Actively Recruiting
An Open-Label, Phase 2 Study of PTX-100 Monotherapy in Patients With Relapsed or Refractory Cutaneous T-Cell Lymphoma
Led by Prescient Therapeutics, Ltd. · Updated on 2026-04-29
115
Participants Needed
15
Research Sites
21 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
Researchers are evaluating PTX-100 monotherapy in adult patients with relapsed or refractory Cutaneous T-Cell Lymphoma CTCL to assess its efficacy, safety, pharmacokinetics PK, and pharmacodynamics PD. This open-label, phase 2 randomized study includes patients with confirmed CTCL who have previously received at least two systemic therapies and have measurable disease. The purpose is to better understand how PTX-100 works and determine the optimal dosing for this patient group. PTX-100 will be given by intravenous infusion over 60 minutes on days 1 to 5 of each cycle. In the initial phase Phase 2a, participants will be randomly assigned to receive either 500 mgm2 or 1000 mgm2 doses every 14 days for four cycles, followed by a 21-day cycle for up to 18 months. In the subsequent Phase 2b, 75 participants will receive the recommended optimal dose identified from Phase 2a following the same infusion schedule. Participants will undergo a 28-day screening period before treatment begins. During the study, safety blood tests will be collected on the first day of each cycle, and detailed blood samples will be taken during the first cycle to study how PTX-100 behaves in the body. Patients will also have skin evaluations, safety exams, and quality of life questionnaires at each cycle day 1 visit. The study will continue for up to 18 months or until disease progression, unacceptable side effects, or other reasons for stopping treatment arise.
CONDITIONS
Brief Title
A Phase 2 Study of PTX 100 in Patients With Relapsed/Refractory CTCL
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Adult patient 18 years of age or older at the time of signing informed consent
- Capable of giving adequate signed informed consent
- Confirmed diagnosis of Cutaneous T-Cell Lymphoma with histological confirmation
- Disease stage greater than or equal to Stage Ib
- Have received and failed or are intolerant of at least two prior systemic therapies
- Measurable disease by mSWAT, flow cytometry, morphology in blood, or Lugano Criteria within 28 days prior to treatment
- On stable dose of systemic corticosteroid less than 10 mg prednisone or equivalent, or stable topical corticosteroids
- Completed washout period of at least 2 weeks (4 weeks for monoclonal antibodies) or 5 half-lives from prior anticancer therapy
- Negative for human T-cell lymphotropic virus type 1 (HTLV1)
- ECOG performance status of 0 to 2
- Life expectancy of 3 months or greater
- Adequate bone marrow, liver, kidney, and coagulation function
- HIV-positive patients must be on stable effective antiretroviral therapy with viral load less than 400 copies/mL for at least 4 weeks
- Male patients must agree to use highly effective contraception during treatment and for 3 months after
- Female patients must not be pregnant or breastfeeding and either not be of childbearing potential or agree to use highly effective contraception or abstain from heterosexual intercourse during treatment and for 3 months after
- Female participants of childbearing potential must have a negative pregnancy test within 72 hours before first dose
- Willing and able to adhere to study requirements as judged by Investigator
You will not qualify if you...
- Known central nervous system involvement
- Use of strong inhibitors or inducers of CYP enzymes or transporters unless discontinued for at least 14 days or 5 half-lives before starting PTX-100
- Significant cardiovascular disease, interstitial lung disease, or severely impaired lung function
- Active viral, bacterial, fungal, or other serious infections requiring ongoing systemic treatment (routine antimicrobial prophylaxis allowed)
- History of another malignant tumor within past 5 years except treated basal or squamous cell carcinoma or carcinoma in situ with no evidence of disease
- Use of immunomodulatory drugs within 4 weeks prior to baseline
- Active viral hepatitis infection, except certain controlled chronic hepatitis B or cured hepatitis C as discussed with Medical Monitor
- Any condition or laboratory abnormality that could confound study results or interfere with participation
- Prior allogeneic or autologous hematopoietic transplantation
- Known psychiatric disorder interfering with study compliance
- Recent history (within 1 year) of illicit drug or alcohol abuse or dependence interfering with compliance
Research Team
U
Upaly Bahadure
D
David Wong
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