NRX-0492 degrades wild-type and C481 mutant BTK and demonstrates in vivo activity in CLL patient-derived xenografts.
Deyi Zhang, Hailey M Harris, Jonathan Chen...
https://pubmed.ncbi.nlm.nih.gov/36375120/Actively Recruiting
Led by Nurix Therapeutics, Inc. · Updated on 2026-07-02
572
Participants Needed
62
Research Sites
52 weeks
Total Duration
Researchers are studying NX-5948, an oral drug, in adults with relapsed or refractory B-cell malignancies, including various lymphomas and leukemias such as Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma, Diffuse Large B-cell Lymphoma, and others. This Phase 1a1b open-label trial aims to assess the safety, tolerability, and anti-cancer activity of NX-5948 in patients who have received prior treatments and have limited options. The study includes multiple cohorts focusing on different types of B-cell cancers and specific patient characteristics. The study has two main parts Phase 1a dose escalation to determine the maximum tolerated dose and recommended dose for further study, followed by Phase 1b safety expansion and cohort expansion to evaluate the drugs anti-tumor activity at selected doses across various patient groups. Participants receive oral NX-5948 at different dose levels, with some groups randomized to compare doses. The treatment targets a range of B-cell malignancies, including those affecting the central nervous system. Participants are closely monitored throughout the study for dose-limiting toxicities, adverse events, and anti-tumor responses using established criteria. Assessments include measuring overall response rates, pharmacokinetics, pharmacodynamics, and survival outcomes over periods lasting up to several years. The study involves regular visits for safety and efficacy evaluations, and participants organ and bone marrow functions are monitored to ensure suitability for treatment.
CONDITIONS
A Study of NX-5948 in Adults With Relapsed/Refractory B-cell Malignancies
A
Additional Site Contact Information
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Nurix Therapeutics, Inc.
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 | NX-5948 (Experimental) | Current Standard of Care |
|---|---|---|
| What it is | An investigational oral Bruton tyrosine kinase (BTK) degrader (NX-5948) studied for activity in various relapsed/refractory B-cell malignancies, including CLL, SLL, DLBCL, FL, MCL, and related subtypes. | Guideline-recommended approaches include BTK inhibitors, BCL2 inhibitors (such as venetoclax), chemoimmunotherapy, and clinical trial enrollment for adults with relapsed/refractory B-cell lymphomas. Choice is based on prior therapies, mutation status, and disease characteristics. |
| Role in the trial | Sole intervention assigned in a non-randomized, multi-cohort dose escalation and expansion phase. Patients receive NX-5948 according to assigned cohort criteria. | Standard care describes treatments patients would typically receive outside a clinical trial at the same disease stage. External context only, not a trial arm. |
| Primary use | Being tested for safety, optimal dosing, and preliminary anti-tumor activity in multiple relapsed/refractory B-cell lymphoma subtypes. Specific focus on populations with prior therapy resistance or genetic mutations affecting BTK pathway. | BTK inhibitors, alone or in combination, are standard for many relapsed/refractory B-cell lymphoma patients, especially CLL/SLL and MCL. BCL2 inhibitors, chemoimmunotherapy, and additional agents are selected based on prior resistance, mutations, and patient characteristics. |
| How it is given or performed | NX-5948 is taken orally as a tablet. Dosing varies by cohort, with schedules defined by the dose-escalation and expansion protocol. | BTK inhibitors and BCL2 inhibitors are typically given orally, while chemoimmunotherapy includes intravenous drugs. Administration is outpatient for most regimens but can require inpatient monitoring for certain agents or complications. |
| Evidence status | Clinical evidence is limited to ongoing single-arm, early phase trials. Efficacy and safety in humans are not yet established; no published clinical outcomes to date from this registry entry. | BTK inhibitors and BCL2 inhibitors have established efficacy based on multiple randomized controlled trials and are included as recommended options in guidelines for relapsed/refractory B-cell malignancies. |
| Important limitations | Unknown long-term safety, potential for novel or unexpected toxicities, and uncertain clinical effectiveness. Ongoing dose-escalation; population and dose recommendations under investigation. Not generalizable beyond the study population until further data are available. | Standard treatments may be ineffective after multiple prior therapies or in patients with resistance mutations (e.g., BTK C481S), and tolerability may vary. Relapsed/refractory patients may have limited remaining options; adverse events (e.g., bleeding, atrial fibrillation with BTKi) and resistance remain clinical challenges. |
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.
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
Duration - Up to several years depending on response and tolerance
Participants receive oral NX-5948 at various dose levels to evaluate safety, tolerability, and anti-cancer activity.
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
NON_RANDOMIZED
Model
SEQUENTIAL
Primary Purpose
TREATMENT
Number of Arms
19
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Deyi Zhang, Hailey M Harris, Jonathan Chen...
https://pubmed.ncbi.nlm.nih.gov/36375120/Nurix Therapeutics, Inc.
Lead Sponsor