Clinical trial • Phase I/II • Oncology

EMAVUSERTIB for Primary central nervous system lymphoma | Relapsed or refractory hematologic malignancy

Phase I/II trial of EMAVUSERTIB for Primary central nervous system lymphoma | Relapsed or refractory hematologic malignancy.

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Primary central nervous system lymphoma | Relapsed or refractory hematologic malignancy
Trial Stage
Phase I/II
Drug Modality
Small molecule|Small molecule

Key dates

Initial CTIS Submission Date
27-05-2024
First CTIS Authorization Date
01-07-2024

Trial design

Randomised, open-label, emavusertib (ca-4948) monotherapy; ibrutinib monotherapy; emavusertib (ca-4948) + ibrutinib combination. doses and schedules not specified in the available ctis record.-controlled, crossover, adaptive Phase I/II trial in France, Poland, Czechia and others.

Randomised
Yes
Open Label
Yes
Comparator
Emavusertib (CA-4948) monotherapy; Ibrutinib monotherapy; Emavusertib (CA-4948) + Ibrutinib combination. Doses and schedules not specified in the available CTIS record.
Adaptive
True, dose-escalation and dose-expansion design with evaluation of DLTs, determination of MTD and recommended Phase 2 dose (RP2D); escalation rules and DLT assessment used to inform dose escalation and expansion.
Crossover
Yes
Single Multiple Or Escalation Dose Combined
Yes
Target Sample Size
83

Eligibility

Recruits 83 Vulnerable population selected. "Legally authorized representatives may sign and give informed consent on behalf of study participants." Subject information and informed consent forms and specific consent documents (including legal representative ICF and pregnancy/pregnant partner ICF) are provided in multiple languages per country..

Pregnancy Exclusion
Part A2 (17) + Part B and C (21) . Pregnant or lactating
Vulnerable Population
Vulnerable population selected. "Legally authorized representatives may sign and give informed consent on behalf of study participants." Subject information and informed consent forms and specific consent documents (including legal representative ICF and pregnancy/pregnant partner ICF) are provided in multiple languages per country.

Inclusion criteria

  • {"criterion_text":"- Part A2+B+C. 01. Males and females >= 18 years of age\n- Part B+C. 09. CPK < 2.5× ULN\n- Part A2+B+C. 02. Life expectancy of ≥ 3 months\n- Part A2. 07. Must have recovered from toxicity after any prior autologous stem cell transplants or CAR-T cell therapy, and must have disease progression prior to initiation of study treatment\n- Part B+C. 10. For patients on a cholesterol-lowering agent that has been associated with CPK elevations, such as statins or fibrates, the agent should be discontinued or reduced to the lowest dose possible.\n- Part A2. 03. ECOG Performance Status of ≤ 1\n- Part A2. 04. Diagnosis of histopathologically confirmed B-cell NHL, as per the WHO 2016 classification (Swerdlow et al. 2016). Eligible NHL subtypes include follicular lymphoma, MZL, MCL, DLBCL (including extranodal lymphomas of leg-, testicular-, or NOS [not otherwise specified]-type), and primary or secondary central nervous system (CNS) lymphoma. NOTE: Once a dose has been shown not to exceed the MTD in NHL patients, other hematological malignancies can be considered for enrollment in specific malignancies that have been approved by the CSC and Sponsor. Patients with MCL or MZL should meet clinical criteria for requiring treatment of their disease.\n- Part A2. 05. Relapsed or refractory disease (as defined below) for which patients are ineligible for or have exhausted standard therapeutic options that would be considered standard of care. a. Relapsed NHL is per Revised Response Criteria for Malignant Lymphoma and as documented by excisional/incisional biopsy (preferred) or FNA or CNB as PD after a CR, PR, or stable disease. NOTE: For confirmation of documented relapse during prior treatment, biopsy/FNA of the lymphoma at Screening is recommended but not mandatory. b. Refractory NHL is defined for all eligible NHL by PD (per Revised Response Criteria for Malignant Lymphoma) during prior treatment or failure to achieve an objective response on prior treatment. NOTE: Biopsy (preferred) or FNA at Screening is recommended but not mandatory.\n- Part A2. 06. Measurable disease: Defined as CT scan showing at least 1 clearly demarcated lymph node(s) with a long axis > 1.5 cm and short axis > 1.0 cm or 1 clearly demarcated extranodal lesion(s) with a long axis > 1.0 cm and short axis > 1.0 cm. All lesions must have a maximum diameter of < 10 cm.\n- Part C 05. Patients must have failed a total of 1 systemic line of prior anti-PCNSL therapy, which must have contained methotrexate.\n- Part A2. 08. Acceptable marrow and organ function at Screening as described below: a.ANC ≥ 1,000/µL* b.Platelet count ≥ 50,000/µL without transfusion within 1 week prior to start of study treatment* c. SCr ≤ 1.5× ULN or a calculated creatinine clearance ≥ 30 mL/min according to Cockcroft Gault formula (using actual body weight) or by 24-hour urine collection d. AST or ALT ≤ 2× ULN e. Total bilirubin ≤ 1.5× ULN or ≤ 3 × ULN in patients with documented Gilbert’s syndrome *NOTE: For patients with bone marrow involvement of their disease, eligibility will be determined following discussion between Investigator and Sponsor Medical Monitor\n- Part A2. 13. CPK Grade < 2\n- Part A2 (10)+ Part B (13)+ Part C (13). Negative serum pregnancy test in WOCP\n- Part A2 (09) + Part B (12) + Part C (12) . Ability to swallow and retain oral medications\n- Part B+C. 07 Patients must be able to tolerate lumbar punctures or Ommaya taps.\n- Part B+C. 16. Any toxicity caused by prior anti-cancer therapies must have recovered to Grade ≤1 with the exception of neurotoxicity and post-transplant cytopenias following a discussion with the Sponsor Medical Monitor.\n- Part A2 (11)+ Part B (14)+ Part C (14). WOCP and men who partner with a WOCP must agree to use highly effective contraceptive methods for the duration of the study and for 3 months after the last dose of study treatment.\n- Part A2. 12. Willing and able to provide written informed consent and comply with the requirements of the trial\n- Part B+C. 04. Histopathologically confirmed diagnosis of PCNSL (medical record is acceptable). Cerebral biopsies are not required if imaging reveals typical images of PCNSL. a.\tPatients with parenchymal lesions must have unequivocal evidence of disease progression (e.g., presence of at least 1 measurable target lesion [≥ 10 mm and ≤ 40 mm in the longest diameter on brain MRI or head CT]) on imaging within 28 days prior to Cycle 1 Day 1. In cases where the tumor size is smaller but still measurable and located at a critical CNS location, disabling the patient and/or causing symptoms, this patient may be eligible following a discussion with the Sponsor Medical Monitor. b.\tFor patients limited to leptomeningeal involvement, CSF analysis (cytology and/or flow cytometry) with or without additional imaging (MRI) of the spine as clinically indicated is required to document abnormal cells within 28 days prior to Cycle 1 Day 1.\n- Part A2. 14. Patients on a cholesterol lowering statin must be on a stable dose with no changes within 3 weeks prior to study start\n- Part B+C. 08. Acceptable organ function at Screening within 28 days prior to Cycle 1 Day 1 as described below: a. ANC ≥ 1000/µL. b. Platelet count ≥ 75,000/µL without transfusion or ≥ 50,000/µL after prior CAR T-cell treatment. c. Estimated creatinine clearance of ≥ 35 mL/min (Appendix M). d. Hemoglobin ≥ 9.0 g/dL and without red blood cell (RBC) transfusion. e. International normalized ratio (INR) ≤ 1.5 and activated partial thromboplastin time (aPTT) ≤ 1.5× ULN. f.\tAST and ALT ≤ 2 × ULN. g. Total bilirubin ≤ 1.5 × ULN or ≤ 3 × ULN in patients with documented Gilbert syndrome.\n- Part B+C. 03. ECOG Performance Status of 0, 1, or 2.\n- Part B. 05. Relapsed or refractory to a systemic frontline chemotherapy (e.g., high-dose methotrexate-based therapies) AND no more than a total of 3 lines of prior anti-PCNSL therapies (patients with 4 prior lines of therapy may be allowed after consultation with the Sponsor Medical Monitor) AND the following: a. For Cohort 1 as of protocol v11.0, must have direct progression on a BTKi (administered as monotherapy or in combination). b. For Cohort 2, must have direct progression on a BTKi (administered as monotherapy or in combination).\n- Part B+C. 06. Patients must be able to tolerate gadolinium-enhanced MRI or contrast-enhanced CT if MRI is not possible following a discussion with the Sponsor Medical Monitor.\n- Part B+C. 11. For patients on corticosteroids, a stable dose of ≤ 8 mg dexamethasone (or equivalent) per day is acceptable.\n- Part B+C. 15. Ability to understand and willingness to sign a written informed consent document. Legally authorized representatives may sign and give informed consent on behalf of study participants."}

Exclusion criteria

  • {"criterion_text":"- Part A2. 01. Patients with active CNS involvement other than PCNSL at study entry are ineligible. Patients with prior CNS disease (leptomeningeal disease or brain metastasis) that has been adequately treated (eg, radiation or intravenous or intrathecal chemotherapy) are permitted, but must have completed such treatment and have no evidence of active CNS disease for at least 4 weeks prior to the first dose of study treatment. Intrathecal chemoprophylaxis to prevent the emergence or recurrence of lymphoma in the CNS is permitted on study during dose expansion only and may be administered per institutional guidelines.\n- Part B+C. 15. Prior history of hypersensitivity or anaphylaxis to emavusertib, ibrutinib, or any of their excipients.\n- Part B+C. 16. Prior history of Stevens Johnson syndrome or toxic epidermal necrolysis\n- Part A2. 09. Major surgery, other than diagnostic surgery, < 28 days from the start of study treatment; minor surgery < 14 days from the start of study treatment NOTE: Insertion of a vascular access device is not considered minor surgery.\n- Part B+C. 17. Patient who is intolerant of contrast-enhanced MRI due to allergic reactions to contrast agents\n- Part B+C. 18. Major surgery < 28 days prior to Cycle 1 Day 1; minor surgery < 7 days prior to Cycle 1 Day 1. Note: Insertion of a vascular access device is not considered surgery\n- Part B+C. 19. Viral Infections. a.\tKnown to be HIV positive or have an acquired immunodeficiency syndrome (AIDS) related illness. If HIV is undetectable or maintained on treatment, enrollment may be allowed after discussion with the Sponsor Medical Monitor. b. HBV DNA positive or HCV infection < 6 months prior to Cycle 1 Day 1, unless viral load is undetectable, or HCV with cirrhosis. Note: Testing required only in patients with history of HCV < 6 months or history of HBV prior to Cycle 1 Day 1. c.\tActive systemic infection, including HIV, cytomegalovirus infection, or SARS CoV-2 infection, or has had, within 28 days prior to Cycle 1 Day 1, an infection (other than nail trichophytosis) that requires hospitalization or an intravenous antibiotic.\n- Part A2. 20. B-cell NHL of the following subtypes: a. Burkitt lymphoma b. Lymphoblastic lymphoma or leukemia c. Post-transplantation lymphoproliferative disorder d. Known primary mediastinal, ocular, or epidural DLBCL\n- Part B+C. 22. Patients with history of hemophagocytic lymphohistiocytosis (HLH)\n- Part A2. 13. Uncontrolled or severe cardiovascular disease, including myocardial infarction, unstable angina, or atrial fibrillation within 6 months prior to the start of study treatment; New York Heart Association Class II or greater congestive heart failure; serious arrhythmias requiring medication for treatment; clinically significant pericardial disease; cardiac amyloidosis; or QT interval corrected (QTc) with Fridericia’s correction (QTcF) that is unmeasurable or ≥ 480 msec on Screening ECG. NOTE: For QTcF ≥ 480 msec on the Screening ECG, the ECG may be repeated twice at least 24 hours apart; the mean QTcF from the 3 Screening ECGs must be < 480 msec in order to meet eligibility for trial participation.\n- Part A2. 14. Gastrointestinal disease or disorder that could interfere with the swallowing, oral absorption, or tolerance of study treatment. This includes uncontrolled diarrhea (> 1 watery stool/day), major abdominal surgery, significant bowel obstruction, and/or gastrointestinal diseases that could alter the assessment of PK or safety, including but not limited to irritable bowel syndrome, ulcerative colitis, Crohn’s disease, and hemorrhagic coloproctitis.\n- Part B+C. 09. Received prior investigational drugs (including treatment in clinical research, unapproved combination products, and new dosage forms) within 28 days or 5 half-lives, whichever is shorter, prior to Cycle 1 Day 1; allogeneic hematopoietic stem cell transplant (HSCT) within 60 days prior to Cycle 1 Day 1; or had clinically significant graft-versus-host disease (GVHD) requiring ongoing up titration of immunosuppressive medications prior to Screening (with the exception of a BTKi for Part B only). Note: The use of a stable or tapering dose of immunosuppressive therapy post-HSCT and/or topical steroids for ongoing skin GVHD is permitted with Sponsor Medical Monitor approval.\n- Part A2. 15. History of other invasive malignancy, unless adequately treated with curative intent and with no known active disease present within 2 years prior to the start of study treatment, provided it is deemed to be at low risk for recurrence by the treating physician NOTE: These latter conditions include but are not limited to non-melanoma skin cancer, carcinoma in situ [including superficial bladder cancer and cervical intraepithelial neoplasia], and organ-confined prostate cancer.\n- Part A2. 16. Concomitant use of drugs with a known risk of causing prolonged QTc and/or Torsades de Pointes or a history of risk factors for Torsades de Pointes (eg, familial long QT syndrome, heart failure, left ventricular hypertrophy). See crediblemeds.org for a list of drugs that may prolong QT by risk category.\n- Part A2. 10. Known to be human immunodeficiency virus (HIV) positive or have an acquired immunodeficiency syndrome-related illness\n- Part A2 (17) + Part B and C (21) . Pregnant or lactating\n- Part A2. 18. Systemic fungal, bacterial, viral, or other infection that is not controlled (defined as exhibiting ongoing signs/symptoms related to the infection and without improvement, despite appropriate antibiotics or other treatment).\n- Part B+C. 02. Evidence of systemic lymphoma. This must be demonstrated by a positron emission tomography (PET) scan (or CT scan with contrast if applicable) of the chest, abdomen, and pelvis at Screening (testicular ultrasound may be considered to exclude a testicular lymphoma disseminated to the brain).\n- Part C. 05.\tPrevious BTKi treatment (Part C only).\n- Part A2. 02. Radiotherapy delivered to non-target lesions involving > 25% of bone marrow within 1 week prior to starting study treatment or delivered to target lesions that will be followed on the study NOTE: Prior sites of radiation will be recorded.\n- Part A2 + Part B +C : - Part A2 (04) Any prior systemic anti-cancer treatment such as chemotherapy, immunomodulatory drug therapy, etc., received within 14 days prior to the start of study treatment (with the exception of ibrutinib for Parts A2 , which may be continued as part of this study without interruption). - Part B and C (10). Any prior systemic anti-cancer treatment such as chemotherapy, immunomodulatory drug therapy, etc., received within 21 days or 5 half-lives, whichever is shorter, prior to Cycle 1 Day 1 (with the exception of ibrutinib or other BTKi for Part B only, which may be continued until the day before Cycle 1 Day 1).\n- Part A2. 05. Current or planned glucocorticoid therapy, with the following exceptions: a.\tDoses ≤ 10 mg/day prednisolone or equivalent is allowed, provided that the steroid dose has been stable or tapering for at least 14 days prior to the first dose of study treatment. b.Inhaled, intranasal, intra-articular, and topical steroids are permitted.\n- Part B+C. 11. Receiving the following medications within 7 days or 5 half-lives, whichever is shorter, prior to Cycle 1 Day 1: a. Medications which, in the opinion of the Investigator, have a high risk of causing prolonged QTc and/or Torsades of Pointes (Appendix L). b.\tPeg-filgrastim or equivalent. c. St John’s Wort.\n- Part A2. 06. Use of any investigational agent within 21 days or 5 half-lives, whichever is shorter, prior to start of study treatment\n- Part A2. 07. Presence of an acute or chronic toxicity resulting from prior anti-cancer therapy, with the exception of alopecia, that has not resolved to Grade ≤ 1, as determined by NCI CTCAE v4.03, within 7 days prior to the start of study treatment unless approved by the Medical Monitor\n- Part A2. 08. Known allergy or hypersensitivity to any component of the formulation of emavusertib (or ibrutinib for entry into Parts A2) used in this study\n- Part A2. 11. Hepatitis B virus (HBV) DNA positive or hepatitis C virus (HCV) infection < 6 months prior to start of study treatment unless viral load is undetectable, or HCV with cirrhosis (NOTE: testing required only in patients with history of HBV or history of HCV < 6 months prior to start of study treatment)\n- Part B+C. 08. Received external beam radiation therapy to the CNS within 28 days prior to Cycle 1 Day 1.\n- Part B+C. 01. Patients with only intraocular PCNSL without brain lesion or CSF involvement, T-cell lymphoma, systemic presence of lymphoma, or non-CNS lymphoma metastatic to the CNS.\n- Part B+C. 03. Prior history of malignancies other than lymphoma (except for basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix or breast) or prior history of systemic lymphoma, unless the patient has been free of the disease for ≥ 3 years.\n- Part B+C. 04. Active malignancy other than PCNSL requiring systemic therapy\n- Part B+C. 06. History of Grade ≥ 3 rhabdomyolysis without complete recovery\n- Part B+C. 07. Requirement for urgent therapy due to uncontrolled tumor mass/edema effects.\n- Part A2. 19. Any other severe, acute, or chronic medical, psychiatric, or social condition, or laboratory abnormality that may increase the risk of trial participation or study treatment administration, may interfere with the informed consent process and/or with compliance with the requirements of the trial, or may interfere with the interpretation of the trial results and, in the Investigator’s opinion, would make the patient inappropriate for entry into this trial.\n- Part B+C. 12.\tHistory of stroke or intracranial hemorrhage within 6 months prior to Cycle 1 Day 1. Patients with post-biopsy hemorrhagic sequela defined as a small hyperdense lesion < 3 mm on T2 sequence will not be excluded.\n- Part B+C. 13. Patients who require anticoagulation with warfarin or equivalent vitamin K antagonists, including dual antiplatelet agents, within 5 half-lives of the anti-coagulant or 7 days, whichever is longer, prior to Cycle 1 Day 1. Low molecular weight heparin is allowed. Patients who require the use of antiplatelet agents should be discussed with the Sponsor Medical Monitor (e.g., use of factor Xa inhibitors).\n- Part B+C. 14. Vaccinated with live-attenuated vaccines within 4 weeks prior to Cycle 1 Day 1\n- Part A2. 12. In patients with a history of HBV, hepatitis B core antibody testing is required and if positive, then hepatitis B DNA testing will be performed and if positive the patient will be excluded.\n- Part B+C. 20. Concomitant illness that would preclude safe participation in the study, including: a. Uncontrolled or severe cardiovascular disease, including myocardial infarction or unstable angina within 6 months prior to Cycle 1 Day 1, New York Heart Association Class II or greater congestive heart failure or left ventricular ejection fraction ≤ 50% by echocardiogram (ECHO) or multigated acquisition (MUGA) scan, serious arrhythmias uncontrolled on treatment, clinically significant pericardial disease, cardiac amyloidosis, or QTcF that is unmeasurable or > 450 msec on Screening ECG. Note: For QTcF > 450 msec on the Screening ECG, the ECG may be repeated twice ≥ 24 hours apart; the mean QTcF from the 3 Screening ECGs must be ≤ 450 msec to meet eligibility for study participation. Patients with bundle branch block and/or ventricular paced rhythms should be reviewed by the Sponsor Medical Monitor for potential inclusion. b. Gastrointestinal disease or disorder that could interfere with swallowing, oral absorption, or tolerance of study treatment. This includes major abdominal surgery and/or significant bowel resection and/or gastrointestinal diseases that could alter the assessment of PK or safety. c. Known bleeding diathesis (e.g., von Willebrand disease) or hemophilia. d. Uncontrolled hypertension or electrolytic imbalance. e. Any other severe, acute, or chronic medical, psychiatric or social condition, or laboratory abnormality that may increase the risk of study participation or study treatment administration, may interfere with the informed consent process and/or with compliance with the requirements of the study, or may interfere with the interpretation of the study results and, in the Investigator's opinion, would make the patient inappropriate for entry into this study."}

Endpoints

Primary endpoints

  • {"endpoint_text":"- Part A1 and Part A2: •Incidence of DLTs •Incidence of adverse events (AEs) •Clinically significant changes in vital signs and laboratory parameters • Clinically significant changes from baseline in electrocardiograms (ECGs)","definition_or_measurement_approach":"Safety and tolerability endpoints measured by incidence of dose-limiting toxicities (DLTs), treatment-emergent adverse events, clinically significant changes in vitals, labs and ECGs as recorded during treatment (as per protocol CTCAE and ECG monitoring)."}
  • {"endpoint_text":"- Part B: ORR: the percentage of patients achieving CR, unconfirmed complete response (CRu), or PR (as determined by an independent review committee [IRC] assessment for Cohort 2 only) using the International Primary CNS Lymphoma Collaborative Group (IPCG) Response Criteria guidelines for PCNSL (Abrey et al, 2005)","definition_or_measurement_approach":"Objective response rate (ORR) defined as percentage achieving CR, CRu, or PR using IPCG Response Criteria for PCNSL (Abrey et al, 2005); IRC assessment used for Cohort 2 where specified."}
  • {"endpoint_text":"- Part C: ORR: the percentage of patients achieving CR, CRu, or PR using the IPCG Response Criteria guidelines for PCNSL (Abrey et al, 2005)","definition_or_measurement_approach":"ORR defined per IPCG Response Criteria for PCNSL (Abrey et al, 2005); assessed per protocol (investigator/IRC as specified)."}

Secondary endpoints

  • {"endpoint_text":"- Part A1 and Part A2: • Maximum observed plasma concentration (Cmax) • Minimum observed plasma concentration (Cmin) • Time after dosing that a drug is present at the maximum concentration in serum (Tmax) •\tArea under the concentration-time curve (AUC) •\tTerminal elimination half-life (T1/2)","definition_or_measurement_approach":"PK parameters measured from plasma samples (Cmax, Cmin, Tmax, AUC, T1/2) per scheduled pharmacokinetic sampling."}
  • {"endpoint_text":"- Part A1 and Part A2: • ORR: complete response (CR) + partial response (PR) • Waldenström macroglobulinemia/ lymphoplasmacytic lymphoma (WM/LPL) ORR: CR + PR + very good partial response (VGPR)","definition_or_measurement_approach":"ORR and disease-specific response rates defined per disease-specific criteria as listed; measured by radiologic/clinical assessments per protocol."}
  • {"endpoint_text":"- Part A1 and Part A2: • DOR: time from CR or PR to first documentation of relapse, disease progression, or death from any cause • WM/LPL DOR: time from CR, PR, or VGPR to first documentation of relapse, disease progression, or death from any cause","definition_or_measurement_approach":"Duration of response measured from documentation of CR/PR (or VGPR where specified) to first documented relapse, progression, or death."}
  • {"endpoint_text":"- Part A1 and Part A2: • DCR: PR + CR + stable disease • WM/LPL DCR: CR + PR + VGPR + stable disease","definition_or_measurement_approach":"Disease control rate defined as proportion achieving CR/PR/stable disease (with disease-specific additions for WM/LPL)."}
  • {"endpoint_text":"- Part A1 and Part A2: • PFS: time from date of first dose of study treatment until first documentation of relapse, disease progression, or death from any cause","definition_or_measurement_approach":"Progression-free survival measured from first dose to first documented progression, relapse, or death."}
  • {"endpoint_text":"- Part A1 and Part A2: OS: time from date of first dose of study treatment until death from any cause","definition_or_measurement_approach":"Overall survival measured from first dose until death from any cause."}
  • {"endpoint_text":"- Part B+C: DOR:the time from the date CR, CRu, or PR is achieved to the date of first documented disease progression (as determined by an IRC assessment for Cohort 2 only) or death due to any cause, whichever occurs first/PFS:the time from the date of the first dose of study treatment to the date of the first documented disease progression (as determined by an IRC assessment for Cohort 2 only) or death due to any cause, whichever occurs first/OS:the time from date of 1st dose until death","definition_or_measurement_approach":"DOR, PFS, OS defined as per-part descriptions; IRC assessment for Cohort 2 where specified."}
  • {"endpoint_text":"- Part B+C: Incidence of treatment-emergent adverse events (TEAEs) and treatment-related AEs, physical examinations, vital signs, ECGs, and laboratory values","definition_or_measurement_approach":"Safety endpoints measured by frequency and severity of TEAEs/related AEs and clinical/laboratory assessments."}
  • {"endpoint_text":"- Part B+C: PK parameters including but not limited to AUC, Cmax, Tmax, and T1/2 for emavusertib and ibrutinib","definition_or_measurement_approach":"PK sampling for emavusertib and ibrutinib to derive standard PK parameters (AUC, Cmax, Tmax, T1/2)."}

Recruitment

Planned Sample Size
83
Recruitment Window Months
37
Consent Approach
Written informed consent required from participants; "Legally authorized representatives may sign and give informed consent on behalf of study participants." Subject information and informed consent forms (ICFs) and related documents (including pregnancy ICFs, pregnant partner ICF, legal representative ICF, future research ICF) are provided; ICFs available in multiple languages per country (English, French, Spanish, Polish, Czech, Italian as indicated by document versions).

Methods

  • Patient-facing printed recruitment materials / patient flyers (titles in CTIS documents: 'Patient_Flyer', 'TakeAim_Lymphoma_Patient_Flyer') — target audience: patients with relevant lymphoma/PCNSL; country-specific patient flyers available for Spain, France, Poland, Czechia, Italy (per document titles).
  • Healthcare professional outreach materials / information for HCPs (documents titled 'Information for Healthcare Professionals' / 'Information for Healthcare Professionals_Redacted') — target audience: treating clinicians and site investigators; country-specific HCP materials available for Spain, France, Poland, Czechia, Italy.
  • Site-based recruitment via participating hospitals/clinics (trial sites listed per country) — recruitment performed at hospital/clinic sites in each member state.

Geography

Total Number Of Sites
14
Total Number Of Participants
69

France

Latest Decision Or Authorization Date
08-07-2024
Number Of Sites
4
Number Of Participants
12

Sites

Site Name
Centre Hospitalier Regional De Marseille
Department Name
Neuro-oncology
Contact Person Name
Laurence Schenone
Contact Person Email
laurence.schenone@ap-hm.fr
Site Name
Institut Curie
Department Name
Hematology
Contact Person Name
Carole Soussain
Contact Person Email
carole.soussain@curie.fr
Site Name
Assistance Publique Hopitaux De Paris
Department Name
Neuro-oncology
Contact Person Name
Caroline Houillier
Contact Person Email
caroline.houillier@aphp.fr
Site Name
Institut Bergonie
Department Name
Hematology
Contact Person Name
Anna Schmitt

Poland

Latest Decision Or Authorization Date
17-07-2024
Number Of Sites
2
Number Of Participants
15

Sites

Site Name
Uniwersyteckie Centrum Kliniczne
Contact Person Name
Michal Taszner
Contact Person Email
mtaszner@uck.gda.pl
Site Name
Narodowy Instytut Onkologii Im. Marii Sklodowskiej-Curie Panstwowy Instytut Badawczy
Contact Person Name
Anna Dąbrowska-Iwanicka

Czechia

Latest Decision Or Authorization Date
03-07-2024
Number Of Sites
1
Number Of Participants
12

Sites

Site Name
Vseobecna Fakultni Nemocnice V Praze
Department Name
Hematology
Contact Person Name
Marek Trněný
Contact Person Email
trneny@cesnet.cz

Italy

Latest Decision Or Authorization Date
08-07-2024
Number Of Sites
4
Number Of Participants
12

Sites

Site Name
Ospedale San Raffaele S.r.l.
Department Name
Lymphoma Unit, Hematology and Bone Marrow Transplantation
Contact Person Name
Andres Ferreri
Contact Person Email
ferreri.andres@hsr.it
Site Name
Careggi University Hospital
Department Name
SOD Ematologia
Contact Person Name
Luca Nassi
Contact Person Email
nassil@aou-careggi.toscana.it
Site Name
Azienda Ospedaliera Santa Croce E Carle
Department Name
Hematology Department
Contact Person Name
Alessia Castellino
Site Name
Istituto Romagnolo Per Lo Studio Dei Tumori Dino Amadori IRST S.r.l.
Department Name
Dipartimento Oncologia ed Ematologia Clinica e Sperimentale
Contact Person Name
Gerardo Musuraca
Contact Person Email
gerardo.musuraca@irst.emr.it

Spain

Latest Decision Or Authorization Date
01-07-2024
Number Of Sites
3
Number Of Participants
18

Sites

Site Name
Hospital Universitari Vall D Hebron
Department Name
Hematology
Contact Person Name
Cristina Garcia Herce
Contact Person Email
cristinagarcia@vhio.net
Site Name
MD Anderson Cancer Center
Department Name
Hematology
Contact Person Name
Adolfo De la Fuente
Contact Person Email
afuente@mdanderson.es
Site Name
University Hospital Virgen Del Rocio S.L.
Department Name
Hematology
Contact Person Name
Guillermo Rodriguez Garcia

Sponsor

Primary sponsor

Full Name
Curis Inc.
Organisation Type
Pharmaceutical company
Country Of Registered Address
United States

Contract research organisations

Name
Worldwide Clinical Trials d.o.o.
Responsibilities
Study operational support / third party CRO functions (contact SM_RA_Subm@worldwide.com)
Name
Icon Clinical Research Limited
Responsibilities
Imaging reading (Reading MRI Laboratory)
Name
Catalyst Clinical Research LLC
Responsibilities
Investigator contracts, budget and payments; site management activities

Third parties

  • {"country":"Croatia","full_name":"Worldwide Clinical Trials d.o.o.","duties_or_roles":"sponsorDuties codes present (code: 12); contact: SM_RA_Subm@worldwide.com","organisation_type":"Pharmaceutical company"}
  • {"country":"Ireland","full_name":"Icon Clinical Research Limited","duties_or_roles":"Reading MRI Laboratory","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Northeast Bioanalytical Laboratories LLC","duties_or_roles":"Laboratory-analysis of Pharmacokinetic samples","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"Data capture / electronic data capture (sponsorDuties code: 3)","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Fortrea Inc.","duties_or_roles":"Sponsor duties codes include 6 and 7 (roles listed)","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Tempus Labs Inc.","duties_or_roles":"Laboratory-analysis of PBMC, and FFPE samples for RNA sequencing and NGS analysis; additional sponsor duties code 4","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Catalyst Clinical Research LLC","duties_or_roles":"Investigators Contracts, Budget and Payments; other sponsor duties (codes 1, 13, 15)","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United Kingdom","full_name":"Fortrea Development Limited","duties_or_roles":"Sponsor duties include code 8","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"Laboratory analysis - Biopsy, PK and PBMC samples. Processing and Management","organisation_type":"Pharmaceutical company"}
  • {"country":"France","full_name":"TrialPEX","duties_or_roles":"Patient expenses management for France, Poland and Spain.","organisation_type":"Industry"}

Investigational products

Investigational Product Name
CA-4948
Active Substance
EMAVUSERTIB
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL
Authorisation Status
prodAuthStatus 1
First In Human
Yes
Investigational Product Name
IBRUTINIB
Active Substance
IBRUTINIB
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL
Authorisation Status
prodAuthStatus 2
Combination Treatment
Yes

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