不适合移植的大 B 细胞淋巴瘤二线使用 axicabtagene ciloleucel:ALYCANTE 最终分析
Second-line axicabtagene ciloleucel in large B-cell lymphoma ineligible for transplantation: ALYCANTE final analysis.
肿瘤细胞治疗研究
英文原题:JAK1 Inhibitor Golidocitnib for the Treatment of Relapsed/Refractory Indolent T/NK-cell Lymphomas
JAK1 Inhibitor Golidocitnib for the Treatment of Relapsed/Refractory Indolent T/NK-cell Lymphomas
分数与星级只用于站内排序 —— 不代表疗效、安全性或个人适用性。
这是一项 II 期注册临床试验,评估细胞治疗用于淋巴瘤、白血病的疗效与安全性。当前状态:招募中。计划入组 48 例。试验地点:中国 · 天津(共 2 个中心,其中中国 2 个)。登记号:NCT06716658。
不限性别 · ≥ 18 Years
纳入标准: 1. 年龄≥18岁,性别不限。 2. 组织学确诊复发/难治性惰性T/NK细胞淋巴瘤,既往至少一种全身治疗失败或不能耐受,和/或目前无有效标准治疗选择。 3. 符合相应治疗适应证。 4. ECOG体能状态0–2。 5. 器官功能充分:总胆红素≤正常值上限(ULN)的1.5倍;ALT和AST≤ULN的2.5倍;血尿素氮/尿素及肌酐≤ULN的1.5倍;左心室射血分数≥50%;Fridericia公式校正QT间期(QTcF)男性<450 ms、女性<470 ms。 6. 预期生存期至少3个月。 7. 有生育能力的男性和女性受试者同意在研究期间及末次试验药物给药后6个月内采取有效避孕措施。 8. 参加研究前,既往任何抗肿瘤治疗(包括放疗、化疗、激素治疗、手术或分子靶向治疗)已结束至少4周。 9. 入组前1个月内未参加其他临床试验。 10. 同意并签署知情同意书。 排除标准: 1. 既往使用过任何JAK抑制剂。 2. 存在吞咽困难、吸收不良或其他可能影响依从性和/或研究药物吸收的慢性胃肠道疾病。 3. 存在需要治疗的活动性病毒、细菌或真菌感染(如肺炎)。 4. 乙肝或丙肝感染:HBsAg和/或HBcAb阳性且HBV-DNA拷贝数≥ULN,或急性/慢性活动性丙肝(HCV抗体阳性)。 5. 有免疫缺陷病史,包括HIV阳性、其他获得性或先天性免疫缺陷、器官移植史或异基因骨髓/造血干细胞移植史。 6. 首次研究治疗前90天内接受过自体造血干细胞移植。 7. 严重或未控制的心血管疾病。 8. 存在严重合并症,对患者安全构成重大风险,或研究者认为可能妨碍完成研究(如未控制的高血压、糖尿病或甲状腺疾病)。 9. 妊娠或哺乳期女性,或有生育能力女性基线妊娠检测阳性。 10. 过去5年内诊断或治疗过其他恶性肿瘤。 11. 研究者认为不适合参加研究的其他情况。
Inclusion Criteria: 1. Age ≥ 18 years, with no restrictions on gender; 2. Histologically confirmed relapsed/refractory (R/R) indolent T/NK-cell; lymphoma that has failed at least one systemic therapy or is intolerant to such treatment and/or currently has no effective standard treatment options; 3. The patient meets the criteria for appropriate therapeutic indications; 4. ECOG performance status of 0-2; 5. Adequate organ function, defined as: Total bilirubin (TBIL) ≤ 1.5 × ULN; ALT and AST ≤ 2.5 × ULN; Blood urea nitrogen (BUN)/Urea and creatinine (Cr) ≤ 1.5 × ULN; Left ventricular ejection fraction (LVEF) ≥ 50%; Fridericia-corrected QT interval (QTcF): \< 450 ms for males, \< 470 ms for females; 6. An expected survival time of at least 3 months; 7. Male and female subjects of childbearing potential must agree to use effective contraception throughout the study period and for 6 months after the last dose of the investigational drug; 8. A washout period of ≥ 4 weeks since receiving any prior antitumor therapies (including radiotherapy, chemotherapy, hormone therapy, surgery, or molecular targeted therapy) before participating in this study; 9. The subject has not participated in any other clinical trial within 1 month prior to enrollment; 10. The subject agrees to and signs the informed consent form. Exclusion Criteria: 1. Subjects who have previously used any JAK inhibitors; 2. Subjects with clinical conditions such as dysphagia, malabsorption, or other chronic gastrointestinal diseases that may interfere with compliance and/or absorption of the study drug; 3. Subjects with active viral, bacterial, or fungal infections requiring treatment (e.g., pneumonia); 4. Subjects with HBV or HCV infections, defined as HBsAg and/or HBcAb positivity and HBV DNA copy number ≥ the upper limit of normal (ULN), or acute or chronic active hepatitis C (HCV antibody-positive); 5. Subjects with a history of immunodeficiency, including those who are HIV-positive, or those with other acquired or congenital immunodeficiency diseases, a history of organ transplantation, or a history of allogeneic bone marrow or hematopoietic stem cell transplantation; 6. Subjects who have undergone autologous hematopoietic stem cell transplantation within 90 days prior to the first dose of study treatment; 7. Subjects with severe or uncontrolled cardiovascular diseases; 8. Subjects with severe concomitant diseases that pose a significant risk to patient safety or, in the investigator's judgment, may interfere with the completion of the study (e.g., uncontrolled hypertension, diabetes, or thyroid disorders); 9. Pregnant or breastfeeding female subjects, or baseline positive pregnancy test results in women of childbearing potential; 10. Subjects with a history of other malignancies diagnosed or treated within the past 5 years; 11. Any other conditions that, in the investigator's opinion, render the subject unsuitable for participation in the study.
以上为辅助阅读译文。是否适合入组须由主治医生判断,最终以登记平台与研究者确认为准。
主要终点:Overall response rate · complete remission rate + partial remission rate · up to 5 years
次要终点:The safety of JAK1 inhibitor;Complete remession rate;Duration of remission;Time to response;Progression-free survival;Overall survival;Disease control rate
戈利度替尼150 mg,每日一次口服。
以上邮箱 / 电话是登记库里的申办方联系方式(+86,中国),通常不直达某家医院。中国中心的联系方式请以医院或登记平台最新公示为准。
惰性T/NK细胞淋巴瘤是一组起源于T/NK细胞的异质性淋巴增殖性疾病,特点是生长和增殖缓慢,但目前仍无法治愈。一线治疗无效时,治疗选择有限且预后较差。本开放标签、前瞻性临床试验旨在评估JAK1抑制剂戈利度替尼治疗复发/难治性惰性T/NK细胞淋巴瘤的可行性、疗效和安全性;预计总体缓解率为60%。
Indolent T/NK-cell lymphomas are a heterogeneous group of lymphoproliferative diseases originating from T/NK cells, characterized by slow growth and proliferation, but currently remain incurable. For indolent T/NK-cell lymphomas that are unresponsive to first-line treatment, there are few treatment options available and the prognosis is poor. This study is an open-label, prospective clinical trial aimed at evaluating the feasibility, efficacy, and safety of PI3K inhibitors in the treatment of relapsed/refractory indolent T/NK-cell lymphomas. Patients will be treated with Golidocitnib, with an expected overall response rate of 60% for JAK1 inhibitor Golidocitnib treatment.
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