A selective HDAC8 inhibitor potentiates antitumor immunity and efficacy of immune checkpoint blockade in hepatocellular carcinoma.
Weiqin Yang, Yu Feng, Jingying Zhou...
https://pubmed.ncbi.nlm.nih.gov/33827976/Actively Recruiting
Led by Novelwise Pharmaceutical Corporation · Updated on 2025-11-28
36
Participants Needed
3
Research Sites
74 weeks
Total Duration
Researchers are evaluating the investigational drug NBM-BMX for adults with metastatic uveal melanoma, an eye cancer that has spread to other parts of the body. This study aims to find the best dose of NBM-BMX, understand its side effects, how the body processes it, and whether it may slow or shrink tumors. The trial is in Phase IbII and involves patients who have measurable metastatic disease confirmed by biopsy and meet specific health criteria. Participants will take NBM-BMX capsules orally twice daily on an empty stomach with water, avoiding food and drink except water for at least one hour before and two hours after each dose. The study plans up to four dose levels ranging from 200 mg to 800 mg daily. Treatment continues in 28-day cycles until disease progression, unacceptable side effects, or voluntary withdrawal. Patients will visit the clinic about weekly or biweekly for exams, blood tests, and drug dispensing, and they will keep dosing diaries to track medication use and symptoms. Throughout the study, participants undergo safety monitoring including physical exams, vital signs, ECGs, and lab tests. Tumor response is assessed every 8 weeks using RECIST 1.1 criteria. After stopping treatment, a follow-up visit occurs about 30 days later. The total participation duration varies depending on individual response and tolerability. The study also evaluates pharmacokinetics and records any dose-limiting toxicities or objective tumor responses.
CONDITIONS
Evaluation of the Safety, Efficacy, and Pharmacokinetics of NBM-BMX in Patients With Metastatic Uveal Melanoma
A
Annie Pai, PhD
J
John Soong, MD
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Novelwise Pharmaceutical Corporation
Lead Sponsor
This table compares participation in this trial with other options available for this condition. The information is drawn from published research and the trial’s study details and is provided for educational purposes only.
| Factors | NBM-BMX (HDAC8 inhibitor, investigational) | Current Standard Systemic Therapy or Supportive Care |
|---|---|---|
| What it is | An investigational oral medication (NBM-BMX) that selectively inhibits HDAC8. Evaluated as monotherapy in adults with previously treated metastatic uveal melanoma, including those with prior surgery, chemotherapy, or systemic therapies. | Current options consist mainly of participation in clinical trials, tebentafusp for HLA-A*02:01-positive patients who have not yet received it, off-label immune checkpoint inhibitors, or supportive care when further systemic therapy is not appropriate. |
| Role in the trial or care pathway | NBM-BMX is the sole interventional agent studied in this trial, offered to adults with metastatic uveal melanoma who have progressed following prior therapies, including patients previously treated with tebentafusp if HLA-A*02:01-positive. | Represents what patients with advanced uveal melanoma typically receive outside the trial after exhaustion of local ocular and systemic treatments, based on guidelines and observational evidence. Not a randomized trial control. |
| Primary use or purpose | Studied as a potential therapy to treat metastatic uveal melanoma in adults who have already received other forms of cancer treatment. | Seeks to control metastatic disease progression, prolong survival, and reduce symptoms, typically via access to off-label systemic immune therapy, clinical trial drugs, or, for eligible cases, tebentafusp; supportive care is used for those not suitable for further systemic therapies. |
| How it is given or performed | Given orally as a capsule. Dose-escalation and dose-expansion cohorts are used to identify a safe and active dose. | Immune checkpoint inhibitors and other systemic drugs are typically given by intravenous infusion per standard dosing protocols; tebentafusp is given by infusion for HLA-A*02:01-positive patients. Supportive care is tailored as appropriate for symptom management. |
| Evidence status | Clinical efficacy and safety of NBM-BMX in this patient population are unproven; the study aims to determine safety, tolerability, and initial efficacy signals. | Current therapies for metastatic uveal melanoma, including checkpoint inhibitors and other systemic drugs, produce limited survival benefits and low response rates. Tebentafusp can lead to improved survival in HLA-A*02:01-positive disease but is not available to all patients. Prognosis remains very poor for most patients. |
| Important limitations | Early-phase clinical trial with unknown benefit, possible side effects, and limited patient numbers. Results may not predict long-term outcomes or benefit broader patient populations. Preclinical data are encouraging but require clinical validation. | Most patients fail to achieve meaningful or durable response. No systemic therapy shows consistent benefit for the majority; supportive care often becomes the primary management as disease progresses. |
Disclaimer: This comparison is created with the help of artificial intelligence(AI) and may contain errors or missing information. It is not medical advice and does not mean one option is better or safer than another. Clinical trials are still being studied, and joining a trial is your choice. Please consult your healthcare professional before making any decisions.
You may qualify if you...
You will not qualify if you...
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit (in-person)
Duration - Repeated 28-day cycles until disease progression or discontinuation
Participants take the study drug NBM-BMX orally twice daily for 28 consecutive days per cycle, continuing treatment until disease progression, intolerable side effects, or voluntary withdrawal.
Visits every 8 weeks for tumor assessment and regular visits for drug dispensing and monitoring
Duration - Up to 30 days after last dose
Participants who discontinue treatment return to the clinic for a follow-up visit within 30 days after the last dose to monitor safety and collect final data.
1 follow-up visit (in-person)
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NA
Model
SINGLE_GROUP
Primary Purpose
TREATMENT
Number of Arms
1
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Weiqin Yang, Yu Feng, Jingying Zhou...
https://pubmed.ncbi.nlm.nih.gov/33827976/Marie Diener-West, Sandra M Reynolds, Donna J Agugliaro...
https://pubmed.ncbi.nlm.nih.gov/16344433/D H Char, S M Kroll, J Castro
https://pubmed.ncbi.nlm.nih.gov/9437317/Novelwise Pharmaceutical Corporation
Lead Sponsor