This study is being done to evaluate the safety, tolerability and effectiveness of Oral CG-806 for the treatment of patients with chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL), or Non-Hodgkin's Lymphomas who have failed or are intolerant to two or more lines of established therapy or for whom no other treatment options are available.
This is a multicenter, open-label, Phase Ia/b dose escalation study of safety, pharmacodynamics, and pharmacokinetics of CG-806 in ascending cohorts (3+3 design) to determine the MTD or recommended dose in patients with relapsed or refractory CLL/SLL or Non-Hodgkin's Lymphoma patients. This is to be followed by a cohort expansion phase at the MTD or recommended oral dose.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
36
CG-806 will be given orally in ascending doses starting at 150 mg PO BID until the maximum tolerated dose or recommended dose is reached.
Incidence of treatment-emergent adverse events of CG-806
To determine the safety and tolerability of CG-806.
Time frame: Cycle 1 (28 days)
Establish a CG-806 dose that maintains a biologically active plasma concentration
To determine the dose of CG-806 given orally every 12 hours that maintains a biologically active plasma concentration over a period of 28 days.
Time frame: Cycle 1 (28 days)
Establish recommended dose for future development of CG-806
To establish the recommended Phase 2 dose (RP2D) of CG-806 for future clinical trials in patients with advanced CLL/SLL or NHL.
Time frame: Up to 10 months
Pharmacokinetic variables including maximum plasma concentration (Cmax)
Pharmacokinetic variables including maximum plasma concentration (Cmax)
Time frame: Cycle 1 (28 days)
Pharmacokinetic variables including minimum plasma concentration (Cmin)
Pharmacokinetic variables including minimum plasma concentration (Cmin)
Time frame: Cycle 1 (28 days)
Pharmacokinetic variables including Area Under the Curve (AUC) Pharmacokinetic variables including Area Under the Curve (AUC Pharmacokinetic variables including Area Under the Curve (AUC
Pharmacokinetic variables including Area Under the Curve (AUC)
Time frame: Cycle 1 (28 days)
Pharmacokinetic variables including volume of distribution
Pharmacokinetic variables including volume of distribution
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University of California Los Angeles
Los Angeles, California, United States
Pacific Cancer Care
Monterey, California, United States
Torrance Memorial Physician Network
Redondo Beach, California, United States
UCSD Moores Cancer Center
San Diego, California, United States
Sharp Clinical Oncology Research
San Diego, California, United States
Ridley-Tree Cancer Center
Santa Barbara, California, United States
St. Joseph Heritage Heathcare
Santa Rosa, California, United States
Rocky Mountain Cancer Centers
Aurora, Colorado, United States
Mayo Clinic Jacksonville
Jacksonville, Florida, United States
Orlando Health
Orlando, Florida, United States
...and 20 more locations
Time frame: Cycle 1 (28 days)
Pharmacokinetic variables including clearance
Pharmacokinetic variables including clearance
Time frame: Cycle 1 (28 days)
Pharmacokinetic variables including serum half-life
Pharmacokinetic variables including serum half-life
Time frame: Cycle 1 (28 days)
To assess the antitumor activity of CG-806 using FDG PET-CT imaging evaluations
To assess the antitumor activity of CG-806 using FDG PET-CT imaging evaluations
Time frame: Average 2 Cycles (8 weeks)
Pharmacodynamic biomarkers of drug effect including BTK activity
Pharmacodynamic biomarkers of drug effect including BTK activity
Time frame: Average 2 cycles (8 weeks)
Pharmacodynamic biomarkers of drug effect including selected mRNA levels
Pharmacodynamic biomarkers of drug effect including selected mRNA levels
Time frame: Average 2 cycles (8 weeks)
To assess the relative BA of formulation G1 against formulation G2
To assess the relative bioavailability of original formulation (G1) against new generation formulation (G2).
Time frame: Cycle 1 (28 days)
To assess the relative BA of formulation G1 against formulation G3
To assess the relative bioavailability of original formulation (G1) against new generation formulation (G3).
Time frame: Cycle 1 Lead-Up (3 days)