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. 2020 Jul 7;2020(7):CD008946. doi: 10.1002/14651858.CD008946.pub3

NCT03713320.

Study name SOLAR: A Phase 2, randomized, open‐label, parallel‐group, active comparator, ,ulti‐center study to investigate the efficacy and aafety of cobomarsen (MRG‐106) in subjects with cutaneous T‐cell lymphoma (CTCL), Mycosis Fungoides (MF) Subtype
Methods This is a randomised controlled trial comparing cobomarsen vs. vorinostat in patients with mycosis fungoides.
Participants Inclusion criteria
  • Biopsy‐proven CTCL, MF subtype

  • Clinical stage IB, II, or III, with staging based on screening assessments

  • Minimum Severity Weighted Assessment Tool (mSWAT) score of 10 at screening

  • Receipt of at least one prior therapy for CTCL


Exclusion criteria
  • Previous enrolment in a cobomarsen study

  • Prior therapy with vorinostat or other HDAC inhibitors, or contraindication to an HDAC inhibitor

  • 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

  • Lymph node involvement at screening, unless radiologically‐ or histologically‐confirmed to be non malignant

  • Visceral involvement related to MF at screening

Interventions Arm I
At least weekly doses of cobomarsen throughout study treatment period.
Arm II
Daily doses of vorinostat throughout study treatment period.
Outcomes Primary outcomes of the study
Proportion of participants 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).
Secondary outcomes of the study
Progression‐free survival
Pruritus Numerical Rating Scale
Skindex‐29 Dermatological Survey
Pain Numerical Rating Scale
Difference in drug tolerability by weekly patient impression of treatment side effects
Duration of composite global response for responding subjects
Complete response rate
Skin disease severity based on modified Severity‐weighted Assessment Tool (mSWAT)
Time to progression
Overall survival
Number of participants with treatment‐related adverse events as assessed by CTCAE v5.0
Plasma concentration of cobomarsen
Starting date 2018
Contact information Sponsors and collaborators
miRagen Therapeutics, Inc.
Investigators
Principal Investigator: Christiane Querfeld
Notes