Lymphoma
Conditions
Keywords
Ruxolitinib, T or NK Cell, Relapsed, Refractory
Brief summary
The purpose of this study is to test any good and bad effects of the study drug called ruxolitinib. Ruxolitinib works by blocking a protein called JAK. JAK works along with another protein called STAT and is important for survival of many T or NK-cell lymphomas. By blocking JAK, ruxolitinib may cause T or NK-cell lymphomas to shrink.
Interventions
DRUGRuxolitinib
Sponsors
Memorial Sloan Kettering Cancer Center
Cornell University
Dana-Farber Cancer Institute
Thomas Jefferson University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Pathologically confirmed T or NK cell lymphoma at the enrolling institution. For CTCL, patients with stage IB disease or greater are eligible. * Relapse or refractory disease after at least 1 systemic therapy except for T-PLL, LGL, or T-cell Lymphoproliferative diseases with JAK2 fusion. * Untreated patients may be allowed after discussion with P.I. * Age ≥ 18 * ECOG ≤ 2 * Measurable disease defined by: * Lugano Classification for systemic lymphoma or * Atypical and or malignant lymphocytes quantifiable by flow cytometry or morphology in blood or bone marrow or * mSWAT \> 0 or Sezary count ≥ 1000 cells/μL for CTCL * Previous systemic anti-cancer therapy for T-cell lymphoma must have been discontinued at least 2 weeks prior to treatment. * Glucocorticoids aimed at controlling lymphoma-related symptoms are allowed as long as they are tapered down to 20mg or less by the time of ruxolitiib initiation * Topical steroids for CTCL are permitted * See section 6.2 Subject
Exclusion criteria
for guideline regarding adjuvant and maintenance therapy for prior malignancy * Patients must meet the following lab criteria: * ANC ≥ 1.0/mm\^3 or ANC \>/= 0.5/mm\^3 (if patient has baseline neutropenia due to lymphoma), platelets ≥ 100 x 10\^9/L or ≥ 50 x 10\^9/L (if related to lymphoma), Hgb ≥ 8g/dL * Patients with LGL or T-PLL are not required to meet a minimum ANC or hemoglobin value for eligibility * Total bilirubin ≤ 1.5 x upper limit of normal (ULN) or; ≤ 3 x ULN if documented hepatic involvement with lymphoma, or ≤ 5 x ULN if history of Gilbert's ; AST and ALT ≤ 3 x ULN; ≤ 5 x ULN if due to lymphoma involvement * Creatinine clearance ≥ 30 mL/min; creatinine clearance of 15-29 mL/min will be allowed as long as baseline platelets are ≥ 150 x 10\^9/L * For patients with positive hepatitis B core antibody or surface antigen, hepatitis B PCR must be negative and prophylaxis with entecavir or equivalent is required. * Patients with HIV are allowed provided that they are on anti-retroviral treatment with no active infections.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| disease control rate | 2 years | defined as the combination of complete response (CR), partial response (PR) and stable disease (SD). The reason we use this definition instead of the more conventional partial/complete response rate is twofold. |
Countries
United States
Contacts
CONTACTAlison Moskowitz, MD
CONTACTSteven Horwitz, MD
PRINCIPAL_INVESTIGATORAlison Moskowitz, MD
Memorial Sloan Kettering Cancer Center
Outcome results
None listed