Clinical trial • Phase II • Oncology

NX-5948 for Chronic lymphocytic leukemia (relapsed/refractory) | Small lymphocytic lymphoma (relapsed/refractory)

Phase II trial of NX-5948 for Chronic lymphocytic leukemia (relapsed/refractory) | Small lymphocytic lymphoma (relapsed/refractory).

Overview

Trial Therapeutic Area
Oncology
Trial Disease
Chronic lymphocytic leukemia (relapsed/refractory) | Small lymphocytic lymphoma (relapsed/refractory)
Trial Stage
Phase II
Drug Modality
Small molecule
Orphan Drug
Yes

Key dates

Initial CTIS Submission Date
10-06-2025
First CTIS Authorization Date
02-10-2025

Trial design

open-label, none/not specified-controlled Phase II trial across 10 sites in France, Hungary, Italy and others.

Open Label
Yes
Comparator
None/Not specified
Target Sample Size
62

Eligibility

Recruits 62 Vulnerable population selected (isVulnerablePopulationSelected: true). Subject information and informed consent forms are included in the submission (documents titled 'L1_SIS and ICF' and country-specific ICFs). No explicit assent/consent age-specific handling text is present in the record..

Vulnerable Population
Vulnerable population selected (isVulnerablePopulationSelected: true). Subject information and informed consent forms are included in the submission (documents titled 'L1_SIS and ICF' and country-specific ICFs). No explicit assent/consent age-specific handling text is present in the record.

Inclusion criteria

  • {"criterion_text":"- Age: ≥ 18 years\n- Confirmed diagnosis of CLL/SLL that meets iwCLL criteria diagnosis and systemic treatment (Hallek 2018)\n- Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2\n- Prior exposure to a cBTKI, a ncBTKi, and a BCL2i either in separate lines of treatment or in combination\n- Measurable disease by computed tomography (CT) per iwCLL\n- Adequate organ and bone marrow function"}

Exclusion criteria

  • {"criterion_text":"- Known or suspected prolymphocytic leukemia or Richter’s transformation at any time preceding enrolment. Note: In cases of clinical suspicion of Richter's Transformation, the treating physician may determine if histopathological evaluation should be performed and results reviewed by the treating physician to rule out transformation prior to enrollment.\n- Investigational agent or anticancer therapy within 5 half-lives or 14 days (whichever is shorter) before planned start of study drug.\n- Radiotherapy within 2 weeks of the first dose of study treatment\n- Use of systemic corticosteroids >20 mg/day prednisone or equivalent within the 7 days prior to initiation of study drug excepting those used as prophylaxis for radio diagnostic contrast\n- Use of systemic immunosuppressive drugs other than systemic corticosteroids for any medical condition within 60 days prior to first dose of study drug\n- Previously treated with a BTK degrader"}

Endpoints

Primary endpoints

  • {"endpoint_text":"- ORR (without PR-L) as assessed by IRC","definition_or_measurement_approach":"Overall response rate assessed by an Independent Review Committee (IRC). Translations indicate ORR components include complete response (CR)/CR with incomplete recovery (CRi) + partial response (PR) + nodal PR (nPR)."}

Secondary endpoints

  • {"endpoint_text":"- ORR with PR-L as assessed by IRC","definition_or_measurement_approach":"ORR including PR-L assessed by IRC"}
  • {"endpoint_text":"- DOR as assessed by IRC and by investigator","definition_or_measurement_approach":"Duration of response assessed by IRC and by investigator"}
  • {"endpoint_text":"- PFS as assessed by IRC and by investigator","definition_or_measurement_approach":"Progression-free survival assessed by IRC and by investigator"}
  • {"endpoint_text":"- Complete response rate as assessed by IRC and by investigator","definition_or_measurement_approach":"Complete response rate (CR + CRi) assessed by IRC and investigator"}
  • {"endpoint_text":"- TTR as assessed by IRC and by investigator","definition_or_measurement_approach":"Time to response assessed by IRC and investigator"}
  • {"endpoint_text":"- OS","definition_or_measurement_approach":"Overall survival"}
  • {"endpoint_text":"- Including, but not limited to, incidence and severity of TEAEs, SAEs and TEAEs leading to study drug discontinuation","definition_or_measurement_approach":"Safety endpoints including treatment-emergent adverse events (TEAEs), serious adverse events (SAEs), and TEAEs leading to discontinuation"}
  • {"endpoint_text":"- Changes from baseline in laboratory parameters and vital signs","definition_or_measurement_approach":"Laboratory and vital sign changes from baseline"}
  • {"endpoint_text":"- Summary measures of PK trough concentrations","definition_or_measurement_approach":"Pharmacokinetic trough concentration summary measures of NX-5948"}
  • {"endpoint_text":"- ORR (with and without PR-L) as assessed by investigator","definition_or_measurement_approach":"Investigator-assessed ORR with and without PR-L"}
  • {"endpoint_text":"- PROs measured by EORTC QLQ-C30 and EQ-5D-5L questionnaires","definition_or_measurement_approach":"Patient-reported outcomes measured by EORTC QLQ-C30 and EQ-5D-5L"}

Recruitment

Planned Sample Size
62
Recruitment Window Months
60
Consent Approach
Informed consent is obtained using subject information and informed consent forms (documents titled 'L1_SIS and ICF' and country-specific ICFs). Country/language versions available in the submission include English and country-specific versions (French, Polish, Italian, Hungarian) as indicated by the presence of translated ICF and protocol synopsis documents. Specific assent procedures or age-differentiated consent text are not detailed in the record.

Geography

Total Number Of Sites
10
Total Number Of Participants
41

France

Earliest CTIS Part Ii Submission Date
11-09-2025
Latest Decision Or Authorization Date
02-10-2025
Processing Time Days
21
Number Of Sites
1
Number Of Participants
11

Sites

Site Name
Centre Hospitalier Universitaire De Nantes
Department Name
Département Hématologie
Principal Investigator Name
Anne Lok
Principal Investigator Email
anne.lok@chu-nantes.fr
Contact Person Name
Anne Lok
Contact Person Email
anne.lok@chu-nantes.fr

Hungary

Earliest CTIS Part Ii Submission Date
05-08-2025
Latest Decision Or Authorization Date
03-10-2025
Processing Time Days
59
Number Of Sites
1
Number Of Participants
3

Sites

Site Name
University Of Debrecen
Department Name
Haematology
Principal Investigator Name
Arpad Illes
Principal Investigator Email
illesarpaddr@gmail.com
Contact Person Name
Arpad Illes
Contact Person Email
illesarpaddr@gmail.com

Italy

Earliest CTIS Part Ii Submission Date
03-07-2025
Latest Decision Or Authorization Date
03-10-2025
Processing Time Days
92
Number Of Sites
4
Number Of Participants
16

Sites

Site Name
San Raffaele Ospedale
Department Name
Strategic Research Program on CLL
Principal Investigator Name
Paolo Prospero Ghia
Principal Investigator Email
ghia.paolo@hsr.it
Contact Person Name
Paolo Prospero Ghia
Contact Person Email
ghia.paolo@hsr.it
Site Name
IRCCS Azienda Ospedaliero-Universitaria di Bologna - Policlinico di Sant'Orsola
Department Name
Dipartimento Malattie Oncologiche ed Ematologiche
Principal Investigator Name
Pier Luigi Zinzani
Principal Investigator Email
pierluigi.zinzani@unibo.it
Contact Person Name
Pier Luigi Zinzani
Contact Person Email
pierluigi.zinzani@unibo.it
Site Name
Azienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo
Department Name
SCDU Hematology
Principal Investigator Name
Gioacchino Catania
Principal Investigator Email
gioacchino.catania@ospedale.al.it
Contact Person Name
Gioacchino Catania
Site Name
Ospedale Santa Maria delle Croci
Department Name
Haematology
Principal Investigator Name
Monica Tani
Principal Investigator Email
monica.tani@auslromagna.it
Contact Person Name
Monica Tani
Contact Person Email
monica.tani@auslromagna.it

Poland

Earliest CTIS Part Ii Submission Date
01-09-2025
Latest Decision Or Authorization Date
06-10-2025
Processing Time Days
35
Number Of Sites
4
Number Of Participants
11

Sites

Site Name
Aidport Sp. z o.o.
Department Name
Hematology
Principal Investigator Name
Michal Kwiatek
Principal Investigator Email
michal.kwiatek@aidport.pl
Contact Person Name
Michal Kwiatek
Contact Person Email
michal.kwiatek@aidport.pl
Site Name
Pratia MCM Krakow
Department Name
Lymphoid Malignancy Department
Principal Investigator Name
Wojciech Jurczak
Principal Investigator Email
adrosik-kwasniewska@pratia.com
Contact Person Name
Wojciech Jurczak
Contact Person Email
adrosik-kwasniewska@pratia.com
Site Name
Pratia Hematologia Sp. z o.o.
Department Name
Hematology
Principal Investigator Name
Sebastian Grosicki
Principal Investigator Email
sgrosicki@wp.pl
Contact Person Name
Sebastian Grosicki
Contact Person Email
sgrosicki@wp.pl
Site Name
Mtz Clinical Research Powered By Pratia
Department Name
Hematology
Principal Investigator Name
Iwona Hus
Principal Investigator Email
iwonach.hus@gmail.com
Contact Person Name
Iwona Hus
Contact Person Email
iwonach.hus@gmail.com

Sponsor

Primary sponsor

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

Contract research organisations

Name
Medpace Inc.
Responsibilities
codes: 1,12,2,7,8
Name
Suvoda LLC
Responsibilities
Treatment Randomisation
Name
Perceptive Informatics Inc.
Responsibilities
Medical Image Analysis/Review - x-ray, MRI, ultrasound, etc
Name
Edetek Inc.
Responsibilities
code: 7

Third parties

  • {"country":"United Kingdom","full_name":"NeoGenomics Inc","duties_or_roles":"NGS","organisation_type":"Health care"}
  • {"country":"United States","full_name":"Adaptive Biotechnologies Corp.","duties_or_roles":"MRD and IGHV","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Medpace Inc.","duties_or_roles":"codes: 1,12,2,7,8","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Alturas Analytics Inc.","duties_or_roles":"PK Plasma","organisation_type":"Pharmaceutical company"}
  • {"country":"Switzerland","full_name":"Labcorp Central Laboratory Services SARL","duties_or_roles":"Clinical Chemistry, Clinical Haematology and Serology/Endocrinology","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Neogenomics Inc","duties_or_roles":"FISH and Cytogenetics","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United States","full_name":"Suvoda LLC","duties_or_roles":"Treatment Randomisation","organisation_type":"Non-Pharmaceutical company"}
  • {"country":"United States","full_name":"Perceptive Informatics Inc.","duties_or_roles":"Medical Image Analysis/Review - x-ray, MRI, ultrasound, etc","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Edetek Inc.","duties_or_roles":"code: 7","organisation_type":"Pharmaceutical company"}
  • {"country":"United States","full_name":"Rules Based Medicine Inc.","duties_or_roles":"Chemokines/Cytokines","organisation_type":"Laboratory/Research/Testing facility"}
  • {"country":"United Kingdom","full_name":"Labcorp Early Development Laboratories Limited","duties_or_roles":"Flow Cytometry","organisation_type":"Pharmaceutical company"}

Investigational products

Investigational Product Name
NX-5948
Active Substance
NX-5948
Modality
Small molecule
Routes Of Administration
ORAL USE
Route
ORAL USE
Orphan Designation
Yes
Maximum Dose
600 mg per day (maxDailyDoseAmount: 600)

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