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NCT03598998

Pembrolizumab and Pralatrexate in Treating Patients With Relapsed or Refractory Peripheral T-Cell Lymphomas

Active, enrolled Phase 1, PHASE2 Results posted Last updated 26 June 2025
What this trial tests

Phase 1, PHASE2 trial testing Pembrolizumab in Anaplastic Large Cell Lymphoma in 13 participants. Participants enrolled and being followed up; not accepting new ones.

Timeline
4 February 2019
Primary endpoint
3 May 2023
26 February 2026

Quick facts

Lead sponsorCity of Hope Medical Center
PhasePhase 1, PHASE2
StatusActive, enrolled
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment13
Start date4 February 2019
Primary completion3 May 2023
Estimated completion26 February 2026
Sites3 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

City of Hope Medical Center

Who can join

18 and older, any sex, with Anaplastic Large Cell Lymphoma or Nodal Peripheral T-Cell Lymphoma With TFH Phenotype. 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.

Number of Participants Who Had Dose Limiting Toxicities Primary · From the start of Cycle 1 through the start of Cycle 3 (approximately 42 days)

Dose limiting toxicities (DLT) were defined as one of the AEs in Protocol Section 5.5 that at least possibly related to study treatment. The DLT observation period was 2 cycles of therapy, from the start of Cycle 1 through the start of Cycle 3. Toxicities were graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE, Version 5.0).

GroupValue95% CI
Phase I - Dose Level 1: Pembrolizumab 200mg + Pralatrexate 20mg/m21
Phase I - Dose Level 2: Pembrolizumab 200mg + Pralatrexate 30mg/m22
Number of Participants Who Had Overall Response Primary · Up to 43 months after the initial study treatment.

Number of participants who had a documented complete response (CR) or partial response (PR) at any time during study treatment. Disease response/progression by PET-CT or CT was evaluated using 2014 Lugano Classification.

GroupValue95% CI
Phase I - Dose Level 1: Pembrolizumab 200mg + Pralatrexate 20mg/m22
Phase I - Dose Level 2: Pembrolizumab 200mg + Pralatrexate 30mg/m21
Number of Participants Who Had Complete Response (CR) Secondary · Up to 43 months after the initial study treatment.

Number of participants who had a documented complete response at any time during study treatment. Disease response/progression by PET-CT or CT was evaluated using 2014 Lugano Classification.

GroupValue95% CI
Phase I - Dose Level 1: Pembrolizumab 200mg + Pralatrexate 20mg/m21
Phase I - Dose Level 2: Pembrolizumab 200mg + Pralatrexate 30mg/m21
Number of Participants With Grade 3 4 5 Adverse Events Secondary · From the start time of the initial treatment assessed through 8 treatment cycles (21 days per cycle) up to 90 days from last dose (approximately 9 months).

Number of Participants who had grade 3 4 5 toxicities at lease possibly related to study treatment. Toxicities were assessed according to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 5.0. Grade refers to the severity of the AE and ranges from 1 to 5 (Grade 1=Mild, Grade 2=Moderate, Grade 3=Severe, Grade 4=Life-threatening, Grade 5=Death).

GroupValue95% CI
Phase I - Dose Level 1: Pembrolizumab 200mg + Pralatrexate 20mg/m24
Phase I - Dose Level 2: Pembrolizumab 200mg + Pralatrexate 30mg/m23

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse Events were assessed through 8 treatment cycles (21 days per cycle) up to 90 days from last dose (approximately 9 months). All-Cause Mortality was monitored/assessed up to 43 months from the start time of the initial treatment.. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase I - Dose Level 1: Pembrolizumab 200mg + Pralatrexate 20mg/m2
Serious: 2/7 (29%)
Deaths: 5/7
Phase I - Dose Level 2: Pembrolizumab 200mg + Pralatrexate 30mg/m2
Serious: 3/6 (50%)
Deaths: 5/6

Serious adverse events (9 terms)

ReactionSystemPhase I - Dose Level 1: Pe…Phase I - Dose Level 2: Pe…
CLOSTRIDIOIDES DIFFICILEGastrointestinal disorders
DISEASE PROGRESSIONGeneral disorders
FEVERGeneral disorders
TUMOR FLAREGeneral disorders
ENCEPHALITIS INFECTIONInfections and infestations
HERPES SIMPLEX REACTIVATIONInfections and infestations
VASCULAR ACCESS COMPLICATIONInjury, poisoning and procedural complications
LARYNGEAL OBSTRUCTIONRespiratory, thoracic and mediastinal disorders
RESPIRATORY FAILURERespiratory, thoracic and mediastinal disorders
Other adverse events (90 terms — click to expand)

ReactionSystemPhase I - Dose Level 1: Pe…Phase I - Dose Level 2: Pe…
ANEMIABlood and lymphatic system disorders
PLATELET COUNT DECREASEDInvestigations
HYPOMAGNESEMIAMetabolism and nutrition disorders
DISEASE PROGRESSIONGeneral disorders
FATIGUEGeneral disorders
LYMPHOCYTE COUNT DECREASEDInvestigations
HYPOALBUMINEMIAMetabolism and nutrition disorders
HYPOKALEMIAMetabolism and nutrition disorders
HYPONATREMIAMetabolism and nutrition disorders
HYPERTENSIONVascular disorders
SINUS TACHYCARDIACardiac disorders
DIARRHEAGastrointestinal disorders
CHILLSGeneral disorders
WHITE BLOOD CELL DECREASEDInvestigations
ANOREXIAMetabolism and nutrition disorders
HYPERGLYCEMIAMetabolism and nutrition disorders
PRURITUSSkin and subcutaneous tissue disorders
CONSTIPATIONGastrointestinal disorders
MUCOSITIS ORALGastrointestinal disorders
NAUSEAGastrointestinal disorders
ALANINE AMINOTRANSFERASE INCREASEDInvestigations
ALKALINE PHOSPHATASE INCREASEDInvestigations
ASPARTATE AMINOTRANSFERASE INCREASEDInvestigations
BLOOD LACTATE DEHYDROGENASE INCREASEDInvestigations
NEUTROPHIL COUNT DECREASEDInvestigations
WEIGHT LOSSInvestigations
DEHYDRATIONMetabolism and nutrition disorders
HYPOCALCEMIAMetabolism and nutrition disorders
HYPOGLYCEMIAMetabolism and nutrition disorders
DYSGEUSIANervous system disorders
INSOMNIAPsychiatric disorders
HYPOTENSIONVascular disorders
EOSINOPHILIABlood and lymphatic system disorders
PLATELET COUNT INCREASEDBlood and lymphatic system disorders
SINUS BRADYCARDIACardiac disorders
VENTRICULAR ARRHYTHMIACardiac disorders
CATARACTEye disorders
PERIORBITAL EDEMAEye disorders
DRY MOUTHGastrointestinal disorders
DYSPHAGIAGastrointestinal disorders

Most-reported serious reactions: CLOSTRIDIOIDES DIFFICILE, DISEASE PROGRESSION, FEVER, TUMOR FLARE, ENCEPHALITIS INFECTION, HERPES SIMPLEX REACTIVATION, VASCULAR ACCESS COMPLICATION, LARYNGEAL OBSTRUCTION.

Data from ClinicalTrials.gov NCT03598998 adverse events section.

Sponsor's own description

This phase I/II trial studies the side effects and best dose of pralatrexate when given together with pembrolizumab and how well they work in treating patients with peripheral T-cell lymphomas that has come back after a period of improvement or has not responded to treatment. Pralatrexate may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Immunotherapy with monoclonal antibodies, such as pembrolizumab, may help the body's immune system attack the cancer, and may interfere with the ability of tumor cells to grow and spread. Giving pembrolizumab and pralatrexate may work better in treating patients with peripheral T-cell lymphomas.

Publications & conference data

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

  1. Advances in targeted therapy for malignant lymphoma.
    Wang L, Qin W, Huo YJ, Li X, et al · · 2020 · cited 88× · PMID 32296035 · DOI 10.1038/s41392-020-0113-2
  2. Biomarker-driven management strategies for peripheral T cell lymphoma.
    Mulvey E, Ruan J. · · 2020 · cited 29× · PMID 32448357 · DOI 10.1186/s13045-020-00889-z
  3. Recent Advances in Diagnosis and Therapy of Angioimmunoblastic T Cell Lymphoma.
    Mohammed Saleh MF, Kotb A, Abdallah GEM, Muhsen IN, et al · · 2021 · cited 20× · PMID 34940095 · DOI 10.3390/curroncol28060456
  4. Immune Checkpoint Inhibitors in Peripheral T-Cell Lymphoma.
    Chen X, Wu W, Wei W, Zou L. · · 2022 · cited 18× · PMID 35559250 · DOI 10.3389/fphar.2022.869488
  5. Selection of new immunotherapy targets for NK/T cell lymphoma.
    Lv K, Li X, Yu H, Chen X, et al · · 2020 · cited 17× · PMID 33312349
  6. Enhancing antitumor immunity through checkpoint blockade as a therapeutic strategy in T-cell lymphomas.
    Neuwelt A, Al-Juhaishi T, Davila E, Haverkos B. · · 2020 · cited 17× · PMID 32898250 · DOI 10.1182/bloodadvances.2020001966
  7. Checkpoint inhibition in hematologic malignancies.
    Tsumura A, Levis D, Tuscano JM. · · 2023 · cited 14× · PMID 37920162 · DOI 10.3389/fonc.2023.1288172
  8. Advances and challenges of immunotherapies in NK/T cell lymphomas.
    He L, Chen N, Dai L, Peng X. · · 2023 · cited 12× · PMID 38026157 · DOI 10.1016/j.isci.2023.108192

Verify or expand the search:

Other trials of Pembrolizumab

Trials testing the same drug.

Other recruiting trials for Anaplastic Large Cell Lymphoma

Currently open trials in the same condition.

Other City of Hope Medical Center trials

Trials by the same sponsor.

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Data sources for this page

Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT03598998.

Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing