Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This will be a phase 1, open-label, dose-escalation and expansion, FIH trial to evaluate the safety, tolerability, PK, PD, and preliminary efficacy of JBZ-001, a DHODH inhibitor, in patients with refractory solid and hematological malignancies. The study design includes two independent parts: dose escalation in solid tumors and NHL (Part 1), and up to four indication expansions in selected solid tumor types and NHL (Part 2). The dose escalation will enroll patients with solid tumors and NHL following a standard "3+3" design enrolling a minimum of 3 and up to 6 patients per dose level.
A phase 1, open-label, dose-escalation and expansion, FIH trial to evaluate the safety, tolerability, PK, PD, and preliminary efficacy of JBZ-001, a DHODH inhibitor, in patients with refractory solid and hematological malignancies. The study will enroll patients with solid tumors and NHL. The study design includes two independent parts: dose escalation in solid tumors and NHL (Part 1), and up to four indication expansions in selected solid tumor types and NHL (Part 2). The dose escalation will enroll patients with solid tumors and NHL following a standard "3+3" design enrolling a minimum of 3 and up to 6 patients per dose level. Single-patient efficacy signals (i.e. CR or PR) may be followed in an efficacy-signal dose expansion cohort of up to 10 patients on any given dose level with the same tumor type. In addition to dose-limiting toxicity (DLT) evaluation during dose escalation, a Bayesian safety monitoring rule will be used to evaluate the rate of DLTs during cohort expansions. The study includes subgroup-specific eligibility criteria, DLTs, safety and efficacy monitoring, and other indication-relevant aspects. Patients with clinical benefit may be treated until disease progression or toxicity.
The primary objective is to evaluate the safety and tolerability and establish an OBD of single agent JBZ-001 in patients with solid tumors and NHL. Secondary objectives include efficacy endpoints and the PK of single agent JBZ-001. To characterize the JBZ-001 single dose PK profile, the patients enrolled in the first dose level will first receive a single dose of JBZ-001 followed by one-week off-drug (Cycle 0). Exploratory objectives include correlative studies of plasma cell expression of CD38, CD47, and other markers.
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Cohort 1 | Experimental | 1~6 subjects in this cohort will receive 1 dose 5 mg orally. |
|
| Experimental Cohort 2 | Experimental | 1~6 subjects in this cohort will receive 1 dose 10 mg orally daily |
|
| Experimental Cohort 3 | Experimental | 1~6 subjects in this cohort will receive 1 dose of 17.5 mg orally daily |
|
| Experimental Cohort 4 | Experimental | 1~6 subjects in this cohort will receive 1 dose of 25 mg orally daily |
|
| Experimental Cohort 5 | Experimental | 1~6 subjects in this cohort will receive 1 dose of 32.5 mg orally daily |
|
| Experimental Cohort 6 | Experimental | Arm Description: 1~6 subjects in this cohort will receive 1 dose 45mg |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| JBZ-001 | Drug | JBZ-001 Oral Capsule |
|
| Measure | Description | Time Frame |
|---|---|---|
| Occurrence of all adverse events | Evaluation of adverse events | 28 Days |
| Maximum tolerated dose (MTD) | MTD will be defined as the maximum dose level at which no more than 1 of 3 participants experience a dose-limiting toxicity (DLT) within the first 33days of multiple dosing. | 28 days |
| Phase II dose (RP2D) | The number and proportion of patients experiencing at least 1 dose-limiting toxicity (DLT) will be used as the primary measure to evaluate the RP2D | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum plasma concentration (Cmax) | Pharmacokinetic (PK) parameters after a single oral dose & multiple doses | 28 days |
| Time to Cmax (tmax) | Pharmacokinetic (PK) parameters after a single oral dose & multiple doses |
Not provided
Inclusion Criteria:
Participant must be ≥18 years of age, at the time of signing the informed consent.
Dose escalation and expansion:
Measurable/evaluable disease or documented relapse, respectively, relevant for tumor type as follows:
Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.
All previous anti-cancer therapy-related AEs should have resolved to grade 1 or baseline value with the exception of alopecia and stable, treated endocrine toxicities of immune checkpoint inhibitors (ICIs) Note: Subjects with irreversible toxicity that in the opinion of the treating physician is not reasonably expected to be exacerbated by the investigational product may be included (e.g., hearing loss, hormone deficiency requiring replacement therapy) -
Exclusion Criteria:
Known hypersensitivity to JBZ-001 or any of its excipients
Corrected interval between Q and T wave on ECG (QTc) ≥ 470 msec using Fredericia's formula.
Has significant and symptomatic cardiovascular disease (such as congestive heart failure New York Heart Association class III or higher, myocardial infarction, cerebrovascular disease, unstable angina, unstable arrhythmia) within the 3 months prior to first dose of JBZ-001.
Has another malignant disease requiring treatment, with the exception of curatively treated malignancies or malignancies with very low potential for recurrence or progression.
For solid tumor subjects:
Known active HIV infection on antiretroviral therapy. Note: Testing is not required for eligibility.
Known active infection with hepatitis B or hepatitis C. Note: Testing is not required for eligibility.
Any other active infection requiring systemic therapy.
Major surgery (excluding procedures to stabilize the vertebrae) within 4 weeks or minor surgery within 2 weeks prior to first dose of JBZ-001.
Has a history of GI surgery or other procedures that might interfere with the absorption or swallowing of the study drug.
History or clinical evidence of any medical condition which the investigator judges as likely to interfere with the results of the study, poses an additional risk in participating, or makes the subject unlikely to comply with the study-related visits and assessments.
Female participants: pregnant or breastfeeding.
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Steve Kaesshaefer | Contact | +1 973 715 2917 | Steve.Kaesshaefer@bexonclinical.com |
| Name | Affiliation | Role |
|---|---|---|
| Zuzana Jirakova, MD PhD | Jabez Biosciences, Inc | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Ohio State University | Recruiting | Columbus | Ohio | 43210 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D008223 | Lymphoma |
| D008228 | Lymphoma, Non-Hodgkin |
| ID | Term |
|---|---|
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| 28 days |
| Area under the serum concentration-time curve (AUC[0-t] | Pharmacokinetic (PK) parameters after a single oral dose & multiple doses | 28 days |
| Area under the serum concentration-infinity curve AUC[0-infinity] | Pharmacokinetic (PK) parameters after a single oral dose & multiple doses | 28 days |
| Apparent terminal phase half-life (t1/2) | Pharmacokinetic (PK) parameters after a single oral dose | 28 days |
| Overall Response Rate (ORR) | The proportion of patients with complete response (CR) and partial response (PR) | up to 1 year(anticipated) |
| Duration of response (DoR) | The time from the date when the measurement criteria were met for complete or partial response (whichever occurred first) until the date of the first observed Progression Disease or death as a result of any cause. | up to 1 year(anticipated) |
| Progression-free survival (PFS) | The time the patient is enrolled to the date of any recorded disease progression or the death of any cause. | up to 1 year(anticipated) |
| Time to Progression (TTP) | The time from clinical remission to disease progression. | up to 1 year(anticipated) |
| START Mountain Region | Recruiting | West Valley City | Utah | 84119 | United States |
|
| D006425 | Hemic and Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |