Actively Recruiting

Phase 1
Age: 12Years +
All Genders
NCT06994676

A Study of CBX-250 in Participants With Relapsed or Refractory Myeloid Leukemias

Led by Crossbow Therapeutics, Inc. · Updated on 2026-03-16

72

Participants Needed

11

Research Sites

97 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

Study CBX-250-001 is a Phase 1, open-label, dose-escalation study of CBX-250 in participants with relapsed/refractory AML, HR-MDS, CMML, and CML. Participants aged ≥ 12 years are planned to be enrolled. CBX-250 will initially be investigated on a fixed step-up dosing schedule. CBX-250 will be administered subcutaneously in 28-day cycles, with the first study drug dose administered on Cycle 1, Day 1. Cycle 1 will consist of a priming phase over 7 days, and a target phase over 28 days. Participants will continue CBX-250 until progressive disease (PD) or unacceptable toxicity. All subsequent treatment cycles will be 28 days.

CONDITIONS

Official Title

A Study of CBX-250 in Participants With Relapsed or Refractory Myeloid Leukemias

Who Can Participate

Age: 12Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Male or female participants aged 18 years or older for dose escalation, or aged 12 years or older for backfill cohorts without curative treatment options
  • Histological confirmation of relapsed or refractory AML, HR-MDS, very high risk MDS, or CMML resistant to 4-6 cycles of hypomethylating agents
  • White blood cell count below 25,000/µL at enrollment; cytoreduction allowed before enrollment
  • Documented HLA-A*02:01 allele positivity
  • ECOG performance status 0-1 if aged 18 years or older; Karnofsky or Lansky performance score of 70 or higher if younger
  • Prior treatment toxicities resolved to Grade 1 or less, except alopecia up to Grade 2
  • Specified waiting periods after radiation, stem cell transplant, immunotherapy, anti-leukemia therapy, growth factors, biologics, and steroids
  • Adequate kidney and liver function as defined by specific laboratory values
  • Willingness to use contraception if of childbearing potential
  • Ability to provide written informed consent and follow study instructions
Not Eligible

You will not qualify if you...

  • Prior treatment with CTSG targeted therapy or any pMHC T-cell engager
  • Isolated extramedullary relapse
  • Active central nervous system disease unless cleared by lumbar puncture
  • Known HIV infection
  • Active hepatitis B or C infection unless cleared
  • Pregnant or breastfeeding women
  • Certain recent cardiac diseases or abnormal QTc interval exceeding 480 msec
  • Active graft-versus-host disease requiring systemic immunosuppressive treatment
  • Concurrent malignancy within 2 years except certain treated skin or in situ cancers
  • Any condition or therapy that might interfere with study participation or results per investigator
  • Use of other anti-leukemic therapies besides CBX-250, with some exceptions
  • Participation in other investigational drug studies within 14 days or 5 half-lives
  • Systemic treatment to prevent graft-versus-host disease, except topical treatments
  • Known allergy or sensitivity to CBX-250 or its ingredients

AI-Screening

AI-Powered Screening

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Trial Site Locations

Total: 11 locations

1

City of Hope

Duarte, California, United States, 91010

Actively Recruiting

2

Stanford Medical Center

Palo Alto, California, United States, 94304

Actively Recruiting

3

Moffitt Cancer Center

Tampa, Florida, United States, 33612

Actively Recruiting

4

Northwestern Medicine

Chicago, Illinois, United States, 60611

Actively Recruiting

5

Dana Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

6

Washington University in St. Louis

St Louis, Missouri, United States, 63110

Actively Recruiting

7

Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065

Actively Recruiting

8

Thomas Jefferson University Hospital

Philadelphia, Pennsylvania, United States, 19107

Actively Recruiting

9

Sarah Cannon Cancer Institute

Nashville, Tennessee, United States, 37203

Actively Recruiting

10

Vanderbilt University Medical Center

Nashville, Tennessee, United States, 37232

Actively Recruiting

11

MD Anderson Cancer Center

Houston, Texas, United States, 77030

Actively Recruiting

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Research Team

R

Rachel Ghiraldi

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

1

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