THERAKOS® CELLEX Photopheresis System as an Interventional Therapy for the Treatment of Early Stage CTCL (Mycosis Fungoides), an Open-label, Single-arm, Multi-center, Phase II Study
Summary
The purpose of this study is to determine whether photopheresis therapy can be used to improve the clinical course of early stage cutaneous T-cell lymphoma (CTCL). Currently, photopheresis is performed as a palliative treatment for late stage CTCL. However, recent studies have demonstrated that patients with early stage CTCL may have markers in their blood which were previously observed primarily in late stage disease, such as clonal T cell populations. Considering these findings, the study aims to investigate whether photopheresis therapy may be used earlier in the disease course to produce a clinical response.
Detailed description
The THERAKOS® CELLEX Photopheresis System is currently FDA approved and indicated for the palliative treatment of the skin manifestations of cutaneous T-cell lymphoma (CTCL) in patients not responsive to other forms of treatment. The original studies in CTCL were performed in patients having extensive patch/plaque or erythrodermic stage disease. Therefore, photopheresis is used primarily to treat stage III or IV CTCL. However, studies have shown that 50% of patients with early disease may have clonal T-cells in their peripheral blood if polymerase chain reaction is used to amplify the T-cell receptor gamma gene fragments. Thus, patients who are staged as T1 or T2 who also have slight abnormalities in blood involvement, such as atypical cells seen on blood smear or abnormal flow cytometry may benefit from photopheresis therapy. This study aims to investigate the efficacy of photopheresis therapy in patients with Stage !A, 1B, or IIA CTCL.
Arms & interventions
- DrugUVADEX® (methoxsalen) Sterile Solution in conjunction with the THERAKOS® CELLEX Photopheresis
Extracorporeal Photopheresis (ECP)
- DeviceTHERAKOS® CELLEX photopheresis system
THERAKOS® CELLEX is an FDA-approved extra-corporeal photopheresis system
Outcome measures
Primary
Overall Response Rate
Overall response rate at 1 year measured by the modified skin-weighted assessment tool (mSWAT) in accordance with Olsen et al criteria for response in clinical trial. Measurable lesions are defined as those that can be accurately measured in at least one dimension.
Time frame: 1 Year
Secondary
Time to Response of Photopheresis Therapy
Time frame: 1 Year
Duration of Response
Time frame: 1 Year
Change in Functional Assessment of Cancer Therapy - General (FACT-G) Score
Time frame: Baseline and 1 Year
Change in Skindex-29 Score
Time frame: Baseline and 1 Year
Change in Short Form Survey (SF-36v2) Score
Time frame: Baseline and 1 Year
Change in Size of Lymph Nodes
Time frame: Baseline and 1 Year
Change in Sézary Cell Counts at 6 and at 12 months
Time frame: Baseline, 6 months and 12 months
Eligibility criteria
Study locations (1)
Columbia University Irving Medical Center
New York, New York, 10032