Clinical Trials

Pralatrexate has been evaluated across numerous clinical trials spanning Phase 1 to Phase 4 development, encompassing completed, active, recruiting, and terminated studies. Sponsored by both industry entities and academic institutions, these trials primarily investigate hematologic malignancies—such as peripheral and cutaneous T-cell lymphomas, Hodgkin and non-Hodgkin lymphomas, and multiple myeloma—alongside advanced solid tumors and transitional cell bladder carcinoma.

NCT Number Recruitment Conditions Sponsor/Collaborators Start Date Phases
NCT07225985 RECRUITING
Recurrent T-Cell Non-Hodgkin Lymphoma; Refractory T-Cell Non-Hodgkin Lymphoma
Fred Hutchinson Cancer Center
2026-04-27 PHASE1; PHASE2
NCT06072131 RECRUITING
Peripheral T Cell Lymphoma
Acrotech Biopharma Inc.
2023-10-04 PHASE3
NCT07691450 NOT_YET_RECRUITING
Recurrent Anaplastic Large Cell Lymphoma; Recurrent Enteropathy-Associated T-Cell Lymphoma; Recurrent Follicular Helper T-Cell Lymphoma; Recurrent Follicular Helper T-Cell Lymphoma, Angioimmunoblastic-Type; Recurrent Follicular Helper T-Cell Lymphoma, Follicular-Type; Recurrent Follicular Helper T-Cell Lymphoma, Not Otherwise Specified; Recurrent Hepatosplenic T-Cell Lymphoma; Recurrent Mature T-Cell and NK-Cell Non-Hodgkin Lymphoma; Recurrent Monomorphic Epitheliotropic Intestinal T-cell Lymphoma; Recurrent Peripheral T-Cell Lymphoma, Not Otherwise Specified; Recurrent Primary Cutaneous CD8-Positive Aggressive Epidermotropic Cytotoxic T-Cell Lymphoma; Recurrent Primary Cutaneous Gamma-Delta T-Cell Lymphoma; Recurrent Subcutaneous Panniculitis-Like T-Cell Lymphoma; Refractory Anaplastic Large Cell Lymphoma; Refractory Enteropathy-Associated T-Cell Lymphoma; Refractory Follicular Helper T-Cell Lymphoma; Refractory Follicular Helper T-Cell Lymphoma, Angioimmunoblastic-Type; Refractory Follicular Helper T-Cell Lymphoma, Follicular-Type; Refractory Follicular Helper T-Cell Lymphoma, Not Otherwise Specified; Refractory Hepatosplenic T-Cell Lymphoma; Refractory Mature T-Cell and NK-Cell Non-Hodgkin Lymphoma; Refractory Monomorphic Epitheliotropic Intestinal T-cell Lymphoma; Refractory Peripheral T-Cell Lymphoma, Not Otherwise Specified; Refractory Primary Cutaneous CD8-Positive Aggressive Epidermotropic Cytotoxic T-Cell Lymphoma; Refractory Primary Cutaneous Gamma-Delta T-Cell Lymphoma; Refractory Subcutaneous Panniculitis-Like T-Cell Lymphoma
City of Hope Medical Center
2027-01-03 PHASE1
NCT04747236 RECRUITING
PTCL
University of Virginia
2021-02-19 PHASE2
NCT06561048 RECRUITING
Peripheral T-Cell Lymphoma, Not Otherwise Specified; Angioimmunoblastic T-cell Lymphoma; Follicular T-Cell Lymphoma; Nodal Peripheral T-Cell Lymphoma With TFH Phenotype; Systemic Anaplastic Large Cell Lymphoma; Lymphoma, T-Cell, Peripheral; Lymphoma, T-Cell
Corvus Pharmaceuticals, Inc.
2024-10-02 PHASE3
NCT06671717 NOT_YET_RECRUITING
Relapsed Peripheral T-Cell Lymphoma; Refractory Peripheral T-Cell Lymphoma
Peking University People's Hospital
2024-12
NCT07036133 RECRUITING
Advanced Solid Tumors; Hematologic Malignancies
Acrotech Biopharma Inc.
2022-12-28 PHASE1
NCT03240211 ACTIVE_NOT_RECRUITING
PTCL; CTCL
University of Virginia
2022-02-02 PHASE1
NCT03598998 ACTIVE_NOT_RECRUITING
Anaplastic Large Cell Lymphoma; Nodal Peripheral T-Cell Lymphoma With TFH Phenotype; Recurrent Anaplastic Large Cell Lymphoma; Recurrent Angioimmunoblastic T-Cell Lymphoma; Recurrent Enteropathy-Associated T-Cell Lymphoma; Recurrent Follicular Lymphoma; Recurrent Hepatosplenic T-Cell Lymphoma; Recurrent Mature T- Cell and NK-Cell Non-Hodgkin Lymphoma; Recurrent Monomorphic Epitheliotropic Intestinal T-cell Lymphoma; Recurrent Mycosis Fungoides; Recurrent Peripheral T-Cell Lymphoma, Not Otherwise Specified; Refractory Anaplastic Large Cell Lymphoma; Refractory Angioimmunoblastic T-Cell Lymphoma; Refractory Enteropathy-Associated T-Cell Lymphoma; Refractory Follicular Lymphoma; Refractory Hepatosplenic T-Cell Lymphoma; Refractory Mature T-Cell and NK-Cell Non-Hodgkin Lymphoma; Refractory Mycosis Fungoides; Refractory Peripheral T-Cell Lymphoma, Not Otherwise Specified; Subcutaneous Panniculitis-Like T-Cell Lymphoma
City of Hope Medical Center
2019-02-04 PHASE1; PHASE2
NCT03161223 RECRUITING
Lymphoma, T-Cell
University of Virginia
2018-05-30 PHASE1; PHASE2
NCT01947140 COMPLETED
Lymphoid Malignancies; Multiple Myeloma; Lymphoma; Hodgkin Lymphoma; Non-hodgkin Lymphoma
Jennifer Amengual
2013-09-09 PHASE1; PHASE2
NCT03150602 UNKNOWN
Peripheral T Cell Lymphoma; Progression, Disease
Taiwan Mundipharma Pharmaceuticals Ltd.
2016-08-30 PHASE4
NCT03355768 WITHDRAWN
Lymphoma, T-Cell, Peripheral
Jennifer Amengual
2018-09-01 PHASE3
NCT02106650 COMPLETED
Relapsed Peripheral T-Cell Lymphoma; Refractory Peripheral T-Cell Lymphoma
Acrotech Biopharma Inc.
2014-07 PHASE2
NCT01420679 TERMINATED
Peripheral T-cell Lymphoma
Spectrum Pharmaceuticals, Inc
2011-08 PHASE3
NCT03349333 COMPLETED
Refractory Peripheral T-Cell Lymphoma; Relapsed T-Cell Lymphoma
Mundipharma (China) Pharmaceutical Co. Ltd
2015-09-10 PHASE3
NCT02594267 COMPLETED
Peripheral T-Cell Lymphoma (PTCL)
Acrotech Biopharma Inc.
2015-11-10 PHASE1
NCT01336933 COMPLETED
Anaplastic Large Cell Lymphoma; Angioimmunoblastic T-cell Lymphoma; Hepatosplenic T-cell Lymphoma; Peripheral T-cell Lymphoma
University of Nebraska
2011-07-06 PHASE2
NCT01188876 COMPLETED
Ovarian Cancer; Fallopian Tube Cancer; Peritoneal Cancer
Massachusetts General Hospital
2010-08 PHASE1; PHASE2
NCT01532011 COMPLETED
Advanced Cancers; Solid Tumors
M.D. Anderson Cancer Center
2012-03 PHASE1
NCT02013362 COMPLETED
Peripheral T-cell Lymphoma
Mundipharma K.K.
2014-03 PHASE1; PHASE2
NCT02594267 Completed
Peripheral T-Cell Lymphoma (PTCL)
Acrotech Biopharma Inc.|Axis Clinicals Limited
2015-11-10 Phase 1
NCT01134341 COMPLETED
Cutaneous T-cell Lymphoma; Mycosis Fungoides; Sezary Syndrome; Primary Cutaneous Anaplastic Large Cell Lymphoma
Acrotech Biopharma Inc.
2010-03 PHASE1
NCT01626664 COMPLETED
Adult T-cell Leukemia-Lymphoma
Kyowa Kirin, Inc.
2012-06 PHASE2
NCT01482962 COMPLETED
Relapsed Peripheral T-Cell Lymphoma; Refractory Peripheral T-Cell Lymphoma
Millennium Pharmaceuticals, Inc.
2012-06-11 PHASE3
NCT01820091 WITHDRAWN
Non-Small Cell Lung Cancer
Acrotech Biopharma Inc.
2013-04 PHASE1
NCT01789723 WITHDRAWN
Non Hodgkin's Lymphoma
Acrotech Biopharma Inc.
2013-03 PHASE1
NCT01206465 COMPLETED
Unspecified Adult Solid Tumor, Protocol Specific
University of Nebraska
2010-09-14 PHASE1
NCT01178944 COMPLETED
Adenocarcinoma of the Gastroesophageal Junction; Esophageal Undifferentiated Carcinoma; Gastric Adenocarcinoma; Gastric Squamous Cell Carcinoma; Recurrent Esophageal Adenocarcinoma; Recurrent Esophageal Squamous Cell Carcinoma; Recurrent Gastric Carcinoma; Stage IIIB Esophageal Adenocarcinoma; Stage IIIB Esophageal Squamous Cell Carcinoma; Stage IIIB Gastric Cancer; Stage IIIC Esophageal Adenocarcinoma; Stage IIIC Esophageal Squamous Cell Carcinoma; Stage IIIC Gastric Cancer; Stage IV Esophageal Adenocarcinoma; Stage IV Esophageal Squamous Cell Carcinoma; Stage IV Gastric Cancer; Undifferentiated Gastric Carcinoma
Roswell Park Cancer Institute
2010-09 PHASE2
NCT01183065 COMPLETED
Head and Neck Cancer
Memorial Sloan Kettering Cancer Center
2010-08 PHASE2
NCT01114282 COMPLETED
Multiple Myeloma
Stanford University
2010-08 PHASE1
NCT01947140 Completed
Lymphoid Malignancies|Multiple Myeloma|Lymphoma|Hodgkin Lymphoma|Non-hodgkin Lymphoma
Jennifer Amengual|Columbia University
2013-09-09 Phase 1|Phase 2
NCT01129206 COMPLETED
Adenocarcinoma of the Esophagus; Adenocarcinomas of the Gastroesophageal Junction; Recurrent Esophageal Cancer; Squamous Cell Carcinoma of the Esophagus; Stage IV Esophageal Cancer
Ohio State University Comprehensive Cancer Center
2010-07 PHASE2
NCT00998946 COMPLETED
Lymphoma, B-Cell
Spectrum Pharmaceuticals, Inc
2009-09 PHASE2
NCT01118624 COMPLETED
Breast Cancer; Breast Tumors; Neoplasms, Breast; Cancer of the Breast; Human Mammary Carcinoma
Acrotech Biopharma Inc.
2010-03 PHASE2
NCT01532011 Completed
Advanced Cancers|Solid Tumors
M.D. Anderson Cancer Center
2012-03 Phase 1
NCT00554827 COMPLETED
Cutaneous T-cell Lymphoma
Acrotech Biopharma Inc.
2007-08 PHASE1
NCT00481871 COMPLETED
Relapsed or Refractory Lymphoproliferative Malignancies; Hodgkin's Lymphoma; Peripheral T-cell Lymphoma; B-cell Lymphoma; Waldenstrom's Macroglobulinemia
Acrotech Biopharma Inc.
2007-05 PHASE1; PHASE2
NCT00722553 COMPLETED
Carcinoma, Transitional Cell; Bladder Cancer; Bladder Neoplasm
Acrotech Biopharma Inc.
2008-07 PHASE2
NCT01114282 Completed
Multiple Myeloma
Stanford University|National Comprehensive Cancer Network
2010-08 Phase 1
NCT00606502 COMPLETED
Non-small Cell Lung Cancer
Spectrum Pharmaceuticals, Inc
2008-01 PHASE2
NCT00052442 COMPLETED
Lymphoma
Spectrum Pharmaceuticals, Inc
2002-08 PHASE1; PHASE2
NCT00364923 COMPLETED
Peripheral T-cell Lymphoma
Acrotech Biopharma Inc.
2006-08 PHASE2
NCT00004238 COMPLETED
Lung Cancer
Memorial Sloan Kettering Cancer Center
1999-07 PHASE2
NCT00024245 COMPLETED
Unspecified Adult Solid Tumor, Protocol Specific
Memorial Sloan Kettering Cancer Center
2001-05 PHASE1

(data from https://clinicaltrials.gov, updated on 2026-05-11)

Check the Pralatrexate product page for in-depth specifications, including solubility, stock solutions, MOA, and working concentrations.

Compliance for Clinical Use

Mechanism and Biochemical Profile

Pralatrexate selectively enters cells via reduced folate carrier type 1 and potently inhibits dihydrofolate reductase, thereby depleting intracellular folate pools and disrupting DNA synthesis. This inhibition halts nucleotide biosynthesis to trigger cell cycle arrest and induce apoptosis in rapidly proliferating cells, which underlies its therapeutic efficacy in treating peripheral T-cell lymphoma and other malignant conditions investigated in clinical trials.

Appendix RUO and cGMP Quality Standards

Quality Dimension RUO (Research Use Only) cGMP (Current Good Manufacturing Practice)
Clinical Applicability Prohibited in human clinical trials or medical diagnostics. Mandatory for human clinical trials (Phase I–III) and therapies.
Regulatory Status Non-regulated grade; exempt from drug manufacturing laws. Legally enforced by health authorities (e.g., FDA, EMA, NMPA).
Facility Environment Unclassified analytical or research laboratories. Validated Cleanrooms (ISO Class 5–8) with continuous monitoring.
Quality Control Basic purity and activity testing. Rigorous safety release testing (Sterility, Endotoxin, Mycoplasma).
Process Validation Basic equipment calibration; no process validation required. Full qualification (IQ/OQ/PQ) and complete batch records.
Quality Assurance Vendor self-declared without required formal QMS. Mandatory QA/QC unit, Change Control, CAPA, and vendor audits.
Regulatory Impact High risk of IND rejection if used as a critical raw material. Required for IND/NDA filings, supported by Drug Master Files (DMF).

Footnotes

Regulatory Note: Governed by FDA (21 CFR Parts 210/211/312), EMA (EudraLex Vol 4), ICH Guidelines (E6/Q7/Q9/Q10), and compendial standards (USP <71>/<85>/<1043>).

Note: Technical data last updated: Sep 1, 2026.