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NCT02631746

Nivolumab in Treating Patients With HTLV-Associated T-Cell Leukemia/Lymphoma

Completed Phase 2 Results posted Last updated 14 March 2025
What this trial tests

Phase 2 trial testing Laboratory Biomarker Analysis in Acute Adult T-Cell Leukemia/Lymphoma in 3 participants. Completed in 31 July 2019.

Timeline
23 February 2017
Primary endpoint
30 March 2018
31 July 2019

Quick facts

Lead sponsorNational Cancer Institute (NCI)
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment3
Start date23 February 2017
Primary completion30 March 2018
Estimated completion31 July 2019
Sites6 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

National Cancer Institute (NCI)

Who can join

18 and older, any sex, with Acute Adult T-Cell Leukemia/Lymphoma or Adult T-Cell Leukemia/Lymphoma. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Incidence of Adverse Events of Nivolumab, Graded According to the National Cancer Institute Common Terminology Criteria for Adverse Events Version 4.0 Primary · 1 year

Toxicity by grade will be summarized using descriptive statistics. The incidence of toxicities will be estimated using the binomial proportion and its 90% confidence interval.

GroupValue95% CI
Treatment (Nivolumab)3
Tumor Response, Evaluated Using the New International Criteria Proposed by the Revised Response Evaluation Criteria in Solid Tumors Guideline (Version 1.1) Primary · 1 year

Summarized using descriptive statistics. Binomial proportions and their 90% confidence intervals will be used to estimate the response rates of therapy.

GroupValue95% CI
Treatment (Nivolumab)0

Adverse events — posted to ClinicalTrials.gov

Time frame: 1 year. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Treatment (Nivolumab)
Serious: 3/3 (100%)
Deaths: 0/3

Serious adverse events (6 terms)

ReactionSystemTreatment (Nivolumab)
Aspartate aminotransferase increasedInvestigations
HypercalcemiaMetabolism and nutrition disorders
Abdominal PainGastrointestinal disorders
Acute kidney injuryRenal and urinary disorders
Alanine aminotransferase increasedInvestigations
Splenomegaly/splenic infarctBlood and lymphatic system disorders
Other adverse events (22 terms — click to expand)

ReactionSystemTreatment (Nivolumab)
Acute kidney injuryRenal and urinary disorders
Alanine aminotransferase increasedInvestigations
Alkaline phosphatase increasedInvestigations
AnemiaBlood and lymphatic system disorders
AnorexiaMetabolism and nutrition disorders
Blood bilirubin increasedInvestigations
Bone painMusculoskeletal and connective tissue disorders
Creatinine increasedInvestigations
FatigueGeneral disorders
FeverGeneral disorders
HyperglycemiaMetabolism and nutrition disorders
HypoalbuminemiaMetabolism and nutrition disorders
HypokalemiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
INR increasedInvestigations
MyalgiaMusculoskeletal and connective tissue disorders
NauseaGastrointestinal disorders
Neutrophil count decreasedInvestigations
Platelet count decreasedInvestigations
Pulmonary edemaRespiratory, thoracic and mediastinal disorders
Sinus tachycardiaCardiac disorders
VomitingGastrointestinal disorders

Most-reported serious reactions: Aspartate aminotransferase increased, Hypercalcemia, Abdominal Pain, Acute kidney injury, Alanine aminotransferase increased, Splenomegaly/splenic infarct.

Data from ClinicalTrials.gov NCT02631746 adverse events section.

Sponsor's own description

This phase II trial studies how well nivolumab works in treating patients with human T-cell leukemia virus (HTLV)-associated T-cell leukemia/lymphoma. Nivolumab is an antibody, which is a type of blood protein that tags infected cells and other harmful agents. Nivolumab works against a protein called programmed cell death (PD)-1 and may help the body destroy cancer cells by helping the immune system to keep fighting cancer.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Rapid progression of adult T-cell leukemia/lymphoma as tumor-infiltrating Tregs after PD-1 blockade.
    Rauch DA, Conlon KC, Janakiram M, Brammer JE, et al · · 2019 · cited 88× · PMID 31467059 · DOI 10.1182/blood.2019002038
  2. Adult T-Cell Leukemia/Lymphoma.
    Mehta-Shah N, Ratner L, Horwitz SM. · · 2017 · cited 62× · PMID 28796966 · DOI 10.1200/jop.2017.021907
  3. A Review of New Findings in Adult T-cell Leukemia-Lymphoma: A Focus on Current and Emerging Treatment Strategies.
    Hermine O, Ramos JC, Tobinai K. · · 2018 · cited 61× · PMID 29411267 · DOI 10.1007/s12325-018-0658-4
  4. Immune checkpoint inhibitors in the treatment of virus-associated cancers.
    Gao P, Lazare C, Cao C, Meng Y, et al · · 2019 · cited 47× · PMID 31182108 · DOI 10.1186/s13045-019-0743-4
  5. PD-1 instructs a tumor-suppressive metabolic program that restricts glycolysis and restrains AP-1 activity in T cell lymphoma.
    Wartewig T, Daniels J, Schulz M, Hameister E, et al · · 2023 · cited 34× · PMID 37723306 · DOI 10.1038/s43018-023-00635-7
  6. Targeting the programmed death-1 pathway in lymphoid neoplasms.
    Ok CY, Young KH. · · 2017 · cited 32× · PMID 28242522 · DOI 10.1016/j.ctrv.2017.01.009
  7. Genome-wide CRISPR screens identify CD48 defining susceptibility to NK cytotoxicity in peripheral T-cell lymphomas.
    Chiba M, Shimono J, Ishio T, Takei N, et al · · 2022 · cited 27× · PMID 35921533 · DOI 10.1182/blood.2022015646
  8. Novel Immunotherapies for T Cell Lymphoma and Leukemia.
    Ghione P, Moskowitz AJ, De Paola NEK, Horwitz SM, et al · · 2018 · cited 27× · PMID 30317410 · DOI 10.1007/s11899-018-0480-8

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