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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

A Multicentre, Open-label, Phase 3, Randomised Controlled Trial of Duvelisib Versus Investigator's Choice of Gemcitabine or Bendamustine in Patients With Relapsed/Refractory Nodal T Cell Lymphoma With T Follicular Helper (TFH) Phenotype

Status
Recruiting
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT06522737
Acronym
TERZO
Enrollment
124
Registered
2024-07-26
Start date
2025-05-19
Completion date
2028-12-01
Last updated
2026-04-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Lymphoma

Keywords

Nodal T Cell Lymphoma, T Follicular Helper, Relapsed/Refractory, Duvelisib, Peripheral T cell lymphoma, Angioimmunoblastic T cell lymphoma, TERZO, 145-304, TFH

Brief summary

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.

Interventions

DRUGDuvelisib

oral capsules

DRUGGemcitabine

solution for intravenous infusion

DRUGBendamustine

solution for intravenous infusion

Sponsors

SecuraBio
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion 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.

Design outcomes

Primary

MeasureTime frame
Progression-free Survival (PFS) as assessed by the Independent Review Committee (IRC)Up to 3 years

Secondary

MeasureTime frame
Overall Survival (OS)Up to 3 years
PFS as assessed by the investigatorUp to 3 years
Objective Response Rate (ORR) as assessed by the IRCUp to 3 years
Complete Response Rate (CRR) as assessed by the IRCUp to 3 years
Duration of Response (DOR) as assessed by the IRCUp to 3 years
Proportion of participants who proceed to Stem Cell Transplantation (SCT)Up to 3 years
Investigator-assessed PFS in participants who proceed to SCTUp to 3 years
Number of participants with Adverse Events (AEs)Up to 3 years
Quality of Life (QoL): European Organisation for Research and Treatment of Cancer (EORTC) QLQ-C30 ScoreUp to 3 years
QoL: EQ5D ScoreUp to 3 years
QoL: QLQ-NHL-HG29 ScoreUp to 3 years
Concentration of Duvelisib and its Metabolites in BloodDay 1 of Cycle 1 and Cycle 2 (predose and 60 minutes postdose)

Countries

Belgium, Czechia, Denmark, France, Germany, Italy, Netherlands, Poland, Spain, United Kingdom

Contacts

CONTACTOhad Bentur
TerzoMM@securabio.com(702) 254-0011

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Apr 7, 2026