A Phase Ⅰ Study of CS08399 in Participants With MTAP-deleted Solid Tumors and Lymphoma
A Phase Ⅰ Study to Evaluate the Safety, Tolerability, Pharmacokinetics, Pharmacodynamic and Preliminary Efficacy of CS08399 in Participants With MTAP-deleted Solid Tumors and Lymphoma
1 other identifier
interventional
186
1 country
1
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
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for phase_1
Started Jun 2026
Typical duration for phase_1
1 active site
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
CompletedFirst Posted
Study publicly available on registry
May 13, 2026
CompletedStudy Start
First participant enrolled
June 1, 2026
ExpectedPrimary Completion
Last participant's last visit for primary outcome
August 1, 2029
Study Completion
Last participant's last visit for all outcomes
January 1, 2030
May 13, 2026
May 1, 2026
3.2 years
May 7, 2026
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
EXPERIMENTALtwo 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.
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.
Eligibility Criteria
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
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
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