Chronic Lymphocytic Leukemia (CLL)Small Lymphocytic Lymphoma (SLL)Diffuse Large B Cell Lymphoma (DLBCL)Follicular Lymphoma (FL)Mantle Cell Lymphoma (MCL)Marginal Zone Lymphoma (MZL)Waldenstrom Macroglobulinemia (WM)Primary Central Nervous System Lymphoma (PCNSL)Secondary Central Nervous System Lymphoma (SCNSL)
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.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Key Inclusion Criteria:
* Age ≥18 years
* Patients in Phase 1a (Dose Escalation) must have histologically confirmed R/R CLL, SLL, DLBCL (subgroups include Richter-transformed DLBCL, germinal center B-cell type, activated B-cell type, high-grade B-cell lymphoma with MYC and BCL-2 and/or BCL-6 rearrangements, high-grade B-cell lymphomas NOS), FL, MCL, MZL (subtypes include EMZL, MALT, NMZL, SMZL), WM, or PCNSL.
* Patients in Phase 1a must meet the following:
o For non-PCNSL indications, received at least 2 prior lines of therapy and have no other available therapies known to provide clinical benefit. For PCNSL, received at least 1 prior line of therapy
* Patients in Phase 1b (Safety and Cohort Expansion) must have 1 of the following histologically documented B-cell malignancies, must meet criteria for systemic treatment, and must have received prior therapies and/or molecular features based on details described for each cohort: CLL or SLL, DLBCL, MCL, FL, MZL, WM, or PCNSL/SCNSL.
* Measurable disease per response criteria specific to the malignancy.
* Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 (0-2 for patients with PCNSL and secondary CNS involvement).
* Adequate organ and bone marrow function
Key Exclusion Criteria:
* Known or suspected active prolymphocytic leukemia or Richter's transformation to Hodgkin's lymphoma prior to study enrollment
* Prior treatment for the indication under study for anti-cancer intent that includes:
1. Radiotherapy within 2 weeks of planned start of study drug (excluding limited palliative radiation).
2. Prior systemic chemotherapy within 2 weeks of planned start of study drug.
3. Prior monoclonal antibody therapy within 4 weeks of planned start of study drug, except for patients enrolling in Cohort 16 (CLL with secondary wAIHA) where a 16-week washout period is required.
4. Prior small molecule therapy within 2 weeks or 5 half-lives (whichever is shorter) of planned start of study drug.
5. Autologous or allogeneic stem cell transplant within 100 days prior to planned start of study drug.
6. Chimeric antigen receptor (CAR) T-cell therapy within 100 days prior to start of study drug (within 60 days prior to start of study drug for Phase 1b).
7. Use of systemic corticosteroids outside of dosing limits described below and within 7 days prior to initiation of study treatment excepting those used as prophylaxis for radio diagnostic contrast. Patients with PCNSL/SCNSL: no greater than 40 mg/day prednisone, or equivalent. Patients with PCNSL/SCNSL using greater than 20 mg/day prednisone, or equivalent, must be clinically stable at that dose for 7 days. All other diagnoses: no greater than 20 mg/day prednisone or equivalent.
8. Use of systemic immunosuppressive drugs other than systemic corticosteroids for any medical condition within 60 days prior to first dose of study drug
9. Previously treated with a BTK degrader
* Active, uncontrolled autoimmune hemolytic anemia (except for patients enrolling in Cohort 16) or active, uncontrolled autoimmune thrombocytopenia.
* Patient has any of the following within 6 months of planned start of study drug:
1. Myocardial infarction, unstable angina, unstable symptomatic ischemic heart disease, or placement of a coronary arterial stent
2. Uncontrolled atrial fibrillation or other clinically significant arrhythmias, conduction abnormalities, or New York Heart Association (NYHA) class III or IV heart failure
3. Thromboembolic events (e.g., deep vein thrombosis, pulmonary embolism, or symptomatic cerebrovascular events), stroke, or intracranial hemorrhage
4. Any other significant cardiac condition (e.g., pericardial effusion, restrictive cardiomyopathy, severe untreated valvular stenosis, severe congenital heart disease, or persistent uncontrolled hypertension defined as systolic blood pressure \> 160 mmHg or diastolic blood pressure \> 100 mmHg despite optimal medical management)
* Bleeding diathesis, or other known risk for acute blood loss.
* History of Grade ≥ 2 hemorrhage within 28 days of planned start of study drug.
* Active known concurrent malignancy or malignancy other than the one under study within the past 3 years. (Exceptions include, but are not limited to, patients with more recent history of basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast may enroll if they have undergone curative therapy and have no evidence of disease).
Primary outcome measure(s)
Number of participants with protocol specified dose-limiting toxicities — Up to 24 months Phase 1a
To establish the maximum tolerated dose and/or recommended Phase 1b dose(s) — Up to 24 months Phase 1a
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 — Up to 3 years Phase 1b Part 1
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 — Up to 6 years Phase 1a / Phase 1b Part 1
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 — Up to 3 years Phase 1b Part 2
Trial sites (62)
Facility
City
Region
Status
City of Hope
Duarte
California
Recruiting
University of California, San Francisco
San Francisco
California
Recruiting
Colorado Blood Cancer Institute
Denver
Colorado
Recruiting
Yale Cancer Center
New Haven
Connecticut
Recruiting
University of Miami
Miami
Florida
Recruiting
Florida Cancer Specialists
Sarasota
Florida
Recruiting
Winship Cancer Institute of Emory University
Atlanta
Georgia
Recruiting
Northwestern University
Chicago
Illinois
Recruiting
National Institute of Health
Bethesda
Maryland
Recruiting
Cayuga Medical Center
Ithaca
New York
Withdrawn
Memorial Sloan Kettering Cancer Center
New York
New York
Active Not Recruiting
Duke University Medical Center
Durham
North Carolina
Recruiting
University of Cincinnati Medical Center
Cincinnati
Ohio
Recruiting
Cleveland Clinic
Cleveland
Ohio
Recruiting
University of Pennsylvania, Abramson Cancer Center
Philadelphia
Pennsylvania
Recruiting
MD Anderson Cancer Center
Houston
Texas
Recruiting
Huntsman Cancer Institute
Salt Lake City
Utah
Withdrawn
Medical College of Wisconsin
Milwaukee
Wisconsin
Recruiting
CHU Angers
Angers
France
Recruiting
Hôpital Avicenne
Bobigny
France
Recruiting
CHU de Nantes
Nantes
France
Recruiting
CHU Bordeaux
Pessac
France
Recruiting
CHU de Poitiers
Poitiers
France
Recruiting
Institut Curie-Site Saint-Cloud
Saint-Cloud
France
Recruiting
CHRU de Nancy
Vandœuvre-lès-Nancy
France
Recruiting
IRCCS - AOU di Bologna
Bologna
Italy
Withdrawn
ASST Spedali Civili Brescia
Brescia
Italy
Withdrawn
IRCCS Ospedale San Raffaele - Università Vita-Salute San Raffaele di Milano
Milan
Italy
Recruiting
IRCCS Ospedale San Raffaele
Milan
Italy
Recruiting
Fondazione Policlinico Universitario A. Gemelli IRCCS
Rome
Italy
Recruiting
University Medical Center Groningen
Groningen
Netherlands
Withdrawn
Radboud University Medical Center
Nijmegen
Netherlands
Recruiting
Erasmus MC
Rotterdam
Netherlands
Recruiting
University Medical Center Utrecht
Utrecht
Netherlands
Recruiting
AidPort sp. Zo.o
Skórzewo
Greater Poland Voivodeship
Recruiting
Pratia MCM
Krakow
Lesser Poland Voivodeship
Recruiting
University Clinical Hostpital in Wroclaw
Wroclaw
Lower Silesian Voivodeship
Recruiting
Pratia MTZ
Warsaw
Masovian Voivodeship
Recruiting
National Institute of Oncology Warszawa
Warsaw
Masovian Voivodeship
Recruiting
Pratia Onkologia Katowice
Katowice
Silesian Voivodeship
Recruiting
+ 22 more sites — see the full list on the official registry below.
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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