A Phase 2 interventional study of Valemetostat Tosylate in Relapsed/Refractory Peripheral T-Cell Lymphoma and Adult T Cell Leukemia/Lymphoma, sponsored by Daiichi Sankyo. Active, not recruiting at 60 sites in 12 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-07-20.
Sponsored by Daiichi Sankyo · Phase 2, Interventional, and Treatment
This study will characterize the safety and clinical benefit of valemetostat tosylate in participants with relapsed/refractory peripheral T-cell lymphoma, including relapsed/refractory adult T-cell leukemia/lymphoma.
This study was designed to evaluate the efficacy and safety of valemetostat tosylate monotherapy. The primary objective will evaluate objective response rate of valemetostat tosylate monotherapy as measured by blinded independent central review (BICR) in relapsed/refractory peripheral T-cell lymphoma.
604 studies on the registry are indexed under Lymphoma, T-Cell, Peripheral; 133 are open to participants now.
This study's enrollment of 155 is above the median of 38 across 527 interventional studies indexed under Lymphoma, T-Cell, Peripheral.
Browse Lymphoma, T-Cell, Peripheral studies →Daiichi Sankyo is the lead sponsor of 316 studies on the registry; 35 are open to participants now.
Of its 51 completed or terminated interventional studies of FDA-regulated products, 38 (75%) have results posted.
Counted across the registry records on this site, refreshed daily.
Cohort 1 relapsed/refractory peripheral T-cell lymphoma (PTCL):
Diagnosis should be confirmed by the local pathologist; local histological diagnosis will be used for eligibility determination. Participants with the following subtypes of PTCL are eligible according to 2016 WHO classification prior to the initiation of study drug. Any T-cell lymphoid malignancies not listed are excluded. Eligible subtypes include:
Documented refractory, relapsed, or progressive disease after at least 1 prior line of systemic therapy.
Refractory is defined as:
Must have at least 1 prior line of systemic therapy for PTCL or ATL.
Exclusion Criteria:
Participants meeting any exclusion criteria for this study will be excluded from this study. Below is a list of the key exclusion criteria:
Inadequate washout period from prior lymphoma-directed therapy before enrollment, defined as follows:
Uncontrolled or significant cardiovascular disease, including:
Participants who will receive 200 mg/day valemetostat tosylate and had an eligible peripheral T-cell lymphoma subtype that was confirmed by independent hematopathology central review.
Drug: Valemetostat Tosylate
Participants who will receive 200 mg/day valemetostat tosylate and had an eligible adult T-cell leukemia/lymphoma subtype that was confirmed by the local pathologist/investigators and by documented positive anti-human T-cell leukemia virus type 1 (HTLV-1) antibody.
Drug: Valemetostat Tosylate
Oral administration of valemetostat tosylate at a dose of 200 mg once daily starting at Cycle 1, Day 1 (continuous for 28-day cycles), until disease progression or unacceptable toxicity
Also known as: DS-3201b
Percentage of Participants With Objective Response As Assessed by Blinded Independent Central Review After Administration of Valemetostat Tosylate Monotherapy (Cohort 1)
For the relapsed/refractory peripheral T-cell lymphoma (PTCL) cohort, objective response rate (ORR) is defined as the proportion of participants with a best overall response (BOR) of complete response (CR) or partial response (PR), assessed by blinded independent central review (BICR), among participants with centrally confirmed PTCL eligible histology.
Time frame: From baseline until disease progression or death (whichever occurs first), up to approximately 23 months
Number of Participants With Treatment-emergent Adverse Events After Administration of Valemetostat Tosylate Monotherapy (Cohort 2)
Treatment-emergent adverse events (TEAEs) were defined as new AEs or pre-existing conditions that worsen in National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) grade after the first dose of study drug and up to 30 days after the last dose of study drug.
Time frame: From the time the informed consent form is signed up to 30 days after last dose, up to 23 months
Plasma Concentrations of DS-3201a and CALZ-1809a After Administration of Valemetostat Tosylate Monotherapy
Total and unbound DS-3201a (free form of valemetostat tosylate) and total CALZ-1809a (major metabolite) concentration in plasma will be assessed.
Time frame: Cycle 1 Day 1, 8, 15 Predose; Cycle 1 Day 1 (1, 2, 4, 5 hours Postdose); Cycle 2 Day 1 Predose; Cycle 3 Day 1 to Cycle 5 Day 1 Predose (each cycle is 28 days)
Duration of Response After Administration of Valemetostat Tosylate Monotherapy (Cohort 1)
Duration of response (DoR) is defined as the time from the date of the first documentation of objective response (CR or PR) to the date of the first documentation of disease progression (progressive or relapsed disease) based on BICR assessments or to death due to any cause, whichever occurs first.
Time frame: Time from the date of first documented response (CR or PR) until documented disease progression (progressive or relapsed disease) based on BICR assessments or death from any cause (whichever occurs first), up to approximately 56 months
Percentage of Participants With Complete Response After Administration of Valemetostat Tosylate Monotherapy (Cohort 1)
Complete response rate is the percentage of participants achieving CR as the BOR based on BICR assessments.
Time frame: From baseline to date of first documented objective response of CR, up to approximately 56 months
Duration of Complete Response After Administration of Valemetostat Tosylate Monotherapy (Cohort 1)
Duration of complete response is defined as the time from the date of the first documentation of CR to the date of the first documentation of disease progression (progressive or relapsed disease) based on BICR assessments or to death due to any cause, whichever occurs first.
Time frame: Time from the date of first documented CR until documented disease progression (progressive or relapsed disease) based on BICR assessments or death from any cause (whichever occurs first), up to approximately 56 months
Percentage of Participants With Partial Response After Administration of Valemetostat Tosylate Monotherapy (Cohort 1)
Partial response rate is the percentage of participants achieving PR as the BOR based on BICR assessment.
Time frame: From baseline to date of first documented objective response of PR, up to approximately 56 months
Number of Participants With Treatment-emergent Adverse Events After Administration of Valemetostat Tosylate Monotherapy (Cohort 1)
Time frame: From the time the informed consent form is signed up to 30 days after last dose
A total of 155 participants who met all inclusion criteria and no exclusion criteria were enrolled to receive valemetostat tosylate treatment in 70 study sites in North America, Europe, Asia, and Oceania.
| Milestone | Cohort 1: Relapsed/Refractory Peripheral T-Cell Lymphoma (PTCL) | Cohort 2: Relapsed/Refractory Adult T-cell Leukemia/Lymphoma (ATCL) |
|---|---|---|
| Started | 133 | 22 |
| Completed | 32 | 2 |
| Not completed | 101 | 20 |
| Withdrew: Withdrawal by subject | 2 | 0 |
| Withdrew: Death | 3 | 1 |
| Withdrew: Adverse event | 13 | 2 |
| Withdrew: Progressive or relapsed disease | 46 | 7 |
| Withdrew: Clinical progression | 19 | 8 |
| Withdrew: Lost to follow-up | 1 | 0 |
| Withdrew: Hematopoietic cell transplantation | 12 | 1 |
| Withdrew: Other | 5 | 1 |
For the relapsed/refractory peripheral T-cell lymphoma (PTCL) cohort, objective response rate (ORR) is defined as the proportion of participants with a best overall response (BOR) of complete response (CR) or partial response (PR), assessed by blinded independent central review (BICR), among participants with centrally confirmed PTCL eligible histology.
| percentage of participants | Cohort 1: Relapsed/Refractory Peripheral T-Cell Lymphoma (PTCL) |
|---|---|
| Percentage of Participants With Objective Response As Assessed by Blinded Independent Central Review After Administration of Valemetostat Tosylate Monotherapy (Cohort 1) | 43.7 (34.6 to 53.1) |
Treatment-emergent adverse events (TEAEs) were defined as new AEs or pre-existing conditions that worsen in National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) grade after the first dose of study drug and up to 30 days after the last dose of study drug.
| Participants | Cohort 2: Relapsed/Refractory Adult T-cell Leukemia/Lymphoma |
|---|---|
| Number of Participants With Treatment-emergent Adverse Events After Administration of Valemetostat Tosylate Monotherapy (Cohort 2) | 22 |
Total and unbound DS-3201a (free form of valemetostat tosylate) and total CALZ-1809a (major metabolite) concentration in plasma will be assessed.
Results for this outcome have not been posted.
Duration of response (DoR) is defined as the time from the date of the first documentation of objective response (CR or PR) to the date of the first documentation of disease progression (progressive or relapsed disease) based on BICR assessments or to death due to any cause, whichever occurs first.
Results for this outcome have not been posted.
Complete response rate is the percentage of participants achieving CR as the BOR based on BICR assessments.
Results for this outcome have not been posted.
Duration of complete response is defined as the time from the date of the first documentation of CR to the date of the first documentation of disease progression (progressive or relapsed disease) based on BICR assessments or to death due to any cause, whichever occurs first.
Results for this outcome have not been posted.
Partial response rate is the percentage of participants achieving PR as the BOR based on BICR assessment.
Results for this outcome have not been posted.
Results for this outcome have not been posted.
Collected over Adverse events (AE) were collected from the date of signing the informed consent form up to 30 days after last dose of the study drug, up to 24 months. Non-serious events are listed at a 5.0% frequency threshold.
| Group | Deaths | Serious | Other |
|---|---|---|---|
| Cohort 1: Relapsed/Refractory Peripheral T-Cell Lymphoma (PTCL) | 52/133 (39.1%) | 53/133 (39.8%) | 120/133 (90.2%) |
| Cohort 2: Relapsed/Refractory Adult T-cell Leukemia/Lymphoma | 16/22 (72.7%) | 15/22 (68.2%) | 22/22 (100%) |
| Event | Cohort 1: Relapsed/Refractory Peripheral T-Cell Lymphoma (PTCL) | Cohort 2: Relapsed/Refractory Adult T-cell Leukemia/Lymphoma |
|---|---|---|
| Disease progressionGeneral disorders | 7/133 | 3/22 |
| DiarrhoeaGastrointestinal disorders | 2/133 | 2/22 |
| COVID-19Infections and infestations | 2/133 | 2/22 |
| ThrombocytopeniaBlood and lymphatic system disorders | 1/133 | 1/22 |
| Coombs negative haemolytic anaemiaBlood and lymphatic system disorders | 0/133 | 1/22 |
| Intestinal perforationGastrointestinal disorders | 1/133 | 1/22 |
| ColitisGastrointestinal disorders | 0/133 | 1/22 |
| Gastric haemorrhageGastrointestinal disorders | 0/133 | 1/22 |
| Upper gastrointestinal haemorrhageGastrointestinal disorders | 0/133 | 1/22 |
| VomitingGastrointestinal disorders | 0/133 | 1/22 |
| Event | Cohort 1: Relapsed/Refractory Peripheral T-Cell Lymphoma (PTCL) | Cohort 2: Relapsed/Refractory Adult T-cell Leukemia/Lymphoma |
|---|---|---|
| AnaemiaBlood and lymphatic system disorders | 47/133 | 11/22 |
| Platelet count decreasedInvestigations | 31/133 | 9/22 |
| DiarrhoeaGastrointestinal disorders | 38/133 | 5/22 |
| DysgeusiaNervous system disorders | 38/133 | 5/22 |
| Neutrophil count decreasedInvestigations | 18/133 | 6/22 |
| HypercalcaemiaMetabolism and nutrition disorders | 2/133 | 6/22 |
| ThrombocytopeniaBlood and lymphatic system disorders | 35/133 | 4/22 |
| COVID-19Infections and infestations | 27/133 | 4/22 |
| NauseaGastrointestinal disorders | 23/133 | 4/22 |
| White blood cell count decreasedInvestigations | 7/133 | 4/22 |
The Safety Analysis Set included all subjects who received at least 1 dose of study drug. Subjects were analyzed for each cohort.
| Age, Categorical(Participants) | Cohort 1: Relapsed/Refractory Peripheral T-Cell Lymphoma (PTCL) | Cohort 2: Relapsed/Refractory Adult T-cell Leukemia/Lymphoma | Total |
|---|---|---|---|
| <=18 years | 0 | 0 | 0 |
| Between 18 and 65 years | 53 | 10 | 63 |
| >=65 years | 80 | 12 | 92 |
| Age, Continuous(years) | Cohort 1: Relapsed/Refractory Peripheral T-Cell Lymphoma (PTCL) | Cohort 2: Relapsed/Refractory Adult T-cell Leukemia/Lymphoma | Total |
|---|---|---|---|
| Mean | 65.6 ± 12.51 | 62.6 ± 13.11 | 65.2 ± 12.60 |
| Sex: Female, Male(Participants) | Cohort 1: Relapsed/Refractory Peripheral T-Cell Lymphoma (PTCL) | Cohort 2: Relapsed/Refractory Adult T-cell Leukemia/Lymphoma | Total |
|---|---|---|---|
| Female | 42 | 7 | 49 |
| Male | 91 | 15 | 106 |
| Race (NIH/OMB)(Participants) | Cohort 1: Relapsed/Refractory Peripheral T-Cell Lymphoma (PTCL) | Cohort 2: Relapsed/Refractory Adult T-cell Leukemia/Lymphoma | Total |
|---|---|---|---|
| American Indian or Alaska Native | 1 | 0 | 1 |
| Asian | 34 | 8 | 42 |
| Native Hawaiian or Other Pacific Islander | 0 | 0 | 0 |
| Black or African American | 6 | 10 | 16 |
| White | 80 | 1 | 81 |
| More than one race | 0 | 0 | 0 |
| Unknown or Not Reported | 12 | 3 | 15 |
Documents are hosted by the registry — open the source record to download them.
Plan to share: Yes — De-identified individual participant data (IPD) and applicable supporting clinical trial documents may be available upon request at https://vivli.org/. In cases where clinical trial data and supporting documents are provided pursuant to our company policies and procedures, Daiichi Sankyo will continue to protect the privacy of our clinical trial participants. Details on data sharing criteria and the procedure for requesting access can be found at this web address: https://vivli.org/ourmember/daiichi-sankyo/
Supporting information: Study protocol, Sap, Csr
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