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TerminatedNCT04218825REACHUpdated Nov 9, 2023

REACH: Study to Determine the Aetiology of Chlormethine Gel Induced-skin Drug Reaction in Early Stage Mycosis Fungoides Cutaneous T Cell Lymphoma (MF-CTCL)

A Phase 2 interventional study of chlormethine gel in Early Stage Mycosis Fungoides Cutaneous T Cell Lymphoma (MF-CTCL) (Stage IA-IB), sponsored by European Organisation for Research and Treatment of Cancer - EORTC. Terminated at 2 sites in France. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2023-11-09.

Sponsored by European Organisation for Research and Treatment of Cancer - EORTC · Phase 2, Interventional, and Treatment

Why this study was terminated
After an extensive assessment of the study feasibility, it was decided to discontinue the clinical trial due to poor recruitment.
Phase
Phase 2
Study type
Interventional
Enrollment
2
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

Adult patients with early stage MF-CTCL (stage IA-IB) will be eligible for this study. A total of 100 early stage MF-CTCL patients diagnosed in the past year will be enrolled.

Treatment with CL gel will be applied once daily to all skin areas affected by MF-CTCL and, for 8 weeks, one selected skin area unaffected by MF-CTCL (0.5% body surface area) until treatment response (complete response), study treatment duration completed (56 weeks), progression, or another withdrawal criterion is met.

Depending on the type of skin drug-related reaction (if any) occurring after application of CL gel, this study will categorize patients into three different groups corresponding to three different treatment patterns:

  • Group A: Patients with no skin drug reaction with CL gel application
  • Group B: Patients developing a skin drug reaction of any grade with CL gel application, not due to allergic reaction to CL gel, will continue treatment at reduced application frequency
  • Group C: Patients from Group B unable to tolerate reduced CL gel application frequency will apply a potent topical steroid twice daily in addition to CL gel applied every other day
02

Conditions studied

  • Early Stage Mycosis Fungoides Cutaneous T Cell Lymphoma (MF-CTCL) (Stage IA-IB)

Keywords

  • mycosis fungoides (MF)
  • cutaneous T cell lymphoma (CTCL)
03

In context

Mycoses

539 studies on the registry are indexed under Mycoses; 55 are open to participants now.

This study's enrollment of 2 is below the median of 46 across 358 interventional studies indexed under Mycoses.

Browse Mycoses studies →

Lead sponsor

European Organisation for Research and Treatment of Cancer - EORTC is the lead sponsor of 342 studies on the registry; 23 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Diagnosis of MF-CTCL stage IA or IB at enrolment as per ISCL/EORTC revision to the MF and Sézary syndrome classification and MF stage should have never met the criteria for stage IIA or higher in the patient medical history
  • Lesions cover less than 80% of BSA
  • Age ≥ 18
  • ECOG/WHO performance status 0-2

Exclusion criteria

Exclusion Criteria:

  • Previous treatment with CL gel
  • Concurrent or planned local or systemic anti-CTCL therapy
  • Prior treatment with antihistamines or narrow band UV-B or PUVA therapy one week before enrolment, or systemic corticosteroids or radiotherapy in the last 4 weeks before enrolment
  • Prior treatment with topical steroids in the patch test area (upper back) one week before enrolment
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
2 participants (actual)

Study arms

  • Experimental
    Adult patients with early stage MF-CTCL (stage IA-IB)

    Patients are treated with Chlormethine gel (CL) gel. In case of any skin drug reaction, allergic test will be carried out. Patients not allergic to CL gel will continue at reduced application frequency, with the addition of topical steroid if necessary.

    Drug: chlormethine gel

Interventions

  • Drugchlormethine gel

    Gel to be applied to all skin areas affected by MF-CTCL

    Also known as: Ledaga®

06

What researchers measure

Primary outcomes

  1. Overall Response Rate (ORR) for all patients and in groups A, B and C.

    The response status - complete response (CR), partial response (PR), stable disease (SD) and disease progression (PD) - will be assessed using the global response assessment: skin, lymph nodes (not involved at entry), viscera (not involved at entry) and blood (absolute value CD4+CD7- and CD4+CD26- circulating population) as per EORTC-ISCL-USCLC guidelines

    Time frame: 2.5 years from first patient in

07

Study locations

2 sites
  • CHU de Bordeaux - Groupe Hospitalier Saint-Andre - Hopital Saint-Andre
    Bordeaux, France
  • Assistance Publique Hopitaux Paris- APHP - APHP Nord - Univ De Paris Cite - Hop. Saint Louis
    Paris, 75010, France
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 9, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT04218825
Lead sponsor
European Organisation for Research and Treatment of Cancer - EORTC
Responsible party
Sponsor
First posted
Jan 6, 2020
Start date
Mar 29, 2022
Primary completion
Apr 4, 2023
Completion
Apr 4, 2023
Last update
Nov 9, 2023

Study contacts

Julia Scarisbrick, MD
study chair · UHB-Queen Elisabeth Medical Centre, Birmingham, United Kingdom
Emmanuella Guenova, MD
study chair · Centre Hospitalier Universitaire Vaudois - Lausanne, Lausanne, Switzerland

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Sep 2023. You cannot join it, but the record below documents what was studied.

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