MedPath

TQB3909 Tablets in Subjects With Relapsed or Refractory Mantle Cell Lymphoma (MCL)

Phase 1
Recruiting
Conditions
Mantle Cell Lymphoma
Interventions
Drug: 400mg of TQB3909 tablets
Drug: 600mg of TQB3909 tablets
Registration Number
NCT06106841
Lead Sponsor
Chia Tai Tianqing Pharmaceutical Group Nanjing Shunxin Pharmaceutical Co., Ltd.
Brief Summary

This is a study to assess the safety of TQB3909 monotherapy in participants with relapsed or refractory MCL.

Detailed Description

Not available

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
39
Inclusion Criteria
  • The subject voluntarily joins the study, signs the informed consent form, and has good compliance;
  • Age: ≥ 18 years old (when signing the informed consent form); Eastern Cooperative Oncology Group performance status (ECOG PS) score: 0-2 points; Expected survival is more than 3 months;
  • Subject population: Confirmed as MCL by local laboratory pathology and independent pathology review (stage 2).
  • The main organs are functioning well,
  • The patient's Computed Tomography (CT) / Magnetic Resonance Imaging (MRI) shows measurable lesions, defined as ≥ 1 lymph node with the longest diameter of > 1.5 cm or ≥ 1 extranodal lesion with the longest diameter of > 1.0 cm, which can be measured by ≥ 2 vertical dimensions;
  • Female subjects of childbearing age should agree to use contraception (e.g., pills, or condoms) during the study and for 6 months after the end of the study; Have a negative serum pregnancy test within 7 days prior to study enrollment and must be a non-lactating subject; Male participants should agree that contraception must be used during the study period and for 6 months after the end of the study period.
Exclusion Criteria
  • Have had or currently have other malignant tumors within 3 years before the first dose of study drug.
  • It is known that lymphoma affects the central nervous system (CNS);
  • Previous allogeneic hematopoietic stem cell transplantation;
  • Have received autologous hematopoietic stem cell transplantation within 3 months before the first dose of study drug;
  • There are a variety of factors that affect oral drugs (such as inability to swallow, chronic diarrhea and intestinal obstruction, inflammatory bowel disease, malabsorption syndrome, etc.);
  • Unmitigated toxicity ≥ Common Terminology Criteria for Adverse Events (CTCAE) grade 2 due to any prior treatment (except hair loss, absolute neutrophil count and platelet abnormalities, which follow the inclusion criteria 4);
  • Significant surgical treatment and obvious traumatic injury within 28 days prior to the start of study treatment;
  • Arteriovenous thrombotic events within 3 months before the first dose, such as cerebrovascular accident (including cerebral hemorrhage, cerebral infarction, except lacunar cerebral infarction), deep vein thrombosis (except secondary to deep vein catheterization) and pulmonary embolism;
  • Those who have a history of psychotropic substance abuse and cannot be withdrawn or have mental disorders;
  • Subjects with any severe and/or uncontrolled medical conditions, including:
  • Grade ≥2 myocardial ischemia or myocardial infarction, arrhythmia (Quick Time Constant Fluctuation (QTcF) >450 ms in men, QTcF >470 ms in women) and grade ≥2 congestive heart failure (New York Heart Association (NYHA) grade), cardiac ultrasound assessment of left ventricular ejection fraction (LVEF) of <50%; poorly controlled hypertension, defined as systolic blood pressure > 170 mmHg and diastolic blood pressure > 105 mmHg at least 2 consecutive blood pressure measurements at the time of screening;
  • presence of active infection (≥ CTCAE grade 2 infection);
  • active hepatitis; Hepatitis B virus (HBV) infection, HBV DNA positive or copy number exceeding the upper limit of normal values in the research center;
  • Have a history of immunodeficiency, including Human Immunodeficiency Virus(HIV)-positive or other acquired or congenital immunodeficiency diseases, or have a history of organ transplantation;
  • Those who have epilepsy and need treatment.
  • Have received chemotherapy and radiotherapy within 4 weeks before the first dose, received immune checkpoint inhibitors and Chimeric Antigen Receptor T-Cell Immunotherapy (CAR-T) therapy 12 weeks before the first dose, and received other small molecule antitumor therapy (elution period from the end of the last treatment) before the first drug use within 5 half-lives;
  • Previous treatment with BCL-2 inhibitors;
  • Have received a live vaccine within 4 weeks prior to the first dose, or plan to be vaccinated during the study;
  • Have participated in other antitumor drug clinical trials within 4 weeks before the first dose;
  • According to the judgment of the investigator, there are concomitant diseases that seriously endanger the safety of subjects or affect the completion of the study, or subjects who are considered to be unsuitable for enrollment for other reasons.
  • Allergic to allopurinol and benzbromarone.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
400mg of TQB3909 tablets400mg of TQB3909 tabletstablet, 28 days as a treatment cycle.
600mg of TQB3909 tablets600mg of TQB3909 tabletstablet, 28 days as a treatment cycle.
Primary Outcome Measures
NameTimeMethod
Recommended phase II dose (RP2D)Baseline up to 48-weeks

Recommended phase II dose (RP2D)

Secondary Outcome Measures
NameTimeMethod
The severity of abnormal laboratory examination indicatorsBaseline up to 96-weeks

The severity of abnormal laboratory examination indicators as assessed by Common Terminology Criteria for Adverse Events (CTCAE) 5.0.

The incidence of adverse events (AEs)Baseline up to 96-weeks

Number of participants with adverse events (AE) and/or severe adverse events (SAE) and/or abnormal laboratory examination indicators.

The severity of severe adverse events (SAEs)Baseline up to 96-weeks

The severity of severe adverse events (SAEs) as assessed by Common Terminology Criteria for Adverse Events (CTCAE) 5.0.

The severity of adverse events (AEs)Baseline up to 96-weeks

The severity of adverse events (AEs) as assessed by Common Terminology Criteria for Adverse Events (CTCAE) 5.0.

Trial Locations

Locations (28)

Chongqing University Hospital

🇨🇳

Chongqing, Chongqing, China

Guangxi Medical University Cancer Hospital

🇨🇳

Nanning, Guangxi, China

The Affiliated Hospital of Chengde Medical College

🇨🇳

Chengde, Hebei, China

The Second Affiliated Hospital of Harbin Medical University

🇨🇳

Harbin, Heilongjiang, China

Henan Cancer Hospital

🇨🇳

Zhengzhou, Henan, China

The First Affiliated Hospital Of Soochow University

🇨🇳

Suzhou, Jiangsu, China

Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science & Technology

🇨🇳

Wuhan, Hubei, China

Jinzhou Central Hospital

🇨🇳

Wuxi, Jiangsu, China

Jilin Cancer Hospital

🇨🇳

Changchun, Jilin, China

The First Hospital of Jilin University

🇨🇳

Changchun, Jilin, China

The Second Hospital of Dalian Medical University

🇨🇳

Dalian, Liaoning, China

Linyi People's Hospital

🇨🇳

Linyi, Shandong, China

Shanghai Huashan Hospital

🇨🇳

Shanghai, Shanghai, China

Tongji hospital of Tongji University

🇨🇳

Shanghai, Shanghai, China

Heping Hospital Affiliated to Changzhi Medical College

🇨🇳

Changzhi, Shanxi, China

The Affiliated Hospital of Southwest Medical University

🇨🇳

Luzhou, Sichuan, China

Institute of Dematology & Blood diseases Hospital

🇨🇳

Tianjin, Tianjin, China

Xinjiang Uygur Autonomous Region People's Hospital

🇨🇳

Ürümqi, Xinjiang, China

The First Affiliated Hospital, Zhejiang University School of Medicine

🇨🇳

Hangzhou, Zhejiang, China

The First Affiliated Hospital of Ningbo University

🇨🇳

Ningbo, Zhejiang, China

Peking University Third Hospital

🇨🇳

Beijing, Beijing, China

Affiliated Cancer Hospital of Harbin Medical University

🇨🇳

Harbin, Heilongjiang, China

The First Affiliated Hospital of Xiamen University

🇨🇳

Xiamen, Fujian, China

Gansu Provincial Cancer Hospital

🇨🇳

Lanzhou, Gansu, China

The Affiliated Hospital of Xuzhou Medical University

🇨🇳

Nanjing, Jiangsu, China

The Second Affiliated Hospital of Soochow University

🇨🇳

Suzhou, Jiangsu, China

Binzhou Medical University Hospital

🇨🇳

Binzhou, Shandong, China

Tianjin Medical University Cancer Institute and Hospital

🇨🇳

Tianjin, Tianjin, China

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