NCT06761677

Brief Summary

This study is a multi-center, global, open-label, Phase 1b/2 clinical study, and it will be conducted at multiple study sites in several countries, including Japan, Korea, and Singapore, to reveal the safety, tolerability, dose limiting toxicity (DLT), maximum tolerated dose (MTD)/recommended Phase 2 dose (RP2D), pharmacokinetics (PK), and preliminary efficacy of BCV in patients with relapsed or refractory lymphoma and to assess the efficacy and safety of Brincidofovir (SyB V-1901, BCV) in patients with relapsed or refractory Extranodal Natural Killer/T-cell Lymphoma (ENKL). This study consists of 2 parts and will enroll a total (maximum) of 43 male and female participants who meet the eligibility criteria (Phase 1b part: Up to 18 participants \[3 to 6 participants in each of the 3 cohorts\], Phase 2 part: 25 participants).

Trial Health

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Monitor

Trial Health Score

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

Trial recruitment is currently suspended
Enrollment
43

participants targeted

Target at P50-P75 for phase_1

Timeline
37mo left

Started Jun 2025

Longer than P75 for phase_1

Geographic Reach
3 countries

8 active sites

Status
suspended

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 Progress23%
Jun 2025May 2029

First Submitted

Initial submission to the registry

December 24, 2024

Completed
14 days until next milestone

First Posted

Study publicly available on registry

January 7, 2025

Completed
5 months until next milestone

Study Start

First participant enrolled

June 9, 2025

Completed
2.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

October 23, 2027

Expected
1.5 years until next milestone

Study Completion

Last participant's last visit for all outcomes

May 8, 2029

Last Updated

February 5, 2026

Status Verified

February 1, 2026

Enrollment Period

2.4 years

First QC Date

December 24, 2024

Last Update Submit

February 3, 2026

Conditions

Keywords

SyB V-1901BCVRelapsed or refractory LymphomaExtranodal Natural Killer/T-cell LymphomaENKLEBV-positive nodal T- and NK-cell lymphomaEBV + nTNKCLnodal T-follicular helper cell lymphomanTFHcLangioimmunoblastic T-cell lymphomaAITLperipheral T-cell lymphoma not otherwise specifiedPTCL-NOSanaplastic large cell lymphomaALCLdiffuse large B-cell lymphomaDLBCDLBCL-NOSadult T-Cell Leukemia LymphomaATLL

Outcome Measures

Primary Outcomes (2)

  • Phase 1b part (Dose Escalation Part)

    Adverse events (AEs) that meet the protocol-defined DLT criteria in Cycle 1 and the number of participants that developed these AEs

    28 days

  • Phase 2 part (Expansion Part)

    Best Overall Response as of end of treatment

    7 months

Study Arms (1)

Brincidofovir twice weekly (BIW) via intravenous infusion

EXPERIMENTAL
Drug: Brincidofovir

Interventions

Phase 1b part is dose escalation study evaluating three dose levels of BCV, and participants will be assigned to a dose schedule in the order of study entry. In Phase 2 part, participants will receive BCV BIW at the RP2D (determined in the Phase 1b part).

Also known as: SyB V-1901, BCV
Brincidofovir twice weekly (BIW) via intravenous infusion

Eligibility Criteria

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

You may qualify if:

  • Patients who are histopathologically diagnosed with ENKL based on the World Health Organization (WHO) Classification of Malignant Lymphoma 5th Edition (WHO-HAEM5) (can be enrolled in the Phase 1b part and the Phase 2 part) or patients diagnosed with EBV-positive nodal T- and NK-cell lymphoma (EBV + nTNKCL), nodal T-follicular helper cell lymphoma (nTFHcL) (including angioimmunoblastic T-cell lymphoma (AITL) as defined in the WHO Classification, 4th Edition), peripheral T-cell lymphoma not otherwise specified (PTCL, NOS), anaplastic large cell lymphoma (ALCL), diffuse large B-cell lymphoma (DLBCL) (e.g., DLBCL, NOS), or adult T-Cell Leukemia Lymphoma (ATLL) (can only be enrolled in the Phase 1b part)
  • Patients with relapsed or refractory lymphoma and previously treated with systemic chemotherapy (history of multidrug chemotherapy including L-asparaginase such as SMILE therapy for ENKL is mandatory) who are ineligible for other systemic therapies
  • Patients with the following Eastern Cooperative Oncology Group (ECOG) Performance Status (PS):
  • Phase 1b part: 0-1
  • Phase 2 part: 0-2

You may not qualify if:

  • Patients with another active malignant tumor requiring treatment
  • Patients with NCI-CTCAE Grade 2 or higher diarrhea (increase of 4 or more bowel movements per day compared to usual number of bowel movements) within 7 days prior to starting the first dose of BCV
  • Graft-Versus-Host Disease (GVHD) patients requiring immunosuppressive agents
  • Patients with a history of Cidofovir intolerance
  • Patients with a history of being diagnosed with cirrhosis

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (8)

Queen Mary Hospital

Hong Kong, China

Location

Tokyo Metropolitan Komagome Hospital

Bunkyō City, Japan

Location

National Cancer Center Hospital

Chūōku, Japan

Location

Cancer Institute Hospital Of JFCR

Kōtoku, Japan

Location

Kyoto University Hospital

Kyoto, Japan

Location

Okayama University Hospital

Okayama, Japan

Location

Mie University Hospital

Tsu, Japan

Location

National Cancer Centre Singapore

Singapore, Singapore

Location

MeSH Terms

Conditions

RecurrenceLymphomaEpstein-Barr Virus InfectionsImmunoblastic LymphadenopathyLymphoma, T-CellLymphoma, Large-Cell, AnaplasticLymphoma, Large B-Cell, DiffusePrecursor T-Cell Lymphoblastic Leukemia-LymphomaLeukemia-Lymphoma, Adult T-Cell

Interventions

brincidofovir

Condition Hierarchy (Ancestors)

Disease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsNeoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesHerpesviridae InfectionsDNA Virus InfectionsVirus DiseasesInfectionsTumor Virus InfectionsLymphadenopathyLymphoma, Non-HodgkinLymphoma, B-CellPrecursor Cell Lymphoblastic Leukemia-LymphomaLeukemia, LymphoidLeukemiaHematologic DiseasesLeukemia, T-Cell

Study Design

Study Type
interventional
Phase
phase 1
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SEQUENTIAL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

December 24, 2024

First Posted

January 7, 2025

Study Start

June 9, 2025

Primary Completion (Estimated)

October 23, 2027

Study Completion (Estimated)

May 8, 2029

Last Updated

February 5, 2026

Record last verified: 2026-02

Data Sharing

IPD Sharing
Will not share

Locations