Amping up With PemJAK
A Phase II Trial of JAK Inhibitor Added to Immunotherapy for Treatment of Relapsed/Refractory T-cell Lymphoma and 9p Amplified Lymphomas
1 other identifier
interventional
53
1 country
1
Brief Summary
The purpose of this study is to understand and determine if ruxolitinib added to pembrolizumab is safe and effective for the treatment of relapsed or refractory Hodgkin and non-Hodgkin lymphomas.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for phase_2
Started Dec 2025
Typical duration for phase_2
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
December 3, 2025
CompletedFirst Submitted
Initial submission to the registry
December 6, 2025
CompletedFirst Posted
Study publicly available on registry
December 16, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2028
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 1, 2029
December 16, 2025
December 1, 2025
2.1 years
December 6, 2025
December 6, 2025
Conditions
Outcome Measures
Primary Outcomes (2)
Complete Response (CR) rate
For Arm 1, in patients with Peripheral T-cell Lymphoma (PTCL), the primary objective will be complete response (CR) rate.
24 months from the start of study treatment
Overall response rate (ORR)
For Arm 2, in patients with Cutaneous T-cell Lymphoma (CTCL), the primary objective will be overall response rate (ORR)
24 months from the start of study treatment
Study Arms (1)
Ruxolitinib
EXPERIMENTALRuxolitinib 20mg PO twice daily will be continued until 12 months, disease progression, or development of intolerable side effects (whichever occurs first).
Interventions
Patients will receive the study drug ruxolitinib for as long as the disease responds, for up to a maximum of one year (or 17 cycles). After study treatment with ruxolitinib is finished, the study doctor will continue to watch for side effects and follow the condition for one year. If any side effects are experienced, the study doctor will follow up until resolution or stabilization of the side effect.
Pembrolizumab immunotherapy will be administered intravenously at 200 mg once every 21 days. Subjects will receive pembrolizumab for as long as the disease responds, up to a maximum of one year (or 17 cycles). Each cycle is 21 days long.
Eligibility Criteria
You may qualify if:
- (1) Histologically confirmed relapsed/refractory HL, PMBCL, GZL, and TCL including the below subtypes:
- Arm 1: PTCL
- Nodal PTCL Peripheral T-cell Lymphoma- Not Otherwise Specified (PTCL-NOS)
- Anaplastic Large Cell Lymphoma (ALCL) T-follicular Helper Lymphomas (TFH) and its subtypes including angioimmunoblastic T-cell Lymphoma (AITL)
- Extranodal NK/T-cell lymphoma
- Subcutaneous Panniculitis T-Cell Lymphoma
- Arm 2: CTCL
- Mycosis Fungoides
- Sezary Syndrome
- Arm 3: exploratory cohort
- Classic HL
- PMBCL
- GZL
- (2) All patients must have received at least one-line systemic therapy.
- Patients with systemic ALCL must have received prior CD30-directed therapy.
- +30 more criteria
You may not qualify if:
- \) Diagnosis of Adult T-Cell Leukemia/Lymphoma (ATLL)
- \) History of autoimmune disease that requires systemic treatment.
- \) Has a diagnosis of immunodeficiency or receiving immunosuppressive therapy within 7 days prior to the first dose of study drug.
- \) Actively chronic systemic steroids therapy (in dosing exceeding 10mg daily of prednisone or its drug equivalent).
- o Patients must be off steroid therapy exceeding 10mg or greater of prednisone (or its equivalent) at the start of therapy.
- \) Patients with HL and PMBCL patients must not be eligible and agreeable to autologous stem cell transplant.
- o Patients with PMBCL must not be eligible and agreeable to CAR-T.
- \) Allowed to have disease progression after or refractory to autologous bone marrow transplant.
- \) Progression after allogeneic stem cell transplantation (SCT) can be determined on a case-by-case basis after discussion with the primary investigator.
- \) History of solid organ transplant requiring active immunosuppression for which treatment with immunotherapy would be contraindicated.
- \) Active TB (Tuberculosis Bacillus) at time screening. Prior cases of adequately treated TB are permissible.
- \) Has severe hypersensitivity (≥ Grade 3) to pembrolizumab and/or any of its excipients.
- \) Has severe hypersensitivity (≥ Grade 3) to ruxolitinib and/or any of its excipients.
- Patients with G1 and G2 hypersensitivity remain eligible.
- \) Inability to swallow or take medications by mouth
- +8 more criteria
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Seda S. Tolulead
- Incyte Corporationcollaborator
Study Sites (1)
Columbia University Irving Medical Center
New York, New York, 10032, United States
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Seda Tolu, MD
Columbia University
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- phase 2
- Allocation
- NA
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- SINGLE GROUP
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- Assistant Professor of Medicine
Study Record Dates
First Submitted
December 6, 2025
First Posted
December 16, 2025
Study Start
December 3, 2025
Primary Completion (Estimated)
January 1, 2028
Study Completion (Estimated)
January 1, 2029
Last Updated
December 16, 2025
Record last verified: 2025-12