A Clinical Study on the Efficacy and Safety of Zeprumetostat in Relapsed/Refractory Large Granular Lymphocyte Leukemia

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorInstitute of Hematology & Blood Diseases Hospital, China

About this trial

This study is a single-arm, prospective, exploratory clinical trial aimed at exploring the efficacy and safety of zeprumetostat in patients with relapsed/refractory large granular T-cell leukemia. The study is expected to enroll 10 patients with relapsed/refractory large granular T-cell leukemia for treatment with zeprumetostat .

The patients will undergo a maximum 4-week screening period and then enter the treatment phase, where they will receive zeprumetostat 350mg twice daily orally. The treatment lasts for 28 consecutive days as one cycle. If adverse events occur during the treatment, they will be handled according to the suspension and resumption standards.

The efficacy and safety will be evaluated after the patients complete two cycles of administration.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Hemoglobin < 100g/L or RBC transfusion dependence

Neutrophil count <0.5×10^9/L or neutrophil count decreased with recurrent infection

Progressive splenomegaly and/or Massive Splenomegaly

Combined with autoimmune diseases requiring treatment, such as rheumatoid arthritis, autoimmune thyroiditis, etc.

Disqualifiers

None

Trial design

Design model

Single group

Treatments tested in this trial

  • zeprumetostat

    Drug

    The patients will undergo a maximum 4-week screening period and then enter the treatment phase, where they will receive zeprumetostat 350mg twice daily orally. The treatment lasts for 28 consecutive days as one cycle. If adverse events occur during the treatment, they will be handled according to the suspension and resumption standards.

Treatment groups

10 Participants
are divided into 1 treatment group
Group A: zeprumetostatExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

The proportion of achieving hematological remission after two cycles of treatment

Hematological response is evaluated by hemoglobin (Hb), absolute neutrophil count (ANC), platelet count (PLT), absolute lymphocyte count (ALC), absolute large granular lymphocyte count, and blood transfusion.

Time frame
8 weeks

Secondary outcomes

1

The incidence of adverse reactions during treatment

Use Common Terminology Criteria for Adverse Events (CTCAE) Version 5 to assess the adverse event

Time frame
8 weeks
2

The time to achieve partial hematological remission

HPR is assessed by Hb, ANC, PLT, ALC, absolute large granular lymphocyte count and blood transfusion

Time frame
8 weeks
3

Time to achieve complete hematologic response

HCR is assessed by Hb, ANC, PLT, ALC, and absolute large granular lymphocyte count.

Time frame
8 weeks
4

Time to achieve complete molecular response

CMR is assessed by Hb, ANC, PLT, ALC, and absolute large granular lymphocyte count

Time frame
8 weeks

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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