A Study of Evaluating the Safety and Efficacy of ATG-010 Combined With Chemotherapy Sequential With ATG-010 Monotherapy Maintenance in Peripheral T- and NK/T-cell Lymphoma

NCT ID: NCT04425070

Last Updated: 2026-01-05

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

56 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-08-18

Study Completion Date

2025-12-30

Brief Summary

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This trial is proposed with treatment of ATG-010 combined with chemotherapy regimens which will be chosen by investigators (ICE \[ifosfamide+carboplatin+etoposide\] or GEMOX \[gemcitabine+oxaliplatin\] or Tislelizumab), after treatments of 2 to 6 cycles transferring to ATG-010 monotherapy maintenance treatment, to evaluate the safety, tolerability, and primary efficacy of ATG-010 in R/R PTCL and NK/T-cell lymphoma patients.

Detailed Description

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This trial is an open-label, multi-center Phase Ib clinical study that will evaluate ATG-010 combined with chemotherapy regimen selected by investigators (ICE regimen ifosfamide+carboplatin+etoposide; Or GEMOX regimen: gemcitabine+oxaliplatin; Tislelizumab) sequential ATG 010 monotherapy maintenance, to evaluate the safety, tolerability, and primary efficacy in R/R PTCL and NK/T-cell lymphoma patients. 97 patients are planned to be enrolled.

Conditions

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Peripheral T-cell Lymphoma NK/T-cell Lymphoma

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

ATG-010 + ICE ATG-010 + GEMOX ATG-010 + Tislelizumab
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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ATG-010 + ICE

ATG-010 60 mg/once,total twice in each cycle; on Days 4 and 11

Group Type EXPERIMENTAL

ICE [ifosfamide+carboplatin+etoposide]

Intervention Type COMBINATION_PRODUCT

• Combined with ICE chemotherapy regimen:

* Ifosfamide: 5 g/m2, continuous intravenous (iv) infusion (mesna 5 g/m2 synchronously iv infusion for rescue), on Day 2;
* Carboplatin: with concentration-area under time curve (AUC)=5 (highest concentration to 800 mg), iv infusion, on Day 2;
* Etoposide l00 mg/m2, iv infusion, on Days 1-3;
* ATG-010 60 mg/once, oral, on Days 4 and 11. After the treatment with combination chemotherapy, the patients will continue to receive maintenance treatment of ATG-010 60 mg/once per week (QW).

ATG-010 + GEMOX

ATG-010 60 mg/once,total twice in each cycle; on Days 2 and 9

Group Type EXPERIMENTAL

GEMOX [gemcitabine+oxaliplatin]

Intervention Type COMBINATION_PRODUCT

• Combined with GEMOX chemotherapy regimen:

* Gemcitabine 1000 mg/m2, iv infusion, on Days 1 and 8;
* Oxaliplatin 130 mg/m2, iv infusion, on Day 1;
* ATG-010 60 mg/once, oral, on Days 2 and 9. After the treatment with combination chemotherapy, the patients will continue to receive maintenance treatment of ATG-010 60 mg/once per week (QW).

ATG-010 + Tislelizumab

ATG 010 40mg/once, will be given on Days 1, 8, and 15 of each cycle

Group Type EXPERIMENTAL

Tislelizumab

Intervention Type COMBINATION_PRODUCT

Tislelizumab will be administered intravenously at a fixed dose of 2 0 0 mg every 3 weeks on Day 1 of each cycle

Interventions

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ICE [ifosfamide+carboplatin+etoposide]

• Combined with ICE chemotherapy regimen:

* Ifosfamide: 5 g/m2, continuous intravenous (iv) infusion (mesna 5 g/m2 synchronously iv infusion for rescue), on Day 2;
* Carboplatin: with concentration-area under time curve (AUC)=5 (highest concentration to 800 mg), iv infusion, on Day 2;
* Etoposide l00 mg/m2, iv infusion, on Days 1-3;
* ATG-010 60 mg/once, oral, on Days 4 and 11. After the treatment with combination chemotherapy, the patients will continue to receive maintenance treatment of ATG-010 60 mg/once per week (QW).

Intervention Type COMBINATION_PRODUCT

GEMOX [gemcitabine+oxaliplatin]

• Combined with GEMOX chemotherapy regimen:

* Gemcitabine 1000 mg/m2, iv infusion, on Days 1 and 8;
* Oxaliplatin 130 mg/m2, iv infusion, on Day 1;
* ATG-010 60 mg/once, oral, on Days 2 and 9. After the treatment with combination chemotherapy, the patients will continue to receive maintenance treatment of ATG-010 60 mg/once per week (QW).

Intervention Type COMBINATION_PRODUCT

Tislelizumab

Tislelizumab will be administered intravenously at a fixed dose of 2 0 0 mg every 3 weeks on Day 1 of each cycle

Intervention Type COMBINATION_PRODUCT

Eligibility Criteria

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Inclusion Criteria

1. The patient is willing to provide written ICF.
2. Age≥ 18 years.
3. R/R PTCL and NK/T-cell lymphoma as confirmed by histological methods according to WHO classification of tumors of lymphoid tissues 2016.
4. Previously received at least one or more standard regimens including anthracycline.
5. Recurrence or the recurrence disease after the last treatment completed.
6. At least one measurable disease per modified efficacy assessment criteria (Cheson 2014).
7. ECOG PS 0 or 1.
8. Any toxicity caused by previously anti-tumor therapy must recovered to ≤ Grade 1 (NCI-CTCAE v5.0) with exception of hearing loss, alopecia, and pigmentation.
9. Expected life time longer than 3 months.

Exclusion Criteria

1. Current have disease or history of central nervous system lymphoma.
2. HBV-DNA positive, or HCV-RNA positive.
3. Patients with a known history of human immunodeficiency virus (HIV) infection and/or acquired immunodeficiency syndrome.
4. Received major surgery within 4 weeks of first dose of study drug
5. Known received SINE, including ATG-010.
6. Unable to swallow the tablets, suffers from malabsorption syndrome, or any other gastrointestinal disease or dysfunction that may interfere with ATG-010 absorption.
7. Known allergy to ATG-010, or ICE, or GEMOX.
8. A woman who is pregnant or nursing.
9. The investigator considerations on patient's complications or other conditions may affect protocol compliance or may be inappropriate for participation in the study.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Antengene Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Yang Yu, MD

Role: STUDY_DIRECTOR

Medical Director

Locations

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Anhui Provincial Cancer Hospital

Hefei, Anhui, China

Site Status

Beijing Tongren Hospital.CMU

Beijing, Beijing Municipality, China

Site Status

Peking University Third Hospital

Beijing, Beijing Municipality, China

Site Status

Chongqing University Cancer Hospital

Chongqing, Chongqing Municipality, China

Site Status

Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status

Guangxi Medical University Cancer Hospital

Nanning, Guangxi, China

Site Status

Henan Cancer Hospital

Zhengzhou, Henan, China

Site Status

Hubei Cancer Hospital

Wuhan, Hubei, China

Site Status

Jiangsu Cancer Hospital

Nanjing, Jiangsu, China

Site Status

Jiangsu Province Hospital

Nanjing, Jiangsu, China

Site Status

Fudan University Shanghai Cancer Center

Shanghai, Shanghai Municipality, China

Site Status

Tianjin Medical Universisity Cancer Institute & Hospital

Tianjin, Tianjin Municipality, China

Site Status

The First Affiliated Hospital, Zhejiang University School of Medicine

Hangzhou, Zhejiang, China

Site Status

Countries

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China

Other Identifiers

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ATG-010-T/NK-001

Identifier Type: -

Identifier Source: org_study_id

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