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An Exploratory Clinical Study of Keynatinib in Relapsed/Refractory B-cell Lymphoma

Who is this study for? Patients with relapsed/refractory B-cell lymphoma
What treatments are being studied? Keynatinib
Status: Recruiting
Location: See all (4) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
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
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Unlimited gender, age ≥ 18 years (including critical value)-Cohort 1/2/3;

• Voluntarily participate in the study and sign the ICF, follow the trial treatment protocol and interview plan-Cohort 1/2/3;

• The subject's disease diagnosis meets all of the following conditions:

• Cohort 1:

⁃ Primary central nervous system lymphoma (PCNSL) confirmed by pathology;

⁃ For relapsed or refractory PCNSL, at least first line treatment must be given to Central Nervous System (CNS) lesions;

⁃ Brain Magnatic resonance Imaging (MRI) or Computerized tomography (CT) shows solid lesions of PD;

• Cohort 2:

⁃ CLL/SLL diagnosed according to IWCLL 2008 standards;

⁃ 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;

⁃ Accord with at least one indication of CLL / SLL that requiring treatment;

⁃ There is medical record confirming that it is invalid or Progression Disease occurs after response for the latest treatment;

⁃ 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;

⁃ It is allowed to include the patients with a stable condition involving the central nervous system;

• Cohort 3:

⁃ 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;

⁃ Who have been pretreated with \> 1 but failed in ≤ 3 different chemotherapies and / or targeted drugs treatment.

⁃ There is a medical record confirming that it is invalid or Progression Disease occurs after response for the latest treatment;

⁃ 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;

⁃ It is allowed to include the patients with a stable condition involving the central nervous system;

• When screening, the status score of Eastern Cooperative Oncology Group (ECOG) is 0 to 2 points-Cohort 1/2/3;

• Estimated survival time ≥ 4 months-Cohort 1/2/3;

• Subjects have appropriate organ functions, the main organ functions meet the following criteria:

‣ 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). \[No blood transfusion and hematopoietic stimulating factor are used within 21 days (7 days in cohort 2/3) before the first administration-Chort1\];

⁃ 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;

⁃ Coagulation function: International Standardized Ratio (INR) and Activated Partial Thromboplastin Time (APTT) ≤ 1.5 × ULN-Cohort 1/2/3;

• 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 \<1% includes bilateral tubal ligation, male sterilization, proper use of hormonal contraceptives that inhibit ovulation, hormone-releasing IUD (intrauterine devices), and copper-containing IUD. Male subjects must be sterilized by vasectomy or barrier contraception, and female partners should use the effective contraceptives as described above. In addition, male subjects are not allowed to donate sperm within 90 days after the last administration-Cohort 1/2/3.

Locations
Other Locations
China
Cancer Hospital, Chinese Academy of Medical Sciences
NOT_YET_RECRUITING
Beijing
Peking University Third Hospital
RECRUITING
Beijing
West China Hospital,Sichuan University
RECRUITING
Chengdu
Fudan University Shanghai Cancer Center
RECRUITING
Shanghai
Contact Information
Primary
Jin Yan, MD
jin.yan@teligene.com
+8618652596381
Time Frame
Start Date: 2020-09-24
Estimated Completion Date: 2028-04-10
Participants
Target number of participants: 75
Treatments
Experimental: Keynatinib treatment group
Keynatinib, 20 mg,BID
Related Therapeutic Areas
Sponsors
Leads: Medolution Ltd.

This content was sourced from clinicaltrials.gov