A Study of NX-2127 in Adults With Relapsed/Refractory B-cell Malignancies

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorNurix Therapeutics, Inc.

About this trial

This is a first-in-human Phase 1a/1b multicenter, open-label oncology study designed to evaluate the safety and anti-cancer activity of NX-2127 in patients with advanced B-cell malignancies.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Patients must be ≥ 18 years of age

Patients must have measurable disease per disease-specific response criteria

Patients with indolent forms of NHL must meet the criteria requiring systemic treatment (i.e., iwCLL, IWG, Lugano Classification of Lymphoma response criteria, or International PCNSL Collaborative Group response criteria)

Patients with transformed lymphoma are eligible for the study with the exception of those detailed in

Disqualifiers

Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 (non-PCNSL indications) or 0 - 2 (PCNSL patients)

Adequate organ and bone marrow function

Patients of child-bearing potential must use adequate contraceptive measures to avoid pregnancy for the duration of the study as defined in the protocol

Have histologically confirmed R/R CLL, SLL, WM, MCL, and MZL, FL, DLBCL, or PCNSL

Trial design

Design model

Sequential

Treatments tested in this trial

  • NX-2127

    Drug

    Oral NX-2127

Treatment groups

248 Participants
are divided into 11 treatment groups

11

Treatment groups

See each treatment group below.

Group A: Phase 1a Dose EscalationExperimental treatment 1 intervention
Group B: Phase 1b Dose Optimization Stage 1 in CLL or SLL (Dose A)Experimental treatment 1 intervention
Group C: Phase 1b Dose Optimization Stage 1 in MCL (Dose A)Experimental treatment 1 intervention
Group D: Phase 1b Dose Optimization Stage 1 in FL, MZL or WM (Dose A)Experimental treatment 1 intervention
Group E: Phase 1b Dose Optimization Stage 1 in DLBCL (Dose A)Experimental treatment 1 intervention
Group F: Phase 1b Dose Optimization Stage 1 in PCNSL (Dose A)Experimental treatment 1 intervention
Group G: Phase 1b Dose Optimization Stage 2 in CLL or SLL (Randomized to Dose A or Dose B)Experimental treatment 1 intervention
Group H: Phase 1b Dose Optimization Stage 2 in MCL (Randomized to Dose A or Dose B)Experimental treatment 1 intervention
Group I: Phase 1b Dose Optimization Stage 2 in FL, MZL or WM (Randomized to Dose A or Dose B)Experimental treatment 1 intervention
Group J: Phase 1b Dose Optimization Stage 2 in DLBCL (Randomized to Dose A or Dose B)Experimental treatment 1 intervention
Group K: Phase 1b Dose Optimization Stage 2 in PCNSL (Randomized to Dose A or Dose B)Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Number of Participants with Protocol Specified Dose-Limiting Toxicities

Phase 1a

Time frame
Up to 24 months
2

To establish the MTD and/or recommended Phase 1b dosage(s) of NX-2127

Phase 1a

Time frame
Up to 24 months
3

To evaluate the clinical activity of NX-2127 at the recommended Phase 1b dosage(s) based on overall response rate (ORR) as assessed by the Investigator

Phase 1b

Time frame
Up to 4 years
4

Number of Participants with Adverse Events and Clinical Laboratory Abnormalities

Phase 1a/1b

Time frame
Up to 5 years

Secondary outcomes

1

Pharmacokinetic (PK) Profile of NX-2127: Maximum Serum Concentration

Phase 1a/1b - Sampling following the first dose, pre and post-dose at selected cycles, and at the end of treatment

Time frame
Up to 5 years
2

Duration of response (DOR) as assessed by the Investigator

Phase 1a/1b

Time frame
Up to 5 years
3

Progression-free survival (PFS) as assessed by the Investigator

Phase 1a/1b

Time frame
Up to 5 years
4

Overall survival (OS) as assessed by the Investigator

Phase 1b

Time frame
Up to 4 years

Other outcomes

Sponsors and contacts

Click on the lead sponsor to view all of their trials.