NCT03837457

Brief Summary

The main objective of this clinical trial is to study the efficacy and safety of cobomarsen (also known as MRG-106) for the treatment of cutaneous T-cell lymphoma (CTCL), mycosis fungoides (MF) subtype in subjects who have confirmed disease progression following treatment with vorinostat in the SOLAR clinical study (MRG106-11-201). Cobomarsen is designed to inhibit the activity of a molecule called miR-155 that may be important to the growth and survival of MF cancer cells. The effects of treatment will be measured based on changes in skin lesion severity, disease-associated symptoms, and quality of life, as well as the length of time that the subject's disease remains stable or improved, without evidence of disease progression. The safety and tolerability of cobomarsen will be assessed based on the frequency and severity of observed side effects.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
8

participants targeted

Target at below P25 for phase_2

Timeline
Completed

Started Oct 2019

Shorter than P25 for phase_2

Geographic Reach
3 countries

9 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

February 8, 2019

Completed
4 days until next milestone

First Posted

Study publicly available on registry

February 12, 2019

Completed
8 months until next milestone

Study Start

First participant enrolled

October 1, 2019

Completed
10 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 24, 2020

Completed
3 days until next milestone

Study Completion

Last participant's last visit for all outcomes

July 27, 2020

Completed
Last Updated

November 19, 2020

Status Verified

November 1, 2020

Enrollment Period

10 months

First QC Date

February 8, 2019

Last Update Submit

November 17, 2020

Conditions

Keywords

PRISMCutaneous T-cell LymphomaCTCLMycosis FungoidesLymphomaLymphoma, T-cellLymphoma, T-cell, cutaneousLymphoma, Non-HodgkinLymphoproliferative DisordersLymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesNeoplasmsMicroRNAs

Outcome Measures

Primary Outcomes (1)

  • Proportion of subjects achieving an objective response of at least 4 months duration (ORR4)

    Based on composite global response criteria including radiological imaging, flow cytometry, and the modified Severity Weighted Assessment Tool (mSWAT).

    Up to approximately 36 months (estimated study duration)

Secondary Outcomes (12)

  • Progression-free survival

    Up to approximately 36 months (estimated study duration)

  • Pruritis Numerical Rating Scale

    Daily for up to 6 months, then weekly up to approximately 36 months (estimated study duration)

  • Skindex-29 Dermatological Survey

    Monthly, up to approximately 36 months (estimated study duration)

  • Pain Numerical Rating Scale

    Daily, for up to 6 months, then weekly up to approximately 36 months (estimated study duration)

  • Difference in drug tolerability by Patient Impression of Treatment Side Effects

    Weekly, up to approximately 36 months (estimated study duration)

  • +7 more secondary outcomes

Other Outcomes (1)

  • Number of participants with anti-drug antibody generation

    Up to approximately 36 months (estimated study duration)

Study Arms (1)

Cobomarsen

EXPERIMENTAL
Drug: Cobomarsen

Interventions

At least weekly intravenous infusions of cobomarsen (282 mg) throughout study treatment period

Also known as: MRG-106
Cobomarsen

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Must have participated in the comparator arm of the SOLAR clinical trial and completed the study (confirmed disease progression).

You may not qualify if:

  • Sézary syndrome or mycosis fungoides with B2 involvement, defined as documented history of B2 and/or B2 staging at screening.
  • Evidence of large cell transformation.
  • Visceral involvement related to MF at screening.
  • Unresolved toxicities from prior vorinostat treatment, defined as having not resolved to CTCAE v5.0 grade 0 or 1.
  • Any CTCL systemic therapy after completion of the SOLAR study and prior to Day 1 for PRISM.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (9)

Mayo Clinic Hospital

Phoenix, Arizona, 85054, United States

Location

Dana-Farber Cancer Institute

Boston, Massachusetts, 02215, United States

Location

Washington University School of Medicine

St Louis, Missouri, 63108, United States

Location

The Ohio State University and Wexner Medical Center

Columbus, Ohio, 43210, United States

Location

University of Washington/Seattle Cancer Care Alliance

Seattle, Washington, 98109, United States

Location

University Hospital Leuven

Leuven, B3000, Belgium

Location

Hopital Saint Andre, CHU de Bordeaux

Bordeaux, 33076, France

Location

Hopital Saint-Louis

Paris, 75475, France

Location

Hopital Charles Nicolle, CHU de Rouen

Rouen, 76031, France

Location

MeSH Terms

Conditions

Mycosis FungoidesLymphoma, T-Cell, CutaneousLymphomaLymphoma, T-CellLymphoma, Non-HodgkinLymphoproliferative DisordersLymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesNeoplasms

Interventions

cobomarsen

Condition Hierarchy (Ancestors)

Neoplasms by Histologic TypeHemic and Lymphatic Diseases

Study Officials

  • Diana M. Escolar, MD, FAAN

    miRagen Therapeutics, Inc.

    STUDY DIRECTOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 8, 2019

First Posted

February 12, 2019

Study Start

October 1, 2019

Primary Completion

July 24, 2020

Study Completion

July 27, 2020

Last Updated

November 19, 2020

Record last verified: 2020-11

Data Sharing

IPD Sharing
Will not share

Locations