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临床试验/NCT06792734
NCT06792734招募中1 期

Phase 1A/1B Trial of BTM-3566 in Relapsed/Refractory Mature B Cell Lymphomas

Bantam Pharmaceuticals3 个研究点 分布在 1 个国家目标入组 24 人开始时间: 2025年2月14日最近更新:
干预措施
相关药物

试验速览

阶段
1 期
状态
招募中
发起方
入组人数
24
试验地点
3
主要终点
Adverse Event and dose-limiting toxicity event rates

研究概览

简要总结

The goal of this clinical trial is to learn if BMT-3566 can safety be given to adult patients with relapsed or refractory mature b cell lymphomas. It will also learn how well BTM-3566 works to treat relapsed or refractory mature b cell lymphomas. The main questions it aims to answer are:

What are the side effects of BTM-3566 at different doses? What are the levels of BTM-3566 in the blood at different timepoints around dosing? What is the clinical benefit of BTM-3566 in treating cancer (i.e. how well does it slow or stop disease progression)?

Participants will:

Take BTM-3566 in 14-day periods with 7 days of dosing followed by 7 days of no dosing Visit the clinic regularly for checkups and tests Keep a diary of their dosing and weight

详细描述

This is an open label, phase 1 dose escalation trial of BTM-3566 in relapsed/refractory mature b cell lymphomas. Dose escalation will utilize traditional 3+3 methodology to determine the maximum tolerated dose of BTM-3566. Treatment will be given as two-week cycles, with BTM-3566 taken daily during the first week of the cycle, and the second week 'off therapy'. DLT window will be the first two cycles of therapy (days 1 to 28). All enrolled patients will undergo a baseline FDG-PET/CT scan within 3 weeks prior to starting therapy. FDG-PET/CT will be repeated at the start of Cycles 3 and 5 or more frequently as clinically indicated. Beginning at Cycle 5, imaging will be repeated every 3 months (or as clinically indicated) for up to 12 months, and every 6 months thereafter, until disease progression or start of subsequent anti-cancer therapy.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • must be age ≥18 years
  • must have a diagnosis of relapsed or refractory mature B cell lymphoma
  • must have measurable disease per response evaluation criteria in lymphoma (Lugano classification)
  • must have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0-2
  • must have a predicted life expectancy of ≥3 months
  • must agree to use adequate birth control throughout their participation and for 90 days following the last dose of BTM-3566

排除标准

  • has primary CNS lymphoma
  • has ongoing toxicities from prior anti-cancer treatment > Grade 1
  • has symptomatic or uncontrolled neurologic disease (brain metastases, leptomeningeal disease, or spinal cord compression) not definitively treated with surgery or radiation
  • has received any anti-cancer therapy (including radiation of curative intent) <28 days prior to administration of BTM-3566
  • has current second malignancy at other sites (exceptions: non-melanomatous skin cancer, adequately treated in situ carcinoma, or indolent prostate cancer under observation).
  • is pregnant or breastfeeding

研究组 & 干预措施

BTM-3566 Treatment

Experimental

BTM-3566 Oral Solution

干预措施: BTM-3566 (Drug)

结局指标

主要结局

Adverse Event and dose-limiting toxicity event rates

时间窗: 24 months

The rate of adverse events and dose-limiting toxicity of therapy with BTM-3566

次要结局

未报告次要终点

研究者

发起方
Bantam Pharmaceuticals
申办方类型
Industry
责任方
Sponsor

研究点 (3)

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相关资讯

Bantam Pharmaceutical Initiates First-in-Class BTM-3566 Phase 1 Trial for Aggressive Cancers- Bantam Pharmaceutical has treated the first patient with BTM-3566 at Princess Margaret Cancer Centre in Toronto, marking a pivotal milestone for this first-in-class mitochondrial-targeting therapy. - BTM-3566 activates the OMA1-ATF4 integrated stress response pathway to trigger cancer cell death, offering a novel approach for patients whose cancers no longer respond to standard treatments. - The Phase 1 program spans both U.S. and Canada, studying BTM-3566 in relapsed/refractory B-cell lymphomas and various solid tumors including head and neck, lung, and colorectal cancers. - Preclinical studies demonstrated complete tumor regressions in patient-derived xenograft models of aggressive lymphomas, including those resistant to rituximab, BTK inhibitors, and CAR-T therapies.9 months agoBantam Pharmaceutical Initiates Phase 1 Trial of Novel Mitochondrial-Targeting Cancer Drug at MD Anderson- Bantam Pharmaceutical has launched its first Phase 1 clinical trial site at MD Anderson Cancer Center to evaluate BTM-3566, a first-in-class small molecule targeting mitochondrial homeostasis in B-cell lymphomas. - BTM-3566 demonstrates a unique mechanism of action through the ATF4-Integrated Stress Response pathway, showing potential to combine chemotherapy-like potency with targeted therapy precision. - The multicenter, open-label study will assess safety, tolerability, and efficacy in relapsed/refractory mature B-cell lymphomas, with initial clinical data expected in late 2025.last year