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A Study to Investigate the Efficacy and Safety of MS-553 in CLL/SLL

Phase 1
Terminated
Conditions
Lymphocytic Leukemia
Small Lymphocytic Lymphoma
Interventions
Registration Number
NCT05272813
Lead Sponsor
Shenzhen MingSight Relin Pharmaceuticals Co., Ltd.
Brief Summary

This is a Phase I/II, single arm, multi-center, open-label clinical trial of MS-553 in patients with CLL/SLL whose disease relapsed after or was refractory to at lease 1 prior therapy (chemotherapy and/or targeted drug therapy, which must include BTK inhibitor therapy) and who are indicated for treatment per IWCLL2018.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
13
Inclusion Criteria
  • Age 18 years or older, male or female.
  • Diagnosis of CLL/SLL per IWCLL2018 criteria.
  • Patients with relapsed or refractory CLL/SLL who have failed at least 1 prior therapy (chemotherapy and/or targeted drug therapy, which must include BTK inhibitor therapy), are indicated for treatment per IWCLL2018.
  • Measurable lesions detected by contrast-enhanced computed tomography (CT): at least one lymph node with a maximum axis of more than 1.5 cm and one measurable vertical dimension.
  • WHO/ECOG performance status of 0 to 2.
  • Patients with an estimated survival of more than 3 months.
Exclusion Criteria
  • Biopsy-proven and pathologically confirmed current or past transformation to Richter's syndrome.

  • Patients with active and uncontrolled autoimmune cytopenia, including autoimmune hemolytic anemia and idiopathic thrombocytopenic purpura.

  • Patients who have received any of the following treatments within 14 days prior to the first dose:

    • Major surgery;

    • Glucocorticoids (at a dose equal to or greater than 20 mg/day prednisone or equivalent), unless used by inhalation, topical or intraarticular route, or unless necessary for premedication before and after iodinated contrast dye. After discussion with the Sponsor, steroid therapy at high doses for an extended period may be allowed under the following circumstances:

      1. Treatment of autoimmune hemolysis or autoimmune thrombocytopenia associated with CLL/SLL;
      2. Short-term (within 14 days) use to treat inactive infections of diseases unrelated to CLL/SLL (e.g. arthritis, asthma), which results in acute exacerbation, including steroid dose modifications required for adrenal insufficiency;
    • Cytotoxic chemotherapy or biologic therapy, excepting BCR pathway kinase inhibitors for which a washout of 24 hours prior to the first dose is required.

  • Toxicity from prior anti-tumor therapy (chemotherapy, radiotherapy, or biotherapy) did not restore to ≤ Grade 1 (except for alopecia); atrial fibrillation from prior treatment with BTK inhibitors did not restore to ≤ Grade 2.

  • Central nervous system (CNS) leukemia or lymphoma, including a history of asymptomatic, previously treated CNS disease.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Arm && Interventions
GroupInterventionDescription
MS-553 Mid Dose-1MS-553MS-553 Mid Dose-1 PO BID
MS-553 Mid Dose-2MS-553MS-553 Mid Dose-2 PO BID
MS-553 High DoseMS-553MS-553 High Dose PO BID
MS-553 Low DoseMS-553MS-553 Low Dose PO BID
Primary Outcome Measures
NameTimeMethod
Incidence of dose limiting toxicities28 days
Secondary Outcome Measures
NameTimeMethod
Overall response rateup to 24 months
Time to tumor responseDuring intervention
Progression free survivalDuring intervention
Disease control rateDuring intervention
Assessment of minimal residual diseaseDuring intervention
Incidence and severity of adverse eventsAssessed throughout the study from the time of first dose of study drug until 30 days after the patient's last dose of study drug or until the event has resolved, stabilized, or an outcome reached, whichever comes first regardless of timing of EoT visit
Overall survivalDuring intervention

Trial Locations

Locations (1)

Peking University People's Hospital

🇨🇳

Beijing, Xicheng District, China

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