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Trial details imported from ClinicalTrials.gov

For full trial details, please see the original record at https://clinicaltrials.gov/ct2/show/NCT05011058




Registration number
NCT05011058
Ethics application status
Date submitted
2/08/2021
Date registered
18/08/2021
Date last updated
3/06/2024

Titles & IDs
Public title
An Open-Label, Phase 2 Trial of Nanatinostat in Combination With Valganciclovir in Patients With Epstein-Barr Virus-Positive (EBV+) Relapsed/Refractory Lymphomas
Scientific title
An Open-Label, Phase 2 Trial of Nanatinostat in Combination With Valganciclovir in Patients With Epstein-Barr Virus-Positive (EBV+) Relapsed/Refractory Lymphomas
Secondary ID [1] 0 0
VT3996-202
Universal Trial Number (UTN)
Trial acronym
NAVAL-1
Linked study record

Health condition
Health condition(s) or problem(s) studied:
Epstein-Barr Virus Associated Lymphoproliferative Disorder 0 0
EBV-Related PTLD 0 0
EBV Related Non-Hodgkin's Lymphoma 0 0
EBV-Positive DLBCL, NOS 0 0
EBV Associated Lymphoma 0 0
EBV Related PTCL, NOS 0 0
Condition category
Condition code
Infection 0 0 0 0
Other infectious diseases
Cancer 0 0 0 0
Lymphoma (non Hodgkin's lymphoma) - High grade lymphoma
Cancer 0 0 0 0
Lymphoma (non Hodgkin's lymphoma) - Low grade lymphoma
Cardiovascular 0 0 0 0
Diseases of the vasculature and circulation including the lymphatic system
Inflammatory and Immune System 0 0 0 0
Other inflammatory or immune system disorders

Intervention/exposure
Study type
Interventional
Description of intervention(s) / exposure
Treatment: Drugs - Nanatinostat in combination with valganciclovir

Experimental: Nanatinostat with Valganciclovir - Patients will receive nanatinostat 20 mg orally once daily, days 1-4 per week with valganciclovir 900 mg orally once daily.
Up to 10 PTCL patients will receive nanatinostat 20 mg orally once daily, days 1-4 per week.


Treatment: Drugs: Nanatinostat in combination with valganciclovir
Drug: Nanatinostat, 20 mg orally once daily, 4 days per week in 28 day cycles
Other name: VRx-3996
Drug: Valganciclovir, 900 mg orally once daily in 28 day cycles
Intervention code [1] 0 0
Treatment: Drugs
Comparator / control treatment
Control group

Outcomes
Primary outcome [1] 0 0
Objective response rate (ORR)
Timepoint [1] 0 0
Approximately 3 years
Secondary outcome [1] 0 0
Duration of response (DOR)
Timepoint [1] 0 0
Approximately 3 years
Secondary outcome [2] 0 0
Time to next anti-lymphoma treatment (TTNLT)
Timepoint [2] 0 0
Approximately 3 years
Secondary outcome [3] 0 0
Progression-free survival (PFS)
Timepoint [3] 0 0
Approximately 3 years
Secondary outcome [4] 0 0
Time to progression (TTP)
Timepoint [4] 0 0
Approximately 3 years
Secondary outcome [5] 0 0
Overall survival
Timepoint [5] 0 0
Approximately 3 years
Secondary outcome [6] 0 0
Incidence and severity of treatment-emergent adverse events
Timepoint [6] 0 0
Approximately 28 days following the last dose
Secondary outcome [7] 0 0
Pharmacokinetic parameter - time to maximum plasma concentration [tmax],
Timepoint [7] 0 0
Approximately 6 months following the end of Cycle 1 Day 1 (each cycle is 28 days)
Secondary outcome [8] 0 0
Pharmacokinetic parameter - maximum plasma concentration [Cmax]
Timepoint [8] 0 0
Approximately 6 months following the end of Cycle 1 Day 1 (each cycle is 28 days)
Secondary outcome [9] 0 0
Pharmacokinetic parameter - area under the plasma concentration-time curve [AUC]
Timepoint [9] 0 0
Approximately 6 months following the end of Cycle 1 Day 1 (each cycle is 28 days)

Eligibility
Key inclusion criteria
Key

- EBV+ DLBCL, NOS and PTCL, NOS, and AITL: Relapsed/refractory disease following 1 or
more prior systemic therapy(ies) with curative intent.

- For EBV+ PTLD patients: Relapsed/refractory disease following 1 prior therapy and must
have received at least 1 course of an anti-CD20 immunotherapy. For patients with EBV+
PTLD only, age 12 years and older and weighing greater than 40 kg (Adolescent, Adult,
Older Adult) are allowed

- For other EBV+ relapsed/refractory lymphoma: Following at least 1 course of an
anit-CD20 immunotherapy and at least 1 course of anthracycline-based chemotherapy
(unless contraindicated)

- No available therapies in the opinion of the Investigator

- Not eligible for high-dose chemotherapy with allogeneic/autologous stem cell
transplantation or CAR-T therapy

- Measurable disease per Cheson 2007

- ECOG performance status 0, 1, 2

- Adequate bone marrow function

Key
Minimum age
18 Years
Maximum age
No limit
Sex
Both males and females
Can healthy volunteers participate?
No
Key exclusion criteria
- Presence or history of CNS involvement by lymphoma

- Systemic anticancer therapy or CAR-T within 21 days

- Antibody (anticancer) agents within 28 days

- Less than 60 days from prior autologous hematopoietic stem cell or solid organ
transplant

- Less than 90 days from prior allogeneic transplant.

- Daily corticosteroids (=20 mg of prednisone or equivalent) within week prior to Cycle
1 Day 1

- Inability to take oral medication, malabsorption syndrome or any other
gastrointestinal condition (nausea, diarrhea, vomiting) that may impact the absorption
of nanatinostat and valganciclovir.

- Active infection requiring systemic therapy (excluding viral upper respiratory tract
infections).

Study design
Purpose of the study
Treatment
Allocation to intervention
N/A
Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Masking / blinding
Open (masking not used)
Who is / are masked / blinded?



Intervention assignment
Single group
Other design features
Phase
Phase 2
Type of endpoint/s
Statistical methods / analysis

Recruitment
Recruitment status
Recruiting
Data analysis
Reason for early stopping/withdrawal
Other reasons
Date of first participant enrolment
Anticipated
Actual
28/05/2021
Date of last participant enrolment
Anticipated
Actual
Date of last data collection
Anticipated
1/12/2026
Actual
Sample size
Target
140
Accrual to date
Final
Recruitment in Australia
Recruitment state(s)
VIC
Recruitment hospital [1] 0 0
Box Hill Hospital - Melbourne
Recruitment hospital [2] 0 0
The Alfred Hospital - Melbourne
Recruitment postcode(s) [1] 0 0
- Melbourne
Recruitment outside Australia
Country [1] 0 0
United States of America
State/province [1] 0 0
Alabama
Country [2] 0 0
United States of America
State/province [2] 0 0
Arizona
Country [3] 0 0
United States of America
State/province [3] 0 0
California
Country [4] 0 0
United States of America
State/province [4] 0 0
Colorado
Country [5] 0 0
United States of America
State/province [5] 0 0
Florida
Country [6] 0 0
United States of America
State/province [6] 0 0
Georgia
Country [7] 0 0
United States of America
State/province [7] 0 0
Kentucky
Country [8] 0 0
United States of America
State/province [8] 0 0
Maryland
Country [9] 0 0
United States of America
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Michigan
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United States of America
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Montana
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United States of America
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New Hampshire
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United States of America
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New Jersey
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United States of America
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New York
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United States of America
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North Carolina
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United States of America
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Ohio
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United States of America
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Pennsylvania
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United States of America
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South Carolina
Country [18] 0 0
United States of America
State/province [18] 0 0
Texas
Country [19] 0 0
United States of America
State/province [19] 0 0
Washington
Country [20] 0 0
Brazil
State/province [20] 0 0
Joinville
Country [21] 0 0
Brazil
State/province [21] 0 0
Rio De Janeiro
Country [22] 0 0
Brazil
State/province [22] 0 0
Santo André
Country [23] 0 0
Brazil
State/province [23] 0 0
São Paulo
Country [24] 0 0
Canada
State/province [24] 0 0
Alberta
Country [25] 0 0
Canada
State/province [25] 0 0
British Columbia
Country [26] 0 0
Canada
State/province [26] 0 0
Ontario
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Canada
State/province [27] 0 0
Quebec
Country [28] 0 0
France
State/province [28] 0 0
Aquitaine
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France
State/province [29] 0 0
Ile-de-France
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France
State/province [30] 0 0
Limousin
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France
State/province [31] 0 0
Nouvelle-Aquitaine
Country [32] 0 0
France
State/province [32] 0 0
Pays De La Loire
Country [33] 0 0
France
State/province [33] 0 0
Provence Alpes Cote d'Azur
Country [34] 0 0
France
State/province [34] 0 0
Rhone-Alps
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France
State/province [35] 0 0
Marseille
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France
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Paris
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Germany
State/province [37] 0 0
Bavaria
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Germany
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Niedersachsen
Country [39] 0 0
Germany
State/province [39] 0 0
Nordrhein-Westfalen
Country [40] 0 0
Germany
State/province [40] 0 0
Saxony
Country [41] 0 0
Germany
State/province [41] 0 0
Bremen
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Germany
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Halle
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Germany
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Leipzig
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Germany
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Mannheim
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Hong Kong
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Hong Kong
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Israel
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Jerusalem
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Italy
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Foggia
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Italy
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Milan
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Italy
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Pordenone
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Italy
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Bologna
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Italy
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Brescia
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Italy
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Milano
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Italy
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Pavia
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Italy
State/province [54] 0 0
Reggio Emilia
Country [55] 0 0
Italy
State/province [55] 0 0
Roma
Country [56] 0 0
Korea, Republic of
State/province [56] 0 0
Gyeongsangbugdo
Country [57] 0 0
Korea, Republic of
State/province [57] 0 0
Busan
Country [58] 0 0
Korea, Republic of
State/province [58] 0 0
Daegu
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Korea, Republic of
State/province [59] 0 0
Incheon
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Korea, Republic of
State/province [60] 0 0
Seoul
Country [61] 0 0
Malaysia
State/province [61] 0 0
Kuala Lumpur
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Malaysia
State/province [62] 0 0
Kuching
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Singapore
State/province [63] 0 0
Singapore
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Spain
State/province [64] 0 0
Barcelona
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Spain
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Madrid
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Taiwan
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Taipei
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Taiwan
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Kaohsiung
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Taiwan
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Taichung City
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Taiwan
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Tainan
Country [70] 0 0
Taiwan
State/province [70] 0 0
Taipei City
Country [71] 0 0
Taiwan
State/province [71] 0 0
Taoyuan City
Country [72] 0 0
United Kingdom
State/province [72] 0 0
Liverpool
Country [73] 0 0
United Kingdom
State/province [73] 0 0
London
Country [74] 0 0
United Kingdom
State/province [74] 0 0
Manchester

Funding & Sponsors
Primary sponsor type
Commercial sector/Industry
Name
Viracta Therapeutics, Inc.
Address
Country

Ethics approval
Ethics application status

Summary
Brief summary
A Phase 2 study to evaluate the efficacy of nanatinostat in combination with valganciclovir
in patients with relapsed/refractory EBV-positive lymphomas
Trial website
https://clinicaltrials.gov/ct2/show/NCT05011058
Trial related presentations / publications
Public notes

Contacts
Principal investigator
Name 0 0
Donald (D.K.) Strickland, MD
Address 0 0
Viracta Therapeutics
Country 0 0
Phone 0 0
Fax 0 0
Email 0 0
Contact person for public queries
Name 0 0
Strait Hicklin
Address 0 0
Country 0 0
Phone 0 0
858-400-8470
Fax 0 0
Email 0 0
ClinicalTrials@Viracta.com
Contact person for scientific queries



Summary Results

For IPD and results data, please see https://clinicaltrials.gov/ct2/show/NCT05011058