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CompletedNCT02920697Updated Jul 25, 2024

Dose-escalation Study of Oral Administration of S 55746 in Patients With Chronic Lymphocytic Leukaemia and B-Cell Non-Hodgkin Lymphoma

A Phase 1 interventional study of S 55746 in Chronic Lymphocytic Leukaemia (CLL), B-Cell Non-Hodgkin Lymphoma (NHL) and Multiple Myeloma (MM), sponsored by Institut de Recherches Internationales Servier. Completed at 18 sites in 8 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-07-25.

Sponsored by Institut de Recherches Internationales Servier · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
65
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to determine the safety profile and tolerability of S 55746 in patients with CLL, B-Cell NHL and MM, in terms of Dose-Limiting Toxicities (DLTs), Maximum Tolerated Dose (MTD) and determine the Recommended Phase 2 Dose (RP2D) through safety profile (DLT, MTD), PK profile, PD profile and preliminary efficacy.

02

Conditions studied

  • Chronic Lymphocytic Leukaemia (CLL)
  • B-Cell Non-Hodgkin Lymphoma (NHL)
  • Multiple Myeloma (MM)
03

In context

Leukemia, B-Cell

129 studies on the registry are indexed under Leukemia, B-Cell; 46 are open to participants now.

This study's enrollment of 65 is above the median of 40 across 112 interventional studies indexed under Leukemia, B-Cell.

Browse Leukemia, B-Cell studies →

Lead sponsor

Institut de Recherches Internationales Servier is the lead sponsor of 67 studies on the registry; 4 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 8 (44%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Women or men aged >/=18 years
  • Patients with a measurable histologically confirmed Follicular Lymphoma (FL), Mantle Cell Lymphoma (MCL), Diffuse Large B-Cell Lymphoma (DLBCL), Small Lymphocytic Lymphoma (SLL) and Marginal Zone Lymphoma (MZL) (Arm A), or patients with an evaluable immunophenotypically confirmed CLL (Arm B), or patients with a measurable Multiple Myeloma t(11;14) (arm A expansion part) according to International Myeloma Working Group (IMWG) criteria
  • Relapsed after or refractory disease to standard treatments, and require treatment in the opinion of the investigator
  • Estimated life expectancy > 12 weeks
  • World Health Organization (WHO) performance status 0-2
  • Adequate bone marrow, renal and hepatic functions
  • No evidence or treatment for another malignancy within 2 years prior to study entry. Curatively treated non-melanoma skin cancer, in situ carcinoma, or cervical intraepithelial neoplasia is allowed

Additional inclusion criteria for food interaction cohort:

  • B-cell NHL patients at low risk of tumour lysis syndrome (TLS)
  • Recent/concomitant treatment altering gastric pH

Exclusion criteria

Exclusion Criteria:

  • Previous treatment with a BH3 mimetic
  • Previous therapy for the studied disease within 3 weeks before first intake
  • Radioimmunotherapy, radiotherapy within 8 weeks before first intake
  • Major surgery within 3 weeks before first day of study drug dosing
  • Corticosteroids >= 20 mg prednisone equivalent per day within 7 days before first intake
  • Anticoagulant oral drugs, aspirin > 325 mg/day within 7 days prior to first S 55746 intake
  • Positive direct antiglobulin test (Coombs test) and haptoglobin below normal value
  • Prior allogenic stem cell transplant
  • Autologous stem cell transplant within 3 months before first intake
  • NHL patients diagnosed with Post-Transplant Lymphoproliferative Disease, Burkitt's lymphoma, Burkitt-like lymphoma, or lymphoblastic lymphoma/leukaemia
  • Human immunodeficiency virus (HIV)
  • Known acute or chronic hepatitis B or hepatitis C
  • Impaired cardiac function
  • Medications known to prolong corrected QT (QTc) interval
  • History or/ clinically suspicious for cancer- related Central Nervous System disease
  • Solitary extramedullary plasmacytoma
  • Laboratory Signs of TLS
  • Strong or moderate CYP3A4 inhibitors/inducers (treatment, food or drink products)
  • Treatment highly metabolized by the CYP3A4 or CYP2D6 and/or substrates with a narrow therapeutic index, multienzyme and/or OATP and/or P-gp substrates or herbal products.
  • Known hypersensitivity to rasburicase
  • Glucose-6-phosphate dehydrogenase (G6PD) deficiency and other cellular metabolic disorders known to cause haemolytic anaemia
  • Patients receiving proton pump inhibitor
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
65 participants (actual)

Study arms

  • Experimental
    B-cell Non-Hodgkin Lymphoma (NHL) and Multiple Myeloma (MM)

    Drug: S 55746

  • Experimental
    Chronic Lymphocytic Leukaemia (CLL)

    Drug: S 55746

Interventions

  • S 55746, per os administration, from 50 to 1500 mg, once a day during a 21-day cycle. Participants will receive 21-day cycles of treatment until a discontinuation criterion is met.

06

What researchers measure

Primary outcomes

  1. Maximum Tolerated Dose (MTD)

    The MTD is the highest drug dosage that is unlikely (\<25% posterior probability) to cause DLT in more than 33% of the treated patients in the first cycle of S 55746 treatment

    Time frame: During cycle 1 (21 days)

  2. Incidence of Adverse Events (AEs)

    Characterized by severity and seriousness of AEs, laboratory abnormalities and other safety parameters such as electrocardiogram (ECG) changes

    Time frame: From first dose until 30 days after the last dose intake

Secondary outcomes

  1. Plasma concentration of S 55746

    Time frame: Pre-dose on Cycle 1 Day 1 (C1D1), C1D2, C1D3, C1D4, C1D5, C1D8, C1D9, C2D1 ; 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10-12 hours post-dose on C1D1, C1D8

  2. The pharmacokinetic (PK) profile of S 55746: Area Under the Curve [AUC]

    Time frame: Pre-dose on Cycle 1 Day 1 (C1D1), C1D2, C1D3, C1D4, C1D5, C1D8, C1D9, C2D1 ; 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10-12 hours post-dose on C1D1, C1D8

  3. The PK profile of S 55746: Maximal Concentration [Cmax]

    Time frame: Pre-dose on Cycle 1 Day 1 (C1D1), C1D2, C1D3, C1D4, C1D5, C1D8, C1D9, C2D1 ; 0.5, 1, 1.5, 2, 3, 4, 6, 8, 10-12 hours post-dose on C1D1, C1D8

  4. Apoptotic activity from blood samples

    Time frame: At Cycle 1(21 days)

  5. Objective Response Rate (ORR)

    Time frame: Up to study completion (maximum of 3 years)

  6. Clinical Benefit Rate (CBR)

    Time frame: Up to study completion (maximum of 3 years)

  7. Duration of response

    Time frame: Up to study completion (maximum of 3 years)

  8. Progression Free Survival (PFS)

    Time frame: From date of inclusion until the date of progression or date of death, whichever occurs first, assessed up to study completion (maximum of 3 years)

07

Study locations

18 sites
  • The Alfred Hospital Malignant Haematology & Stem Cell Transplantation Services
    Melbourne, 3004, Australia
  • Hopital Claude Huriez
    Lille, France
  • CHU de Nantes
    Nantes, France
  • Centre hospitalier Lyon Sud
    Pierre-Bénite, France
  • Gustave Roussy
    Villejuif, France
  • Universitätsklinikum Carl Gustav Carus
    Dresden, Germany
  • Städtisches Klinikum Schwabing
    Munich, Germany
  • Universitätsklinikum Ulm
    Ulm, Germany
  • National Oncology Institute
    Budapest, Hungary
  • CRU Hungary Kft
    Miskolc, Hungary
  • Warsaw Institute of Oncology
    Warsaw, Poland
  • Warsaw Medical University
    Warsaw, Poland
  • National Cancer Center (NCC)
    Singapore, Singapore
  • National University Cancer Institute Singapore
    Singapore, Singapore
  • Severance Hospital
    Seoul, South Korea
  • St. Mary's Hospital
    Seoul, South Korea
  • University College London Hospitals
    London, United Kingdom
  • Freeman Hospital
    Newcastle, United Kingdom
08

References and documents

Publications

  • Le Gouill S, Wermke M, Morschhauser F, Lim ST, Salles G, Kloos I, de Burgat V, Becquart M, Paux G, Kraus-Berthier L, Pennaforte S, Stilgenbauer S, Walewski J, Ribrag V. A new BCL-2 Inhibitor (S55746/BCL201) as Monotherapy in Patients with Relapsed or Refractory Non-hodgkin Lymphoma: Preliminary Results of the First-in-human Study. Hematol Oncol. 2017 Jun 07;35(S5):14-17. doi: 10.1002/hon.2437_30

Individual participant data

Plan to share: Yes — Researchers can ask for a study protocol, patient-level and/or study-level clinical trial data including clinical study reports (CSRs). They can ask all interventional clinical studies: submitted for new medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US). Where Servier or an affiliate are the Marketing Authorization Holders (MAH). The date of the first Marketing Authorization of the new medicine (or the new indication) in one of the EEA Member States will be considered within this scope.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: After Marketing Authorisation in EEA or US if the study is used for the approval.

Access criteria: Researchers should register on Servier Data Portal and fill in the research proposal form. This form in four parts should be fully documented. The Research Proposal Form will not be reviewed until all mandatory fields are completed.

Data sharing details ↗ · clinicaltrials.servier.com

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jul 25, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT02920697
Lead sponsor
Institut de Recherches Internationales Servier
Collaborators
ADIR, a Servier Group company
Responsible party
Sponsor
First posted
Sep 30, 2016
Start date
Mar 2014
Primary completion
Oct 22, 2018
Completion
Oct 22, 2018
Last update
Jul 25, 2024

Study contacts

Steven Le Gouill, M.D., Ph.D.
principal investigator · Nantes University Hospital

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jul 2024. You cannot join it, but the record below documents what was studied.

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