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Recruiting
NCT04807881
Phase Ib Clinical Study of Keynatinib
Conditions: Lymphoma, B-Cell
Sex: All
Ages: 18 Years – N/A
Healthy volunteers: No
Phase: PHASE1
Enrollment: 75
Sponsor: Medolution Ltd.
Location: Cancer Hospital, Chinese Academy of Medical Sciences Beijing Beijing Municipality
Summary
The purpose of this study is to evaluate the efficacy, safety, PK characteristics in subjects with relapsed/refractory B-cell lymphoma. Furthermore, the relationship between the exposure level of Keynatinib and its efficacy and safety, the penetration rate of keynatinib in the Blood-Brain Barrier (BBB) and its PK characteristics in cerebrospinal fluid in R/R-PCNSL patients, the relationship between the BTK receptor occupancy rate and the efficacy are also evaluated.
Eligibility Criteria
Inclusion Criteria:
1. Unlimited gender, age ≥ 18 years (including critical value)-Cohort 1/2/3;
2. Voluntarily participate in the study and sign the ICF, follow the trial treatment protocol and interview plan-Cohort 1/2/3;
3. The subject's disease diagnosis meets all of the following conditions:
Cohort 1:
1. Primary central nervous system lymphoma (PCNSL) confirmed by pathology;
2. For relapsed or refractory PCNSL, at least first line treatment must be given to Central Nervous System (CNS) lesions;
3. Brain Magnatic resonance Imaging (MRI) or Computerized tomography (CT) shows solid lesions of PD;
Cohort 2:
1. CLL/SLL diagnosed according to IWCLL 2008 standards;
2. Refractory or relapsed CLL/SLL that previously received at least first-line systemic treatment. First-line treatment is defined as at least 2 cycles of standard protocol or clinical trial research protocol completed based on current guidelines;
3. Accord with at least one indication of CLL / SLL that requiring treatment;
4. There is medical record confirming that it is invalid or Progression Disease occurs after response for the latest treatment;
5. CT /MRI shows measurable lesions, which is defined as at least one lymph node with a maximum axis of more than 1.5 cm and with 2 measurable vertical dimension;
6. It is allowed to include the patients with a stable condition involving the central nervous system;
Cohort 3:
1. Mantle cell lymphoma diagnosed by histopathology: including that t (11; 14) (q13; q32) positive by cytogenetic test and / or cyclin D1 highly expressed by immunohistochemistry;
2. Who have been pretreated with \> 1 but failed in ≤ 3 different chemotherapies and / or targeted drugs treatment.
3. There is a medical record confirming that it is invalid or Progression Disease occurs after response for the latest treatment;
4. CT / MRI shows measurable lesions, which is defined as the longest diameter (of ≥1 lymph node) \> 1.5 cm, and 2 vertical diameters is clearly measurable;
5. It is allowed to include the patients with a stable condition involving the central nervous system;
4. When screening, the status score of Eastern Cooperative Oncology Group (ECOG) is 0 to 2 points-Cohort 1/2/3;
5. Estimated survival time ≥ 4 months-Cohort 1/2/3;
6. Subjects have appropriate organ functions, the main organ functions meet the following criteria:
1. Blood routine: Neutrophil absolute value ≥ 1.0(in cohort1, 0.75 in cohort 2/3)×109 /L, platelet ≥ 75(in cohort1, 50 in cohort 2/3, 30×109/L are acceptable if CLL patients have bone marrow involvement, transfusion-dependent thrombocytopenia is excluded )×109 /L, hemoglobin ≥ 80 g/L(in cohort1). \[No blood transfusion and hematopoietic stimulating factor are used within 21 days (7 days in cohort 2/3) before the first administration-Chort1\];
2. Blood biochemistry: Total bilirubin (TBIL) ≤ 2 × ULN (unless diagnosed as Gilbert syndrome), Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) ≤ 2.5 × ULN; serum creatinine ≤ 2 × ULN or creatinine clearance rate ≥ 50 ml / min (calculated according to Cockcroft Gault formula)-Cohort 1/2/3;
3. Coagulation function: International Standardized Ratio (INR) and Activated Partial Thromboplastin Time (APTT) ≤ 1.5 × ULN-Cohort 1/2/3;
7. Fertile female subjects must agree to use contraceptives with an annual failure rate of \< 1% or maintain abstinence (avoid heterosexual intercourse) during the study and at least 90 days after the last administration of the study drug. Contraceptive methods with an annual failure rate of \
Source: ClinicalTrials.gov (NCT04807881). StuddyBuddy aggregates publicly available trial information.