E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Advanced T-Cell Lymphomas (TCL), i.e. Cutaneous T Cell Lymphomas (CTCL) and Peripheral T Cell Lympomas (PTCL). CTCL subtypes under investigation: relapsed/refractory Sézary Syndrome (SS), stage IB to IV Mycosis Fungoides (MF). Relapsed/refractory PTCL subtypes under investigation: PTCL-Not Otherwise Specified (PTCL-NOS), AngioImmunoblastic T-cell Lymphoma (AITL), Anaplastic Large Cell Lymphoma (ALCL). |
Linfoma de linfocitos T avanzado con subtipos: linfoma cutáneo de linfocitos T (LCLT) y linfoma de linfocitos T periféricos (LLTP). Subtipos LCLT en investigación: Síndrome de Sézary recidivante/resistente (SS), micosis fungoide en estadío IB, IIA, IIB, III, IV (MF). Subtipos LLTP recidivante/resistente en investigación :LLTP sin especificar, linfoma angioinmunoblástico de linfocitos T (LAIT), linfoma anaplásico de células grandes (LACG). |
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E.1.1.1 | Medical condition in easily understood language |
Rare types of cancers of the immune system |
Cánceres de tipo raro del sistema inmune |
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E.1.1.2 | Therapeutic area | Diseases [C] - Cancer [C04] |
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10034622 |
E.1.2 | Term | Peripheral T-cell lymphomas NEC |
E.1.2 | System Organ Class | 100000004851 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10002450 |
E.1.2 | Term | Angioimmunoblastic T-cell lymphomas |
E.1.2 | System Organ Class | 100000004851 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10002235 |
E.1.2 | Term | Anaplastic large cell lymphomas T- and null-cell types |
E.1.2 | System Organ Class | 100000004851 |
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E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 20.0 |
E.1.2 | Level | HLT |
E.1.2 | Classification code | 10028484 |
E.1.2 | Term | Mycoses fungoides |
E.1.2 | System Organ Class | 100000004851 |
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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 evaluate the clinical activity of IPH4102 alone (Cohorts 1-3) or in combination with GEMOX chemotherapy (Cohorts 4 and 5) in patients with advanced T-cell lymphoma. |
Evaluar la tasa de respuesta objetiva (TRO) de IPH4102 en monoterapia (en las cohortes 1-3) o en combinación con quimioterapia con GEMOX (cohortes 4 y 5) en pacientes con linfoma de linfocitos T avanzado. |
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E.2.2 | Secondary objectives of the trial |
-To characterize the safety and tolerability of IPH4102 alone (Cohorts 1-3) or in combination with GEMOX chemotherapy (Cohorts 4 and 5); -To further characterize the clinical activity of IPH4102 alone or in combination with GEMOX chemotherapy; -To evaluate the pharmacokinetics (PK) and immunogenicity of IPH4102 alone or in combination with GEMOX chemotherapy. |
-Caracterizar la seguridad y la tolerabilidad de IPH4102 en monoterapia (cohortes 1-3) o en combinación con quimioterapia con GEMOX (cohortes 4 y 5). -Evaluar otros criterios de valoración de la actividad clínica de IPH4102 en monoterapia o en combinación con quimioterapia con GEMOX. -Evaluar la farmacocinética (FC) y la inmunogenicidad de IPH4102 en monoterapia o en combinación con quimioterapia con GEMOX. |
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E.2.3 | Trial contains a sub-study | No |
E.3 | Principal inclusion criteria |
Cohort 1: 1.Patients with relapsed/refractory SS who have received at least 2 prior systemic therapies; 2.Prior treatment with mogamulizumab; 3.Patients should have blood stage B2 at screening based on central evaluation by flow cytometry; 4.Feasibility of obtaining at least 1 skin biopsy at screening. Cohorts 2 and 3: 5.Patients with stage IB to IV MF; 6.KIR3DL2 expression (Cohort 2) or non-expression (Cohort 3) in at least 1 skin lesion; 7.Patients should have received at least 2 prior systemic therapies that may include biological agents; 8.Feasibility of obtaining at least 1 skin biopsy at screening; 9.Adequate baseline laboratory data: Hematology: CD4+ T-cells ≥200/µL. Cohorts 4 and 5: 10.Patients with relapsed/refractory PTCL of the following subtypes: PTCL-NOS, angioimmunoblastic T-cell lymphoma (AITL), or anaplastic large cell lymphoma (ALCL); 11.KIR3DL2 expression (Cohort 4) or non-expression (Cohort 5) based on 1 involved lymph node; 12.Patients should have received at least 1 prior systemic therapy including an anthracycline-based chemotherapy. Patients who are not eligible for treatment with anthracycline based therapy are eligible for inclusion provided that they were treated with at least one prior systemic therapy; 13.Presence of at least 1 target lesion on PET/CT scan at screening; 14.Feasibility of obtaining 1 lymph node biopsy at screening. All cohorts: 15.Male or Female, at least 18 years of age; 16.ECOG performance status ≤2; 17.The patient must have a minimum wash-out period of 4 weeks between the last dose of prior systemic therapy (8 weeks for biological agents) and the first dose of IPH4102 18.Patients should have recovered from all adverse events related to prior therapy to ≤ grade 1; 19.Adequate baseline laboratory data 20.Women of childbearing potential (WOCBP) must have a negative serum beta-HCG pregnancy test result within seven days from start of treatment; 21.Women of childbearing potential and all men (and their female partners of childbearing potential) who are sexually active must agree to use adequate method of contraception at study entry, during treatment and for at least 9 months (270 days) following the last dose of study drug. |
Cohorte 1: 1.SS recidivante/resistente que hayan recibido al menos dos tratamientos sistémicos previos; 2.Tratamiento previo con mogamulizumab; 3.Los pacientes deberán presentar estadio B2 de la sangre determinado en la selección basándose en la evaluación central mediante citometría de flujo; 4.Posibilidad de obtener al menos una biopsia cutánea en la selección. Cohortes 2 y 3: 5.MF en Estadio IB, IIA, IIB, III, IV; 6.Expresión de KIR3DL2 (cohorte 2) o no expresión (cohorte 3) en al menos una lesión cutánea. 7.Los pacientes deben haber recibido al menos dos tratamientos sistémicos previos que pueden incluir fármacos biológicos; 8.Posibilidad de obtener al menos una biopsia cutánea en la selección. 9.Datos analíticos basales suficientes: Hematología: Linfocitos T CD4+ ≥ 200/µl. Cohortes 4 and 5: 10.LLTP recidivante/resistente de los siguientes subtipos: LLTP sin especificar, linfoma angioinmunoblástico de linfocitos T (LAIT) o linfoma anaplásico de células grandes (LACG); 11.Expresión de KIR3DL2 (cohorte 4) o no expresión (cohorte 5) basada en la evaluación de un ganglio linfático afectado; 12.Las pacientes deben haber recibido al menos un tratamiento sistémico previo con quimioterapia con antraciclinas. Los pacientes que no sean aptos para recibir tratamiento con antraciclinas serán aptos para su inclusión siempre que hayan recibido al menos un tratamiento sistémico previo; 13.Presencia de al menos una lesión diana en la PET/TAC en la selección. 14.Posibilidad de obtener una biopsia ganglionar en la selección. Todas las cohortes: 15.Varón o mujer de al menos 18 años de edad. 16.Escala ECOG de Estado funcional ≤ 2. 17.El paciente debe tener un período de lavado mínimo de 4 semanas entre la última dosis del tratamiento sistémico previo (8 semanas para los fármacos biológicos) y la primera dosis de IPH4102. 18.Los pacientes deben haberse recuperado de todos los acontecimientos adversos relacionados con el tratamiento previo a grado ≤ 1. 19.Datos analíticos basales suficientes. 20.Las mujeres en edad fértil (MEF) deberán dar un resultado negativo en una prueba de embarazo de beta-HCG en suero realizada en los siete días previos al inicio del tratamiento. 21.Las mujeres en edad fértil y todos los varones (y sus parejas femeninas en edad fértil) sexualmente activos deberán comprometerse a utilizar un método anticonceptivo adecuado en el momento de incorporarse al estudio, durante el tratamiento y durante al menos 9 meses (270 días) después de la última dosis del fármaco del estudio. |
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E.4 | Principal exclusion criteria |
Cohorts 1 to 3: 1.Patients with evidence of large cell transformation (LCT) based on central histologic evaluation. Cohorts 4 and 5: 2.Prior administration of gemcitabine and/or oxaliplatin; 3.Presence of grade 2 neurotoxicity or higher. All Cohorts: 4.Known central nervous system (CNS) lymphoma; 5.Prior administration of IPH4102; 6.Concomitant administration of radiotherapy or systemic anti-cancer therapy including but not restricted to: chemotherapy, biological agents or immunotherapy; 7.Autologous stem cell transplantation less than 3 months prior to enrollment; 8.Prior allogenic transplantation; 9.Concomitant corticosteroid use, systemic or topical. However, stable dosage of topical steroids (maximum strength Class III according to World Health Organization (WHO) Classification of Topical Corticosteroids) and/or systemic steroids (≤10 mg prednisone equivalent/day) are allowed, if patient has been on a stable dose for at least 4 weeks prior to treatment start; 10.Patients who have undergone major surgery ≤ 4 weeks prior to study entry; 11.Patients with known NCI CTCAE grade 3 or higher active systemic or cutaneous viral, bacterial, or fungal infection; 12.Patients who have active Hepatitis B or C virus infection; 13.Patients who are known to be HIV-positive; 14.Patients with a history of other malignancies during the past 5 years apart from the disease subject of this study. The following are exempt from the five-year limit: non-melanoma skin cancer, lymphomatoid papulosis, resected thyroid cancer, biopsy-proven cervical intraepithelial neoplasia or cervical carcinoma in situ; 15.Pregnant or breastfeeding women; 16.Patients with congestive heart failure, Class III or IV, by New York Heart Association (NYHA) criteria; 17.Patients with known active autoimmune disease; 18.Patients with any serious underlying medical condition that would impair their ability to receive or tolerate the planned treatment and/or comply with study protocol; 19.Patients with dementia or altered mental status that would preclude understanding and rendering of informed consent document. |
Cohortes 1 a 3: 1.Pacientes con signos de transformación de células grandes (TCL) según la evaluación histológica central. Cohortes 4 y 5: 2.Administración previa de gemcitabina y/u oxaliplatino. 3.Presencia de neurotoxicidad de grado 2 o superior. Todas las cohortes: 4.Linfoma del sistema nervioso central (SNC) conocido. 5.Administración previa de IPH4102. 6.Administración concomitante de radioterapia o tratamiento antineoplásico sistémico, entre otros: quimioterapia, fármacos biológicos o inmunoterapia. 7.Autotrasplante de células madre menos de 3 meses antes de la inclusión. 8.Alotrasplante previo. 9.Uso concomitante de corticosteroides, sistémicos o tópicos. Sin embargo, se permite una dosis estable de corticosteroides tópicos ( con una potencia máxima de III según la clasificación de los corticosteroides tópicos de la Organización Mundial de la Salud [OMS]) o corticosteroides sistémicos (≤ 10 mg de equivalente de prednisona/día), si el paciente ha recibido una dosis estable durante al menos 4 semanas antes del inicio del tratamiento. 10.Pacientes sometidos a cirugía mayor ≤ 4 semanas antes de la entrada en el estudio. 11.Pacientes con infección vírica, bacteriana o micótica sistémica o cutánea activa y conocida de grado 3 o superior según los CTCAE del NCI. 12.Pacientes con infección activa por el virus de la hepatitis B o C. 13.Pacientes que se sabe que son seropositivos para el VIH. 14.Pacientes con antecedentes de otras neoplasias malignas en los últimos cinco años, aparte de la enfermedad objeto de este estudio. Los siguientes están exentos del límite de cinco años: cáncer de piel distinto del melanoma, papulosis linfomatoide, cáncer de tiroides resecado, neoplasia intraepitelial cervicouterina confirmada mediante biopsia o carcinoma in situ del cuello uterino; 15.Mujeres embarazadas o en período de lactancia. 16.Pacientes con insuficiencia cardíaca congestiva de clase III o IV según los criterios de la New York Heart Association (NYHA). 17.Pacientes con enfermedad autoinmunitaria activa conocida; 18.Pacientes con cualquier trastorno médico subyacente grave que altere su capacidad para recibir o tolerar el tratamiento previsto o cumplir el protocolo del estudio. 19.Pacientes con demencia o alteración del estado mental que impida entender y otorgar el documento de consentimiento informado. |
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E.5 End points |
E.5.1 | Primary end point(s) |
Objective Response Rate (ORR) |
Tasa de respuesta objetiva (TRO) |
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E.5.1.1 | Timepoint(s) of evaluation of this end point |
ORR: until End of treatment (EOT) and during Follow-Up (FU) if applicable as per Protocol. |
TRO: hasta Final del tratamiento (FDT) y durante el Seguimiento (SEG) conforme al protocolo. |
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E.5.2 | Secondary end point(s) |
Quality of life (QoL) (Cohorts 1-3), ORR using blinded central review (Cohort 1), duration of response (DOR), ORR lasting at least 4 months (ORR4) (Cohorts 1-3), progression free survival (PFS), overall survival (OS), minimal residual disease (MRD). |
Calidad de vida (CdV) (cohortes 1-3), TRO según una revisión central enmascarada (cohorte 1), duración de la respuesta,TRO de al menos 4 meses de duración (TRO4) (cohortes 1-3), supervivencia sin progresión (SSP), supervivencia global (SG), enfermedad residual mínima (ERM). |
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E.5.2.1 | Timepoint(s) of evaluation of this end point |
Until EOT and during FU if applicable. |
Hasta Final del tratamiento (FDT) y durante el Seguimiento (SEG) si aplica. |
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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 | Yes |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | Yes |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
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 | No |
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 | Yes |
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) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
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 | 5 |
E.8.5 | The trial involves multiple Member States | Yes |
E.8.5.1 | Number of sites anticipated in the EEA | 18 |
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 | No |
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 |
France |
Germany |
Italy |
Spain |
United Kingdom |
United States |
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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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Last visit of the last subject |
Última visita del último paciente |
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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 | 4 |
E.8.9.1 | In the Member State concerned months | |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 4 |