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BR101801 in Adult Patients With Advanced Hematologic Malignancies( Phase I)

Phase 1
Active, not recruiting
Conditions
B Cell Lymphoma
Diffuse Large B Cell Lymphoma
Follicular Lymphoma
Chronic Lymphocytic Leukemia
Small Lymphocytic Leukemia
Marginal Zone Lymphoma
Waldenstrom Macroglobulinemia
Peripheral T Cell Lymphoma
Interventions
Registration Number
NCT04018248
Lead Sponsor
Boryung Pharmaceutical Co., Ltd
Brief Summary

This is a Phase I-II, multi-center, open-label, FIH study comprising of 2 study parts (Phase Ia, Phase Ib).

The Phase Ia (dose escalation) part of the study is designed to determine the safety, tolerability, and maximum tolerated dose (MTD)/recommended dose for expansion (RP2D) of BR101801 in subjects with relapsed/refractory B cell lymphoma, chronic lymphocytic leukemia (CLL)/small lymphocytic leukemia (SLL), and peripheral T cell lymphoma (PTCL).

The Phase Ib (dose expansion) part of the study is designed to assess tumor response and safety in specific advanced relapsed/refractory Peripheral T-cell lymphoma(PTCL) at a dose of BR101801 identified in Phase Ia. Once the RP2D has been determined in Phase Ia (dose escalation), Phase Ib (dose expansion) will commence.

Detailed Description

1. Phase Ia (Dose Escalation)

Primary Objectives

* To assess the safety and tolerability of BR101801 in patients with relapsed/refractory B-cell lymphoma, CLL/SLL, and PTCL.

* To assess DLT and to determine the MTD and/or the RDE dose for BR101801 when administered orally on a daily schedule in 4-week cycles until disease progression.

SecondaryObjectives

* To characterize the plasma and urine PK of BR101801.

* To assess the preliminary antitumor activity of BR101801.

2. Phase Ib (Dose Expansion)

Primary Objectives

• To assess the safety and tolerability of BR101801 at the RP2D dose in subjects with relapsed/refractory Peripheral T-cell lymphoma (PTCL).

SecondaryObjectives

* To assess clinical activity of BR101801 when administered orally on a daily schedule in 4-week cycles until disease progression.

* To assess the plasma PK of BR101801.

OUTLINE: This is a Phase I, multi-center, open-label, FIH study. The safety monitoring committee(SMC) will be responsible for safety oversight.

Recruitment & Eligibility

Status
ACTIVE_NOT_RECRUITING
Sex
All
Target Recruitment
30
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
Treatment (BR101801): Phase Ia (dose escalation)BR101801 (Phase Ia)Patients will receive BR101801 capsules orally, QD in 28-day cycles. The regimen may be changed to BID dosing based on emerging data.
Treatment (BR101801):Phase Ib (dose expansion)BR101801 (Phase Ib)• Subjects with PTCL NOS, PTCL AITL, Nodal PTCL with TFH and PTCL FTCL
Primary Outcome Measures
NameTimeMethod
To determination of the MTD and RDE based on DLTs during Cycle 1 (Phase Ia )From baseline to Week 4

The recommended dose is determined by the number of patients who experience a dose limiting toxicity (DLT).

Number of Participants With Adverse Events (AE) as a Measure of Safety and Tolerability of BR101801 when administered at the MTD or recommended dose (Phase Ia and Ib)through study completion, and about average of 1 year

To evaluate safety and tolerability the aggregate review will include but is not limited to:

* CTCAE TEAEs, treatment-related TEAEs, Grade 3 or higher TEAEs, Grade 3 or higher treatment-related TEAEs, serious treatment-related TEAEs, and TEAEs leading to death.

* Laboratory results;

* Vital signs;

* ECGs;

* Physical examination

* ECOG performance status

Secondary Outcome Measures
NameTimeMethod
CmaxCycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15

Maximum concentration obtained directly from the observed concentration versus time data.

AeCycle 1( each cycle is 28 days)Day 15, Pre-dose to 12 hours for BID dosing and Pre-dose to 24 hours for QD dosing

Cumulative amount of unchanged drug excreted in urine

AUC(0-inf)Cycle1( each cycle is 28 days) Day 1

Area under the plasma concentration-time curve from time zero extrapolated to infinity, calculated by linear up/log down trapezoidal summation

AUC(0-last)Cycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15, Pre-dose to 24 hours after dosing

Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration

AUC(0-tau)Cycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15, dosing interval: 24 or 12 hours

Area under the plasma concentration-time curve from time zero during a dosing interval

Trial Locations

Locations (9)

Henry Ford Hospital

🇺🇸

Detroit, Michigan, United States

National Cancer Center

🇰🇷

Goyang-si, Gyeonggi-do, Korea, Republic of

Seoul National University Bundang Hospital

🇰🇷

Seongnam-si, Gyeonggi-do, Korea, Republic of

Chonnam National University Hwasun Hospital

🇰🇷

Hwasun, Jeollanam-do, Korea, Republic of

Inje University Busan Paik Hospital

🇰🇷

Busan, Korea, Republic of

Asan Medical Center

🇰🇷

Seoul, Korea, Republic of

Samsung Medical Center

🇰🇷

Seoul, Korea, Republic of

Seoul national university hospital

🇰🇷

Seoul, Korea, Republic of

Severance Hospital, Yonsei University Health System

🇰🇷

Seoul, Korea, Republic of

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