NCT07583771

Brief Summary

This is a phase I, open-label, first-in-human study of CS08399, comprising two phases: dose escalation (including single-dose and multiple-dose) and cohort expansion. The primary objectives of this study are to evaluate the safety, tolerability and pharmacokinetic (PK) characteristics of CS08399 in participants with MTAP-deleted solid tumors and Lymphoma, and to recommended Phase 2 dose(s) (RP2D) of CS08399 in appropriate tumor(s).

Trial Health

63
Monitor

Trial Health Score

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

Enrollment
186

participants targeted

Target at P75+ for phase_1

Timeline
44mo left

Started Jun 2026

Typical duration for phase_1

Geographic Reach
1 country

1 active site

Status
not yet 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

First Submitted

Initial submission to the registry

May 7, 2026

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 13, 2026

Completed
19 days until next milestone

Study Start

First participant enrolled

June 1, 2026

Expected
3.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2029

5 months until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2030

Last Updated

May 13, 2026

Status Verified

May 1, 2026

Enrollment Period

3.2 years

First QC Date

May 7, 2026

Last Update Submit

May 7, 2026

Conditions

Outcome Measures

Primary Outcomes (11)

  • incidence of dose-limiting toxicity (DLT)

    34 days after, that is 6 days after single-dose and 28 days after first administration in multiple-dose

  • maximum tolerated dose (MTD)

    dose escalation part, up to approximately 2 year

  • incidence of adverse events (AEs)

    Number of participants with AE(s)

    from first administration to 28 days after last administration or next anti-tumor therapy, whichever occurs first

  • Pharmacokinetic parameters: Time to Maximum Concentration (Tmax)

    during treatment, up to approximately 2 year

  • Pharmacokinetic parameters: Maximum Concentration (Cmax)

    during treatment, up to approximately 2 year

  • Pharmacokinetic parameters: Area Under the Concentration-time Curve(AUC)

    during treatment, up to approximately 2 year

  • Pharmacokinetic parameters: Trough Concentration (Ctrough)

    during treatment, up to approximately 2 years

  • Pharmacokinetic parameters: Accumulation Ratio (Rac)

    during treatment, up to approximately 2 years

  • Pharmacokinetic parameters: Elimination Half-life (t1/2)

    during treatment, up to approximately 2 years

  • Pharmacokinetic parameters: Clearance over Fractional Bioavailability (CL/F)

    during treatment, up to approximately 2 years

  • Pharmacokinetic parameters: Volume of Distribution at Steady State over Fractional Bioavailability (Vz/F)

    during treatment, up to approximately 2 years

Secondary Outcomes (7)

  • Objective Response Rate (ORR)

    Up to approximately 4 years

  • Disease control rate (DCR)

    Up to approximately 4 years

  • Duration of Response (DOR)

    Up to approximately 4 years

  • Time to Progression (TTP)

    Up to approximately 4 years

  • Time to Response (TTR)

    Up to approximately 4 years

  • +2 more secondary outcomes

Study Arms (1)

CS08399

EXPERIMENTAL

two phases: dose escalation and cohort expansion. The dose escalation part is further divided into single-dose and multiple-dose administration. In the cohort expansion part, only multiple doses.

Drug: CS08399

Interventions

Oral tablet. Only one dose on C0D1 in single-dose period. Once or twice daily from C1D1 until disease progression, death, intolerable toxicity, loss to follow-up, withdrawal of informed consent, or the end of the trial, whichever occurs first, in multiple-dose period in both escalation and cohort expansion phases.

CS08399

Eligibility Criteria

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

You may qualify if:

  • Understand and sign the informed consent form voluntarily.
  • ≥18 years old when signing the informed consent, regardless of sex.
  • Histologically or cytologically confirmed locally advanced or metastatic solid tumors, or relapsed/refractory lymphoma, for which standard therapy has failed or is not tolerated, and no further standard therapy is available. Homozygous MTAP or CDKN2A deletion confirmed by tissue or peripheral blood testing.
  • For glioblastoma: at least one measurable intracranial tumor lesion according to the RANO 2.0 criteria. For other solid tumors: at least one measurable lesion according to RECIST v1.1 criteria. For lymphoma: at least one measurable lesion according to Lugano 2014 criteria.
  • For glioblastoma: KPS score ≥60. For other solid tumors and lymphoma: ECOG performance status of 0 or 1.
  • Adequate organ function.
  • Life expectancy ≥3 months.
  • Able to swallow and retain oral study medication.

You may not qualify if:

  • Received any anti-tumor therapy (including but not limited to chemotherapy, targeted therapy, anti angiogenic therapy, immunotherapy, cell therapy, radiotherapy, tumor embolization, etc.) or experimental drugs/devices that have not been approved for marketing within 28 days prior to the first dose or are still within 5 half-lives of such drugs (whichever is shorter).
  • Previously received MAT2A or PRMT5 inhibitors.
  • Underwent major surgery (cranial, thoracic, or abdominal) within 28 days prior to the first dose or have unresolved wounds, ulcers, or fractures.
  • Have unresolved toxicities from previous treatments that have not recovered to CTCAE v5.0 grade ≤1.
  • History of other primary malignancies within 5 years prior to the first dose.
  • For solid tumors : The presence of active, clinically symptomatic central nervous system metastases or leptomeningeal metastases or spinal cord compression at screening.
  • Primary central nervous system lymphoma or systemic lymphoma with CNS involvement.
  • Evidence of interstitial lung disease, pulmonary fibrosis, or non-infectious pneumonitis requiring treatment on chest imaging at screening.
  • Active infection requiring systemic anti-infective treatment at screening.
  • Received drainage of pleural effusion, ascites, or pericardial effusion within 1 month prior to the first dose or have significant clinical symptoms.
  • Uncontrolled or significant cardiovascular disease.
  • Poorly controlled diabetes.
  • Significant gastrointestinal abnormalities at screening that may affect drug intake, transport, or absorption.
  • History of gastrointestinal perforation, fistula, peptic ulcer, bowel obstruction, or biliary obstruction within 6 months prior to the first dose.
  • Clinically significant hemoptysis or tumor bleeding within 14 days prior to the first dose; significant active bleeding within 2 months prior to the first dose; currently on anticoagulants; high-risk bleeding tendency at screening.
  • +9 more criteria

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Fudan University Shanghai Cancer Center

Shanghai, China

Location

MeSH Terms

Conditions

Carcinoma, Non-Small-Cell LungLymphomaLymphoma, Large B-Cell, Diffuse

Condition Hierarchy (Ancestors)

Carcinoma, BronchogenicBronchial NeoplasmsLung NeoplasmsRespiratory Tract NeoplasmsThoracic NeoplasmsNeoplasms by SiteNeoplasmsLung DiseasesRespiratory Tract DiseasesNeoplasms by Histologic TypeLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesLymphoma, B-CellLymphoma, Non-Hodgkin

Central Study Contacts

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

May 7, 2026

First Posted

May 13, 2026

Study Start (Estimated)

June 1, 2026

Primary Completion (Estimated)

August 1, 2029

Study Completion (Estimated)

January 1, 2030

Last Updated

May 13, 2026

Record last verified: 2026-05

Data Sharing

IPD Sharing
Will not share

Locations