About this trial
This is a randomized, open-label, multicenter Phase III study evaluating the efficacy and safety of TR115, an EZH2 inhibitor, versus investigator's choice (chidamide, golidocitinib, mitoxantrone liposome, or gemcitabine) in patients with relapsed and/or refractory peripheral T/NK-cell lymphoma. Approximately 180 patients will be randomized in a 1:1 ratio. The primary endpoint is progression-free survival (PFS) assessed by an Independent Review Committee (IRC). The key secondary endpoint is overall survival (OS). The study is being conducted at approximately 40 to 60 centers across China.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Histologically confirmed peripheral T-cell lymphoma (PTCL), including PTCL-NOS, AITL, ALCL, or NKTCL
Received at least one prior systemic therapy and prior exposure to at least one novel agent (e.g., chidamide, pralatrexate, brentuximab vedotin, etc.) or refractory/intolerant to such therapies
Age ≥18 years
ECOG performance status 0-1
Disqualifiers
Prior treatment with EZH2 or EZH1/2 inhibitors resulting in disease progression (intolerance permitted)
Known central nervous system involvement of lymphoma
Active uncontrolled infection requiring systemic therapy
Significant or uncontrolled cardiovascular disease
Trial design
Parallel
Treatments tested in this trial
TR115
DrugTR115 will be administered orally twice daily until documented disease progression, unacceptable toxicity, withdrawal of consent, death, or study discontinuation.
Investigator's Choice
DrugInvestigator's choice treatment with chidamide, golidocitinib, mitoxantrone hydrochloride liposome, or gemcitabine hydrochloride administered according to the respective approved prescribing information.
Treatment groups
Trial outcomes
Primary outcomes
Progression-Free Survival (PFS)
Assessed by Independent Review Committee (IRC) per Lugano 2014 criteria
Secondary outcomes
Overall Survival (OS)
Time from randomization to death from any cause.
Objective Response Rate (ORR)
Proportion of participants achieving complete response (CR) or partial response (PR) as assessed by Independent Review Committee (IRC) and investigator according to Lugano 2014 criteria.
Disease Control Rate (DCR)
Proportion of participants achieving complete response (CR), partial response (PR), or stable disease (SD) as assessed by IRC and investigator according to Lugano 2014 criteria.
Duration of Response (DOR)
Time from first documented response (CR or PR) to disease progression or death from any cause, whichever occurs first, as assessed by IRC and investigator according to Lugano 2014 criteria.
Locations
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Sponsors and contacts
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