About this trial
This is a phase 1/2 open-label study to evaluate GW5282 in combination with golidocitinib (G2 regimen) for the treatment of T-cell lymphoma. In the first phase of the study, the maximum tolerated dose will be determined through dose escalation; in the second phase, the potential therapeutic advantages of the novel combination therapy over the conventional CHOP regimen will be preliminarily assessed through a randomized controlled design.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Signed informed consent;
Adult ≥ 18 years of age;
ECOG performance status score ≤ 2;
Life expectancy of not less than 12 weeks;
Disqualifiers
Presence of unresolved drug-related adverse events greater than Grade 1;
Lymphoma involving the central nervous system;
Failure to complete the required washout period for other anti-tumor therapies;
Corticosteroid use that does not meet protocol requirements;
Trial design
Single group
Treatments tested in this trial
GW5282 combined with Golidocitinib
DrugGW5282 and Golidocitinib will be administered in combination as twice daily (BID) and once daily (QD), respectively. The starting dose will be GW5282 40 mg BID combined with golidocitinib 150 mg QD. If tolerated, the dose of GW5282 will be subsequently escalated.
GW5282 combined with Golidocitinib
DrugGW5282 and Golidocitinib will be administered at the doses determined during escalation part.
Conventional CHOP regimen
DrugCHOP regimen includes the administrations of Cyclophosphamide, Doxorubicin, Vincristine, and Prednisone.
Treatment groups
Trial outcomes
Primary outcomes
Part A: Incidence of Treatment-Emergent Adverse Events [Safety and Tolerability]).
To evaluate the safety and tolerability of the combination of GW5282 and golidocitinib. Dose Limiting Toxicity (DLT) was evaluated in the DLT observation frame.
Part B: Complete Response Rate (CRR) According to Lugano 2014 by Investigators' Review
To evaluate anti-tumor activity of GW5282 combined with golidocitinib as a chemo-free induction therapy for newly diagnosed PTCL, and compare it with conventional CHOP regimen.
Secondary outcomes
Part A: Plasma concentration of GW5282 and golidocitinib
To characterize the pharmacokinetics of GW5282 and golidocitinib when orally given together
Part A: Efficacy parameters
To assess anti-tumor efficacy of GW5282 combined with golidocitinib using endpoint: Objective Response Rate (ORR)
Part A: Efficacy parameters
To assess anti-tumor efficacy of GW5282 combined with golidocitinib using endpoint: Complete Response Rate (CRR)
Part A: Efficacy parameters
To assess anti-tumor efficacy of GW5282 combined with golidocitinib using endpoint: Duration of Response (DoR)
Sponsors and contacts
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