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A Study of MS-553 in Patients With Relapsed or Refractory B-cell Lymphoma

Primary Purpose

Relapsed or Refractory B-cell Lymphoma, Diffuse Large B-cell Lymphoma (DLBCL), Follicular Lymphoma (FL)

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
MS-553
Sponsored by
MingSight Pharmaceuticals, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Relapsed or Refractory B-cell Lymphoma

Eligibility Criteria

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

Inclusion Criteria: 1) Patients in Phase I study will be enrolled with refractory or relapsed B-cell non-Hodgkin lymphoma. 2) Patients enrolled in the phase I study failed two or more lines of treatment regimens; Patients with mantle cell lymphoma should also be patients with contraindications or failure of BTK inhibitor therapy. 3) Eastern Cooperative Oncology Group (ECOG) performance status score is 0~2. 4) Have life expectancy ≥ 3 months. 5) Major organ functions meet the following criteria: In the absence of growth factor support therapy or blood transfusion in the last 14 days: absolute neutrophil count ≥1.5×109/L, hemoglobin ≥80 g/L, platelets ≥75×109/L (no platelet transfusion within 14 days); if accompanied with bone marrow invasion, neutrophils ≥1.0×109/L, platelets ≥50×109/L. Biochemistry: Total bilirubin ≤1.5×ULN or ≤3.0×ULN in Gilbert's syndrome, AST or ALT ≤2.5×ULN, serum creatinine ≤1.5×ULN or calculated creatinine clearance ≥60 mL/min (Cockcroft-Gault formula). Coagulation function: International normalized ratio (INR) and activated partial thrombin time ≤ 1.5 × ULN. Exclusion Criteria: 1) Present or prior history of other malignancies (except cured carcinoma in situ of cervix and basal cell carcinoma of skin), unless there is radical treatment and no evidence of recurrence or metastasis within the last 2 years. 2) Lymphomas involved the central nervous system. 3) Patients with history of organ transplantation or allogeneic hematopoietic stem cell transplantation; patients who have received autologous hematopoietic stem cell transplantation or CAR-T treatment within the past 3 months, 4) Patients who are suitable and ready for autologous stem cell transplantation. 5) History of eye surgery or trauma within 3 months before the screening visit, history of serious eye infection or the most recent eye surgery within 4 weeks before the screening visit. 6) Has had active and uncontrolled autoimmune hemocytopenia, including autoimmune hemolytic anemia and idiopathic thrombocytopenic purpura. 7) Has had uncontrolled or significant cardiovascular diseases, including: 8) Women who are lactating or pregnant. 9) Women of child-bearing potential who do not agree to have two pregnancy tests prior to first dose (at least one of tests is serum pregnancy test) and the test result shall be negative. 10) Male patients who do not agree to the birth control measures. 11) Any conditions that in the opinion of the investigator considers inappropriate to participate in the study.

Sites / Locations

  • Beijing Cancer HospitalRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Single arm

Arm Description

dose exploration

Outcomes

Primary Outcome Measures

Incidence of dose limiting toxicity (DLT)
Incidence and severity of adverse events
To determine the MTD and RP2D of oral MS-553 in patients with BCL

Secondary Outcome Measures

Objective response rate (ORR)
Duration of response (DOR)
progression-free survival (PFS)
overall survival (OS)
time to progression (TTR)
disease control rate (DCR)
Pharmacokinetics parameters: Cmax
Pharmacokinetics parameters: Tmax
Pharmacokinetics parameters: T1/2
Pharmacokinetics parameters: AUC0-12
Pharmacokinetics parameters: CL/F

Full Information

First Posted
January 11, 2023
Last Updated
February 6, 2023
Sponsor
MingSight Pharmaceuticals, Inc
Collaborators
Shenzhen MingSight Relin Pharmaceutical Co., Ltd
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1. Study Identification

Unique Protocol Identification Number
NCT05720052
Brief Title
A Study of MS-553 in Patients With Relapsed or Refractory B-cell Lymphoma
Official Title
A Phase I/II Study to Evaluate the Safety and Efficacy of the MS-553 in Patients With Relapsed or Refractory B-cell Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
February 2023
Overall Recruitment Status
Recruiting
Study Start Date
February 6, 2023 (Actual)
Primary Completion Date
April 4, 2026 (Anticipated)
Study Completion Date
July 5, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MingSight Pharmaceuticals, Inc
Collaborators
Shenzhen MingSight Relin Pharmaceutical Co., Ltd

4. Oversight

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

5. Study Description

Brief Summary
This is a Phase I/II, single-arm, multicenter, open-label study which is divided into two portions: Phase I is dose escalation portion, in which subjects with relapsed or refractory B-cell lymphoma will be enrolled except malignant lymphoblastic lymphoma (LBL) and Burkitt lymphoma. After the RP2D is identified, Phase II of subjects with relapsed or refractory mantle cell lymphoma who previously received ≥ 2 and ≤ 4 different chemotherapy and/or targeted drug therapy will be enrolled.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Relapsed or Refractory B-cell Lymphoma, Diffuse Large B-cell Lymphoma (DLBCL), Follicular Lymphoma (FL), Mantle Cell Lymphoma (MCL), Chronic Lymphocytic Leukemia (CLL), Small Lymphocytic Lymphoma (SLL), Marginal Zone Lymphoma (MZL)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
38 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Single arm
Arm Type
Experimental
Arm Description
dose exploration
Intervention Type
Drug
Intervention Name(s)
MS-553
Intervention Description
MS-553 oral tablet BID x 28-days
Primary Outcome Measure Information:
Title
Incidence of dose limiting toxicity (DLT)
Time Frame
First cycle (28 days)
Title
Incidence and severity of adverse events
Time Frame
up to 24 months
Title
To determine the MTD and RP2D of oral MS-553 in patients with BCL
Time Frame
about 8 months
Secondary Outcome Measure Information:
Title
Objective response rate (ORR)
Time Frame
up to 24 months
Title
Duration of response (DOR)
Time Frame
up to 24 months
Title
progression-free survival (PFS)
Time Frame
up to 24 months
Title
overall survival (OS)
Time Frame
up to 24 months
Title
time to progression (TTR)
Time Frame
up to 24 months
Title
disease control rate (DCR)
Time Frame
up to 24 months
Title
Pharmacokinetics parameters: Cmax
Time Frame
within the first 2 cycles (56 days)
Title
Pharmacokinetics parameters: Tmax
Time Frame
within the first 2 cycles (56 days)
Title
Pharmacokinetics parameters: T1/2
Time Frame
within the first 2 cycles (56 days)
Title
Pharmacokinetics parameters: AUC0-12
Time Frame
within the first 2 cycles (56 days)
Title
Pharmacokinetics parameters: CL/F
Time Frame
within the first 2 cycles (56 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: 1) Patients in Phase I study will be enrolled with refractory or relapsed B-cell non-Hodgkin lymphoma. 2) Patients enrolled in the phase I study failed two or more lines of treatment regimens; Patients with mantle cell lymphoma should also be patients with contraindications or failure of BTK inhibitor therapy. 3) Eastern Cooperative Oncology Group (ECOG) performance status score is 0~2. 4) Have life expectancy ≥ 3 months. 5) Major organ functions meet the following criteria: In the absence of growth factor support therapy or blood transfusion in the last 14 days: absolute neutrophil count ≥1.5×109/L, hemoglobin ≥80 g/L, platelets ≥75×109/L (no platelet transfusion within 14 days); if accompanied with bone marrow invasion, neutrophils ≥1.0×109/L, platelets ≥50×109/L. Biochemistry: Total bilirubin ≤1.5×ULN or ≤3.0×ULN in Gilbert's syndrome, AST or ALT ≤2.5×ULN, serum creatinine ≤1.5×ULN or calculated creatinine clearance ≥60 mL/min (Cockcroft-Gault formula). Coagulation function: International normalized ratio (INR) and activated partial thrombin time ≤ 1.5 × ULN. Exclusion Criteria: 1) Present or prior history of other malignancies (except cured carcinoma in situ of cervix and basal cell carcinoma of skin), unless there is radical treatment and no evidence of recurrence or metastasis within the last 2 years. 2) Lymphomas involved the central nervous system. 3) Patients with history of organ transplantation or allogeneic hematopoietic stem cell transplantation; patients who have received autologous hematopoietic stem cell transplantation or CAR-T treatment within the past 3 months, 4) Patients who are suitable and ready for autologous stem cell transplantation. 5) History of eye surgery or trauma within 3 months before the screening visit, history of serious eye infection or the most recent eye surgery within 4 weeks before the screening visit. 6) Has had active and uncontrolled autoimmune hemocytopenia, including autoimmune hemolytic anemia and idiopathic thrombocytopenic purpura. 7) Has had uncontrolled or significant cardiovascular diseases, including: 8) Women who are lactating or pregnant. 9) Women of child-bearing potential who do not agree to have two pregnancy tests prior to first dose (at least one of tests is serum pregnancy test) and the test result shall be negative. 10) Male patients who do not agree to the birth control measures. 11) Any conditions that in the opinion of the investigator considers inappropriate to participate in the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ling Yang
Phone
8613421382136
Email
yangling@relin.cn
Facility Information:
Facility Name
Beijing Cancer Hospital
City
Beijing
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Yuqin Song
Phone
010-88196118
Email
SongYQ_VIP@163.com

12. IPD Sharing Statement

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A Study of MS-553 in Patients With Relapsed or Refractory B-cell Lymphoma

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