CClinicalTrials.gg
TerminatedNCT05319028Updated Apr 4, 2023

Study of Mivavotinib (CB-659) in Relapsed/Refractory Diffuse Large B-Cell Lymphoma (DLBCL)

A Phase 2 interventional study of Mivavotinib in Non-GCB/ABC Diffuse Large B-Cell Lymphoma and With and Without MyD88 and/or CD79B Mutations, sponsored by Calithera Biosciences, Inc. Terminated at 7 sites in United States. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2023-04-04.

Sponsored by Calithera Biosciences, Inc · Phase 2, Interventional, and Treatment

Why this study was terminated
Sponsor Decision

From the registry’s dates

  • Primary completion was Feb 2023, 3 years 7 months ago, and no results have been posted to the registry.
Phase
Phase 2
Study type
Interventional
Enrollment
2
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
01

Study summary

Study CX-659-401 is a multicenter, open-label, phase 2 study of mivavotinib to evaluate the single-agent activity of mivavotinib in patients with relapsed/refractory non-GCB/ABC DLBCL, incorporating ctDNA-based next-generation sequencing (NGS) to identify DLBCL patients harboring MyD88 and/or CD79B mutations within the study. This goal of this strategy is to evaluate its activity both in the cell-of-origin subgroup of non-GCB/ABC DLBCL and in the genetically defined subgroups of MyD88/CD79B-mutated and wild type DLBCL.

Read the detailed description

Approximately 50 patients will be randomized 1:1 to one of two dose/schedule cohorts: one with a continuous dosing schedule (100 mg QD) and one with an induction dosing schedule (120 mg QD x 14 days, then 80 mg QD starting Day 15). Patients will receive treatment with mivavotinib until disease progression, unacceptable toxicity, withdrawal of consent, or death.

02

Conditions studied

  • Non-GCB/ABC Diffuse Large B-Cell Lymphoma
  • With and Without MyD88 and/or CD79B Mutations

Keywords

  • Mivavotinib
  • DLBCL
  • MyD88
  • CD79b
  • non-GCB
  • ABC
  • NHL
  • CB-659
  • Relapsed/Refractory
03

In context

Lymphoma

5,578 studies on the registry are indexed under Lymphoma; 825 are open to participants now.

This study's enrollment of 2 is below the median of 40 across 4,508 interventional studies indexed under Lymphoma.

Browse Lymphoma studies →

Lead sponsor

Calithera Biosciences, Inc is the lead sponsor of 29 studies on the registry; none are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 10 (59%) have results posted.

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

04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. Male or female patients aged 18 years or older
  2. Eastern Cooperative Oncology Group (ECOG) Performance Status of 0 to 2
  3. Life expectancy of > 3 months
  4. Histologically confirmed de novo or transformed non-GCB DLBCL.
  5. Relapsed or refractory to ≥ 2 prior lines of chemotherapy based on standard of care
  6. Patients should not have failed more than 5 prior lines of therapy
  7. Must have [18F]Fluorodeoxyglucose-positron emission tomography (FDG-PET)-avid measurable disease that meets the size criteria per International Working Group (IWG) criteria.
  8. Must have recovered from adverse events of prior anti-cancer therapy to severity ≤ Grade 1.
  9. Adequate organ function as assessed by laboratory values.
  10. If female of childbearing potential, agreement to use protocol specified contraception methods. If male, agreement to use an effective barrier method of contraception.

Exclusion criteria

Exclusion Criteria:

  1. DLBCL with central nervous system (CNS) involvement with active brain or leptomeningeal disease
  2. Known human immunodeficiency (HIV; testing not required) or HIV-related malignancy
  3. Known hepatitis B surface antigen positive or known or active hepatitis C infection
  4. Prior autologous stem cell transplant (ASCT) or chimeric antigen receptor T-cell (CAR-T) cell infusion within 90 days of screening
  5. Prior allogeneic stem cell transplantation
  6. Unstable/inadequate cardiac function
  7. Known gastrointestinal (GI) disease or GI procedure that interferes with swallowing/absorption of oral drug
  8. Major surgery within 14 days before the first dose of study drug
  9. Serious infection (bacterial/fungal/viral) requiring parenteral antibiotic/antiviral therapy for >5 days within 21 days prior to first dose of study drug
  10. Treatment with high-dose corticosteroids for anticancer purposes within 7 days before the first dose of mivavotinib.
  11. Use of medication known to be inhibitors or inducers of P-glycoprotein (P-gp) and/or Cytochrome P (CYP)3A
  12. Female patients who are pregnant, lactating or breastfeeding.
  13. Any radiation therapy within 3 weeks prior to first dose of study treatment.
  14. Systemic anticancer treatment within 3 weeks before first dose of study treatment
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
2 participants (actual)

Study arms

  • Experimental
    Continuous Dosing Schedule

    Mivavotinib 100 mg once daily (QD)

    Drug: Mivavotinib

  • Experimental
    Induction Dosing Schedule

    Mivavotinib 120 mg QD for 14 days, then 80 mg QD starting Day 15

    Drug: Mivavotinib

Interventions

  • DrugMivavotinib

    oral tablet

    Also known as: CB-659

06

What researchers measure

Primary outcomes

  1. Overall Response Rate (ORR) as assessed by an independent radiology review committee (IRC) according to the 2014 International Working Group (IWG) Lugano Criteria (Cheson, 2014).

    Overall response is defined as a complete response (CR) or partial response (PR). ORR is the proportion of participants who have overall responses.

    Time frame: Start of treatment up to 21 months

  2. Safety as measured by type, incidence, severity, seriousness, and study drug-relatedness of adverse events per Common Terminology Criteria for Adverse Events, version 5

    Type, incidence, severity, seriousness, and study drug-relatedness of AEs assessed by CTCAE v5.0

    Time frame: Start of treatment up to 21 months

Secondary outcomes

  1. Duration of Response (DOR) Rate as assessed by an IRC according to the 2014 International Working Group (IWG) Lugano Criteria (Cheson, 2014).

    DOR per IRC. DOR will be calculated as the time between the first documentation of partial response (PR) or a complete response (CR) to the first documentation of progressive disease or death, whichever occurs first.

    Time frame: Start of treatment up to 21 months

  2. Progression-Free Survival (PFS) as assessed by an IRC according to the 2014 International Working Group (IWG) Lugano Criteria (Cheson, 2014).

    PFS per IRC. PFS is defined as the time from randomization to the first occurrence of disease progression as determined by the IRC or death from any cause, whichever occurs first.

    Time frame: Start of treatment up to 21 months

  3. Complete Response (CR) Rate as assessed by an IRC according to the 2014 International Working Group (IWG) Lugano Criteria (Cheson, 2014).

    CR rate per IRC according to the 2014 IWG Lugano criteria (Cheson, 2014)

    Time frame: Start of treatment to 21 months

07

Study locations

7 sites
  • Northwestern University
    Evanston, Illinois 60208, United States
  • Henry Ford Health
    Detroit, Michigan 48202, United States
  • University Hospitals Cleveland Medical Center
    Cleveland, Ohio 44106, United States
  • Toledo Clinic Cancer Center
    Toledo, Ohio 43623, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • The University of Texas, M. D. Anderson Cancer Center
    Houston, Texas 77030, United States
  • The University of Texas Health Science Center at San Antonio
    San Antonio, Texas 78229, United States
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 4, 2023, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT05319028
Lead sponsor
Calithera Biosciences, Inc
Responsible party
Sponsor
First posted
Apr 8, 2022
Start date
Jun 23, 2022
Primary completion
Feb 24, 2023
Completion
Feb 24, 2023
Last update
Apr 4, 2023

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Mar 2023. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion