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NCT05131022Recruiting

A Study of NX-5948 in Adults With Relapsed/Refractory B-cell Malignancies

Summary

This is a first-in-human Phase 1a/1b multicenter, open-label study designed to evaluate the safety and anti-cancer activity of NX-5948 in patients with advanced B-cell malignancies.

Inclusion criteria

• Age ≥18 years • Patients in Phase 1a (Dose Escalation) must have histologically confirmed R/R CLL, SLL, DLBCL (subgroups include Richter-transformed DLBCL, germinal center B-cell type, activated B-cell type, high-grade B-cell lymphoma with MYC and BCL-2 and/or BCL-6 rearrangements, high-grade B-cell lymphomas NOS), FL, MCL, MZL (subtypes include EMZL, MALT, NMZL, SMZL), WM, or PCNSL. • Patients in Phase 1a must meet the following: o For non-PCNSL indications, received at least 2 prior lines of therapy and have no other available therapies known to provide clinical benefit. For PCNSL, received at least 1 prior line of therapy • Patients in Phase 1b (Safety and Cohort Expansion) must have 1 of the following histologically documented B-cell malignancies, must meet criteria for systemic treatment, and must have received prior therapies and/or molecular features based on details described for each cohort: CLL or SLL, DLBCL, MCL, FL, MZL, WM, or PCNSL/SCNSL. • Measurable disease per response criteria specific to the malignancy. • Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1 (0-2 for patients with PCNSL and secondary CNS involvement). • Adequate organ and bone marrow function

Exclusion criteria

• Known or suspected active prolymphocytic leukemia or Richter's transformation to Hodgkin's lymphoma prior to study enrollment • Prior treatment for the indication under study for anti-cancer intent that includes: 1. Radiotherapy within 2 weeks of planned start of study drug (excluding limited palliative radiation). 2. Prior systemic chemotherapy within 2 weeks of planned start of study drug. 3. Prior monoclonal antibody therapy within 4 weeks of planned start of study drug, except for patients enrolling in Cohort 16 (CLL with secondary wAIHA) where a 16-week washout period is required. 4. Prior small molecule therapy within 2 weeks or 5 half-lives (whichever is shorter) of planned start of study drug. 5. Autologous or allogeneic stem cell transplant within 100 days prior to planned start of study drug. 6. Chimeric antigen receptor (CAR) T-cell therapy within 100 days prior to start of study drug (within 60 days prior to start of study drug for Phase 1b). 7. Use of systemic corticosteroids outside of dosing limits described below and within 7 days prior to initiation of study treatment excepting those used as prophylaxis for radio diagnostic contrast. Patients with PCNSL/SCNSL: no greater than 40 mg/day prednisone, or equivalent. Patients with PCNSL/SCNSL using greater than 20 mg/day prednisone, or equivalent, must be clinically stable at that dose for 7 days. All other diagnoses: no greater than 20 mg/day prednisone or equivalent. 8. Use of systemic immunosuppressive drugs other than systemic corticosteroids for any medical condition within 60 days prior to first dose of study drug 9. Previously treated with a BTK degrader • Active, uncontrolled autoimmune hemolytic anemia (except for patients enrolling in Cohort 16) or active, uncontrolled autoimmune thrombocytopenia. • Patient has any of the following within 6 months of planned start of study drug: 1. Myocardial infarction, unstable angina, unstable symptomatic ischemic heart disease, or placement of a coronary arterial stent 2. Uncontrolled atrial fibrillation or other clinically significant arrhythmias, conduction abnormalities, or New York Heart Association (NYHA) class III or IV heart failure 3. Thromboembolic events (e.g., deep vein thrombosis, pulmonary embolism, or symptomatic cerebrovascular events), stroke, or intracranial hemorrhage 4. Any other significant cardiac condition (e.g., pericardial effusion, restrictive cardiomyopathy, severe untreated valvular stenosis, severe congenital heart disease, or persistent uncontrolled hypertension defined as systolic blood pressure \> 160 mmHg or diastolic blood pressure \> 100 mmHg despite optimal medical management) • Bleeding diathesis, or other known risk for acute blood loss. • History of Grade ≥ 2 hemorrhage within 28 days of planned start of study drug. • Active known concurrent malignancy or malignancy other than the one under study within the past 3 years. (Exceptions include, but are not limited to, patients with more recent history of basal or squamous cell skin cancer, superficial bladder cancer, or carcinoma in situ of the cervix or breast may enroll if they have undergone curative therapy and have no evidence of disease).

Contacts

The trial team's contact details are shown on request.

See the official trial record
Status
Recruiting
Phase
Phase 1
Study type
Interventional
Countries
Switzerland, France, Italy, United States, Netherlands, Poland, Spain, United Kingdom
Sponsor
Nurix Therapeutics, Inc.(Industry)
Protocol no.
NX-5948-301
Conditions
Chronic Lymphocytic Leukemia (CLL), Small Lymphocytic Lymphoma (SLL), Diffuse Large B Cell Lymphoma (DLBCL), Follicular Lymphoma (FL), Mantle Cell Lymphoma (MCL), Marginal Zone Lymphoma (MZL), Waldenstrom Macroglobulinemia (WM), Primary Central Nervous System Lymphoma (PCNSL), Secondary Central Nervous System Lymphoma (SCNSL)
Interventions
Drug

Treatments studied

  • NX-5948

Locations · 53

  • Basel, SwitzerlandUniversitätsspital BaselRecruiting at this site
  • Bellinzona, SwitzerlandIstituto Oncologico della Svizzera ItalianaRecruiting at this site
  • Zurich, SwitzerlandUniversity Hospital ZurichRecruiting at this site
  • Angers, FranceCHU AngersRecruiting at this site
  • Bobigny, FranceHôpital AvicenneRecruiting at this site
  • Nantes, FranceCHU de NantesRecruiting at this site
  • Pessac, FranceCHU BordeauxRecruiting at this site
  • Poitiers, FranceCHU de PoitiersRecruiting at this site
  • Saint-Cloud, FranceInstitut Curie-Site Saint-CloudRecruiting at this site
  • Vandœuvre-lès-Nancy, FranceCHRU de NancyRecruiting at this site
  • Milan, ItalyIRCCS Ospedale San Raffaele - Università Vita-Salute San Raffaele di MilanoRecruiting at this site
  • Milan, ItalyIRCCS Ospedale San RaffaeleRecruiting at this site
  • Rome, ItalyFondazione Policlinico Universitario A. Gemelli IRCCSRecruiting at this site
  • Duarte, United StatesCity of HopeRecruiting at this site
  • San Francisco, United StatesUniversity of California, San FranciscoRecruiting at this site
  • Denver, United StatesColorado Blood Cancer InstituteRecruiting at this site
  • New Haven, United StatesYale Cancer CenterRecruiting at this site
  • Miami, United StatesUniversity of MiamiRecruiting at this site
  • Sarasota, United StatesFlorida Cancer SpecialistsRecruiting at this site
  • Atlanta, United StatesWinship Cancer Institute of Emory UniversityRecruiting at this site
  • Chicago, United StatesNorthwestern UniversityRecruiting at this site
  • Bethesda, United StatesNational Institute of HealthRecruiting at this site
  • Durham, United StatesDuke University Medical CenterRecruiting at this site
  • Cincinnati, United StatesUniversity of Cincinnati Medical CenterRecruiting at this site
  • Cleveland, United StatesCleveland ClinicRecruiting at this site
  • Philadelphia, United StatesUniversity of Pennsylvania, Abramson Cancer CenterRecruiting at this site
  • Houston, United StatesMD Anderson Cancer CenterRecruiting at this site
  • Milwaukee, United StatesMedical College of WisconsinRecruiting at this site
  • Nijmegen, NetherlandsRadboud University Medical CenterRecruiting at this site
  • Rotterdam, NetherlandsErasmus MCRecruiting at this site

In total, worldwide, 53 of the 62 sites listed in the registry are recruiting; the other 9 are not currently recruiting.

Site status per the ClinicalTrials.gov registry (last update posted: July 2, 2026).

This status may have changed and says nothing about your eligibility: before taking any step, check with your oncologist or the site.

+ 23 more locations

Other identifiers

  • 2023-510541-25-00 · CTIS number
  • 2021-003125-29 · EudraCT number
  • 2023 · NIH grant

See also

Other versions

These results are indicative and do not replace medical advice — discuss them with your doctor.