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Study terminated early due to business decision.
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ZX-101A-101 is a Phase 1/2a, first-in-human, open-label, multicenter, multiple-ascending dose study to investigate the safety, tolerability, pharmacokinetics, pharmacodynamic, and preliminary antitumor activity of ZX-101A administered orally (PO) once daily (QD) in 28-day cycles in patients with relapsed/resistant or refractory advanced hematologic malignancies [Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL), indolent NHL, and other NHL subtypes).](streamdown:incomplete-link)
The ZX-101A-101 study will consist of 2 parts:
The Part 1 (dose escalation) of the study is designed to determine the safety and tolerability of ZX-101A administered orally once daily in 28-day cycles. The Part 2 (dose expansion) of the study is designed to further investigate the safety, tolerability, pharmacokinetics and pharmacodynamic and clinical activities of ZX-101A administered orally once daily in 28-day cycles at the selected recommended Phase 2 dose (RP2D).
Results of clinical findings in patients in the dose-escalation portion of the study will be reviewed to identify conditions (or genetic characteristics) most likely to respond to ZX-101A. These select types of hematologic malignancies will be enrolled in cohorts in the dose-expansion part of the study.
Male or female patients who are 18 years of age or older with relapsed/resistant or refractory advanced hematologic malignancies (CLL/SLL, iNHL, and other NHL subtypes) will be included in the study provided that all inclusion and exclusion criteria are satisfied.
Up to three cohorts are planned in Part 2 - Dose Expansion of the study: 1) relapsed/resistant or refractory Chronic Lymphocytic Leukemia (CLL)/Small Lymphocytic Lymphoma (SLL), 2) relapsed/resistant or refractory indolent Non- Hodgkin's Lymphoma (iNHL), and based on emerging data from Part 1-Dose Expansion, a third cohort consisting of other types of NHL may be included.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| ZX-101A Dose Level 1 | Experimental | Starting dose (SD) of ZX-101A administered orally once daily in a 28-day cycle |
|
| ZX-101A Dose Level 2 | Experimental | 2-times the SD of ZX-101A administered orally once daily in a 28-day cycle |
|
| ZX-101A Dose Level 3 | Experimental | 3-times the SD of ZX-101A administered orally once daily in a 28-day cycle |
|
| ZX-101A Dose Level 4 | Experimental | 4-times the SD of ZX-101A administered orally once daily in a 28-day cycle |
|
| ZX-101A Dose Level 5 | Experimental | 5-times the SD of ZX-101A administered orally once daily in a 28-day cycle |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| ZX-101A | Drug | Once daily, oral dosing of ZX-101A at the assigned dose level for 28 consecutive days in a 28-day cycle |
|
| Measure | Description | Time Frame |
|---|---|---|
| Defining the recommended Phase 2 dose (RP2D) of ZX-101A. | To assess number of patients experiencing dose-limiting toxicities (DLTs) in Part 1. | From Day 1 of Cycle 1 through the end of the DLT evaluation period (28 days for the first two Dose Levels and 84 days for Dose Levels 3, 4 and 5); each cycle is 28 days. |
| Safety and tolerability of ZX-101A | To examine the incidence of clinical and laboratory adverse events after multiple doses of ZX-101A in Parts 1 and 2 | From first dose of ZX-101A through 28 days after the last ZX-101A treatment (up to 2 years); each cycle is 28 days. |
| Measure | Description | Time Frame |
|---|---|---|
| Peak Plasma Concentration of ZX-101A | To evaluate the maximum observed concentration (Cmax) after single and repeated oral, once daily doses of ZX-101A | Days 1, 2, 15 and 16 of Cycle 1 (each cycle is 28 days), and Day 1 of Cycle 3 and Cycle 5 |
| Area under the plasma concentration of ZX-101A |
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Inclusion Criteria:
Exclusion Criteria:
Other inclusion and exclusion criteria may apply.
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| Name | Affiliation | Role |
|---|---|---|
| Xiaolin Qin, PhD | Zenshine Pharmaceutical, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Banner MD Anderson Cancer Center | Gilbert | Arizona | 85234 | United States | ||
| ACRC/Arizona Clinical Research Center, Inc. |
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To evaluate the area under the curve (AUC) plasma-concentration after single and repeated oral, once daily doses of ZX-101A |
| Days 1, 2, 15 and 16 of Cycle 1 (each cycle is 28 days), and Day 1 of Cycle 3 and Cycle 5 |
| Half-life of ZX-101A | To evaluate the half-life of ZX-101A after single and repeated oral, once daily doses of ZX-101A | Days 1, 2, 15 and 16 of Cycle 1 (each cycle is 28 days), and Day 1 of Cycle 3 and Cycle 5 |
| Phospho-AKT (p-AKT) levels in whole blood | To evaluate the differences phospho-AKT (p-AKT) levels in whole blood before and after single oral dose of ZX-101A. | Days 1 and 2 of Cycle 1 (each cycle is 28 days) |
| Objective response rate (ORR) | To evaluate the objective response rate (ORR) as determined by the specific disease response criteria | Up to 2 years |
| Duration of response (DoR) | To examine the duration of response (DoR), defined as time from the date of first documentation of response to the date of the first documentation of progressive disease (PD), or death due to any cause | Up to 2 years |
| Progression free survival (PFS) | To examine the the progression free survival (PFS), defined as time from the date of first dose of study treatment to the first date of documentation of PD, or death due to any cause | Up to 2 years |
| Overall survival (OS) | To examine the overall survival (OS), defined as time from the date of first dose of study treatment to death due to any cause | Up to 2 years |
| Tucson |
| Arizona |
| 85715 |
| United States |
| Innovative Clinical Research Institute | Long Beach | California | 90804 | United States |
| New Jersey Center for Cancer Research | Brick | New Jersey | 08724 | United States |
| University of Toledo Precision Oncology Research | Toledo | Ohio | 43614 | United States |
| Seattle Cancer Care Alliance | Seattle | Washington | 98109 | United States |
| ID | Term |
|---|---|
| D008228 | Lymphoma, Non-Hodgkin |
| D015451 | Leukemia, Lymphocytic, Chronic, B-Cell |
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D015448 | Leukemia, B-Cell |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D006402 | Hematologic Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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