Actively Recruiting

Phase 2
Age: 18Years +
All Genders
NCT07545603

Clinical Study of XNW5004 Tablets in the Treatment of Relapsed and Refractory Follicular Lymphoma

Led by Evopoint Biosciences Inc. · Updated on 2026-04-22

65

Participants Needed

1

Research Sites

150 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This is a single-arm, open-label, multicenter Phase II clinical study designed to enroll 65 subjects with relapsed or refractory follicular lymphoma (EZH2 wild-type). The study procedures include a pre-screening phase, screening phase, treatment phase, and follow-up phase.Eligible subjects will enter the treatment phase and receive 1200 mg of XNW5004 tablets twice daily, with a 10-14-hour interval between doses. Each treatment cycle consists of 28 consecutive days of dosing, and pharmacokinetic (PK) blood samples will be collected at the designated time points.Safety assessments and quality-of-life (QoL) assessments will be performed in accordance with the study follow-up schedule.Tumor assessments will be conducted every 8 weeks (every 2 cycles) for the first 48 weeks after the first dose (Cycles 1 to 12), and every 12 weeks (every 3 cycles) thereafter (from Cycle 13 onward).Subjects who discontinue treatment must complete an end-of-treatment visit and safety follow-up. For long-term follow-up:Subjects who terminate treatment for reasons other than disease progression and do not initiate new antineoplastic therapy will continue tumor assessments per the original schedule until disease progression, initiation of new antineoplastic therapy, withdrawal of informed consent, loss to follow-up, or death, whichever occurs first.For all patients (excluding those who withdraw informed consent, are lost to follow-up, or die), survival follow-up will be performed every 12 weeks (±7 days) starting from the date of the last tumor assessment, until withdrawal of informed consent, loss to follow-up, or death, whichever occurs first.

CONDITIONS

Official Title

Clinical Study of XNW5004 Tablets in the Treatment of Relapsed and Refractory Follicular Lymphoma

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Age 18 years or older, any gender
  • Histologically confirmed follicular lymphoma grade 1 to 3a with wild-type EZH2
  • Relapsed or refractory disease after at least 3 prior systemic therapies including anti-CD20 monoclonal antibody and novel agents
  • Prior radiotherapy allowed but not considered systemic therapy alone
  • Availability of sufficient biological samples for EZH2 mutation testing
  • At least one measurable lesion: nodal >1.5 cm or extranodal >1.0 cm and PET positive
  • Life expectancy of at least 12 weeks
  • ECOG performance status 0 or 1
  • Adequate blood counts and organ function as specified
  • Women of childbearing potential must have negative pregnancy test and use effective contraception
  • Male subjects must agree to use effective contraception
  • Signed informed consent and ability to comply with study procedures
Not Eligible

You will not qualify if you...

  • Follicular lymphoma grade 3b, mixed histology, or histologic transformation
  • Prior treatment with EZH2 or EZH1/2 inhibitors
  • Known allergy to investigational drug or its components
  • Recent chemotherapy, immunotherapy, radiotherapy, or CAR-T therapy within specified washout periods
  • Prior allogeneic stem cell or solid organ transplantation
  • Use of systemic corticosteroids or immunosuppressive agents above specified doses
  • Recent use of moderate or strong CYP3A4 inhibitors/inducers
  • Recent live or live-attenuated vaccines
  • History of substance abuse (except stable insomnia treatment)
  • Unresolved toxicities from prior therapies above grade 1 except alopecia
  • Recent or current other malignancies except certain treated skin or cervical cancers
  • Central nervous system involvement by lymphoma
  • Testicular or breast lymphoma involvement
  • Hemophagocytic lymphohistiocytosis
  • Other hematologic disorders affecting bone marrow function
  • Acute myeloid leukemia or T-lymphoblastic lymphoma/leukemia
  • History of myeloid malignancies or related lab abnormalities
  • Significant central nervous system disorders
  • Impaired cardiac function or major heart disease
  • Tumor invasion of vital adjacent organs with high risk
  • Uncontrolled pleural, pericardial effusions, or ascites
  • Unexplained fever or systemic severe infection
  • Recent tuberculosis or positive HIV/syphilis/hepatitis infection
  • Conditions affecting drug absorption or known bleeding disorders
  • Pregnant or breastfeeding women
  • Any condition or reason that may prevent study completion as judged by the investigator

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 1 location

1

Beijing Cancer Hospitial

Beijing, Beijing Municipality, China, 100142

Actively Recruiting

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Research Team

Y

Yuqin Song

CONTACT

Q

Qiye Wang

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SINGLE_GROUP

Primary Purpose

TREATMENT

Number of Arms

1

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Clinical Study of XNW5004 Tablets in the Treatment of Relapsed and Refractory Follicular Lymphoma | DecenTrialz