Recruiting
Phase 1

ONO-4685

Sponsor:

Ono Pharmaceutical Co. Ltd

Code:

NCT05079282

Conditions

Relapsed or Refractory T Cell Lymphoma

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Interventions

ONO-4685

Study Details

Brief summary:

This study will investigate the safety, tolerability, pharmacokinetics, and preliminary efficacy of ONO-4685 in patients with relapsed or refractory T cell Lymphoma

Conditions

Relapsed or Refractory T Cell Lymphoma

Study ID

NCT05079282

Start date

Dec 10, 2021

Status verified date

Feb, 2026

Completion date

Aug 31, 2028

Anticipated

Primary completion date

Aug 31, 2027

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 18+

Healthy Volunteers: Not accepted

Inclusion Criteria

1. Patients aged ≥ 18 years at time of screening
2. Written informed consent by the patient or the patients' legally authorized representative prior to screening
3. Patients with histologically or cytologically confirmed diagnosis of one of the following subtypes of T-cell lymphoma:

1. Peripheral T-cell lymphoma (PTCL): Angioimmunoblastic T-cell lymphoma (AITL), PTCL, not otherwise specified (PTCL-NOS), nodal PTCL with T-follicular helper (TFH) and follicular T-cell lymphoma (FTCL)
2. Cutaneous T-cell lymphoma (CTCL) (stages II-B, III, and IV): Mycosis fungoides (MF) and Sezary syndrome (SS)
4. Patients must have received at least 2 prior systemic therapies
5. Patients with PTCL must have at least 1 measurable lesion (Cheson BD, 2014)
6. Patients with CTCL must have assessable disease by response criteria for CTCL (Olsen EA, 2011)
7. Eastern Cooperative Oncology Group Performance Status (ECOG PS) = 0-2
8. Life expectancy of at least 3 months
9. Adequate bone marrow, renal and hepatic functions

Exclusion Criteria:

1. Patients with central nervous system (CNS) involvement
2. Patients with Adult T-cell leukemia/lymphoma (ATLL)
3. Prior allogeneic stem cell transplant
4. Prior treatment with ONO-4685, anti-PD-1, anti-PD-L1, anticytotoxic T lymphocyte associated protein 4 (CTLA-4) antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways
5. Prior allogeneic and autologous chimeric antigen receptor (CAR) T-cell therapy
6. Patients with malignancies (other than T-cell lymphoma) except for completely resected basal cell carcinoma, stage I squamous cell carcinoma, carcinoma in situ, or any other malignancies that has not relapsed for at least 2 years
7. History of severe allergy or hypersensitivity to any monoclonal antibodies, other therapeutic proteins or corticosteroid (e.g., dexamethasone)
8. History of infection with Mycobacterium tuberculosis within 2 years prior to the first dose of study treatment
9. Patients with systemic and active infection including human immunodeficiency virus (HIV), hepatitis B or C virus infection
10. Patients not recovered to Grade 1 or stabilized from the adverse effects (excluding alopecia) of any prior therapy for their malignancies
11. Women who are pregnant or lactating

Study Design

Enrollment

217 participants

Anticipated

Intervention Model

Single group

Primary purpose

Treatment

Interventions and Outcome Measures

Arms

experimental: ONO-4685 monotherapy

Patients with relapsed or refractory T cell Lymphoma who meet eligibility criteria will be enrolled to receive ONO-4685 monotherapy

Interventions

ONO-4685

ONO-4685 is administered by IV infusion. The administration of ONO-4685 will be continued until disease progression or unacceptable toxicity is observed

Primary outcome measure

  • Incidence, nature, and severity of Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (TESAEs). [ Time Frame: Through study completion, an average of 1 year ]
  • Estimate of Maximum Tolerate Dose (MTD) [ Time Frame: Up to 3 weeks ]

Central Contacts and Locations

Central contacts

North America Clinical Trial Support Desk

+18665877745(Toll-Free)clinical_trial@ono-pharma.com

International Clinical Trial Support Desk

+17162141777(Standard)clinical_trial@ono-pharma.com

Locations

City of Hope

Recruiting

Duarte, California, United States, 91010

University of California Irvine Medical Center - Chao Family Comprehensive Cancer Center

Recruiting

Orange, California, United States, 92868

Stanford Cancer Institute

Recruiting

Palo Alto, California, United States, 94304

Yale Cancer Center

Recruiting

New Haven, Connecticut, United States, 06519

Winship Cancer Institute of Emory University

Recruiting

Atlanta, Georgia, United States, 30322

Dana Farber Cancer Institute

Recruiting

Boston, Massachusetts, United States, 02215

Karmanos Cancer Institute

Recruiting

Detroit, Michigan, United States, 48201

Washington University School of Medicine in St. Louis

Recruiting

St Louis, Missouri, United States, 63110

Hackensack University Medical Center - John Theurer Cancer Center

Recruiting

Hackensack, New Jersey, United States, 07601

Roswell Park Cancer Institute

Recruiting

Buffalo, New York, United States, 14263

New York-Presbyterian/Columbia University Irving Medical Center - Herbert Irving Comprehensive Cancer Center (HICCC)

Recruiting

New York, New York, United States, 10032

Memorial Sloan-Kettering Cancer Center

Recruiting

New York, New York, United States, 10065

Novant Health Presbyterian Medical Center

Recruiting

Charlotte, North Carolina, United States, 28204

Cleveland Clinic

Recruiting

Cleveland, Ohio, United States, 44195

Oregon Health & Science University

Recruiting

Portland, Oregon, United States, 97239

University of Pennsylvania - Perelman Center

Recruiting

Philadelphia, Pennsylvania, United States, 19104

Vanderbilt University - Ingram Cancer Center

Recruiting

Nashville, Tennessee, United States, 37232

UT Southwestern Medical Center

Recruiting

Dallas, Texas, United States, 75390

MD Anderson

Recruiting

Houston, Texas, United States, 77030

More Information

Sponsor

Ono Pharmaceutical Co. Ltd

Last update posted

Feb 13, 2026

Last verified

Feb, 2026

Keywords

  • ONO-4685
  • PD-1
  • CD3
  • Bispecific antibody
  • PTCL
  • AITL
  • PTCL-NOS
  • nodal PTCL with TFH
  • FTCL
  • CTCL
  • MF
  • SS

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-08. This information was provided to ClinicalTrials.gov by Ono Pharmaceutical Co. Ltd on 2026-02-13.