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A Phase 2 study to evaluate the efficacy of nanatinostat in combination with valganciclovir in patients with relapsed/refractory EBV-positive lymphomas
Patients with EBV-associated lymphomas have inferior outcomes with standard-of-care therapies compared to those with EBV-negative disease. Nanatinostat is a selective class I HDAC inhibitor which induces EBV lytic phase protein generation, activating (val)ganciclovir to its cytotoxic form. This open-label, multicenter, multinational, single-arm, Phase 2 basket study employs a Simon's 2-stage design to allow termination of enrollment into cohorts where treatment appears futile, and will include the following cohorts of patients with EBV+ relapsed/refractory lymphomas:
The study was terminated prematurely and did not reach its target enrollment.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Nanatinostat with Valganciclovir | Experimental | Patients will receive nanatinostat 20 mg orally once daily, days 1-4 per week with valganciclovir 900 mg orally once daily. Up to 10 PTCL patients will receive nanatinostat 20 mg orally once daily, days 1-4 per week. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Nanatinostat in combination with valganciclovir | Drug | Drug: Nanatinostat, 20 mg orally once daily, 4 days per week in 28 day cycles Drug: Valganciclovir, 900 mg orally once daily in 28 day cycles |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) | Number (percentage) of patients with a best overall complete response (CR) or partial response (PR) according to the 2007 International Working Group (IWG) criteria, where CR included complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy with all lymph nodes and nodal masses having regressed on computed tomography to normal size, and PR included at least a 50% decrease in sum of the product of the diameters (SPD) of up to six of the largest dominant nodes or nodal masses, no increase should have been observed in the size of other nodes, liver, or spleen, and splenic and hepatic nodules must have regressed by ≥ 50% in their SPD or, for single nodules, in the greatest transverse diameter. | Up to approximately 2 years |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of Response (DOR) | Interval of time from date of first observed complete or partial response per 2007 International Working Group (IWG) criteria to the date of documented disease progression or death due to any cause, where disease progression is defined by 2007 IWG criteria as any new lesion or increase by ≥ 50% of previously involved sites from nadir. DOR was censored at the time of study withdrawal for hematopoietic stem cell transplant, or at the time of study termination, whichever was earlier, for patients whose disease was still in response. |
| Measure | Description | Time Frame |
|---|---|---|
| Objective Response Rate (ORR) by Study Milestone in the Peripheral T-Cell Lymphoma (Combination Therapy) Cohort That Enrolled Patients Beyond Stage 1 or in the Peripheral T-Cell Lymphoma (Monotherapy) Cohort Who Crossed Over to Receive Combination Therapy | Number (percentage) of patients with a best overall complete response (CR) or partial response (PR) according to the 2007 International Working Group (IWG) criteria, where CR included complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy with all lymph nodes and nodal masses having regressed on computed tomography to normal size, and PR included at least a 50% decrease in sum of the product of the diameters (SPD) of up to six of the largest dominant nodes or nodal masses, no increase should have been observed in the size of other nodes, liver, or spleen, and splenic and hepatic nodules must have regressed by ≥ 50% in their SPD or, for single nodules, in the greatest transverse diameter. |
Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Darrel P Cohen, MD, PhD | Viracta Therapeutics | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The University of Alabama at Birmingham Comprehensive Cancer Center | Birmingham | Alabama | 35233 | United States | ||
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17242396 | Background | Cheson BD, Pfistner B, Juweid ME, Gascoyne RD, Specht L, Horning SJ, Coiffier B, Fisher RI, Hagenbeek A, Zucca E, Rosen ST, Stroobants S, Lister TA, Hoppe RT, Dreyling M, Tobinai K, Vose JM, Connors JM, Federico M, Diehl V; International Harmonization Project on Lymphoma. Revised response criteria for malignant lymphoma. J Clin Oncol. 2007 Feb 10;25(5):579-86. doi: 10.1200/JCO.2006.09.2403. Epub 2007 Jan 22. | |
| 37530631 |
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Patients enrolled in the Peripheral T-Cell Lymphoma (Monotherapy) cohort who had stable disease at 6 weeks or disease progression at any time (confirmed by CT or MRI) were provided the option to cross over to receive combination therapy for the remainder of the study.
Patients with Epstein-Barr virus (EBV)-associated lymphoid malignancy were nonrandomly assigned to one of 7 cohorts defined in the Study Description module, except the first 20 patients with peripheral T-cell lymphoma were randomized (1:1) to receive either combination nanatinostat plus valganciclovir therapy or nanatinostat monotherapy.
Up to 10 (Stage 1), up to 11 (Stage 2), and up to 120 (Expansion) patients were to be enrolled in each cohort depending on the number of responses observed.
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| ID | Title | Description |
|---|---|---|
| FG000 | Diffuse Large B-Cell Lymphoma | Patients with relapsed or refractory EBV-positive diffuse large B-cell lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| FG001 | Extranodal Natural Killer/T-Cell Lymphoma |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Type | Includes Protocol | Includes SAP | Includes ICF | Document Label | Document Date | Document Uploaded Date | Document File Name |
|---|---|---|---|---|---|---|---|
| Prot | Yes | No | No | Study Protocol | Oct 26, 2023 | Feb 21, 2025 |
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This is an open-label, single-arm study utilizing a basket trial design.
The study was terminated prematurely and did not reach its target enrollment.
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|
| Up to approximately 2 years |
| Time to Next Anti-Lymphoma Treatment (TTNLT) | Interval of time from the start of study drug treatment to the date of next anti-lymphoma treatment (including chemotherapy, radiotherapy, radioimmunotherapy, or immunotherapy). | Up to approximately 3 years |
| Time to Progression (TTP) | Interval of time from the start of study drug treatment to the date of disease progression, where disease progression is defined by 2007 IWG criteria as any new lesion or increase by ≥ 50% of previously involved sites from nadir. TTP was censored at the time of study withdrawal for hematopoietic stem cell transplant, at the time of study treatment withdrawal (or at the time of crossover from monotherapy to combination therapy), or at the time of study termination, whichever was earliest, for patients without reported disease progression. | Up to approximately 3 years |
| Progression-Free Survival (PFS) | Interval of time from the start of study drug treatment to the date of first documented disease progression (defined by 2007 IWG criteria as any new lesion or increase by ≥ 50% of previously involved sites from nadir), initiation of new antineoplastic therapy, or death from any cause, whichever occurred first. PFS was censored at the time of study withdrawal for hematopoietic stem cell transplant, at the time of study treatment withdrawal (or at the time of crossover from monotherapy to combination therapy), or at the time of study termination, whichever was earliest, for patients without reported disease progression or death. | Up to approximately 3 years |
| Overall Survival (OS) | Interval of time from the start of study drug treatment to the date of death for any reason. OS was censored at the time of study withdrawal or study termination, whichever was earlier, for patients without reported death. | Up to approximately 3 years |
| Number (Percentage) of Participants With Adverse Events (AEs) | Number (percentage) of patients experiencing at least one treatment-emergent adverse event, defined as those untoward medical events with onset after the first dose of study drug or existing events that worsened after the first dose during the study | Up to approximately 2 years |
| Pharmacokinetic (PK) Parameter - Time to Maximum Plasma Concentration [Tmax] | Defined as the time required to reach peak plasma concentration [Cmax] after study drug administration | Cycle 1 Day 1 and Cycle 6 Day 1 at pre-dose and 1, 2, 4, and 6 hours post-dose (each cycle was 28 days) |
| Pharmacokinetic (PK) Parameter - Maximum Plasma Concentration [Cmax] | Defined as the peak plasma concentration [Cmax] after study drug administration | Cycle 1 Day 1 and Cycle 6 Day 1 at pre-dose and 1, 2, 4, and 6 hours post-dose (each cycle was 28 days) |
| Pharmacokinetic Parameter - Area Under the Plasma Concentration-Time Curve [AUC0-t] | Defined as the area under the concentration-time curve from time 0 to the last measurable plasma concentration | Cycle 1 Day 1 and Cycle 6 Day 1 at pre-dose and 1, 2, 4, and 6 hours post-dose (each cycle was 28 days) |
| Pharmacokinetic (PK) Parameter - Half-Life [t1/2] | Defined as the time required to reduce plasma concentration by 50% after study drug administration | Cycle 1 Day 1 and Cycle 6 Day 1 at pre-dose and 1, 2, 4, and 6 hours post-dose (each cycle was 28 days) |
| Up to approximately 2 years |
| Duration of Response (DOR) by Study Milestone in the Peripheral T-Cell Lymphoma (Combination Therapy) Cohort That Enrolled Patients Beyond Stage 1 or in the Peripheral T-Cell Lymphoma (Monotherapy) Cohort Who Crossed Over to Receive Combination Therapy | Interval of time from date of first observed complete or partial response per 2007 International Working Group (IWG) criteria to the date of documented disease progression or death due to any cause, where disease progression is defined by 2007 IWG criteria as any new lesion or increase by ≥ 50% of previously involved sites from nadir. DOR was censored at the time of study withdrawal for hematopoietic stem cell transplant, or at the time of study termination, whichever was earlier, for patients whose disease was still in response. | Up to approximately 2 years |
| City of Hope |
| Duarte |
| California |
| 91010 |
| United States |
| David Geffen School of Medicine - UCLA | Los Angeles | California | 90095 | United States |
| University of California Irvine | Orange | California | 92868 | United States |
| Scripps MD Anderson Cancer Center | San Diego | California | 92103 | United States |
| UCSF Hematology and Blood and Marrow Transplant | San Francisco | California | 94143 | United States |
| University of Colorado Cancer Center | Aurora | Colorado | 80045 | United States |
| University of Maryland Medical Center | Baltimore | Maryland | 21201 | United States |
| John Theurer Cancer Center: Hackensack Univeristy | Hackensack | New Jersey | 07601 | United States |
| Icahn School of Medicine at Mount Sinai | New York | New York | 10029 | United States |
| Cincinnati Children's Hospital Medical Center | Cincinnati | Ohio | 45229 | United States |
| Ohio State University: Wexner Medical Center | Columbus | Ohio | 43210 | United States |
| Sidney Kimmel Cancer Center - Jefferson Health | Philadelphia | Pennsylvania | 19107 | United States |
| Medical University of South Carolina | Charleston | South Carolina | 29425 | United States |
| Harold C. Simmons Comprehensive Cancer Center | Dallas | Texas | 75235 | United States |
| The University of Texas MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| University of Utah, Huntsman Cancer Institute | Salt Lake City | Utah | 84112 | United States |
| Box Hill Hospital | Melbourne | Victoria | Australia |
| The Alfred Hospital | Melbourne | Victoria | Australia |
| CEPEVILLE - Instituto Joinvilense de Hematologia e Oncologia | Joinville | Brazil |
| Ruschel Medicina e Pesquisa Clinica | Rio de Janeiro | Brazil |
| CEPHO - Centro de Estudos e Pesquisas de Hematologia e Oncologia | Santo André | Brazil |
| CIPE Centro Internacional de Pesquisa - AC Camargo Cancer Center | São Paulo | Brazil |
| HCFMUSP - Hospital das Clínicas da Faculdade de Medicina Universidade de São Paulo | São Paulo | Brazil |
| Cross Cancer Institute | Edmonton | Alberta | Canada |
| BC Cancer Agency | Vancouver | British Columbia | Canada |
| Hôpital Maisonneuve-Rosemont | Montreal | Quebec | Canada |
| Institut Bergonié | Bordeaux | Aquitaine | France |
| Centre Hospitalier Universitaire Limoges | Limoges | Limousin | France |
| Hôpital Haut-Lévêque | Pessac | New Aquitaine | France |
| Centre Hospitalier Lyon-Sud | Pierre-Bénite | Rhone-Alps | France |
| Henri Mondor University Hospital | Paris | France |
| Hôpital Universitaire Pitié Salpêtrière | Paris | Île-de-France Region | France |
| Universitätsklinikum Würzburg | Würzburg | Bavaria | Germany |
| Universitätsklinikum Leipzig | Leipzig | Germany |
| Hadassah Medical Center, Ein Kerem Hospital | Jerusalem | Israel |
| Istituto Clinico Humanitas | Rozzano | Milan | Italy |
| Centro di Riferimento Oncologico | Aviano | Pordenone | Italy |
| Azienda Ospedaliero-Universitaria di Bologna Policlinico Sant Orsola-Malpighi | Bologna | Italy |
| Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia | Brescia | Italy |
| Azienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda | Milan | Italy |
| Istituto Europeo di Oncologia | Milan | Italy |
| Fondazione IRCCS Policlinico San Matteo | Pavia | Italy |
| Arcispedale Santa Maria Nuova | Reggio Emilia | Italy |
| Fondazione Policlinico Universitario Agostino Gemelli | Roma | Italy |
| Sarawak General Hospital / Hospital Umum Sarawak | Kuching | Malaysia |
| National Cancer Centre Singapore | Singapore | Singapore |
| Oncocare Cancer Center | Singapore | Singapore |
| Singapore General Hospital | Singapore | Singapore |
| Gachon University Gil Medical Center | Incheon | South Korea |
| Samsung Medical Center | Seoul | South Korea |
| Hospitalet de Llobregat | Barcelona | Spain |
| Hospital Universitario 12 de Octubre | Madrid | Spain |
| Jimenez Diaz Foundation University Hospital | Madrid | Spain |
| Kaohsiung Chang Gung Memorial Hospital | Kaohsiung City | Taiwan |
| Kaohsiung Medical University Chung-Ho Memorial Hospital | Kaohsiung City | Taiwan |
| National Cheng Kung University Hospital | Tainan | Taiwan |
| National Taiwan University Hospital | Taipei | Taiwan |
| Chang Gung Memorial Hospital - Linkou Branch | Taoyuan City | Taiwan |
| The Clatterbridge Cancer Centre NHS Foundation Trust | Liverpool | United Kingdom |
| University College London Hospitals NHS Foundation Trust | London | United Kingdom |
| The Christie NHS Foundation Trust | Manchester | United Kingdom |
| Derived |
| Haverkos B, Alpdogan O, Baiocchi R, Brammer JE, Feldman TA, Capra M, Brem EA, Nair S, Scheinberg P, Pereira J, Shune L, Joffe E, Young P, Spruill S, Katkov A, McRae R, Royston I, Faller DV, Rojkjaer L, Porcu P. Targeted therapy with nanatinostat and valganciclovir in recurrent EBV-positive lymphoid malignancies: a phase 1b/2 study. Blood Adv. 2023 Oct 24;7(20):6339-6350. doi: 10.1182/bloodadvances.2023010330. |
Patients with relapsed or refractory EBV-positive extranodal natural killer/T-cell lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| FG002 | Peripheral T-Cell Lymphoma (Combination Therapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| FG003 | Peripheral T-Cell Lymphoma (Monotherapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week |
| FG004 | Hodgkin Lymphoma | Patients with relapsed or refractory EBV-positive Hodgkin lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| FG005 | Post-Transplant Lymphoproliferative Disorders | Patients with relapsed or refractory EBV-positive post-transplant lymphoproliferative disorders treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| FG006 | Human Immunodeficiency Virus-Associated Lymphomas | Patients with relapsed or refractory EBV-positive human immunodeficiency virus-associated lymphomas treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| FG007 | Other EBV-Positive Lymphomas | Patients with relapsed or refractory EBV-positive lymphomas other than those from the other cohorts treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| Stage 1 |
|
| Stage 2 |
|
| Expansion |
|
| Crossover | Crossover only applies to patients enrolled in the Peripheral T-Cell Lymphoma (Monotherapy) cohort who were subsequently provided the option to cross over to receive combination therapy. |
|
| COMPLETED |
|
| NOT COMPLETED |
|
|
Not provided
| ID | Title | Description |
|---|---|---|
| BG000 | Diffuse Large B-Cell Lymphoma | Patients with relapsed or refractory EBV-positive diffuse large B-cell lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| BG001 | Extranodal Natural Killer/T-Cell Lymphoma | Patients with relapsed or refractory EBV-positive extranodal natural killer/T-cell lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| BG002 | Peripheral T-Cell Lymphoma (Combination Therapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| BG003 | Peripheral T-Cell Lymphoma (Monotherapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week |
| BG004 | Hodgkin Lymphoma | Patients with relapsed or refractory EBV-positive Hodgkin lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| BG005 | Post-Transplant Lymphoproliferative Disorders | Patients with relapsed or refractory EBV-positive post-transplant lymphoproliferative disorders treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| BG006 | Human Immunodeficiency Virus-Associated Lymphomas | Patients with relapsed or refractory EBV-positive human immunodeficiency virus-associated lymphomas treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| BG007 | Other EBV-Positive Lymphomas | Patients with relapsed or refractory EBV-positive lymphomas other than those from the other cohorts treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| BG008 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants | Participants |
| ||||||||||||||||
| Age, Continuous | Median | Full Range | years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Ethnicity (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Race (NIH/OMB) | Count of Participants | Participants |
| ||||||||||||||||
| Region of Enrollment | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Objective Response Rate (ORR) | Number (percentage) of patients with a best overall complete response (CR) or partial response (PR) according to the 2007 International Working Group (IWG) criteria, where CR included complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy with all lymph nodes and nodal masses having regressed on computed tomography to normal size, and PR included at least a 50% decrease in sum of the product of the diameters (SPD) of up to six of the largest dominant nodes or nodal masses, no increase should have been observed in the size of other nodes, liver, or spleen, and splenic and hepatic nodules must have regressed by ≥ 50% in their SPD or, for single nodules, in the greatest transverse diameter. | Intent-to-Treat Analysis Set, defined as all patients who were enrolled into the trial regardless of whether or not they received study treatment. The study was not designed to make formal statistical comparisons of ORRs between cohorts. | Posted | Count of Participants | Participants | Up to approximately 2 years |
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| Secondary | Duration of Response (DOR) | Interval of time from date of first observed complete or partial response per 2007 International Working Group (IWG) criteria to the date of documented disease progression or death due to any cause, where disease progression is defined by 2007 IWG criteria as any new lesion or increase by ≥ 50% of previously involved sites from nadir. DOR was censored at the time of study withdrawal for hematopoietic stem cell transplant, or at the time of study termination, whichever was earlier, for patients whose disease was still in response. | Patients who achieved a CR or PR. The study was not designed to make formal statistical comparisons of DOR between cohorts. | Posted | Median | Full Range | days | Up to approximately 2 years |
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| Secondary | Time to Next Anti-Lymphoma Treatment (TTNLT) | Interval of time from the start of study drug treatment to the date of next anti-lymphoma treatment (including chemotherapy, radiotherapy, radioimmunotherapy, or immunotherapy). | The clinical trial was terminated before the outcome measure data were collected (data export from the clinical database just prior to study termination retrieved from data manager files contained data listings to support determinations of other secondary efficacy outcome measures but not post-treatment anticancer therapy regimen dates to support TTNLT determination, and investigation into the cause of these uncollected data was preempted by sponsor company closure soon after study termination). | Posted | Up to approximately 3 years |
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| Secondary | Time to Progression (TTP) | Interval of time from the start of study drug treatment to the date of disease progression, where disease progression is defined by 2007 IWG criteria as any new lesion or increase by ≥ 50% of previously involved sites from nadir. TTP was censored at the time of study withdrawal for hematopoietic stem cell transplant, at the time of study treatment withdrawal (or at the time of crossover from monotherapy to combination therapy), or at the time of study termination, whichever was earliest, for patients without reported disease progression. | Intent-to-Treat Analysis Set, defined as all patients who were enrolled into the trial regardless of whether or not they received study treatment. The study was not designed to make formal statistical comparisons of TTP between cohorts. | Posted | Median | Full Range | days | Up to approximately 3 years |
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| Secondary | Progression-Free Survival (PFS) | Interval of time from the start of study drug treatment to the date of first documented disease progression (defined by 2007 IWG criteria as any new lesion or increase by ≥ 50% of previously involved sites from nadir), initiation of new antineoplastic therapy, or death from any cause, whichever occurred first. PFS was censored at the time of study withdrawal for hematopoietic stem cell transplant, at the time of study treatment withdrawal (or at the time of crossover from monotherapy to combination therapy), or at the time of study termination, whichever was earliest, for patients without reported disease progression or death. | Intent-to-Treat Analysis Set, defined as all patients who were enrolled into the trial regardless of whether or not they received study treatment. The study was not designed to make formal statistical comparisons of PFS between cohorts. | Posted | Median | Full Range | days | Up to approximately 3 years |
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| Secondary | Overall Survival (OS) | Interval of time from the start of study drug treatment to the date of death for any reason. OS was censored at the time of study withdrawal or study termination, whichever was earlier, for patients without reported death. | Intent-to-Treat Analysis Set, defined as all patients who were enrolled into the trial regardless of whether or not they received study treatment. The study was not designed to make formal statistical comparisons of OS between cohorts. | Posted | Median | Full Range | days | Up to approximately 3 years |
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| Secondary | Number (Percentage) of Participants With Adverse Events (AEs) | Number (percentage) of patients experiencing at least one treatment-emergent adverse event, defined as those untoward medical events with onset after the first dose of study drug or existing events that worsened after the first dose during the study | Safety Analysis Set, defined as all enrolled patients who received at least 1 dose of study treatment. The study was not designed to make formal statistical comparisons of AE numbers (percentages) between cohorts. | Posted | Count of Participants | Participants | Up to approximately 2 years |
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| Secondary | Pharmacokinetic (PK) Parameter - Time to Maximum Plasma Concentration [Tmax] | Defined as the time required to reach peak plasma concentration [Cmax] after study drug administration | Defined as all patients (pts) who received at least 1 dose of study drug on Cycle 1 Day 1 and had at least 1 valid PK concentration. Tmax data were previously generated for subset of 50 pts, 4 of whom reached Cycle 6 at time of analysis. As prespecified by the analysis plan, combination therapy cohorts were combined since Tmax for small molecules should not be affected by lymphoma subtype. PK samples from remaining pts were not tested due to sponsor company closure soon after study termination. | Posted | Median | Full Range | hours | Cycle 1 Day 1 and Cycle 6 Day 1 at pre-dose and 1, 2, 4, and 6 hours post-dose (each cycle was 28 days) |
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| Secondary | Pharmacokinetic (PK) Parameter - Maximum Plasma Concentration [Cmax] | Defined as the peak plasma concentration [Cmax] after study drug administration | Defined as all patients (pts) who received at least 1 dose of study drug on Cycle 1 Day 1 and had at least 1 valid PK concentration. Cmax data were previously generated for subset of 50 pts, 4 of whom reached Cycle 6 at time of analysis. As prespecified by the analysis plan, combination therapy cohorts were combined since Cmax for small molecules should not be affected by lymphoma subtype. PK samples from remaining pts were not tested due to sponsor company closure soon after study termination. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng/mL | Cycle 1 Day 1 and Cycle 6 Day 1 at pre-dose and 1, 2, 4, and 6 hours post-dose (each cycle was 28 days) |
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| Secondary | Pharmacokinetic Parameter - Area Under the Plasma Concentration-Time Curve [AUC0-t] | Defined as the area under the concentration-time curve from time 0 to the last measurable plasma concentration | Defined as all patients (pts) who received at least 1 dose of study drug on Cycle 1 Day 1 and had at least 1 valid PK concentration. AUC0-t data were previously generated for subset of 50 pts, 4 of whom reached Cycle 6 at time of analysis. As prespecified by the analysis plan, combination therapy cohorts were combined since AUC for small molecules should not be affected by lymphoma subtype. PK samples from remaining pts were not tested due to sponsor company closure soon after study termination. | Posted | Geometric Mean | Geometric Coefficient of Variation | ng*h/mL | Cycle 1 Day 1 and Cycle 6 Day 1 at pre-dose and 1, 2, 4, and 6 hours post-dose (each cycle was 28 days) |
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| Secondary | Pharmacokinetic (PK) Parameter - Half-Life [t1/2] | Defined as the time required to reduce plasma concentration by 50% after study drug administration | Defined as all patients who received at least 1 dose of study drug on Cycle 1 Day 1 and had at least 2 valid PK concentrations in the terminal elimination phase. This stricter requirement explains why, for example, the overall number analyzed for t1/2 (ie, 16) is less than the overall number analyzed for the other PK parameters (ie, 50). As prespecified by the analysis plan, combination therapy cohorts were combined since t1/2 for small molecules should not be affected by lymphoma subtype. | Posted | Mean | Standard Deviation | hours | Cycle 1 Day 1 and Cycle 6 Day 1 at pre-dose and 1, 2, 4, and 6 hours post-dose (each cycle was 28 days) |
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| Other Pre-specified | Objective Response Rate (ORR) by Study Milestone in the Peripheral T-Cell Lymphoma (Combination Therapy) Cohort That Enrolled Patients Beyond Stage 1 or in the Peripheral T-Cell Lymphoma (Monotherapy) Cohort Who Crossed Over to Receive Combination Therapy | Number (percentage) of patients with a best overall complete response (CR) or partial response (PR) according to the 2007 International Working Group (IWG) criteria, where CR included complete disappearance of all detectable clinical evidence of disease and disease-related symptoms if present before therapy with all lymph nodes and nodal masses having regressed on computed tomography to normal size, and PR included at least a 50% decrease in sum of the product of the diameters (SPD) of up to six of the largest dominant nodes or nodal masses, no increase should have been observed in the size of other nodes, liver, or spleen, and splenic and hepatic nodules must have regressed by ≥ 50% in their SPD or, for single nodules, in the greatest transverse diameter. | Intent-to-Treat Analysis Set, defined as all patients who were enrolled into the trial regardless of whether or not they received study treatment. The sum of the Overall Number of Participants Analyzed across all subgroups (ie, 57) additionally includes pre-specified ORR analyses in a subset of 14 patients in the Peripheral T-Cell Lymphoma (Combination Therapy) cohort previously treated with only 1 line of anti-lymphoma therapy. | Posted | Count of Participants | Participants | Up to approximately 2 years |
| ||||||||||||||||||||||||||||||||||||||||||||||
| Other Pre-specified | Duration of Response (DOR) by Study Milestone in the Peripheral T-Cell Lymphoma (Combination Therapy) Cohort That Enrolled Patients Beyond Stage 1 or in the Peripheral T-Cell Lymphoma (Monotherapy) Cohort Who Crossed Over to Receive Combination Therapy | Interval of time from date of first observed complete or partial response per 2007 International Working Group (IWG) criteria to the date of documented disease progression or death due to any cause, where disease progression is defined by 2007 IWG criteria as any new lesion or increase by ≥ 50% of previously involved sites from nadir. DOR was censored at the time of study withdrawal for hematopoietic stem cell transplant, or at the time of study termination, whichever was earlier, for patients whose disease was still in response. | Patients who achieved a CR or PR | Posted | Median | Full Range | days | Up to approximately 2 years |
|
Up to approximately 3 years for All-Cause Mortality; Up to approximately 2 years for Serious Adverse Events and Other (Not Including Serious) Adverse Events
Not provided
Not provided
| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Diffuse Large B-Cell Lymphoma | Patients with relapsed or refractory EBV-positive diffuse large B-cell lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD | 3 | 9 | 3 | 9 | 9 | 9 |
| EG001 | Extranodal Natural Killer/T-Cell Lymphoma | Patients with relapsed or refractory EBV-positive extranodal natural killer/T-cell lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD | 9 | 11 | 7 | 11 | 10 | 11 |
| EG002 | Peripheral T-Cell Lymphoma (Combination Therapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD | 9 | 38 | 9 | 38 | 32 | 38 |
| EG003 | Peripheral T-Cell Lymphoma (Monotherapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week | 4 | 10 | 5 | 10 | 10 | 10 |
| EG004 | Peripheral T-Cell Lymphoma (Crossover) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD after having been treated with nanatinostat 20 mg QD on Days 1 to 4 per week without response in the monotherapy cohort | 2 | 5 | 3 | 5 | 5 | 5 |
| EG005 | Hodgkin Lymphoma | Patients with relapsed or refractory EBV-positive Hodgkin lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD | 3 | 8 | 2 | 8 | 7 | 8 |
| EG006 | Post-Transplant Lymphoproliferative Disorders | Patients with relapsed or refractory EBV-positive post-transplant lymphoproliferative disorders treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD | 1 | 3 | 3 | 3 | 3 | 3 |
| EG007 | Human Immunodeficiency Virus-Associated Lymphomas | Patients with relapsed or refractory EBV-positive human immunodeficiency virus-associated lymphomas treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD | 1 | 3 | 2 | 3 | 3 | 3 |
| EG008 | Other EBV-Positive Lymphomas | Patients with relapsed or refractory EBV-positive lymphomas other than those from the other cohorts treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD | 8 | 20 | 10 | 20 | 17 | 20 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Pneumonia | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Septic shock | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Urinary tract infection | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Abdominal infection | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Escherichia infection | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| H1N1 influenza | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Influenza | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Lymph gland infection | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pharyngitis | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pneumonia aspiration | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pneumonia haemophilus | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Soft tissue infection | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| General physical health deterioration | General disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Swelling face | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Anaemia | Blood and lymphatic system disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pancytopenia | Blood and lymphatic system disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Immune thrombocytopenia | Blood and lymphatic system disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Dysphagia | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Faecaloma | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Impaired gastric emptying | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Oesophagitis | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pancreatitis | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pancreatitis acute | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Upper gastrointestinal haemorrhage | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Epistaxis | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pharyngeal haemorrhage | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pleural effusion | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pneumonitis aspiration | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Muscular weakness | Musculoskeletal and connective tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Platelet count decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Hypercalcaemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Failure to thrive | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Confusional state | Psychiatric disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Delirium | Psychiatric disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Hydronephrosis | Renal and urinary disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Orthostatic hypotension | Vascular disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Dizziness postural | Nervous system disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Loss of consciousness | Nervous system disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Sinus tachycardia | Cardiac disorders | MedDRA 27.1 | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Neutrophil count decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Fatigue | General disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pyrexia | General disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Decreased appetite | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Platelet count decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Diarrhoea | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Vomiting | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| White blood cell decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Blood creatinine increased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pneumonia | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Asthenia | General disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| COVID-19 | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Acute kidney injury | Renal and urinary disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Back pain | Musculoskeletal and connective tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Weight decreased | Investigations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Hypokalaemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Hyponatraemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Abdominal pain | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Arthralgia | Musculoskeletal and connective tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Constipation | Gastrointestinal disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Hypotension | Vascular disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Pruritus | Skin and subcutaneous tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Rash | Skin and subcutaneous tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Upper respiratory tract infection | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
| |
| Febrile neutropenia | Blood and lymphatic system disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Hypercalcaemia | Metabolism and nutrition disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Muscle spasms | Musculoskeletal and connective tissue disorders | MedDRA 27.1 | Non-systematic Assessment |
| |
| Sepsis | Infections and infestations | MedDRA 27.1 | Non-systematic Assessment |
|
The study was terminated prematurely.
Not provided
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Dr. Darrel Cohen | Viracta Therapeutics | 858-400-8470 | ClinicalTrials@Viracta.com |
| Prot_000.pdf |
| SAP | No | Yes | No | Statistical Analysis Plan | Oct 9, 2024 | Feb 21, 2025 | SAP_001.pdf |
Not provided
| ID | Term |
|---|---|
| D046248 | Pyloric Stenosis, Hypertrophic |
| D020031 | Epstein-Barr Virus Infections |
| ID | Term |
|---|---|
| D011707 | Pyloric Stenosis |
| D017219 | Gastric Outlet Obstruction |
| D013272 | Stomach Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D006566 | Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007239 | Infections |
| D014412 | Tumor Virus Infections |
Not provided
Not provided
| ID | Term |
|---|---|
| D000077562 | Valganciclovir |
| ID | Term |
|---|---|
| D015774 | Ganciclovir |
| D000212 | Acyclovir |
| D006147 | Guanine |
| D007042 | Hypoxanthines |
| D011688 | Purinones |
| D011687 | Purines |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D006571 | Heterocyclic Compounds |
Not provided
Not provided
| Between 18 and 65 years |
|
| >=65 years |
|
| Male |
|
| Not Hispanic or Latino |
|
| Unknown or Not Reported |
|
| Asian |
|
| Native Hawaiian or Other Pacific Islander |
|
| Black or African American |
|
| White |
|
| More than one race |
|
| Unknown or Not Reported |
|
| United States |
|
| United Kingdom |
|
| Spain |
|
| Canada |
|
| South Korea |
|
| Taiwan |
|
| Brazil |
|
| Italy |
|
| Israel |
|
| Australia |
|
| France |
|
| Germany |
|
Patients with relapsed or refractory EBV-positive human immunodeficiency virus-associated lymphomas treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD
| OG007 | Other EBV-Positive Lymphomas | Patients with relapsed or refractory EBV-positive lymphomas other than those from the other cohorts treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG003 | Peripheral T-Cell Lymphoma (Monotherapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week |
| OG004 | Hodgkin Lymphoma | Patients with relapsed or refractory EBV-positive Hodgkin lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG005 | Post-Transplant Lymphoproliferative Disorders | Patients with relapsed or refractory EBV-positive post-transplant lymphoproliferative disorders treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG006 | Human Immunodeficiency Virus-Associated Lymphomas | Patients with relapsed or refractory EBV-positive human immunodeficiency virus-associated lymphomas treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG007 | Other EBV-Positive Lymphomas | Patients with relapsed or refractory EBV-positive lymphomas other than those from the other cohorts treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
|
|
Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG003 | Peripheral T-Cell Lymphoma (Monotherapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week |
| OG004 | Hodgkin Lymphoma | Patients with relapsed or refractory EBV-positive Hodgkin lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG005 | Post-Transplant Lymphoproliferative Disorders | Patients with relapsed or refractory EBV-positive post-transplant lymphoproliferative disorders treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG006 | Human Immunodeficiency Virus-Associated Lymphomas | Patients with relapsed or refractory EBV-positive human immunodeficiency virus-associated lymphomas treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG007 | Other EBV-Positive Lymphomas | Patients with relapsed or refractory EBV-positive lymphomas other than those from the other cohorts treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
|
| Peripheral T-Cell Lymphoma (Combination Therapy) |
Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG003 | Peripheral T-Cell Lymphoma (Monotherapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week |
| OG004 | Hodgkin Lymphoma | Patients with relapsed or refractory EBV-positive Hodgkin lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG005 | Post-Transplant Lymphoproliferative Disorders | Patients with relapsed or refractory EBV-positive post-transplant lymphoproliferative disorders treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG006 | Human Immunodeficiency Virus-Associated Lymphomas | Patients with relapsed or refractory EBV-positive human immunodeficiency virus-associated lymphomas treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG007 | Other EBV-Positive Lymphomas | Patients with relapsed or refractory EBV-positive lymphomas other than those from the other cohorts treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
|
|
| OG002 | Peripheral T-Cell Lymphoma (Combination Therapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG003 | Peripheral T-Cell Lymphoma (Monotherapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week |
| OG004 | Hodgkin Lymphoma | Patients with relapsed or refractory EBV-positive Hodgkin lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG005 | Post-Transplant Lymphoproliferative Disorders | Patients with relapsed or refractory EBV-positive post-transplant lymphoproliferative disorders treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG006 | Human Immunodeficiency Virus-Associated Lymphomas | Patients with relapsed or refractory EBV-positive human immunodeficiency virus-associated lymphomas treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG007 | Other EBV-Positive Lymphomas | Patients with relapsed or refractory EBV-positive lymphomas other than those from the other cohorts treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
|
|
| OG003 | Peripheral T-Cell Lymphoma (Monotherapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week |
| OG004 | Hodgkin Lymphoma | Patients with relapsed or refractory EBV-positive Hodgkin lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG005 | Post-Transplant Lymphoproliferative Disorders | Patients with relapsed or refractory EBV-positive post-transplant lymphoproliferative disorders treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG006 | Human Immunodeficiency Virus-Associated Lymphomas | Patients with relapsed or refractory EBV-positive human immunodeficiency virus-associated lymphomas treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG007 | Other EBV-Positive Lymphomas | Patients with relapsed or refractory EBV-positive lymphomas other than those from the other cohorts treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
|
|
| OG003 | Peripheral T-Cell Lymphoma (Monotherapy) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week |
| OG004 | Hodgkin Lymphoma | Patients with relapsed or refractory EBV-positive Hodgkin lymphoma treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG005 | Post-Transplant Lymphoproliferative Disorders | Patients with relapsed or refractory EBV-positive post-transplant lymphoproliferative disorders treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG006 | Human Immunodeficiency Virus-Associated Lymphomas | Patients with relapsed or refractory EBV-positive human immunodeficiency virus-associated lymphomas treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
| OG007 | Other EBV-Positive Lymphomas | Patients with relapsed or refractory EBV-positive lymphomas other than those from the other cohorts treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD |
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
|
|
| Units | Counts |
|---|---|
| Participants |
|
|
| OG001 | Stage 1 (Peripheral T-Cell Lymphoma - Second Line) | Patients with second-line relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD in the first stage of the study |
| OG002 | Stage 2 (Peripheral T-Cell Lymphoma) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD in the second stage of the study |
| OG003 | Stage 2 (Peripheral T-Cell Lymphoma - Second Line) | Patients with second-line relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD in the second stage of the study |
| OG004 | Expansion (Peripheral T-Cell Lymphoma) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD in the expansion stage of the study |
| OG005 | Expansion (Peripheral T-Cell Lymphoma - Second Line) | Patients with second-line relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD in the expansion stage of the study |
| OG006 | Crossover (Peripheral T-Cell Lymphoma) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD after having been treated with nanatinostat 20 mg QD on Days 1 to 4 per week without response in the monotherapy cohort |
|
|
| OG002 | Stage 2 (Peripheral T-Cell Lymphoma) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD in the second stage of the study |
| OG003 | Stage 2 (Peripheral T-Cell Lymphoma - Second Line) | Patients with second-line relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD in the second stage of the study |
| OG004 | Expansion (Peripheral T-Cell Lymphoma) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD in the expansion stage of the study |
| OG005 | Expansion (Peripheral T-Cell Lymphoma - Second Line) | Patients with second-line relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD in the expansion stage of the study |
| OG006 | Peripheral T-Cell Lymphoma (Crossover) | Patients with relapsed or refractory EBV-positive angioimmunoblastic T-cell lymphoma or peripheral T-cell lymphoma not otherwise specified treated with nanatinostat 20 mg QD on Days 1 to 4 per week and valganciclovir 900 mg QD after having been treated with nanatinostat 20 mg QD on Days 1 to 4 per week without response in the monotherapy cohort |
|
|