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This is an open-label, prospective and exploratory clinical study to evaluate the efficacy and safety of JAK inhibitor SHR-0302 in combination with EZH2 inhibitor SHR-2554 in patients with R/R PTCL. The study plans to enroll approximately 25 patients. 6-12 patients will receive SHR-0302 monotherapy and SHR-0302+SHR-2554 combination therapy in the safety run-in phase. According to the safety observed, the investigators discuss and decide to select a dose group to explore the efficacy and safety. 13 patients may be enrolled in the expansion phase.
This is an open-label, prospective, exploratory clinical study. The plan is to enroll 12-25 patients with relapsed/refractory peripheral T-cell lymphoma (r/r PTCL) to receive a combination of SHR-0302 and SHR-2554. The primary objectives are to evaluate the efficacy and safety of the SHR-0302 and SHR-2554 combination in the treatment of r/r PTCL. Subjects will receive the investigating drugs combination (SHR-0302 and SHR-2554) until study completion, unacceptable toxicity, disease progression, withdrawal of informed consent, or investigators discontinue treatment.
The study is divided into two parts. Part I is a safety run-in phase, and part II is an efficacy exploration phase.
Part I:
Cohort 1: Explore the recommended dose and safety of SHR-0302 monotherapy Cohort 2: Based on the efficacy and safety observed in Cohort 1, explore the clinically recommended dose and safety of the SHR-0302 and SHR-2554.
Part II: Based on the safety and tolerability observed during part I, the investigators will discuss and select one tolerable dose cohort to explore the efficacy and safety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SHR-0302 and SHR-2554 Treatment Arm | Experimental | SHR-2554 Oral administration, twice daily, with a 28-day continuous dosing as one cycle. SHR-0302: Oral administration, once daily, |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| SHR-0302 | Drug | SHR-0302 will be administered orally as tablets. |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence and severity of AEs and SAEs | Incidence and severity of AEs and SAEs will be recorded and graded according to the CTCAE 5.0. | The first dose until 30 days after last dose |
| Objective response rate (ORR) | Percentage of participants achieving complete response (CR) and partial response (PR) according to Lugano 2014 criteria. | 24 months |
| Measure | Description | Time Frame |
|---|---|---|
| Disease Control Rate (DCR) | Percentage of patients achieving complete response (CR) and partial response (PR) and stable disease (SD) according to Lugano 2014 criteria. | 24 months |
| Duration of Response (DoR) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Rong Tao, MD | Contact | 8621-64175590 | rtao@shca.org.cn | |
| Chuanxu Liu, MD | Contact | 8621-64175590 | liuchuanxu@shca.org.cn |
| Name | Affiliation | Role |
|---|---|---|
| Rong Tao, MD | Fudan University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Fudan University Shanghai Cancer Center | Recruiting | Shanghai | 200032 | China |
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| ID | Term |
|---|---|
| D016411 | Lymphoma, T-Cell, Peripheral |
| ID | Term |
|---|---|
| D016399 | Lymphoma, T-Cell |
| D008228 | Lymphoma, Non-Hodgkin |
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
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| ID | Term |
|---|---|
| C000615713 | ivarmacitinib |
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| SHR-2554 |
| Drug |
SHR-2554 will be administered orally as tablets. |
|
Defined as the time from the date of the first CR or PR to the date of the first PD or death due to any cause, whichever occurs first.
| 24 months |
| Progression-free Survival (PFS) | Defined as the time from the date of the first dose to the first documented PD or death due to any cause, whichever occurs first. | 24 months |
| Overall Survival (OS) | Defined as the duration of time from start of treatment to death from any cause. | 24 months |
| D009369 |
| Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |