New Antibody-Chemo combo targets tough lymphoma
NCT ID NCT04984837
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This phase 2 trial tests whether adding the antibody lacutamab to standard chemotherapy (gemcitabine and oxaliplatin) helps people with relapsed or refractory peripheral T-cell lymphoma. About 49 adults whose tumors have a specific marker (KIR3DL2) will receive either the combination or chemotherapy alone. The study aims to see if the combination delays cancer progression and is safe.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Lacutamab (an antibody) plus gemcitabine and oxaliplatin (chemotherapy)
- What this could lead to
- If successful, this could provide a new treatment option for people with certain types of T-cell lymphoma that have come back or not responded to prior therapy.
- What could go wrong
- This is a small, early-phase (Phase 2) trial with only 49 participants and no direct comparison between groups, so results may not be definitive. Side effects from the chemotherapy and antibody are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 2
Tests whether the treatment actually works, and watches for side effects, in a larger group.
- Participants
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49 people
The number who actually took part.
- Started
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Oct 2021
- Expected to finish
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Apr 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * 1\. KIR3DL2-positive with at least 1% of tumour cells positivity, before randomization, based on central evaluation by immunohistochemistry (IHC) 2. Patients with histologically documented PTCL: * Biopsy-proven treated PTCL defined by the WHO 2016 criteria (the biopsy at relapse is recommended but not mandatory): * PTCL-NOS * PTCL-TFH (AITL, Follicular T-cell lymphoma, Nodal peripheral T-cell lymphoma with TFH phenotype) * ALCL * ATL: acute- or lymphoma-type * HSTL * EATL * MEITL * NKT * ANKL 3. For patients with ALCL: previously treated with brentuximab vedotin 4. Relapsed/refractory PTCL after at least one previous line of systemic based regimen of chemotherapy (no mandatory latency after the previous treatment) 5. With a maximum of 2 prior lines of systemic therapies, including autologous stem cell transplantation (ASCT is authorized in first and second line and is not counted as a unique line, even if associated to a systemic therapy) 6. Bi-dimensionally measurable disease defined by at least one single node or tumor lesion ≥ 1.5 cm assessed by CT scan 7. Signed written screening informed consent prior to KIR3DL2 screening 8. Signed written study informed consent prior to randomization 9. Aged 18 years or more with no upper age limit, at randomization 10. Eastern Cooperative Oncology Group (ECOG) performance status 0 to 3 prior to prephase treatment (if applicable), and 0 to 2 prior randomization 11. Minimum life expectancy of 3 months 12. Females of childbearing potential (FCBP) must agree to use highly effective contraceptive method\* from C1D1, during the entire study period, during dose interruptions, and for 9 months after the last study treatments 13. FCBP must have a negative serum or urinary pregnancy test within 28 days prior C1D1 14. Male patients and their partner (FCBP) must agree to use two reliable forms of contraception (condom for males and hormonal method for partners) from C1D1, during the entire study period, during dose interruptions, and for 9 months after the last study treatments Exclusion Criteria: * 1\. Patients with active COVID-19 infection (last positive PCR \< 2 weeks before randomization) 2. Patients taking immunotherapy or chemotherapy, except short-term corticosteroids in monotherapy at a cumulated dose equivalent of prednisone ≤ 1mg/kg/day, during 7 consecutive days, within 3 weeks prior to first administration of study drug (C1D1); or prephase treatment given at investigator's discretion before randomization and for maximum 3 weeks (glucocorticosteroids, vepesid (VP16), cyclophosphamide, vincristine and prednisone (COP)) 3. Previous treatment by Gemcitabine or Oxaliplatin 4. Use of any experimental anti-cancer drug therapy within 6 weeks before randomization 5. Contraindication to any drug contained in the study treatment regimen 6. Previous allogenic hematopoietic cell transplantation 7. Positive test results for HIV and Hepatitis C Virus (HCV) (Patients who are positive for HCV antibody must be negative for HCV by PCR to be eligible for study participation) 8. Known active hepatitis B (positive Ag HBs) (if latent Hepatitis B Virus (HBV) (positive anti-HBc), patients have to be treated with Entecavir (Baraclude ®) and HBV PCR should be performed every month to allow antiviral strategy adaptation) 9. Central nervous system or meningeal involvement by lymphoma 10. Any of the following laboratory abnormalities prior randomization: * Absolute neutrophil count (ANC) \< 1 G/L, unless neutropenia is related to PTCL * Platelet count \< 75 G/L, unless thrombopenia is related to PTCL * Alkaline Phosphatases \> 2.5 x upper limit of normal (ULN) * Serum Glutamoyl-oxaloacetate Transferase (SGOT) /Alanine aminotransferase (AST) or Serum Glutamate Pyruvate Transaminase (SGPT)/Alanine aminotransferase (ALT) \> 2.5 x ULN * Bilirubin \> 1.5 x ULN, unless SGOT/AST and SGPT/ALT \> 2.5 x ULN or bilirubin elevated due to PTCL or hemolysis * Calculated creatinine clearance (MDRD or Cockcroft) \< 40 mL/min 11. Any significant cardiovascular impairment: New York Heart Association (NYHA) Class III or IV cardiac disease, uncontrolled high blood pressure, unstable angina, myocardial infarction or stroke within the last 6 months from randomization, and cardiac arrhythmia within the last 3 months from randomization 12. Uncontrolled clinically significant intercurrent illness including, but not limited to, diabetes, ongoing active infections. Patients receiving antibiotics for infections that are under control may be included in the study 13. Concurrent malignancy or prior history of malignancies other than lymphoma unless the subject has been free of disease for ≥ 2 years, except early stage cutaneous squamous or basal cell carcinoma, localized prostate cancer, or cervical intraepithelial neoplasia 14. Major surgery within 4 weeks before randomization 15. Pregnant or lactating females
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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A. Z. Sint-Jan
Bruges, Belgium
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APHP - Hopital Necker
Paris, France
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APHP - Hôpital Henri Mondor
Créteil, France
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APHP - Hôpital Saint Antoine
Paris, France
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APHP - Hôpital Saint Louis
Paris, France
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APHP - Hôpital de la Pitié Salpétrière
Paris, France
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CH Métropole Savoie
Chambéry, France
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CH d Avignon - Hopital Henri Duffaut
Avignon, France
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CH de Bretagne Atlantique - Hopital Chubert
Vannes, France
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CH de Dunkerque
Dunkirk, France
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CH de Mulhouse
Mulhouse, France
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CH de Perpignan
Perpignan, France
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CH de Périgueux
Périgueux, France
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CH de la Côte Basque - Hôpital de Bayonne
Bayonne, France
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CH du Mans
Le Mans, 72000, France
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CHD de Vendée
La Roche-sur-Yon, France
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CHR Verviers
Verviers, Belgium
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CHR d'Orléans
Orléans, France
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CHRU de Lille - Hôpital Claude Hurriez
Lille, France
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CHU Dinant Godinne - UCL Namur - YVOIR
Yvoir, Belgium
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CHU d'Amiens
Amiens, France
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CHU d'Angers
Angers, France
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CHU de Bordeaux - Hôpital Haut Lévêque - Centre François Magendie
Pessac, France
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CHU de Caen - Côte de Nacre - IHBN
Caen, France
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CHU de Clermont Ferrand - Estaing
Clermont-Ferrand, France
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CHU de Dijon BOURGOGNE - Hôpital François Mitterand
Dijon, France
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CHU de Grenoble - Hôpital Albert Michallon
La Tronche, France
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CHU de LIEGE - Domaine Sart Tilman
Liège, Belgium
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CHU de Montpellier
Montpellier, France
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CHU de Nancy - Brabois
Nancy, France
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CHU de Nantes - Hôtel Dieu
Nantes, France
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CHU de Nîmes
Nîmes, France
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CHU de Poitiers - Hôpital de La Milétrie
Poitiers, France
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CHU de Reims
Reims, France
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CHU de Rennes - Hôpital de Pontchaillou
Rennes, France
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Centre Henri Becquerel
Rouen, France
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Centre Hospitalier Annecy Genevois
Pringy, France
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Centre Hospitalier Lyon Sud
Pierre-Bénite, France
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Centre Leon Berard
Lyon, 69373, France
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Ch de Versailles - Hopital Andre Mignot
Le Chesnay, France
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Charite Universitat Smedizin Berlin
Berlin, Germany
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Chu de Limoges - Hopital Dupuytren
Limoges, France
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Chu de Meaux
Meaux, France
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Clinique CHC MontLégia
Liège, Belgium
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Cliniques Universitaires de Bruxelles - Hôpital Erasme
Brussels, Belgium
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Cliniques universitaires Saint-Luc - Université catholique de Louvain
Brussels, Belgium
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GEORG-AUGUST-UNIV, GOETTINGEN - Klinik fur Haematologie und Medizini
Goettigen, Germany
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Grand Hôpital de Charleroi
Charleroi, Belgium
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HELORA - Hôpital de La LouvièreSite Jolimont
Haine-Saint-Paul, Belgium
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Hospital Clínico Universitario de Valencia
Valencia, Spain
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Hospital Universitari Vall d'Hebron
Barcelona, Spain
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Hospital Universitario Fundacion Jimenez Diaz - Hematologia
Madrid, Spain
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Hospital Universitario Marqués de Valdecilla
Santander, Spain
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Hôpital Saint Vincent-De-Paul
Lille, France
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Institut Bergonié
Bordeaux, France
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Institut Jules Bordet
Anderlecht, Belgium
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Institut Universitaire du Cancer de Toulouse - Oncopole
Toulouse, 31100, France
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Institut de Cancerologie Strasbourg Europe
Strasbourg, France
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Institut de Cancérologie et d'Hématologie Universitaire de Saint-Étienne
Saint-Etienne, France
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UNIVERSITAT LEIPZIG - Klinik fur Hamatologie, Zelltherapie und Hamostaseo
Leipzig, Germany
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UNIVERSITATSKLINIKUM REGENSBURG - Klinik für Innere Medizin III
Regensburg, Germany
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UZ Antwerpen
Edegem, Belgium
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Universitatsklinikum Halle (Saale)
Halle, Germany
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VZW ZAS
Antwerp, Belgium
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Can a targeted pill boost Chemotherapy's punch against a rare lymphoma?