Phase I Study of FXS0683 in the Treatment of Blood Tumors

Trial statusNot yet recruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorShanghai Fosun Pharmaceutical Industrial Development Co. Ltd.

About this trial

This is a first-in-human, multicenter, open-label, single-arm Phase I study of FXS0683 in participants with relapsed or refractory hematologic malignancies to evaluate safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity, and to determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D).

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Voluntary participation in the clinical trial and signing of the ICF.

Age ≥ 18 years, regardless of gender.

Dose escalation phase: Patients with mature B-cell malignancies diagnosed per the 2017 WHO classification who have failed standard therapies and have no appropriate treatment options. Dose expansion phase: Patients with B-cell lymphoma (2017 WHO), myeloid malignancies (2022 WHO), or acute lymphoblastic leukemia.

Dose escalation phase: Evaluable disease. Dose expansion phase: For B-cell lymphoma, at least one measurable lesion per Lugano 2014 criteria.

Disqualifiers

Burkitt lymphoma/leukemia, plasma cell myeloma, or plasmablastic lymphoma.

Acute promyelocytic leukemia (APL) or BCR-ABL positive AML patients, or patients with a history of myeloproliferative neoplasms (MPN).

Use of cytotoxic agents, investigational drugs, or other antitumor therapies within 14 days or 5 half-lives prior to the first dose; or immunotherapy, antibody-based or peptide-based therapies, or live vaccines within 4 weeks prior to the first dose.

Patients who received any therapeutic surgery other than diagnosis, biopsy, or drainage within 4 weeks before the first dose, or patients expected to undergo major surgery during the study. Patients who underwent drainage or placement of drainage tubes within 4 weeks before the first dose must have symptoms/signs alleviated and not require prophylactic or therapeutic antibiotics.

Trial design

Design model

Single group

Treatments tested in this trial

  • FXS0683

    Biological/Vaccine

    FXS0683 is a potent and highly selective BCL-2 inhibitor

Treatment groups

228 Participants
are divided into 1 treatment group
Group A: FXS0683Experimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Number of participants with DLTs

A DLT is defined as any adverse event or laboratory abnormality occurring during the DLT observation period that is assessed as at least possibly related to FXS0683 and meets pre-specified DLT criteria, graded per NCI-CTCAE Version 6.0.

Time frame
At the end of Cycle 1 (each cycle is 28 days).
2

MTD and/or RP2D

The MTD and/or RP2D will be determined based on the overall assessment of safety, tolerability, PK, and preliminary efficacy data.

Time frame
Up to approximately 3 years.

Secondary outcomes

1

Incidence and Severity of Adverse Events and Clinically Significant Safety Findings

Adverse events (AEs) will be summarized, and severity will be graded according to NCI-CTCAE Version 6.0.

Time frame
From first dose of study drug until 30 days after the last dose.
2

Objective Response Rate (ORR) Of FXS0683 Monotherapy

ORR will be assessed according to disease-specific response criteria (e.g., Lugano 2014, iwCLL 2018, ELN 2022, or IWG 2006), as applicable.

Time frame
Up to approximately 3 years.

Other outcomes

Sponsors and contacts

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