AS-1763 in Patients With Previously Treated CLL/SLL or Non-Hodgkin Lymphoma

Last updated: April 23, 2025
Sponsor: Carna Biosciences, Inc.
Overall Status: Active - Recruiting

Phase

1

Condition

Leukemia

Follicular Lymphoma

Lymphoma

Treatment

Docirbrutinib

AS-1763

Clinical Study ID

NCT05602363
C1763102
  • Ages > 18
  • All Genders

Study Summary

This is an open-label, multi-center Phase 1b clinical study of oral AS-1763 (docirbrutinib) in patients with CLL/SLL or B-cell NHL who have failed or are intolerant to ≥2 lines of systemic therapy.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Age ≥18 years

  • Provided written informed consent

  • Histologically confirmed B-cell malignancy, including CLL/SLL, WM, MCL, MZL, or FL

  • Patients with SLL, MCL, MZL, and FL: at least 1 radiographically measurable lesion

  • Failed or are intolerant to ≥2 prior lines of systemic therapy

  • ECOG Performance Status 0 to 2

  • Adequate hematologic status (ie, absolute neutrophil count ≥0.75 × 10⁹/L, plateletcount ≥50 × 10⁹/L, hemoglobin ≥8 g/dL) not requiring transfusion support or growthfactors

  • Adequate hepatic function

  • Adequate renal function

  • Ability to swallow tablets and comply with study requirements for the duration ofstudy participation

  • Male and female patients of reproductive potential: Willing to observe conventionaland effective birth control methods

  • Male patients: agree not to donate sperm during and for 6 months after the study

  • Dose Expansion Cohort 3 patients: prior treatment with pirtobrutinib (Jaypirca) foran approved indication

Exclusion

Exclusion Criteria:

  • Transformed disease (eg, Richter's transformation) prior to or during Screening

  • Investigational agent or anticancer therapy within 5 half-lives before the plannedstart of docirbrutinib, except therapeutic monoclonal antibody treatment which mustbe discontinued at least 4 weeks before the start of docirbrutinib

  • Current treatment with investigational therapy or planned investigational therapywhich would be concurrent with this study

  • Requiring therapeutic anticoagulation with warfarin

  • Current treatment with certain strong CYP3A4 inhibitors or inducers

  • Treatment with proton pump inhibitors within 7 days before first dose ofdocirbrutinib

  • Current treatment with strong P-glycoprotein inhibitors or strong BCRP inhibitors

  • Refractory to transfusion support

  • Major surgery within 4 weeks before planned start of docirbrutinib

  • Radiotherapy with a limited field of radiation for palliation within 7 days of thefirst dose of study treatment

  • Any unresolved toxicities from prior therapy greater than NCI CTCAE Version 5.0Grade 2 at the time of starting study treatment except for alopecia

  • History of allogeneic or autologous stem cell transplant or CAR-T therapy within thelast 30 days

  • Active second malignancy unless in remission with life expectancy >2 years

  • Known central nervous system (CNS) involvement by systemic lymphoma

  • Active uncontrolled autoimmune cytopenia (eg, autoimmune hemolytic anemia,idiopathic thrombocytopenic purpura) where new therapy introduced or concomitanttherapy escalated within the 4 weeks before study enrollment is required to maintainadequate blood counts

  • Clinically significant, uncontrolled cardiac, cardiovascular disease or history ofmyocardial infarction within 6 months before planned start of docirbrutinib, orprolongation of the QT interval corrected for heart rate using Fridericia's Formula (QTcF) >470 msec on at least 2 of 3 consecutive ECGs, and mean QTcF >470 msec on all 3 ECGs, during Screening

  • Active uncontrolled systemic bacterial, viral, fungal, or parasitic infection

  • Positive for HIV. For patients with unknown HIV status, HIV testing will beperformed at Screening

  • Clinically significant active malabsorption syndrome or other condition likely toaffect gastrointestinal absorption of docirbrutinib

  • Pregnant or lactating.

  • Known hypersensitivity to any component or excipient of docirbrutinib

  • Prior treatment with docirbrutinib

  • Dose Escalation and Cohort 3 patients: prior treatment with noncovalent BTKi exceptpirtobrutinib (Jaypirca)

  • Dose Expansion Cohort 1 and Cohort 2 patients: prior treatment with any noncovalentBTKi

Study Design

Total Participants: 120
Treatment Group(s): 2
Primary Treatment: Docirbrutinib
Phase: 1
Study Start date:
August 01, 2023
Estimated Completion Date:
September 30, 2027

Study Description

This study consists of 2 parts.

Dose escalation part will enroll up to 27 patients to evaluate safety profile and tolerance of docirbrutinib using 3+3 design. The starting dose of docirbrutinib in oral tablet form is 100 mg twice daily (200 mg/day). Dose escalation will continue up to the planned maximum dose level or until the maximum tolerated dose (MTD) has been identified.

Dose expansion part will enroll up to 48 CLL/SLL patients (Cohort 1), up to 35 NHL patients (Cohort 2), and up to 10 patients with prior pirtobrutinib treatment for an approved indication (Cohort 3). The first 30 patients in each Cohort 1 or 2 will be allocated to three dose levels (n=10 at each dose level) which will be selected based on the data from dose escalation. Preliminary efficacy and safety data from the first 30 patients in one of cohorts will be used to identify the provisional recommended Phase 2 dose (RP2D) level. Thereafter, up to a further 18 patients for Cohort 1 and up to a further 5 patients for Cohort 2 will be enrolled and allocated to the provisional RP2D level. Cohort 3 will be enrolled in parallel with Cohorts 1 and 2 and will be allocated to up to two dose levels (either n=10 at a single dose level or n=5 at each of 2 dose levels).

Study assessments will continue for 24 cycles (1 cycle = 28 days) or until disease progression, occurrence of unacceptable toxicity, or discontinuation because of other reasons. Patients will then be followed for survival status for a further 2 years.

RP2D will be determined based on all the data generated in the study.

Connect with a study center

  • UC Irvine Health

    Orange, California 92868
    United States

    Active - Recruiting

  • Mount Sinai Comprehensive Cancer Center

    Miami Beach, Florida 33140
    United States

    Active - Recruiting

  • Moffitt Cancer Center

    Tampa, Florida 33612
    United States

    Active - Recruiting

  • Northwestern Memorial Hospital

    Chicago, Illinois 60661
    United States

    Active - Recruiting

  • University of Maryland Baltimore Greenebaum Comprehensive Cancer Center

    Baltimore, Maryland 21201
    United States

    Active - Recruiting

  • University of Maryland Medical Center - Greenebaum Comprehensive Cancer Center

    Baltimore, Maryland 21201
    United States

    Active - Recruiting

  • University of Massachusetts Chan Medical School

    Worcester, Massachusetts 01655
    United States

    Active - Recruiting

  • University of Massachusetts Memorial Medical Center

    Worcester, Massachusetts 01655
    United States

    Active - Recruiting

  • Clinical Research Alliance, Inc.

    Westbury, New York 11590
    United States

    Active - Recruiting

  • Taylor Cancer Research Center

    Maumee, Ohio 43537
    United States

    Active - Recruiting

  • The University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • University of Texas MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Active - Recruiting

  • The Medical College of Wisconsin

    Milwaukee, Wisconsin 53266
    United States

    Active - Recruiting

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