 0-2. 8. Estimated life expectancy greater than 3 months. 9. Negative pregnancy test for women of childbearing potential. 10. Signed informed consent form approved by the local Ethics Committee or Institutional Review Board. |
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E.4 | Principal exclusion criteria |
1. Any use of anticancer therapies within 2 weeks prior to initiation of study treatment; in addition, patients should have recovered from prior treatment-related toxicities and meet laboratory and ECOG criteria for inclusion. 2. Any use of investigational therapies within 3 weeks prior to initiation of study treatment. 3. Major surgery within 2 weeks of study drug administration. 4. Relapse within 100 days of autologous or allogeneic bone marrow transplant. 5. Prior HDAC inhibitor therapy. 6. Patients with a diagnosis of: - Precursor T-cell lymphoma or leukemia - Adult T-cell lymphoma/leukemia (ATLL) - T-cell prolymphocytic leukemia - T-cell large granular lymphocytic leukemia - Primary cutaneous type anaplastic large cell lymphoma - Mycosis fungoides/Sezary syndrome 7. Co-existing active infection or any medical condition likely to interfere with trial procedures. 8. Significant cardiovascular disease (New York Heart Association Class III or IV cardiac disease), myocardial infarction within the past 6 months, unstable angina, unstable arrhythmia or a need for anti-arrhythmic therapy (use of frequency adjusting medication for atrial fibrillation is allowed, if stable medication for at least last month prior to randomization and medication not listed as causing Torsade de Points, see Section 16.2, Appendix B), or evidence of acute ischemia on ECG. 9. Baseline prolongation of QT/QTc interval, e.g., repeated demonstration of a QTc interval > 450 msec; Long QT Syndrome; the required use of concomitant medication that may cause Torsade de Pointes (see Section 16.2 Appendix B for list of such medications). 10. Clinically significant central nervous system disorders with altered mental status or psychiatric disorders precluding understanding of the informed consent process and/or completion of the necessary studies. 11. Active concurrent malignancy (except adequately treated non-melanoma skin cancer or carcinoma in situ of the cervix). If there is a history of prior malignancy, the patient must be disease free for greater than or equal to 2 years (except carcinoma in situ of breast, prostate cancer, or superficial bladder cancer). 12. Symptomatic or untreated central nervous system (CNS) metastases. Patients with previously treated CNS metastases which are asymptomatic at baseline are permitted. 13. Pregnant or breast-feeding women. 14. Women of childbearing age and potential who are not willing to use effective contraception during the study and until 30 days after last dose of study drug. Male patients or male patients who have female partners of childbearing age and potential who are not willing to use effective contraception during the study and until 30 days after last dose of study drug. Highly effective methods of birth control are defined as those which result in a low failure rate (i.e. less than 1% per year) when used consistently and correctly such as implants, injectables, combined oral contraceptives, some IUDs, sexual abstinence or vasectomised partner. 15. Known infection with HIV, hepatitis B or hepatitis C. 16. Patients that are not affiliated with social security (study centers in France only). |
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E.5 End points |
E.5.1 | Primary end point(s) |
The primary study endpoint will be objective response rate (ORR). Objective response is complete response (CR) or partial response (PR) based on independent radiology review. A 20% ORR is considered clinically meaningful |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | No |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | Yes |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | No |
E.7.1.2 | Bioequivalence study | No |
E.7.1.3 | Other | No |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | No |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Information not present in EudraCT |
E.8.2.2 | Placebo | Information not present in EudraCT |
E.8.2.3 | Other | Information not present in EudraCT |
E.8.3 |
The trial involves single site in the Member State concerned
| No |
E.8.4 | The trial involves multiple sites in the Member State concerned | Yes |
E.8.4.1 | Number of sites anticipated in Member State concerned | 1 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 35 |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | Yes |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.6.3 | If E.8.6.1 or E.8.6.2 are Yes, specify the regions in which trial sites are planned |
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E.8.7 | Trial has a data monitoring committee | Yes |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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I pazienti verranno trattati fino a progressione della malattia o tossicita` intrattabili correlate al trattamento o ritiro del consenso. I pazienti sono seguiti fino alla progressione della malattia e fino a 2 anni per la sopravvivenza. |
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 6 |
E.8.9.1 | In the Member State concerned months | 0 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 6 |
E.8.9.2 | In all countries concerned by the trial months | 0 |