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Trial Title: Study of AXT-1003 in Subjects With Advanced Malignant Tumors.

NCT ID: NCT06484985

Condition: Non-Hodgkin Lymphoma
Advanced Solid Tumor

Conditions: Official terms:
Lymphoma, Non-Hodgkin
Neoplasms

Conditions: Keywords:
AXT-1003
EZH2
Phase I
Advanced malignancies

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: N/A

Intervention model: Single Group Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: AXT-1003
Description: AXT-1003 capsule is administered orally daily, until disease progression or intolerable toxicity.
Arm group label: AXT-1003

Summary: This is a Phase I study of AXT-1003 to assess the safety, tolerability, and pharmacokinetics in patients with advanced malignancies.

Detailed description: AXT1003-1102 is a multicenter, open-label, Phase I safety study of AXT-1003 in patients with advanced malignancies. It is designed to observe the safety of AXT-1003 in patients with advanced malignancies, determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D), evaluate the pharmacokinetic profile, and explore the preliminary antitumor activity.

Criteria for eligibility:
Criteria:
Inclusion Criteria: 1. For Ia dose escalation part only: R/R NHL: Locally histopathological diagnosis of relapsed/refractory non-Hodgkin lymphoma (R/R NHL), who have progressed or been intolerant after the available standard therapies, or have no access to the standard therapies. Advanced solid tumors: Locally histopathological diagnosis of locally advanced unresectable and metastatic solid tumors,The above subjects have progressed or been intolerant after the available standard therapies, or have no access to the standard therapies. For Ib dose expansion part only: Subjects with relapsed/refractory peripheral T-cell lymphoma (R/R PTCL) 2. Eastern Cooperative Oncology Group (ECOG) performance status scale 0 to 1. 3. Have a life expectancy of at least 3 months. 4. For Ib dose expansion part and not mandatory for Ia dose escalation part: Subjects with R/R NHL must have measurable lesions as defined by Lugano 2014 criteria. Subjects with advanced solid tumors must have measurable or evaluable lesions as defined by RECIST 1.1. 5. Adequate organ and bone marrow functions. 6. The adequate washout period for prior therapy . 7. Subjects must use a highly effective contraception method throughout the study and for 3 months after discontinuation of the study drug. 8. Signed ICF and willing to comply with all the requirements in the protocol. Exclusion Criteria: 1. Received treatment with compounds with the same mechanism of action (EZH2 inhibitor, EZH1/EZH2 inhibitor etc.). 2. Diagnosis of precursor B-cell lymphoblastic leukemia/lymphoma, precursor T-cell lymphoblastic leukemia/lymphoma, precursor NK cell lymphoblastic leukemia/lymphoma. Diagnosis of chronic lymphocytic leukemia (CLL), small lymphocytic lymphoma (SLL). 3. Central nervous system infiltration. 4. Uncontrolled or significant cardiovascular disease. 5. Major surgery within 4 weeks before the first dose of study drug. 6. Known or suspected hypersensitivity to AXT-1003 or any of the excipients. 7. Inability to take oral medication, or malabsorption syndrome or any other uncontrolled gastrointestinal condition (e.g., nausea, diarrhea, or vomiting) that might impair the bioavailability of AXT-1003. 8. History of other malignancies prior to enrollment; except for subjects with basal cell carcinoma of skin, squamous cell carcinoma of skin, cervical carcinoma in situ, or other carcinomas in situ who have undergone possible curative treatment and do not have disease recurrence within 5 years since starting the treatment. 9. Any prior treatment-related clinically significant toxicities that have not resolved to Grade ≤ 1 or prior treatment-related toxicities that are clinically unstable and clinically significant at time of enrollment. 10. Active infection requiring systemic treatment. 11. Infection with hepatitis B virus with positive hepatitis B surface antigen, or hepatitis C virus with detectable anti-hepatitis C circulating viral RNA. 12. Subjects known to be infected with human immunodeficiency virus and active tuberculosis. 13. Females who are pregnant or breastfeeding.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Beijing Cancer Hospital

Address:
City: Beijing
Country: China

Status: Recruiting

Facility:
Name: Hunan Cancer Hosptial

Address:
City: Changsha
Country: China

Status: Not yet recruiting

Facility:
Name: Fujian Cancer Hospital

Address:
City: Fuzhou
Country: China

Status: Not yet recruiting

Facility:
Name: Sun Yat-Sen University Cancer Center

Address:
City: Guangzhou
Country: China

Status: Not yet recruiting

Facility:
Name: Fudan University Shanghai Cancer Center

Address:
City: Shanghai
Country: China

Status: Recruiting

Start date: September 4, 2024

Completion date: September 2027

Lead sponsor:
Agency: Axter Therapeutics (Beijing) Co., Ltd
Agency class: Industry

Source: Axter Therapeutics (Beijing) Co., Ltd

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06484985

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