search
Back to results

A Study of LP-168 in Participants With Relapse or Refractory B-Cell Lymphoma

Primary Purpose

B-cell Lymphoma

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
LP-168 tablet
Sponsored by
Guangzhou Lupeng Pharmaceutical Company LTD.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for B-cell Lymphoma

Eligibility Criteria

18 Years - 80 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria:

  • Per 2017 revised WHO lymphoma classification criteria, subject must have either:

Diagnosed with relapsed or refractory DLBCL or FL and require treatment in the opinion of the Investigator and have received 2 lines SOC.

Diagnosed with relapsed or refractory non-Hodgkin's lymphoma associated with B-cell proliferation (such as CLL\ SLL \ MCL \ MZL \ WM, etc.) in need of treatment in the opinion of the Investigator and have received 1 line SOC.

  • Adequate hematologic function.
  • Adequate hepatic and renal function.
  • Ability to receive study drug therapy orally and willing to receive examinations.
  • Willingness of men and women of reproductive potential (defined as following menarche and not postmenopausal [and 2 years of non-therapy-induced amenorrhea] or surgically sterile) to observe conventional and effective birth control.

Key Exclusion Criteria:

  • According to the 2017 revised WHO Lymphoma Classification Criteria, patients diagnosed with the following diseases: Burkitt lymphoma or Burkitt-like lymphoma, lymphoblastic lymphoma/leukemia, and post-transplant lymphoproliferative disease(PTLD).
  • Prior malignancy (other than the disease under study) within the past 3 years, except for curatively treated basal or squamous cell skin cancer, carcinoma in situ of the cervix or breast cancer.
  • Subjects who have received the following treatments within 4 weeks or 5 half-lives before the first dose of LP-168:

Antitumor therapies including myelosuppressive chemotherapy, targeted therapy, biological therapy and/or immunotherapy; Any investigational treatment; Patients who have undergone major surgery, severe trauma or radiotherapy.

  • Subjects who have received the following treatments within 2 weeks before the first dose of LP-168:

Steroids or traditional herbal medicine for antitumor purposes; Strong and moderate CYP3A inhibitors and inducers; All drugs that may cause QTc interval prolongation or torsional tachycardia.

  • Disease states where clinical manifestations may be difficult to control, including HIV, HBV, HCV, syphilis positive or active bacterial and fungal infections; Disease affects the central nervous system with obvious symptoms; Autoimmune hemolytic anemia or Idiopathic thrombocytopenic purpura. Any gastrointestinal conditions that may severely affect the study drug absorption or pharmacokinetic parameters.
  • Subjects who cannot tolerate urine collection, venipuncture, lymph node biopsy, and bone marrow aspiration.

Sites / Locations

  • Peking University Third HospitalRecruiting
  • Beijing Cancer HospitalRecruiting
  • Sun Yat-sen University Cancer CenterRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Phase I Dose Escalation

Phase I Dose Expansion A

Phase I Dose Expansion B

Phase I Dose Expansion C

Phase I Dose Expansion D

Phase I Dose Expansion E

Arm Description

Dose Escalation and determination of MTD; multiple dose levels of LP-168 to be evaluated

CLL/SLL patients treated with prior regimens.

CLL/SLL patients with no prior therapy.

MCL patients treated with prior regimens.

WM patients treated with prior regimens.

MZL patients treated with prior regimens.

Outcomes

Primary Outcome Measures

Maximum Tolerated Dose (MTD)
Phase 1a
Recommended dose for Phase2 (RP2D)
Phase Ia/Ib
To evaluate the safety of LP-168 by assessing incidence and severity of treatment-emergent adverse events as determined by CTCAE v5.0
Phase Ia/Ib

Secondary Outcome Measures

Overall Response Rate
To assess the preliminary anti-tumor activity of LP-168 based on overall response rate (ORR) as assessed by investigator and IRC.
Progression Free Survival
To assess the preliminary anti-tumor activity of LP-168 based on Progression free survival (PFS) as assessed by the Investigator and IRC
Duration of Response
To assess the preliminary anti-tumor activity of LP-168 based on Duration of response (DOR) as assessed by the Investigator and IRC.
Pharmacokinetics (PK) As Assessed By Maximum Observed Plasma Concentration (Cmax) Of LP-168
Phase Ia/Ib
PK As Assessed By Area Under The Plasma Concentration Time Curve From Time 0 To The Time Of The Last Quantifiable Concentration (AUC0-t) Of LP-168
Phase Ia/Ib
PK As Assessed By Time To Maximum Observed Plasma Concentration (Tmax) Of LP-168
Phase Ia/Ib
PK As Assessed By Terminal Half-life (t1/2) Of LP-168
Phase Ia/Ib

Full Information

First Posted
July 27, 2021
Last Updated
September 26, 2023
Sponsor
Guangzhou Lupeng Pharmaceutical Company LTD.
search

1. Study Identification

Unique Protocol Identification Number
NCT04993690
Brief Title
A Study of LP-168 in Participants With Relapse or Refractory B-Cell Lymphoma
Official Title
A Phase 1 Open-Label Dose Escalation and Expansion Study Evaluating the Safety, Tolerability, Pharmacokinetics, and Preliminary Antitumor Activity of LP-168 in Adult Patients With Relapse or Refractory B-Cell Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
September 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 6, 2021 (Actual)
Primary Completion Date
December 31, 2023 (Anticipated)
Study Completion Date
June 30, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Guangzhou Lupeng Pharmaceutical Company LTD.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Data Monitoring Committee
No

5. Study Description

Brief Summary
This is an open-label, multi-center Phase 1/2 study of oral LP-168 in patients with CLL/SLL and NHL who have failed or are intolerant to standard of care.
Detailed Description
This study includes 2 parts: phase 1a (LP-168 monotherapy dose escalation) and phase 1b (LP-168 dose expansion). In phase 1a, patients will be enrolled using an 3+3 design. The starting dose of LP-168 in oral tablet form is 100 mg/day (e.g., 100 mg once daily [QD]). Once the MTD and/or RP2D is identified in phase 1a dose escalation, enrollment will continue to phase 1b dose expansion. Cycle length will be 28 days.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
B-cell Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Dose Escalation and determination of MTD; multiple dose levels of LP-168 to be evaluated
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
156 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Phase I Dose Escalation
Arm Type
Experimental
Arm Description
Dose Escalation and determination of MTD; multiple dose levels of LP-168 to be evaluated
Arm Title
Phase I Dose Expansion A
Arm Type
Experimental
Arm Description
CLL/SLL patients treated with prior regimens.
Arm Title
Phase I Dose Expansion B
Arm Type
Experimental
Arm Description
CLL/SLL patients with no prior therapy.
Arm Title
Phase I Dose Expansion C
Arm Type
Experimental
Arm Description
MCL patients treated with prior regimens.
Arm Title
Phase I Dose Expansion D
Arm Type
Experimental
Arm Description
WM patients treated with prior regimens.
Arm Title
Phase I Dose Expansion E
Arm Type
Experimental
Arm Description
MZL patients treated with prior regimens.
Intervention Type
Drug
Intervention Name(s)
LP-168 tablet
Intervention Description
Subjects to take LP-168 orally with 240mL water, without food, Once daily or twice daily
Primary Outcome Measure Information:
Title
Maximum Tolerated Dose (MTD)
Description
Phase 1a
Time Frame
Up to 24 Months
Title
Recommended dose for Phase2 (RP2D)
Description
Phase Ia/Ib
Time Frame
Up to 24 Months
Title
To evaluate the safety of LP-168 by assessing incidence and severity of treatment-emergent adverse events as determined by CTCAE v5.0
Description
Phase Ia/Ib
Time Frame
Up to 24 Months
Secondary Outcome Measure Information:
Title
Overall Response Rate
Description
To assess the preliminary anti-tumor activity of LP-168 based on overall response rate (ORR) as assessed by investigator and IRC.
Time Frame
Up to 24 Months
Title
Progression Free Survival
Description
To assess the preliminary anti-tumor activity of LP-168 based on Progression free survival (PFS) as assessed by the Investigator and IRC
Time Frame
Up to 24 Months
Title
Duration of Response
Description
To assess the preliminary anti-tumor activity of LP-168 based on Duration of response (DOR) as assessed by the Investigator and IRC.
Time Frame
Up to 24 Months
Title
Pharmacokinetics (PK) As Assessed By Maximum Observed Plasma Concentration (Cmax) Of LP-168
Description
Phase Ia/Ib
Time Frame
Up to 48 hours post dose
Title
PK As Assessed By Area Under The Plasma Concentration Time Curve From Time 0 To The Time Of The Last Quantifiable Concentration (AUC0-t) Of LP-168
Description
Phase Ia/Ib
Time Frame
Up to 48 hours post dose
Title
PK As Assessed By Time To Maximum Observed Plasma Concentration (Tmax) Of LP-168
Description
Phase Ia/Ib
Time Frame
Up to 48 hours post dose
Title
PK As Assessed By Terminal Half-life (t1/2) Of LP-168
Description
Phase Ia/Ib
Time Frame
Up to 48 hours post dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
80 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Per 2017 revised WHO lymphoma classification criteria, subject must have either: Diagnosed with relapsed or refractory DLBCL or FL and require treatment in the opinion of the Investigator and have received 2 lines SOC. Diagnosed with relapsed or refractory non-Hodgkin's lymphoma associated with B-cell proliferation (such as CLL\ SLL \ MCL \ MZL \ WM, etc.) in need of treatment in the opinion of the Investigator and have received 1 line SOC. Adequate hematologic function. Adequate hepatic and renal function. Ability to receive study drug therapy orally and willing to receive examinations. Willingness of men and women of reproductive potential (defined as following menarche and not postmenopausal [and 2 years of non-therapy-induced amenorrhea] or surgically sterile) to observe conventional and effective birth control. Key Exclusion Criteria: According to the 2017 revised WHO Lymphoma Classification Criteria, patients diagnosed with the following diseases: Burkitt lymphoma or Burkitt-like lymphoma, lymphoblastic lymphoma/leukemia, and post-transplant lymphoproliferative disease(PTLD). Prior malignancy (other than the disease under study) within the past 3 years, except for curatively treated basal or squamous cell skin cancer, carcinoma in situ of the cervix or breast cancer. Subjects who have received the following treatments within 4 weeks or 5 half-lives before the first dose of LP-168: Antitumor therapies including myelosuppressive chemotherapy, targeted therapy, biological therapy and/or immunotherapy; Any investigational treatment; Patients who have undergone major surgery, severe trauma or radiotherapy. Subjects who have received the following treatments within 2 weeks before the first dose of LP-168: Steroids or traditional herbal medicine for antitumor purposes; Strong and moderate CYP3A inhibitors and inducers; All drugs that may cause QTc interval prolongation or torsional tachycardia. Disease states where clinical manifestations may be difficult to control, including HIV, HBV, HCV, syphilis positive or active bacterial and fungal infections; Disease affects the central nervous system with obvious symptoms; Autoimmune hemolytic anemia or Idiopathic thrombocytopenic purpura. Any gastrointestinal conditions that may severely affect the study drug absorption or pharmacokinetic parameters. Subjects who cannot tolerate urine collection, venipuncture, lymph node biopsy, and bone marrow aspiration.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jun Zhu, MD, PhD
Phone
+86-010-88196596
Email
zj@bjcancer.org
First Name & Middle Initial & Last Name or Official Title & Degree
Yuqin Song, MD, PhD
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jun Zhu
Organizational Affiliation
Peking University Cancer Hospital & Institute
Official's Role
Study Chair
Facility Information:
Facility Name
Peking University Third Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100089
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Hongmei Jing, M.D.
Phone
+861082265531
Email
hongmei_jing@163.com
Facility Name
Beijing Cancer Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100142
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yuqin Song
Phone
+861088196596
Email
SongYQ_VIP@163.com
Facility Name
Sun Yat-sen University Cancer Center
City
Guangzhou
State/Province
Guangdong
ZIP/Postal Code
510060
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Qingqing Cai, M.D.
Phone
+862087342823
Email
caiqq@sysucc.org.cn

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study of LP-168 in Participants With Relapse or Refractory B-Cell Lymphoma

We'll reach out to this number within 24 hrs