Assessing an Oral Bruton Tyrosine Kinase Inhibitor, DZD9008 in Patients Who Have Non-Hodgkin B-cell Lymphoma (WU-KONG3)
A Phase I/II, Open-Label, Multicenter Study to Assess the Safety, Tolerability, Pharmacokinetics and Anti-tumor Efficacy of DZD9008 in Patients With Non-Hodgkin B-cell Lymphoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Locations
-
-
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Nanjing, China
- Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences
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Nanjing, China
- Jiangsu Province Hospital - Haematology
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion criteria:
- Aged at least 18 years old.
- Patients must be willing and able to participate in all required evaluations and procedures.
- Patients must be able to provide a signed written informed consent.
- With documented histologically confirmed diagnosis of CLL/SLL, MCL or MZL and have least 1 measurable site of disease. Subjects must have relapsed, or are refractory or intolerant to >= 2 lines of prior therapy, and without preferred alternative treatment as judged by investigator. For Part B, subjects should be either BTK inhibitor treatment naive or intolerant to prior BTK inhibitor within 6 months on treatment.
- Eastern Cooperative Oncology Group (ECOG) performance status 0-2.
- Predicted life expectancy ≥ 12 weeks.
- Adequate organ system functions.
Exclusion criteria:
- Prior malignancy requires active treatment within 2 to 3 years.
- A life-threatening illness, medical condition or organ system dysfunction.
- Radiotherapy with a limited field of radiation for palliation within 1 week of the screening.
- Major surgery within 4 weeks before screening.
- Prior treatment with any onco-immunotherapy within 4 weeks before screening.
- Subjects require immediate cytoreduction.
- Any history of Richter's transformation.
- Central nervous system (CNS) involvement unless previous treated and asymptomatic.
- Requires anticoagulation therapy with Warfarin, heparin.
- Known history of human immunodeficiency virus (HIV); Positive Hepatitis B surface antigen (HbsAg) or positive HCV antibodies; any other uncontrolled active systemic infection.
- Any of the following cardiac criteria: (1) mean resting corrected QT interval (QTcF) > 470 msec obtained from 3 electrocardiograms (ECGs). (2) prior history of atrial fibrillation. (3) any factors that increase the risk of QTcF prolongation, such as heart failure, hypokalemia, congenital long QT syndrome, family history of long QT syndrome or unexplained sudden death under 40 years of age in first degree relatives or any concomitant medication known to prolong the QT interval
- History of stroke or intracranial haemorrhage.
- Past medical history of interstitial lung disease, drug-induced interstitial lung disease, radiation pneumonitis which required steroid treatment, or any evidence of clinically active interstitial lung disease
- Refractory nausea and vomiting, chronic gastrointestinal diseases, inability to swallow the formulated product or previous significant bowel resection.
- History of hypersensitivity.
- Receiving (or unable to stop using) medications or herbal supplements known to be potent inhibitors or inducers of CYP3A.
- Grapefruit, grapefruit juice, and orange marmalade (made with Seville oranges) should be excluded.
- Women who are pregnant or breast feeding
- Judgment by the investigator that the patient should not participate in the study if the patient is unlikely to comply with study procedures, restrictions and requirements
- Previous allogenic bone marrow transplant.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Experimental: daily dose of DZD9008
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Daily dose of DZD9008, except for cycle 0 of Part A, in which a single dose of DZD9008 is administrated.
Starting dose of DZD9008 is 50 mg once daily.
If tolerated, subsequent cohorts will test increasing doses of DZD9008.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Part A: Incidence of Treatment-Emergent Adverse Events
Time Frame: Through study completion, an average of 1.5 years
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Incidence of Treatment-Emergent Adverse Events as Assessed by CTCAE v5.0
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Through study completion, an average of 1.5 years
|
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Part B: objective response rate (ORR)
Time Frame: Through study completion, an average of 1.5 years
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Through study completion, an average of 1.5 years
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Maximum Plasma DZD9008 concentration
Time Frame: up to 16 weeks
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up to 16 weeks
|
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Plasma DZD9008 concentration- Area Under the Curve
Time Frame: up to 16 weeks
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up to 16 weeks
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Principal Investigator: Jianyong Li, The First Affiliated Hospital with Nanjing Medical University
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- DZ2019B0001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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