Status:
RECRUITING
A Phase II Study of the Combination of Azacitidine and Pembrolizumab for Patients Relapsed/Refractory Hodgkin's Lymphoma
Lead Sponsor:
M.D. Anderson Cancer Center
Conditions:
Hodgkin's Lymphoma
Eligibility:
All Genders
1+ years
Phase:
PHASE2
Brief Summary
This study is a Phase II single-center clinical trial designed to assess the efficacy, safety, and tolerability of pembrolizumab in combination with the 7-day regimen of azacitidine for the treatment ...
Detailed Description
OBJECTIVES: Primary Objectives: • To assess the overall response rate (ORR) of Pembrolizumab in combination with azacitidine in patients with relapsed or progressed classical Hodgkin lymphoma (HL). ...
Eligibility Criteria
Inclusion
- Inclusion Criteria:
- HL patients with relapse or progression. Prior checkpoint inhibitors will be allowed
- Patients with relapsed HL involving extranodal sites
- HL patients who are not regarded as a candidate for high-dose, conventional chemotherapy
- Age of enrollment: Minimum age 1 year. No maximum age, study will include anyone in the pediatric/adolescent center at MD Anderson (MDA)
- Eastern Cooperative Oncology Group (ECOG) performance status =\< 3 or Lansky performance status \>= 50
- Adequate renal function per age unless related to the disease
- Total bilirubin \< 2 x upper limit of normal (ULN) unless increase is due to Gilbert's disease
- Aspartate Aminotransferase (AST) \< 3 x ULN unless considered due to lymphoma involvement
- Provision of written informed consent or assent as per MD Anderson Cancer Center (MDACC) policy for study subjects
- Females must be surgically or biologically sterile or if of childbearing potential, must have a negative serum or urine pregnancy test within 72 hours before the start of the treatment and each subsequent dose
- Women of childbearing potential must agree to use an adequate method of contraception during the study and until 4 months after the last treatment. Males must be surgically or biologically sterile or agree to use an adequate method of contraception during the study until 1 month after the last treatment
- Males need to inform the doctor right away if the partner becomes pregnant or suspects pregnancy. While in this study and for 30 days after the last treatment the patient should not donate sperm for the purposes of reproduction. He will need to use a condom while in this study and for 30 days after the last treatment
- Exclusion criteria:
- Allergy to azacitidine or pembrolizumab or the drugs' components
- Active and uncontrolled comorbidities including active uncontrolled infection, uncontrolled hypertension despite adequate medical therapy, active and uncontrolled congestive heart failure New York Heart Association (NYHA) class III/IV, clinically significant and uncontrolled arrhythmia as judged by the treating physician
- Patients with known infection with human immunodeficiency virus (HIV) or active Hepatitis B or C
- Any other medical, psychological, or social condition that may interfere with study participation or compliance, or compromise patient safety in the opinion of the investigator
- Pregnant or breastfeeding
- Has received a live vaccine within 30 days of planned start study therapy
- Current or prior use of immunosuppressive medication within 14 days prior to the first dose of pembrolizumab. The following are exceptions to this criterion:
- Intranasal, inhaled, topical steroids, or local steroid injections (eg, intra-articular injection)
- Systemic corticosteroids at physiologic doses not to exceed 10 mg/day of prednisone or equivalent
- Steroids as premedication for hypersensitivity reactions (eg, computed tomography \[CT\] scan premedication)
- Active or prior documented autoimmune disease (including inflammatory bowel disease, celiac disease, Wegener syndrome) within the past 2 years. Subjects with childhood atopy or asthma, vitiligo, alopecia, Hashimoto syndrome, Grave's disease, or psoriasis not requiring systemic treatment (within the past 2 years) are not excluded
- Has known active central nervous system metastases and/or carcinomatous meningitis
Exclusion
Key Trial Info
Start Date :
October 5 2022
Trial Type :
INTERVENTIONAL
Allocation :
ESTIMATED
End Date :
December 31 2026
Estimated Enrollment :
24 Patients enrolled
Trial Details
Trial ID
NCT05355051
Start Date
October 5 2022
End Date
December 31 2026
Last Update
October 24 2025
Active Locations (1)
Enter a location and click search to find clinical trials sorted by distance.
1
MD Anderson Cancer Center
Houston, Texas, United States, 77030