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A Study of Duvelisib Versus Gemcitabine or Bendamustine in Participants With Relapsed/Refractory Nodal T Cell Lymphoma With T Follicular Helper (TFH) Phenotype (TERZO)

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Status and phase

Enrolling
Phase 3

Conditions

Lymphoma

Treatments

Drug: Duvelisib
Drug: Bendamustine
Drug: Gemcitabine

Study type

Interventional

Funder types

Industry

Identifiers

NCT06522737
SBI-0145-304
2024-516605-23-00 (EU Trial (CTIS) Number)

Details and patient eligibility

About

The study will evaluate the progression-free survival benefit of duvelisib monotherapy as compared to investigator's choice of gemcitabine or bendamustine in participants with relapsed/refractory nodal T cell lymphoma with TFH phenotype.

Enrollment

124 estimated patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Key Inclusion Criteria:

  • Pathologically confirmed nodal T cell lymphoma with TFH phenotype according to the criteria of the World Health Organization classification (Swerdlow 2017, Alaggio 2022) including any one of Angioimmunoblastic T cell lymphoma (AITL), follicular T cell lymphoma, and other nodal peripheral T cell lymphoma (PTCL) with a TFH phenotype.
  • Relapsed or refractory to at least 1 prior systemic, cytotoxic therapy for T cell lymphoma.
  • Measurable disease as defined by Lugano 2014 criteria (Cheson 2014) for T cell lymphoma.

Key Exclusion Criteria:

  • Cutaneous-only disease.
  • Received prior allogeneic transplant any time in the past or received autologous transplant within 60 days prior to the first dose of study drug.
  • Received prior treatment with a phosphoinositide-3-kinase (PI3K) inhibitor.
  • Prior exposure to planned study treatment investigator's choice therapy (gemcitabine or bendamustine) within 60 days prior to the first dose of study drug.

Other protocol-defined criteria apply.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

124 participants in 2 patient groups

Duvelisib
Experimental group
Description:
Duvelisib will be administered orally twice daily (BID) in 28-day cycles.
Treatment:
Drug: Duvelisib
Gemcitabine or Bendamustine
Active Comparator group
Description:
Participants will receive the investigator's choice of gemcitabine or bendamustine. The regimen to be used after randomization must be selected by the investigator prior to randomization. Gemcitabine will be administered intravenously (IV) on days 1, 8, and 15 of each 28-day cycle for up to 6 cycles. Bendamustine will be administered IV on days 1 and 2 of each 21-day cycle for up to 6 cycles.
Treatment:
Drug: Gemcitabine
Drug: Bendamustine

Trial contacts and locations

15

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Central trial contact

Ohad Bentur

Data sourced from clinicaltrials.gov

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