This phase II trial studies the effect of duvelisib or CC-486 and usual chemotherapy consisting of cyclophosphamide, doxorubicin, vincristine, etoposide, and prednisone in treating patients with peripheral T-cell lymphoma. Duvelisib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.
Inclusion Criteria
1. Histologically confirmed diagnosis of peripheral T-cell lymphoma (PTCL) with < 10% CD30 expression by immunohistochemistry in the following subtypes (by local review): nodal T-cell lymphoma with T-follicular helper (TFH) phenotype (TFH-PTCL), follicular T-cell lymphoma, PTCL-not otherwise specified (NOS), angioimmunoblastic T-cell lymphoma (AITL), enteropathy associated T-cell lymphoma, monomorphic epitheliotropic intestinal T-cell lymphoma
2. Measurable disease as defined by the Lugano criteria
3. No prior systemic therapy for lymphoma (excluding corticosteroids)
Exclusion Criteria
1. No prior systemic therapy for lymphoma (excluding corticosteroids).
2. Patients with expression of CD30 in >= 10% of the tumor (based on local immunohistochemistry review) regardless of histology will not be permitted.
3. Eastern Cooperative Oncology Group (ECOG) performance status =< 2
Study Requirements
Protocol therapy will consist of 6 cycles administered every 21 days. Patients who are age ≤ 60 years at the time of registration will receive CHOEP chemotherapy. Those who are over 60 years old at the time of registration will receive CHOP chemotherapy.
Imaging at Baseline, Post-Cycle 4, Post-Cycle 6, Post-treatment Re-staging: PET/CT of the whole body or limited whole body
