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Phase 1 Study of 6MW5311 in Adults With Relapsed or Refractory Blood Cancers

27. oktober 2026 oppdatert av: Mabwell (Shanghai) Bioscience Co., Ltd.

A Phase 1, Safety, Pharmacokinetic, Immunogenicity, and Preliminary Efficacy Study of 6MW5311 in Relapsed/Refractory Acute Myeloid Leukemia (AML) Patients, in Chronic Myelomonocytic Leukemia (CMML) Patients and Multiple Myeloma (MM) Patients

To assess safety and tolerability at increasing dose levels of 6MW5311 in successive cohorts of participants with MM, AML and CMML in order to estimate the maximum tolerated dose (MTD) and select the recommended Phase 2 dose (RP2D) or the recommended expansion dose (RED).

Studieoversikt

Status

Rekruttering

Forhold

Intervensjon / Behandling

Detaljert beskrivelse

This is a 2-part, open-label, multicenter, First-in-Human Phase 1 clinical trial consisting of dose escalation (Part 1) and dose expansion (Part 2). Part 1 will evaluate the safety and tolerability, immunogenicity, PK/PD, biomarker, and preliminary clinical activities of 6MW5311. Part 2 will select appropriate dose(s) for expansion based on preliminary efficacy, safety, immunogenicity, PK/PD, and biomarkers data from Part 1, and will further assess the safety, PK, biomarker, and efficacy of 6MW5311. Upon completion of the Phase 1 clinical trial and findings from non-clinical studies, the recommended expansion dose (RED) or recommended Phase 2 dose (RP2D) of 6MW5311 in patients with hematological malignancies will be determined.

Studietype

Intervensjonell

Registrering (Antatt)

122

Fase

  • Fase 1

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studiesteder

  • Kina
    • Shanghai Municipality
      • Shanghai, Shanghai Municipality, Kina, 200025
        • Rekruttering
        • Shanghai Jiao Tong University School of Medicine, Ruijin Hospital
        • Ta kontakt med:

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

18 år og eldre (Voksen, Eldre voksen)

Tar imot friske frivillige

Nei

Kjønn som er kvalifisert for studier

Alle

Beskrivelse

Inclusion Criteria:

  1. Age 18 years or older at the time of signing the informed consent form; male or female.

  2. Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 for the dose-escalation part, or 0 to 2 for the dose-expansion part.

  3. Life expectancy greater than 3 months.

  4. Multiple myeloma (MM): histologically and/or cytologically confirmed MM per International Myeloma Working Group (IMWG) 2016 criteria, with at least 3 prior lines of MM therapy, including a proteasome inhibitor, an immunomodulatory agent, and an anti-CD38 monoclonal antibody.

    • Chronic myelomonocytic leukemia (CMML): morphologically confirmed by bone marrow examination per World Health Organization (WHO) 2016 classification, with relapsed disease or failure of prior therapy.
    • Acute myeloid leukemia (AML; dose-expansion part only): morphologically confirmed acute myelomonocytic leukemia or acute monocytic leukemia per WHO 2016 classification, meeting the protocol definition of relapsed or refractory AML.

  5. MM only: measurable disease at screening.

  6. Adequate hematologic function at screening:

  7. Able to understand and comply with the protocol requirements, willing to participate in the clinical study, and able to provide written informed consent.

Exclusion Criteria:

  • 1. AML and CMML only: any other anticancer therapy within 2 weeks before the first dose of study drug.

MM only: prior anticancer therapy within the following intervals before the first dose of study drug:

  • small-molecule targeted therapy within 4 weeks or 5 half-lives, whichever is shorter;

  • antibody therapy within 3 weeks;

  • cytotoxic chemotherapy, proteasome inhibitor therapy, or traditional Chinese medicine (including Chinese patent medicine) with an anticancer indication within 2 weeks;

  • immunomodulatory agent within 1 week;

  • chimeric antigen receptor T-cell (CAR-T) therapy within 3 months;

  • radiotherapy within 1 week. 2. Receipt of any other investigational drug within 4 weeks before the first dose of study drug.

    3. Prior allogeneic stem cell transplant; or autologous stem cell transplant within 3 months before the first dose of study drug.

    4. Planned stem cell transplant during the study. 5. Prior treatment with a LILRB4-targeted therapy.

Studieplan

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Ikke-randomisert
  • Intervensjonsmodell: Sekvensiell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: Part 1 - Dose Escalation (6MW5311)

A modified 3+3 design with accelerated titration will be used to evaluate planned dose levels.
Biologisk: 6MW5311

A bispecific T cell engager (TCE) antibody: bivalent binding to LILRB4 on tumor cells and monovalent binding to CD3 on T cells.
Eksperimentell: Part 2 - Dose Expansion (6MW5311)

Participants with chronic myelomonocytic leukemia (CMML), multiple myeloma (MM), or relapsed or refractory acute myeloid leukemia (AML; acute myelomonocytic or monocytic subtypes) will receive 6MW5311 at the dose level(s) selected by the Safety Review Committee from Part 1.
Biologisk: 6MW5311

A bispecific T cell engager (TCE) antibody: bivalent binding to LILRB4 on tumor cells and monovalent binding to CD3 on T cells.

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Number of participants with dose-limiting toxicities (DLTs)
Tidsramme: From the first dose of Cycle 1 through Day 28 of Cycle 1 (each cycle is 28 days)

DLTs are adverse events considered related to 6MW5311 (definitely, probably, or possibly related) that occur during the dose-limiting toxicity observation period (first 28 days after the first dose of Cycle 1). DLTs are defined per the protocol and graded per the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 6.0.
From the first dose of Cycle 1 through Day 28 of Cycle 1 (each cycle is 28 days)
Number of participants with treatment-emergent adverse events (TEAEs)
Tidsramme: From first dose through 28 days after the last dose, an average of 1 year

TEAEs will be graded per NCI CTCAE version 6.0 and coded by system organ class and preferred term.
From first dose through 28 days after the last dose, an average of 1 year

Sekundære resultatmål

Resultatmål
Tiltaksbeskrivelse
Tidsramme
Overall response rate (ORR)
Tidsramme: From first dose through end of treatment, an average of 1 year

ORR is the proportion of participants with a confirmed response. For multiple myeloma: the sum of confirmed stringent complete response, complete response, very good partial response, and partial response per International Myeloma Working Group (IMWG) 2016 criteria. For acute myeloid leukemia: the sum of confirmed complete response, complete remission with incomplete hematologic recovery, complete remission with partial hematologic recovery, morphologic leukemia-free state, and partial response per European LeukemiaNet (ELN) 2022 criteria. For chronic myelomonocytic leukemia: the sum of confirmed complete response, marrow response, partial response, and clinical benefit per the international MDS/MPN working group criteria.
From first dose through end of treatment, an average of 1 year
Maximum observed serum concentration (Cmax) of 6MW5311
Tidsramme: Through study completion, an average of 1 year

Cmax is the maximum observed serum concentration of 6MW5311, read directly from the individual serum concentration-time profile after intravenous infusion.
Through study completion, an average of 1 year
Area under the serum concentration-time curve (AUC) of 6MW5311
Tidsramme: Through study completion, an average of 1 year
Through study completion, an average of 1 year
Time to maximum observed serum concentration (Tmax) of 6MW5311
Tidsramme: Through study completion, an average of 1 year
Through study completion, an average of 1 year
Terminal elimination half-life (t1/2) of 6MW5311
Tidsramme: Through study completion, an average of 1 year
Through study completion, an average of 1 year
Systemic clearance (CL) of 6MW5311
Tidsramme: Through study completion, an average of 1 year
Through study completion, an average of 1 year
Volume of distribution (V) of 6MW5311
Tidsramme: Through study completion, an average of 1 year
Through study completion, an average of 1 year

Samarbeidspartnere og etterforskere

Det er her du vil finne personer og organisasjoner som er involvert i denne studien.

Sponsor

Mabwell (Shanghai) Bioscience Co., Ltd.

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Faktiske)

16. september 2026

Primær fullføring (Antatt)

1. desember 2029

Studiet fullført (Antatt)

1. desember 2029

Datoer for studieregistrering

Først innsendt

19. oktober 2026

Først innsendt som oppfylte QC-kriteriene

27. oktober 2026

Først lagt ut (Faktiske)

3. november 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

3. november 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

27. oktober 2026

Sist bekreftet

1. oktober 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Ytterligere relevante MeSH-vilkår

Andre studie-ID-numre

  • 6MW5311-CP101

Plan for individuelle deltakerdata (IPD)

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NEI

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Studerer et amerikansk FDA-regulert medikamentprodukt

Nei

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Nei

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