About this trial
The purpose of this study is to find out whether the study drug mogamulizumab is effective in preventing the development of adult T-cell leukemia/lymphoma (ATL) in people who are at higher risk for this type of cancer because they are infected with the HTLV-1 virus and because of changes seen in some of their immune system cells called T-cells.
Eligibility criteria
Qualifiers
Age ≥18 years when informed consent is obtained
Has freely given written informed consent to participate in the study
Positive for anti-HTLV-1 antibody in the serum using an FDA approved assay for US patients (Avioq HTLV-I/II Microelisa System). UK patients should use UK Accreditation Service (UKAS) accredited tests, Abbot Architect ELISA Serology Screening assay and confirmatory serology Western Blot (performed at Public Health England, Virus Ref Dept, Colindale).
High-risk phenotype (PVL≥8% of PBMC)
Disqualifiers
Neutrophil count: ≤1000/mm3, unless patient has diagnosis of ethnic neutropenia
Acute or chronic hepatitis or hepatic cirrhosis, other than patients with positive antibodies and negative PCR as noted in criteria #11 and #12 below.
Tuberculosis or with active tuberculosis
Myocardial infarction within 12 months prior to the date of enrollment
Trial design
Treatments tested in this trial
- Mogamulizumab