NCT04496349

Brief Summary

The goal of this study is to evaluate the pharmacokinetics (PK), safety, and efficacy of APG-115 as a single agent or in combination with APG-2575 in patients with T-PLL and NHL.

Trial Health

77
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
78

participants targeted

Target at P50-P75 for phase_2

Timeline
13mo left

Started Jul 2021

Longer than P75 for phase_2

Geographic Reach
1 country

1 active site

Status
recruiting

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Progress82%
Jul 2021May 2027

First Submitted

Initial submission to the registry

July 22, 2020

Completed
12 days until next milestone

First Posted

Study publicly available on registry

August 3, 2020

Completed
11 months until next milestone

Study Start

First participant enrolled

July 12, 2021

Completed
4.9 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

May 31, 2026

Expected
1 year until next milestone

Study Completion

Last participant's last visit for all outcomes

May 31, 2027

Last Updated

November 4, 2025

Status Verified

November 1, 2025

Enrollment Period

4.9 years

First QC Date

July 22, 2020

Last Update Submit

November 3, 2025

Conditions

Outcome Measures

Primary Outcomes (2)

  • Maximum tolerated dose of APG-115

    To evaluate the safety of APG-115 as a single agent

    21 days

  • Maximum tolerated dose of APG-115+APG-2575

    To evaluate the maximum tolerated dose of APG-115 and APG-2575 in combination

    21 days

Study Arms (3)

APG-115 monotherapy part

EXPERIMENTAL

APG-115 will be given alone

Drug: APG-115

APG-115 + APG-2575 combination dose escalation part

EXPERIMENTAL

APG-115 is given in combination with APG-2575

Drug: APG-115Drug: APG-2575

APG-115 + APG-2575 combination dose expansion part

EXPERIMENTAL

APG-115 is given in combination with APG-2575

Drug: APG-115Drug: APG-2575

Interventions

QOD, 2 weeks on, 1 week off, in repeated 21-day cycles

APG-115 + APG-2575 combination dose escalation partAPG-115 + APG-2575 combination dose expansion partAPG-115 monotherapy part

APG-2575 given orally each day in cycle, in repeated 21-day cycles

APG-115 + APG-2575 combination dose escalation partAPG-115 + APG-2575 combination dose expansion part

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Age ≥ 18 years old
  • Patients with relapsed/refractory T-PLL who have active disease and have received at least one prior therapy; Patients with histologically confirmed diagnosis of NHL, NHL Patients must be either relapsed, refractory, intolerant, or are considered ineligible for therapies known to provide clinical benefit;
  • Patients must not have had chemotherapy or antibody therapy for 7 days prior to starting APG-115 and/or APG-2575. However, patients with rapidly proliferative disease may receive hydroxyurea or decadron until 24 hours prior to starting therapy on this protocol.
  • Absolute neutrophil count (ANC) ≥ 500/mm˄3; hemoglobin ≥ 60 g/L; platelet count ≥ 30,000/mm˄3
  • Patients with adequate organ function;
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2;
  • Patient must have the ability to understand the requirements of the study and signed informed consent. A signed informed consent by the patient or his/her legally authorized representative is required prior to their enrollment on the protocol.

You may not qualify if:

  • Patient previously treated with a murine double minute 2 (MDM2) inhibitor.
  • Known active, uncontrolled central nervous system (CNS) malignancy
  • Patients require graft versus host therapy, or require continued treatment with systemic immunosuppressive agents (calcineurin inhibitors within 4 weeks prior to the first dose of study drug).
  • Patients who have any conditions or illness that, according to the opinions of the Investigators or the medical monitor, would compromise patient safety or interfere with the evaluation of safety and efficacy to the study drug(s).
  • Patients who have used strong CYP2C8 inhibitors, or moderate or strong CYP3A4 inhibitors or inducers within washout period of 14 days or 7 half-lives before the first administration of study drugs, whichever is longer.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

MD Anderson

Houston, Texas, 77030, United States

RECRUITING

MeSH Terms

Conditions

Leukemia, Prolymphocytic, T-CellLymphoma, Non-Hodgkin

Interventions

Lisaftoclax

Condition Hierarchy (Ancestors)

Leukemia, ProlymphocyticLeukemia, LymphoidLeukemiaNeoplasms by Histologic TypeNeoplasmsLeukemia, T-CellHematologic DiseasesHemic and Lymphatic DiseasesLymphoproliferative DisordersLymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesLymphoma

Study Officials

  • Yifan Zhai, MD, PhD

    Ascentage Pharma Group Inc.

    STUDY CHAIR

Central Study Contacts

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NON RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Model Details: The study consists of Part 1 APG-115 as monotherapy. Part 2 APG-2575 in combination with APG-115 dose escalation and APG-2575 in combination with APG-115 dose expansion phase. APG-115 and APG-2575 will be orally administrated on 21-day cycles. Patients will receive APG-115 QOD, 2 weeks on, 1 week off, and APG-2575 QD, in repeated 21-day cycles.
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

July 22, 2020

First Posted

August 3, 2020

Study Start

July 12, 2021

Primary Completion (Estimated)

May 31, 2026

Study Completion (Estimated)

May 31, 2027

Last Updated

November 4, 2025

Record last verified: 2025-11

Data Sharing

IPD Sharing
Will not share

Locations