ClinicalTrials.gg
Active, not recruitingNCT06547528Updated Sep 28, 2026

A Phase I Study to Investigate the Tolerability and Safety of ONO-4685 Given as Monotherapy in T Cell Lymphoma and CLL/SLL

A Phase 1 interventional study of ONO-4685 in Relapsed or Refractory T Cell Lymphoma and Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma, sponsored by Ono Pharmaceutical Co., Ltd.. Active, not recruiting at 14 sites in Japan. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-28.

Primary conditionLymphoma, T-CellRegistry: RecurrenceReclassifiedWhy we changed it
Registry
Recurrence — the first condition term the registry derived for this study.
ClinicalTrials.gg
Lymphoma, T-Cell
Why
  1. Recurrence describes something many studies share rather than a condition a study is about.
  2. The study's listed conditions name Lymphoma, T-Cell.
Confidence
High: the new condition is named in the study's own listed conditions. Of 351 hand-checked studies reclassified this way, 68% were exactly right and 84% in the right disease family; the registry's first term was right for 5% (measured 2026-10-21). How we classify →
Wrong?
Tell us the study's main condition →

Sponsored by Ono Pharmaceutical Co., Ltd. · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Registered 10 months after the study started (first participant enrolled Oct 2023, registered Aug 2024).
Updated Sep 28, 2026Now Active, not recruitingSponsor changed+2 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
108
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

A Phase I Study to Investigate the Tolerability and Safety of ONO-4685 Given as Monotherapy in T Cell Lymphoma and CLL/SLL

02

Conditions studied

  • Relapsed or Refractory T Cell Lymphoma and Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

Browse trials for

03

In context

Lymphoma, T-Cell Reclassified

310 studies on the registry are indexed under Lymphoma, T-Cell; 78 are open to participants now.

This study's planned enrollment of 108 is above the median of 37 across 270 interventional studies indexed under Lymphoma, T-Cell.

Browse Lymphoma, T-Cell studies →

Lead sponsor

Ono Pharmaceutical Co., Ltd. is the lead sponsor of 49 studies on the registry; 18 are open to participants now.

Compared within Lymphoma, T-Cell, this study's primary condition as ClinicalTrials.gg classifies it; the registry's first condition term is Recurrence. The counts are of registry records indexed under each term, refreshed daily. How we classify →

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

  1. Patients with histopathologically confirmed diagnosis of one of the following subtypes as defined by the 2017 revision of the WHO classification of lymphoid :

    Peripheral T-cell lymphoma(PTCL)

    • Angioimmunoblastic T-cell lymphoma(AITL)
    • Peripheral T-cell lymphoma, NOS(PTCL-NOS)
    • Nodal peripheral T-cell lymphoma with TFH phenotype(nodal PTCL with TFH)
    • Follicular T-cell lymphoma(FTCL) Cutaneous T-cell lymphoma(CTCL)
    • Mycosis fungoides(MF)
    • Sezary syndrome Chronic lymphocytic leukemia/small lymphocytic lymphoma(CLL/SLL)
  2. patients with tumors for which no established standard therapy is available, or refractory or intolerant to existing standard therapy judged by principal investigator or subinvestigator
  3. PS 0\~2
  4. of at least 3 months

Exclusion criteria

Exclusion Criteria:

  1. Patients with severe complications.
  2. Patients with multiple cancers.
Terms in these criteria, in plain language(4)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Cancer (malignancy)

Malignancy means cancer. Criteria about another or earlier malignancy ask whether you have had a different cancer, usually within a set number of years.

Some are commonly allowed, such as treated skin cancers other than melanoma and early cancers removed completely — check the exceptions this study lists.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
108 participants (estimated)

Study arms

  • Experimental
    ONO-4685

    Drug: ONO-4685

Interventions

  • ONO-4685 is administered by IV infusion. The administration of ONO-4685 will be continued until disease progression or unacceptable toxicity is observed.

06

What researchers measure

Primary outcomes

  1. Dose-limiting toxicities(DLT)

    Time frame: Up to 3 Weeks

  2. Incidence and severity of AEs and SAEs

    Time frame: Through study completion, an average of 1 year

  3. Laboratory abnormality profile of ONO-4685 as measured by incidence and severity of clinical laboratory abnormalities

    Time frame: Through study completion, an average of 1 year

  4. Body temperature

    Time frame: Through study completion, an average of 1 year

  5. Pulse rate

    Time frame: Through study completion, an average of 1 year

  6. Systolic/diastolic blood pressure

    Time frame: Through study completion, an average of 1 year

  7. Change of weight during the trial period

    Time frame: Through study completion, an average of 1 year

  8. Chest X-ray test

    Time frame: Through study completion, an average of 1 year

  9. ECG parameters by 12 lead ECG(pulse rate)

    Time frame: Through study completion, an average of 1 year

  10. ECG parameters by 12 lead ECG(RR)

    Time frame: Through study completion, an average of 1 year

  11. ECG parameters by 12 lead ECG(QT interval)

    Time frame: Through study completion, an average of 1 year

  12. ECG parameters by 12 lead ECG(corrected QT intervals [QTcF, QTcB])

    Time frame: Through study completion, an average of 1 year

  13. ECG parameters by 12 lead ECG(PR interval)

    Time frame: Through study completion, an average of 1 year

  14. ECG parameters by 12 lead ECG(QRS)

    Time frame: Through study completion, an average of 1 year

Secondary outcomes

  1. Best overall response (BOR)

    Time frame: Through study completion, an average of 1 year

  2. Overall response rate (ORR)

    Time frame: Through study completion, an average of 1 year

  3. Complete response rate (CRR)

    Time frame: Through study completion, an average of 1 year

  4. Duration of response (DOR)

    Time frame: Through study completion, an average of 1 year

  5. Progression Free Survival(PFS)

    Time frame: Through study completion, an average of 1 year

  6. Time to response (TTR)

    Time frame: Through study completion, an average of 1 year

  7. Overall Survival(OS)

    Time frame: Through study completion, an average of 1 year

  8. The percent change of tumor volume

    Time frame: Through study completion, an average of 1 year

  9. Pharmacokinetics(Cmax)

    Time frame: Through study completion, an average of 1 year

  10. Pharmacokinetics(Tmax)

    Time frame: Through study completion, an average of 1 year

  11. Pharmacokinetics(AUC)

    Time frame: Through study completion, an average of 1 year

  12. Pharmacokinetics(Ceoi)

    Time frame: Through study completion, an average of 1 year

  13. Pharmacokinetics(T1/2)

    Time frame: Through study completion, an average of 1 year

  14. Pharmacokinetics(Ctrough)

    Time frame: Through study completion, an average of 1 year

  15. Volume of distribution(Vd)

    Time frame: Through study completion, an average of 1 year

  16. clearance(CL)

    Time frame: Through study completion, an average of 1 year

  17. Anti-ONO-4685 antibody

    Time frame: Through study completion, an average of 1 year

07

Study locations

14 sites
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

1 registry update since Sep 25, 2026
Status
Recruiting→Active, not recruiting
changed Sep 28, 2026
Sites
9 sites added, 9 sites removed
Show 9 added (9 Japan)
  • Aichi Cancer Center Hospital · Nagoya, Japan
  • Nagoya University Hospital · Nagoya, Japan
  • Akita University Hospital · Akita, Japan
  • Kyushu University Hospital · Fukuoka, Japan
  • Hokkaido University Hospital · Sapporo, Japan
  • Kumamoto University Hospital · Kumamoto, Japan
  • University Hospital Kyoto Prefectural University of Medicine · Kyoto, Japan
  • Tohoku University Hospital · Sendai, Japan
  • Okayama University Hospital · Okayama, Japan
Show 9 removed
  • Aichi Cancer Center Hospital · Nagoya-shi, Japan
  • Nagoya University Hospital · Nagoya-shi, Japan
  • Akita University Hospital · Akita-shi, Japan
  • Kyushu University Hospital · Fukuoka-shi, Japan
  • Hokkaido University Hospital · Sapporo-shi, Japan
  • Kumamoto University Hospital · Kumamoto-shi, Japan
  • University Hospital Kyoto Prefectural University of Medicine · Kyoto-shi, Japan
  • Tohoku University Hospital · Sendai-shi, Japan
  • Okayama University Hospital · Okayama-shi, Japan
Sep 28, 2026
Sponsor
Ono Pharmaceutical Co. Ltd→Ono Pharmaceutical Co., Ltd.
Sep 28, 2026
Show all 1 update
  1. Sep 28, 2026
    Recruiting→Active, not recruiting
    9 sites added, 9 sites removed
    Show 9 added (9 Japan)
    • Aichi Cancer Center Hospital · Nagoya, Japan
    • Nagoya University Hospital · Nagoya, Japan
    • Akita University Hospital · Akita, Japan
    • Kyushu University Hospital · Fukuoka, Japan
    • Hokkaido University Hospital · Sapporo, Japan
    • Kumamoto University Hospital · Kumamoto, Japan
    • University Hospital Kyoto Prefectural University of Medicine · Kyoto, Japan
    • Tohoku University Hospital · Sendai, Japan
    • Okayama University Hospital · Okayama, Japan
    Show 9 removed
    • Aichi Cancer Center Hospital · Nagoya-shi, Japan
    • Nagoya University Hospital · Nagoya-shi, Japan
    • Akita University Hospital · Akita-shi, Japan
    • Kyushu University Hospital · Fukuoka-shi, Japan
    • Hokkaido University Hospital · Sapporo-shi, Japan
    • Kumamoto University Hospital · Kumamoto-shi, Japan
    • University Hospital Kyoto Prefectural University of Medicine · Kyoto-shi, Japan
    • Tohoku University Hospital · Sendai-shi, Japan
    • Okayama University Hospital · Okayama-shi, Japan
    Sponsor Ono Pharmaceutical Co. Ltd→Ono Pharmaceutical Co., Ltd.
    + 4 other changes: index terms, identifiers, verification date and contact details

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT06547528
Responsible party
Sponsor
First posted
Aug 9, 2024
Start date
Oct 1, 2023
Primary completion
Jan 31, 2029 (estimated)
Completion
Apr 30, 2029 (estimated)
Last update
Sep 28, 2026

Study contacts

Project Leader
study director · Ono Pharmaceutical Co., Ltd.

Oversight

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

Not currently enrolling

This study is active, not recruiting, as verified in Sep 2026. You cannot join it, but the record below documents what was studied.

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Discussion

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Studies of the drug tested here: Besufetamig

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