A Study of PTX-100 for Patients with Cutaneous T-Cell Lymphoma That Has Returned or Did Not Respond to Previous Treatment

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What is this study about?

This study is looking at Cutaneous T-Cell Lymphoma, which is a type of cancer where certain white blood cells called T-cells become abnormal and affect the skin. The study will test a treatment called PTX-100, which is given through a vein as an infusion. This medication works by targeting specific processes in cancer cells to help stop their growth. The study specifically includes patients who have Mycosis fungoides or Sezary syndrome, which are the most common forms of this disease, as well as some other subtypes of this lymphoma. The treatment will be given on its own, without combining it with other cancer medications.

The purpose of this study is to determine how well PTX-100 works in treating this type of lymphoma in patients whose disease has come back or has not responded to previous treatments. The study will also look at how safe the medication is and how the body processes it. Patients in this study will have already tried at least two other treatments for their disease that either did not work or caused problems they could not tolerate. These previous treatments might have included medications such as interferon, chemotherapy drugs like methotrexate, or other specialized cancer treatments.

During the study, doctors will carefully monitor how the disease responds to PTX-100 by checking skin lesions, measuring abnormal cells in the blood, and looking at any disease that has spread beyond the skin. The study will track various measures including how many patients respond to treatment, how long the response lasts, how long patients live without the disease getting worse, and overall survival. Safety will be monitored throughout by checking for side effects, doing blood tests, measuring vital signs, and performing heart tests called electrocardiograms. Blood samples will also be taken at different times to understand how the body absorbs and processes the medication.

1 Treatment phase with PTX-100

During this phase, you will receive PTX-100, which is a medication given through an intravenous infusion. This means the medication will be delivered directly into your vein through a drip.

The medication is provided as a solution for infusion, which is a liquid form prepared specifically for administration through your vein.

The treatment will be administered according to a schedule determined by the study protocol. The exact dosage, frequency, and duration will be determined based on the study design.

2 Regular monitoring and assessments

Throughout the study, your condition will be monitored regularly to evaluate how the treatment is working and to check for any side effects.

Your skin lesions will be assessed using a measurement tool called mSWAT, which helps track changes in your skin condition.

Blood samples will be taken to check for atypical or malignant lymphocytes, which are abnormal white blood cells that may be present in your blood.

If applicable, any disease outside the skin will be measured using specific imaging criteria.

Your vital signs, including blood pressure, heart rate, and temperature, will be checked regularly.

Blood tests will be performed to monitor your bone marrow function, including counts of different blood cells such as neutrophils (a type of white blood cell), platelets (cells that help blood clot), and hemoglobin (the protein in red blood cells that carries oxygen).

Your liver function will be monitored by measuring levels of bilirubin (a substance produced when red blood cells break down), alanine aminotransferase, and aspartate aminotransferase (enzymes that indicate liver health).

Your kidney function will be assessed by measuring creatinine levels and calculating creatinine clearance, which shows how well your kidneys are filtering waste from your blood.

Your blood clotting function will be checked by measuring INR (International Normalized Ratio) and activated partial thromboplastin time, which are tests that show how quickly your blood clots.

An electrocardiogram (a test that records the electrical activity of your heart) will be performed to monitor your heart function.

Your ECOG performance status will be assessed, which is a scale from 0 to 5 that measures how the disease affects your daily living abilities.

3 Safety monitoring

Any adverse events, which are unwanted or harmful reactions that may occur during treatment, will be recorded and assessed for their severity and nature.

Changes in your laboratory test results, vital signs, heart function, and performance status will be compared to your baseline measurements taken before treatment started.

4 Pharmacokinetic assessments

Pharmacokinetic assessments will be conducted, which means blood samples will be taken to measure how the medication moves through your body over time.

These measurements will include how much medication is in your blood at its highest point, how long it takes to reach that point, the lowest level between doses, and how long the medication stays in your body before being eliminated.

5 Response evaluation

Your response to treatment will be evaluated to determine if the disease is getting better, staying the same, or getting worse.

The study will track several outcomes, including the overall response rate, how long any response lasts, how long it takes for a response to occur, whether you achieve a complete response (meaning no signs of disease), and how long you survive without the disease getting worse.

The time until you might need another treatment will also be recorded.

6 Follow-up period

After completing the treatment phase, you will enter a follow-up period where your health status and disease progression will continue to be monitored.

This follow-up will help assess long-term outcomes such as overall survival and progression-free survival, which measures how long you live without the disease getting worse.

Who Can Join the Study?

  • You must be an adult patient who is 18 years of age or older
  • You must have an ECOG PS score of 0 to 2, which is a scale that measures how the disease affects your daily living abilities, where 0 means you are fully active and 2 means you are able to care for yourself but unable to work
  • Your life expectancy must be 3 months or greater
  • You must have adequate bone marrow function, meaning your bone marrow produces enough blood cells. This includes having enough white blood cells to fight infection, enough platelets to help your blood clot, and enough hemoglobin to carry oxygen in your blood
  • You must have adequate liver function, which means your liver is working well enough to process medications. This is measured by blood tests that check bilirubin, a substance produced when red blood cells break down, and liver enzymes called ALT and AST
  • You must have adequate kidney function, which means your kidneys are filtering waste from your blood properly. This is measured by checking creatinine clearance, which shows how well your kidneys are working
  • You must have adequate blood clotting function, measured by blood tests called INR and aPTT, which show how quickly your blood clots
  • You must be able to understand and sign an informed consent form, which is a document that explains the study and your rights as a participant
  • You must have a confirmed diagnosis of Cutaneous T-Cell Lymphoma with laboratory confirmation of either Mycosis fungoides, Sezary syndrome, or other specific subtypes approved by the study doctor
  • Your disease must be at Stage IB or higher for Mycosis fungoides or Sezary syndrome, or meet specific disease extent criteria for other subtypes
  • You must have received and either not responded to or could not tolerate at least 2 prior systemic treatments, which are therapies that work throughout your whole body, such as interferon, chemotherapy, or antibody treatments
  • You must have measurable disease, meaning doctors can track your disease through skin lesions, abnormal cells in your blood, or disease outside the skin that can be measured by imaging scans
  • If you are taking corticosteroids, which are medications that reduce inflammation, you must be on a stable low dose
  • You must have stopped any previous cancer treatment for at least 2 weeks (or 4 weeks for certain antibody treatments) before starting this study
  • You must test negative for HTLV1, which is a virus that can affect the immune system

Who Cannot Join the Study?

  • There are no specific exclusion criteria listed for this clinical trial in the provided information. This means the study documentation does not include detailed reasons why certain patients cannot participate.
  • However, patients should be aware that all clinical trials have eligibility requirements, which are conditions you must meet to join the study, even if they are not detailed here.
  • The study is designed for patients with Cutaneous T-Cell Lymphoma, which is a type of cancer that affects the skin and involves certain white blood cells called T-cells.
  • The trial accepts both male and female participants.
  • Participants must fall within certain age groups as specified by the study.

Where you can join this trial?

Verified and Recommended Sites

No sites found in this category

Verified Sites

Site Name City Country Status
Centre Hospitalier Universitaire De Bordeaux Bordeaux France

Other Sites

Site Name City Country Status
Ospedale San Raffaele S.r.l. Milan Italy
Centre Hospitalier Lyon Sud Pierre Benite France
Universita Degli Studi Di Brescia Brescia Italy
Aehapjgxex Pqjmxxfz Hdwzagjl Dj Ptjiw Paris France
Ayazksx Ushna Sbjjmomua Luagsv Dq Bzvehrf Bologna Italy

Want to learn more about this study or check if you can participate? Contact us.

Trial status

Country Status Recruitment Start
France France
Not yet recruiting
01.12.2025
Italy Italy
Recruiting
01.12.2025

Trial locations

PTX-100 is an investigational medication being studied as a treatment for patients with cutaneous T-cell lymphoma that has come back or has not responded to previous treatments. This medicine is being tested on its own, without being combined with other treatments, to see how well it works and how safe it is for patients with this type of cancer that affects the skin.

Cutaneous T-Cell Lymphoma – Cutaneous T-Cell Lymphoma is a rare type of cancer that affects the skin. It occurs when certain white blood cells called T-lymphocytes become abnormal and multiply uncontrollably in the skin. The disease typically begins with patches or plaques on the skin that may look like a rash or eczema. These skin changes can appear red, scaly, and itchy, and may develop anywhere on the body. Over time, the affected areas may thicken or form raised bumps and tumors on the skin. The disease progresses slowly in most cases, and the skin symptoms may worsen or spread to larger areas of the body.

Trial ID:
2025-521852-45-00
Protocol code:
PTX-100-02-2024
Trial Phase:
Therapeutic exploratory (Phase II)

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