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A Clinical Study to Evaluate Pharmacokinetics, Safety, and Tolerability of Abexinostat in Chinese Patients

Primary Purpose

Non Hodgkin Lymphoma

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
Abexinostat
Sponsored by
Xynomic Pharmaceuticals, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non Hodgkin Lymphoma

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Histologically confirmed diagnosis o f non Hodgkin's lymphoma
  • Patients with non-Hodgkin's lymphoma who have either failed standard of care or are intolerant/unapplicable to therapy;
  • Subject who has no growth factor supportive therapy, transfusion of blood or blood products within 14 days before the enrollment test
  • The patient is capable and willing to accept the follow up according to the protocol and signed or provided the ICF signed by the legal representative
  • Contraceptive measures , definition of women of childbearing age and contraceptive requirements

Exclusion Criteria:

  • Subjects who have received anti tumor therapy and have not recovered from previous toxicity reactions ( toxicity reactions unrecovered to grade 1 as per NCI CTCAE 5.0
  • Subjects who received major surgery (excluding diagnostic biopsy)within 28 days prior to the first dose.
  • Subjects who received autologous stem cell transplantation within 3 months or allogeneic stem cell transplantation within 6 months prior to the first dose with active graft versus host response at screening
  • Subjects with use of prohibited medication within 7 days or less than 5 half lives prior to the first dose (whichever is shorter), see prohibited medication list
  • Participated in other interventional clinical trial within 1 month or 5 half life periods prior to the first dose (whichever is longer), except for non intervention clinical trials
  • Evidence suggests that there may be human immunodeficiency virus (HIV) infection , or hepatitis C (HCV) hepatitis virus infection PCR RNA positive);
  • Uncontrolled systemic infection or infection requiring intravenous injection of antibiotics
  • Lymphoma with central nervous system (CNS) involvement
  • Subjects with concurrent other malignant tumors in addition to the studied tumor within 2 years prior to the first dosing , except for the controlled skin basal cell carcinoma , cervical carcinoma in situ, ductal carcinoma in situ , and papillary thyroid carcinoma
  • Subject is known to be allergic to the components of abexinostat
  • Pregnant and lactating subjects
  • Upon the investigator's judgment , the subject has any disease or medical condition that is unstable or may affect safety or study compliance , such as uncontrolled hypertension,uncontrolled diabetes, active bleeding , etc.

Sites / Locations

  • Cancer Hospital Chinese Academy of Medical SciencesRecruiting
  • Zhejiang Cancer HospitalRecruiting
  • Tianjin Medical University General HospitalRecruiting
  • The Affiliated Hospital of Xuzhou Medical UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Dosing Cohorts

Arm Description

Three (3) dose cohorts are pre-set to include 40 mg BID, 60 mg BID and 80 mg BID,respectively.The pre-set dose group is subject to change during the study and the actual dosage increment is determined by the Data safety Monitoring Committee (DSMC).

Outcomes

Primary Outcome Measures

Measure AUC at Different Dose Level
Measure Area under the plasma concentration versus time curve (AUC) levels at different dose level
Measure Cmax at Different Dose Level
Measure Peak Plasma Concentration (Cmax at different dose level
Determine the maximum tolerated dose
Determine the maximum tolerated dose based on observed dose-limiting toxicity at different dose levels

Secondary Outcome Measures

Measure Objective Response Rate
Measure objective response rate in % at the RP2D in patients with non-Hodgkin's lymphoma who have failed standard of care
Measure Duration of Response
Measure duration of response in months at the RP2D in patients with non-Hodgkin's lymphoma who have failed standard of care

Full Information

First Posted
July 9, 2019
Last Updated
August 18, 2022
Sponsor
Xynomic Pharmaceuticals, Inc.
Collaborators
Chinese Academy of Medical Sciences
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1. Study Identification

Unique Protocol Identification Number
NCT04024696
Brief Title
A Clinical Study to Evaluate Pharmacokinetics, Safety, and Tolerability of Abexinostat in Chinese Patients
Official Title
An Open-Label, Non-Randomized Clinical Study to Evaluate Pharmacokinetic (PK) Profiles, Safety, and Tolerability of Abexinostat Monotherapy in Patients With Non-Hodgkin's Lymphoma Who Have Failed Standard of Care
Study Type
Interventional

2. Study Status

Record Verification Date
August 2022
Overall Recruitment Status
Recruiting
Study Start Date
January 8, 2020 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
December 31, 2023 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Xynomic Pharmaceuticals, Inc.
Collaborators
Chinese Academy of Medical Sciences

4. Oversight

Studies a U.S. FDA-regulated Drug Product
No
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
This is an open-label, non-randomized clinical study to evaluate the pharmacokinetic (PK) profiles, safety, tolerability and preliminary efficacy of oral abexinostat monotherapy in patients with non-Hodgkin's lymphoma who have failed standard of care, and thereby to determine the pharmacokinetic (PK) parameters, the maximum tolerated dose (MTD), and the recommended phase 2 dose (RP2D) of the oral monotherapy of abexinostat.
Detailed Description
This is an open-label, non-randomized clinical study to evaluate the pharmacokinetic (PK) profiles, safety, tolerability and preliminary efficacy of oral abexinostat monotherapy in patients with non-Hodgkin's lymphoma who have failed standard of care, and thereby to determine the pharmacokinetic (PK) parameters, the maximum tolerated dose (MTD), and the recommended phase 2 dose (RP2D) of the oral monotherapy of abexinostat. Three (3) dose groups are pre-set to include 40 mg BID, 60 mg BID and 80 mg BID,respectively.The pre-set dose group is subject to change during the study and the actual dosage increment is determined by the Data safety Monitoring Committee (DSMC). A total of 12-16 subjects in the RP2D dose group will be required to accept PK blood sampling for the analysis of PK profiles and parameters. The patients will continue treatment until the occurrence of a DLT event, disease progression, intolerant toxicity, withdrawal of ICF, treatment discontinuation determined by the investigator, lost to follow-up, death, or termination of the study, (whichever occurs first).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non Hodgkin Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Model Description
Cohort 1: 40 mg BID Cohort 2: 60 mg BID Cohort 3: 80 mg BID
Masking
None (Open Label)
Allocation
N/A
Enrollment
25 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dosing Cohorts
Arm Type
Experimental
Arm Description
Three (3) dose cohorts are pre-set to include 40 mg BID, 60 mg BID and 80 mg BID,respectively.The pre-set dose group is subject to change during the study and the actual dosage increment is determined by the Data safety Monitoring Committee (DSMC).
Intervention Type
Drug
Intervention Name(s)
Abexinostat
Intervention Description
Abexinostat Tosylate Tablets
Primary Outcome Measure Information:
Title
Measure AUC at Different Dose Level
Description
Measure Area under the plasma concentration versus time curve (AUC) levels at different dose level
Time Frame
Up to 6 month
Title
Measure Cmax at Different Dose Level
Description
Measure Peak Plasma Concentration (Cmax at different dose level
Time Frame
Up to 6 month
Title
Determine the maximum tolerated dose
Description
Determine the maximum tolerated dose based on observed dose-limiting toxicity at different dose levels
Time Frame
Up to 6 month
Secondary Outcome Measure Information:
Title
Measure Objective Response Rate
Description
Measure objective response rate in % at the RP2D in patients with non-Hodgkin's lymphoma who have failed standard of care
Time Frame
Up to 12 Month
Title
Measure Duration of Response
Description
Measure duration of response in months at the RP2D in patients with non-Hodgkin's lymphoma who have failed standard of care
Time Frame
Up to 12 Month

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Histologically confirmed diagnosis o f non Hodgkin's lymphoma Patients with non-Hodgkin's lymphoma who have either failed standard of care or are intolerant/unapplicable to therapy; Subject who has no growth factor supportive therapy, transfusion of blood or blood products within 14 days before the enrollment test The patient is capable and willing to accept the follow up according to the protocol and signed or provided the ICF signed by the legal representative Contraceptive measures , definition of women of childbearing age and contraceptive requirements Exclusion Criteria: Subjects who have received anti tumor therapy and have not recovered from previous toxicity reactions ( toxicity reactions unrecovered to grade 1 as per NCI CTCAE 5.0 Subjects who received major surgery (excluding diagnostic biopsy)within 28 days prior to the first dose. Subjects who received autologous stem cell transplantation within 3 months or allogeneic stem cell transplantation within 6 months prior to the first dose with active graft versus host response at screening Subjects with use of prohibited medication within 7 days or less than 5 half lives prior to the first dose (whichever is shorter), see prohibited medication list Participated in other interventional clinical trial within 1 month or 5 half life periods prior to the first dose (whichever is longer), except for non intervention clinical trials Evidence suggests that there may be human immunodeficiency virus (HIV) infection , or hepatitis C (HCV) hepatitis virus infection PCR RNA positive); Uncontrolled systemic infection or infection requiring intravenous injection of antibiotics Lymphoma with central nervous system (CNS) involvement Subjects with concurrent other malignant tumors in addition to the studied tumor within 2 years prior to the first dosing , except for the controlled skin basal cell carcinoma , cervical carcinoma in situ, ductal carcinoma in situ , and papillary thyroid carcinoma Subject is known to be allergic to the components of abexinostat Pregnant and lactating subjects Upon the investigator's judgment , the subject has any disease or medical condition that is unstable or may affect safety or study compliance , such as uncontrolled hypertension,uncontrolled diabetes, active bleeding , etc.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Bing Zhao, MD
Phone
(01186)13716386801
Email
bzhao@xynomicpharma.com
First Name & Middle Initial & Last Name or Official Title & Degree
Sophia Paspal, Ph.D
Email
sophia.paspal@xynomicpharma.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yuankai Shi, M.D.; Prof
Organizational Affiliation
Cancer Hospital Chinese Academy Of Medical Science
Official's Role
Principal Investigator
Facility Information:
Facility Name
Cancer Hospital Chinese Academy of Medical Sciences
City
Beijing
ZIP/Postal Code
100021
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shi Yuankai, MD, PhD
Phone
13701251865
Email
syuankaipumc@126.com
First Name & Middle Initial & Last Name & Degree
Shao Zonghong, MD
Facility Name
Zhejiang Cancer Hospital
City
Hangzhou
ZIP/Postal Code
310022
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yang Haiyan, MD, PhD
Phone
13857182590
Email
haiyanyang1125@163.com
Facility Name
Tianjin Medical University General Hospital
City
Tianjin
ZIP/Postal Code
300052
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Shao Zonghong, MD
Phone
13802036467
Email
shaozonghong@sina.com
Facility Name
The Affiliated Hospital of Xuzhou Medical University
City
Xuzhou
ZIP/Postal Code
221006
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Li Zhenyu, MD
Phone
13852439312
Email
frankfeng_2004@126.com

12. IPD Sharing Statement

Plan to Share IPD
No

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A Clinical Study to Evaluate Pharmacokinetics, Safety, and Tolerability of Abexinostat in Chinese Patients

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