This is a first-in-human Phase 1a/1b multicenter, open-label study designed to evaluate the safety and anti-cancer activity of NX-5948 in patients with advanced B-cell malignancies.
Phase 1a is a dose escalation to evaluate the safety and tolerability of NX-5948 in adult patients with relapsed/refractory (R/R) B cell malignancies who have received at least 2 prior lines of therapy, or at least 1 prior line of therapy for Primary Central Nervous System Lymphoma (PCNSL), and for whom no other therapies are known to provide clinical benefit. Indications include: Chronic Lymphocytic Leukemia (CLL), Small Lymphocytic Lymphoma (SLL), Diffuse Large B-cell Lymphoma (DLBCL), Mantle Cell Lymphoma (MCL), Waldenstrom Macroglobulinemia (WM), Marginal Zone Lymphoma (MZL), Follicular Lymphoma (FL), Primary Central Nervous System Lymphoma (PCNSL) or any of the above indications with disease in the central nervous system or Secondary Central Nervous System Lymphoma (SCNSL). Phase 1b Part 1, called safety expansion, investigates the safety and anti-tumor activity of NX-5948 at the dose(s) selected in Phase 1a in up to 17 expansion cohorts of patients with histologically confirmed B-cell malignancy indications who have received specified prior therapies based on indication: * CLL or SLL (patients may be randomized to one of two dose levels investigated for CLL/SLL until an optimal dose is selected) * MCL * MZL * WM * DLBCL * FL * PCNSL/SCNSL Phase 1b Part 2, called cohort expansion, will further investigate the anti-tumor activity of NX-5948 at the dose(s) selected in Phase 1b par 1 in one additional expansion arm of CLL/SLL patients.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
572
Oral NX-5948
City of Hope
Duarte, California, United States
RECRUITINGUniversity of California, San Francisco
San Francisco, California, United States
RECRUITINGColorado Blood Cancer Institute
Denver, Colorado, United States
RECRUITINGYale Cancer Center
New Haven, Connecticut, United States
Number of participants with protocol specified dose-limiting toxicities
Phase 1a
Time frame: Up to 24 months
To establish the maximum tolerated dose and/or recommended Phase 1b dose(s)
Phase 1a
Time frame: Up to 24 months
To evaluate the anti-tumor activity of NX-5948 in the dose levels selected for Phase 1b safety expansion based on overall response rate (ORR) as assessed by Investigator
Phase 1b Part 1
Time frame: Up to 3 years
Number of participants with treatment-emergent adverse events (TEAEs); Grade 3, 4, 5 TEAEs, serious adverse events (SAEs), TEAEs leading to study drug discontinuation, deaths due to TEAEs, and all deaths
Phase 1a / Phase 1b Part 1
Time frame: Up to 6 years
To further evaluate the anti-tumor activity of NX-5948 in patients with CLL/SLL at the dose identified in Phase 1b Part 1 based on overall response rate (ORR) as assessed by Investigator
Phase 1b Part 2
Time frame: Up to 3 years
Pharmacokinetic (PK) profile of NX-5948: Maximum Serum Concentration
Phase 1a / Phase 1b Part 1 and Part 2 - Sampling following the first dose, pre- and post-dose at selected cycles and at the end of treatment
Time frame: Up to 6 years
Pharmacodynamic (PD) profile of NX-5948: Changes from baseline of BTK levels in B-cells
Phase 1a / Phase 1b Part 1 and Part 2 - Sampling at screening, following the first dose, pre and post-dose at selected cycles and at the end of treatment
Time frame: Up to 6 years
Complete response (CR) rate / CR with incomplete marrow recovery as assessed by the Investigator
Phase 1a / Phase 1b Part 1 and Part 2
Time frame: Up to 6 years
Duration of response (DOR) as assessed by the Investigator
Phase 1a / Phase 1b Part 1 and Part 2
Time frame: Up to 6 years
Progression-free survival (PFS) as assessed by the Investigator
Phase 1a / Phase 1b Part 1 and Part 2
Time frame: Up to 6 years
Time to next therapy
Phase 1a / Phase 1b Part 1 and Part 2
Time frame: Up to 6 years
Number of participants with treatment-emergent adverse events (TEAEs); Grade 3, 4, 5 TEAEs, serious adverse events (SAEs), TEAEs leading to study drug discontinuation, deaths due to TEAEs, and all deaths
Phase 1b Part 2
Time frame: Up to 3 years
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University of Miami
Miami, Florida, United States
RECRUITINGFlorida Cancer Specialists
Sarasota, Florida, United States
RECRUITINGWinship Cancer Institute of Emory University
Atlanta, Georgia, United States
RECRUITINGNorthwestern University
Chicago, Illinois, United States
RECRUITINGNational Institute of Health
Bethesda, Maryland, United States
RECRUITINGCayuga Medical Center
Ithaca, New York, United States
WITHDRAWN...and 52 more locations