A Clinical Trial on the Safety and Efficacy of TQB3909 Tablets in Patients With Recurrent or Refractory Chronic Lymphocytic Leukemia (CLL) /Small Lymphocytic Lymphoma (SLL) .
A Phase Ib/II Clinical Trial on the Safety and Efficacy of TQB3909 Tablets in Patients With Recurrent or Refractory CLL/SLL.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Jianyong Li, Doctor
- Phone Number: +86 13951877733
- Email: Ljianyonglm@mcdmail.com
Study Contact Backup
- Name: Keshu Zhou, Doctor
- Phone Number: +86 13674902391
- Email: drzhouks77@163.com
Study Locations
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Anhui
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Anqing, Anhui, China, 246004
- Recruiting
- Anqing Municipal Hospital
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Contact:
- Fusheng Yao, Doctor
- Phone Number: 18955682626
- Email: yfsh3792@sina.com
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Gansu
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Wuwei, Gansu, China, 733000
- Recruiting
- Gansu province Wuwei tumour hospital
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Contact:
- Cong Wang, Bachelor
- Phone Number: 13893510690
- Email: 58589473@qq.com
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Guangdong
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Guangzhou, Guangdong, China, 510060
- Recruiting
- Sun Yat-Sen University Cancer Canter
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Contact:
- Zhiming Li, Doctor
- Phone Number: +86 13719189172
- Email: lzmlzmlzm@yahoo.com
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Hebei
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Chengde, Hebei, China, 067400
- Recruiting
- Affiliated Hospital of Chengde Medical College
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Contact:
- Zhihua Zhang, Master
- Phone Number: 156333142905
- Email: zzhangzhihua@163.com
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Heilongjiang
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Harbin, Heilongjiang, China, 150000
- Recruiting
- The Second Affiliated Hospital of Harbin Medical University
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Contact:
- Wang Wei, Doctor
- Phone Number: 13604880743
- Email: WW0543@163.com
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Harbin, Heilongjiang, China, 150000
- Recruiting
- Harbin First Hospital
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Contact:
- Tiejun Gong, Master
- Phone Number: 13836027737
- Email: arc@sina.con
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Henan
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Zhengzhou, Henan, China, 450003
- Recruiting
- Henan Cancer Hospital
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Contact:
- Keshu Zhou, Doctor
- Phone Number: +86 13674902391
- Email: drzhouks77@163.com
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Hunan
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Changsha, Hunan, China, 410029
- Recruiting
- Hunan Cancer Hospital
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Contact:
- Yajun Li, Doctor
- Phone Number: 19918803330
- Email: 158316115@qq.com
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Jiangsu
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Nanjing, Jiangsu, China, 210029
- Recruiting
- Jiangsu Provincial People's Hospital
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Contact:
- Jianyong Li, Doctor
- Phone Number: +8613951877733
- Email: Ljianyonglm@mcdmail.com
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Suzhou, Jiangsu, China, 215006
- Recruiting
- The First Affiliated Hospital of Soochow University
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Contact:
- Zhengming Jin, Bachelor
- Phone Number: 13862553199
- Email: jinzhengming519519@163.com
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Suzhou, Jiangsu, China, 215004
- Recruiting
- The Second Affiliated Hospital of Soochow University
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Contact:
- Bingzong Li, Doctor
- Phone Number: 13776054037
- Email: lbzwz0907@hotmail.com
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Xuzhou, Jiangsu, China, 221000
- Recruiting
- Affiliated Hospital of Xuzhou Medical University
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Contact:
- Feng Zhu, Doctor
- Phone Number: 13852439312
- Email: Frankfeng_2004@126.com
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Jiangxi
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Nanchang, Jiangxi, China, 330029
- Recruiting
- Jiangxi Cancer Hospital
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Contact:
- Wuping Li, Doctor
- Phone Number: 13870659916
- Email: 18907001021@163.com
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Liaoning
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Shenyang, Liaoning, China, 110000
- Recruiting
- Shengjing Hospital Affiliated to China Medical University
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Contact:
- Wei Yang, Doctor
- Phone Number: 18940251012
- Email: yangw@sj-hospital.org
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Shandong
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Jinan, Shandong, China, 250063
- Recruiting
- Qilu Hospital of Shandong University
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Contact:
- Jie Li, Doctor
- Phone Number: 18560082232
- Email: jieli6688@163.com
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Linyi, Shandong, China, 276002
- Recruiting
- Linyi People's Hospital
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Contact:
- Haiyan Zhang, Master
- Phone Number: 13869986288
- Email: 13869986288@163.com
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Tai'an, Shandong, China, 271000
- Recruiting
- Tai 'an Central Hospital
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Contact:
- Qingliang Teng, Master
- Phone Number: 13375388422
- Email: tatql@163.com
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Shanghai
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Shanghai, Shanghai, China, 200050
- Recruiting
- Shanghai Tongren Hospital
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Contact:
- Ligen Liu, Master
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Shanxi
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Changzhi, Shanxi, China, 460000
- Recruiting
- Peace Hospital Affiliated to Changzhi Medical College
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Contact:
- Xuliang Shen, Doctor
- Phone Number: 13015365546
- Email: shenxlcyp@sohu.com
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Sichuan
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Luzhou, Sichuan, China, 646000
- Recruiting
- Affiliated Hospital of Southwest Medical University
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Contact:
- Xiaoming Li, Master
- Phone Number: 13700986866
- Email: LXM6358@21.com.cn
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Mianyang, Sichuan, China, 621000
- Recruiting
- Mianyang Central Hospital
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Contact:
- Xiaobo Du, Doctor
- Phone Number: 13550822229
- Email: duxiaobo2005@126.com
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Yibin, Sichuan, China, 644000
- Recruiting
- Yibin Second People's Hospital
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Contact:
- Sihua Huang, Bachelor
- Phone Number: 18284820022
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Tianjin
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Tianjin, Tianjin, China, 300060
- Recruiting
- Tianjin Cancer Hospital
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Contact:
- Yafei Wang, Doctor
- Phone Number: 18622221250
- Email: Drwang2005@163.com
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Xinjiang Uygur Autonomous Region
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Ürümqi, Xinjiang Uygur Autonomous Region, China, 830054
- Recruiting
- The First Affiliated Hospital of Xinjiang Medical University
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Contact:
- Jianhua Qu, Master
- Phone Number: 13199855506
- Email: jhuaqu@163.com
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Zhejiang
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Ningbo, Zhejiang, China, 315010
- Recruiting
- The First Affiliated Hospital of Ningbo University
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Contact:
- Guifang Ouyang, Master
- Phone Number: 13967810405
- Email: nbougf@163.com
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- The subjects volunteered to join the study and signed informed consent form (ICF) with good compliance;
- Age: ≥ 18 years old, ≤75 years old (when signing ICF); Eastern Cooperative Oncology Group Performance Status (ECOG PS) score: 0-1; The expected survival period is more than 3 months;
- Subjects: patients diagnosed as CLL/SLL according to the revised diagnostic criteria of 2018 International Workshop on Chronic Lymphocytic Leukemia (iwCLL) guidelines;
- Computed Tomography / Magnetic Resonance Imaging (CT/MRI) of patients with SLL showed measurable lesions;
- Female subjects of childbearing age should agree to use contraceptive measures (such as intrauterine devices, contraceptives or condoms) during the study period and within 6 months after the end of the study; serum pregnancy/urine pregnancy test within 7 days before study enrollment;
Exclusion Criteria:
Complicated diseases and medical history:
- It has appeared or is currently suffering from other malignant tumors within 3 years before the first medication. The following two situations can be included in the group: other malignant tumors treated by single surgery have achieved disease-free survival (DFS) for five consecutive years; Cured cervical carcinoma in situ, non-melanoma skin cancer and superficial bladder tumor [Ta (non-invasive tumor), Tis (carcinoma in situ) and T1 (tumor infiltrating basement membrane)];
- Lymphoma/leukemia is known to involve the central nervous system (CNS);
- Previously received allogeneic hematopoietic stem cell transplantation;
- Received autologous hematopoietic stem cell transplantation within 3 months before the first medication;
- Unresolved toxic reaction ≥ CTCAE grade 1 caused by any previous treatment;
- Arterial/venous thrombotic events occurred within 6 months before the first medication, such as cerebrovascular accidents (including transient ischemic attack, cerebral hemorrhage and cerebral infarction), deep venous thrombosis and pulmonary embolism;
- Subjects with any serious and/or uncontrollable diseases;
Tumor-related symptoms and treatment:
- He has received chemotherapy and radiotherapy within 4 weeks before the first medication, immune checkpoint inhibitor and Chimeric Antigen Receptor T (CAR-T)-Cell Immunotherapy within 12 weeks before the first medication, and other small molecule anti-tumor treatments (the elution period is calculated from the end of the last treatment) before the first medication are within 5 half-lives;
- previously received BCL-2 inhibitors;
- Research-related treatment: received the vaccine within 4 weeks before the first medication, or planned to be vaccinated during the study;
- Participated in clinical trials of other antineoplastic drugs within 4 weeks before the first medication;
- According to the investigators' judgment, there are patients with accompanying diseases that seriously endanger the safety of the subjects or affect the completion of the study, or subjects who think that there are other reasons that are not suitable for inclusion.
- Allergic to allopurinol and benzbromarone.
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 |
|---|---|
|
Experimental: TQB3909 tablets
Oral administration, 400mg or 600 mg, once a day, and 28 days is a treatment cycle.
Continue medication until the disease progresses or intolerant toxicity appears.
|
TQB3909 is an inhibitor targeting at B-cell lymphoma (BCL)-2 protein.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Incidence of adverse events (AE)
Time Frame: Up to 34 months.
|
Incidence of AE evaluated by CTCAE 5.0 (Common Terminology Criteria for Adverse Events 5.0).
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Up to 34 months.
|
|
Severity of adverse events (AE)
Time Frame: Up to 34 months.
|
Severity of AE evaluated by CTCAE 5.0 (Common Terminology Criteria for Adverse Events 5.0).
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Up to 34 months.
|
|
Incidence of serious adverse events (SAE)
Time Frame: Up to 34 months.
|
Incidence of SAE evaluated by CTCAE 5.0 (Common Terminology Criteria for Adverse Events 5.0).
|
Up to 34 months.
|
|
Severity of serious adverse events (SAE)
Time Frame: Up to 34 months.
|
Severity of SAE evaluated by CTCAE 5.0 (Common Terminology Criteria for Adverse Events 5.0).
|
Up to 34 months.
|
|
Incidence of abnormal laboratory examination indexes.
Time Frame: Up to 34 months.
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Incidence of abnormal laboratory examination indexes evaluated by CTCAE 5.0 (Common Terminology Criteria for Adverse Events 5.0).
|
Up to 34 months.
|
|
Severity of abnormal laboratory examination indexes.
Time Frame: Up to 34 months.
|
Severity of abnormal laboratory examination indexes evaluated by CTCAE 5.0 (Common Terminology Criteria for Adverse Events 5.0).
|
Up to 34 months.
|
|
Recommended phase II dose (RP2D)
Time Frame: Up to 18 months
|
To determine the recommended phase II dose of TQB3909 tablets in the treatment of recurrent or refractory CLL/SLL.
|
Up to 18 months
|
|
Objective remission rate (ORR) determined by Independent Review Committee (IRC)
Time Frame: Up to 34 months
|
Determine the objective remission rate (ORR) based on the evaluation results of the Independent Review Committee (IRC), defined as the proportion of subjects whose best remission is complete remission (CR) and partial remission (PR).
|
Up to 34 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Objective remission rate (ORR) determined by the investigators' evaluation.
Time Frame: Up to 34 months
|
The objective remission rate (ORR) was determined by the results of the investigator s' evaluation, defined as the proportion of subjects whose best remission is complete remission (CR) and partial remission (PR).
|
Up to 34 months
|
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Duration of remission (DOR)
Time Frame: Up to 34 months
|
For all subjects whose best response was PR, CR,, the time from the date of first achieving PR, CR to the date of first definite disease progression or death from any cause (whichever occurs first).
|
Up to 34 months
|
|
Time to disease progression (TTP)
Time Frame: Up to 34 months
|
Refers to the time from the first medication to the objective progress of the disease.
|
Up to 34 months
|
|
Time to remission (TTR)
Time Frame: Up to 34 months
|
Time from the beginning of treatment to the first recording of remission (PR or better remission), only the remission population was analyzed.
|
Up to 34 months
|
|
Progression-free survival (PFS)
Time Frame: Up to 34 months
|
The time from the first medication to the objective progression of the disease or death caused from any cause (whichever comes first).
|
Up to 34 months
|
|
Overall survival (OS)
Time Frame: Up to 34 months
|
Time from first dose of study drug to date of death from any cause.
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Up to 34 months
|
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Time to reach maximum concentration (Tmax)
Time Frame: Within 120 hours after administration
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Time to reach maximum plasma concentration after single and multiple dosing of TQB3909 tablets.
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Within 120 hours after administration
|
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Maximum plasma drug concentration (Cmax)
Time Frame: Within 120 hours after administration
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Cmax is the maximum plasma concentration of TQB3909.
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Within 120 hours after administration
|
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Area under the plasma concentration-time curve (AUC0-t)
Time Frame: Within 120 hours after administration
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To characterize the pharmacokinetics of TQB3909 by assessment of area under the plasma concentration time curve.
|
Within 120 hours after administration
|
|
Plasma elimination half-life (t1/2)
Time Frame: Within 120 hours after administration
|
t1/2 is time it takes for the blood concentration of TQB3909 to drop by half.
|
Within 120 hours after administration
|
|
Undetectable measurable residual disease (U-MRD) ratio of peripheral blood and/or bone marrow.
Time Frame: Up to 34 months
|
Refers to the undetected residual lesions.
Peripheral blood and/or bone marrow are used to detect less than 1 CLL cell (less than 10-4) in 10000 white blood cells by flow cytometry.
|
Up to 34 months
|
|
Correlation between potential biomarkers and TQB3909 tablets.
Time Frame: Up to 34 months
|
Correlation of potential biomarkers with TQB3909 tablets: such as BTK and PLCG2 mutation status and allele frequency.
|
Up to 34 months
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
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
- TQB3909-Ib/II-02
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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