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RecruitingNCT07407803Updated May 27, 2026

Evaluation of TQ-B3234 Capsules in Patients With Symptomatic, Non-Surgical Type 1 Neurofibromatosis-Associated Plexiform Neurofibromas

A Phase 3 interventional study of TQ-B3234 capsules and TQ-B3234 placebo in Plexiform Neurofibroma, sponsored by Chia Tai Tianqing Pharmaceutical Group Co., Ltd.. Recruiting at 29 sites in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-27.

Sponsored by Chia Tai Tianqing Pharmaceutical Group Co., Ltd. (part of Sino Biopharmaceutical Limited) · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Phase
Phase 3
Study type
Interventional
Enrollment
177
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

This study aims to demonstrate that in subjects with symptomatic, inoperable plexiform neurofibromas associated with neurofibromatosis type 1, TQ-B3234 capsules significantly improve the objective response rate at Week 24 compared to placebo.

02

Conditions studied

  • Plexiform Neurofibroma
03

In context

Neurofibroma, Plexiform

63 studies on the registry are indexed under Neurofibroma, Plexiform; 19 are open to participants now.

This study's planned enrollment of 177 is above the median of 36 across 43 interventional studies indexed under Neurofibroma, Plexiform.

Browse Neurofibroma, Plexiform studies →

Lead sponsor

Chia Tai Tianqing Pharmaceutical Group Co., Ltd. is the lead sponsor of 320 studies on the registry; 76 are open to participants now.

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

  • The subject voluntarily joins this study, signs the form, and demonstrates good compliance.
  • Age ≥18 years (calculated from the date of signing the informed consent form).
  • Diagnosis of symptomatic, non-resectable neurofibromatosis type 1 (NF1)-associated plexiform neurofibroma (PN) requiring systemic therapy per investigator judgment.
  • At least one with a dimension ≥3 cm.
  • There should be no significant changes in the use of chronic neuropathic pain medications within 28 days prior to study enrollment.
  • (ECOG) performance status 0-1.
  • Laboratory tests meet the protocol criteria.
  • Women of must agree to use effective during the study and for 6 months after study completion. A negative serum pregnancy test must be documented within 7 days prior to study enrollment. Men must agree to use effective contraception during the study and for 6 months after study completion.

Exclusion criteria

Exclusion Criteria:

  • Confirmed or suspected malignant glioma or malignant peripheral nerve sheath tumor (MPNST) (excluding low-grade glioma, optic nerve glioma not requiring systemic therapy or radiotherapy); histological confirmation may be required.
  • History of or concurrent other within 5 years prior to first dosing.
  • Multiple factors affecting oral drug absorption (e.g., dysphagia, chronic diarrhea, intestinal obstruction, major bowel resection).
  • Adverse reactions from prior anti-tumor therapy not recovered to v6.0 grade ≤1, except grade 2 alopecia, grade 2 peripheral neuropathy, grade 2 anemia, non- and asymptomatic laboratory abnormalities, and hypothyroidism stabilized by hormone replacement therapy.
  • Major surgery, significant traumatic injury, or planned major surgery during the study within 4 weeks prior to first dosing; or presence of long-term non-healed wounds or fractures.
  • History of arterial/venous thrombotic events (e.g., cerebrovascular accident including (TIA), deep vein thrombosis, pulmonary embolism) or other severe thromboembolic events within 6 months prior to first dosing.
  • Active viral hepatitis with poor control.
  • Active syphilis requiring treatment.
  • Active tuberculosis, idiopathic pulmonary fibrosis, organizing pneumonia, drug-induced pneumonia, radiation pneumonitis requiring treatment, or clinically symptomatic active pneumonia.
  • History of substance abuse that cannot be controlled or presence of psychiatric disorders.
  • Planned or prior allogeneic bone marrow or solid organ transplantation.
  • History of hepatic encephalopathy.
  • History of or current retinal vein occlusion (RVO), retinal pigment epithelial detachment (RPED), central serous retinopathy (CSR), glaucoma, or other significant ocular abnormalities (e.g., intraocular pressure >21mmHg).
  • Inability to undergo MRI and/or presence of MRI .
  • Major cardiovascular disease.
  • Active or uncontrolled severe infection.
  • Renal failure requiring hemodialysis or peritoneal dialysis.
  • History of immunodeficiency, including -positive or other acquired/congenital immunodeficiency diseases.
  • History of epilepsy.
  • Tumor-related symptoms and treatment.
  • Known to study drug .
  • Participation in and use of other PN clinical trial drugs within 4 weeks prior to first dosing.
  • Pregnant or lactating participants.
  • Any other condition that, in the investigator's judgment, poses a serious risk to participant safety or interferes with study completion.
Terms in these criteria, in plain language(13)

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.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

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.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

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.

CTCAE grade

The US National Cancer Institute’s scale of how severe an adverse event is — any unwanted medical event during a study, such as a symptom, an illness or an abnormal test result, whether or not a treatment caused it. Whether it did is judged separately.

1
Mild.
2
Moderate.
3
Severe.
4
Life-threatening.
5
Death due to the event.

“Side effects of earlier treatment resolved to grade 1 or less” means they have settled to mild or gone.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

TIA (transient ischaemic attack)

A “mini-stroke”: temporary stroke-like symptoms caused by reduced blood flow to part of the brain, spinal cord or eye, without signs of a new stroke on a scan.

Stroke symptoms need emergency care at once, even if they go away.

Contraindication

A reason a treatment, test or procedure should not be given to a particular person, such as an allergy, another illness or a medicine they take.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Hypersensitivity

An allergy, or another reaction of the immune system, to a substance. “Hypersensitivity to the study drug” means a known allergic reaction to it — not every side effect a medicine can have.

Excipients

The other ingredients in a medicine besides the active drug, such as fillers, colours or preservatives.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
177 participants (estimated)

Study arms

  • Experimental
    TQ-B3234 capsules

    TQ-B3234 capsules: 50 mg once daily, one cycle every 4 weeks (28 days)

    Drug: TQ-B3234 capsules

  • Placebo comparator
    TQ-B3234 placebo

    TQ-B3234 placebo: 0 mg once daily, one cycle every 4 weeks (28 days)

    Drug: TQ-B3234 placebo

Interventions

  • DrugTQ-B3234 capsules

    TQ-B3234 is an antitumor molecular targeted drug, a selective mitogen-activated protein kinase 1 and 2 (MEK1/2) inhibitor. It primarily inhibits the mitogen-activated protein kinase (MEK) protein (an upstream regulator of the extracellular signal-regulated kinase (ERK) pathway), thereby affecting the mitogen-activated protein kinase (MAPK) pathway and suppressing cell proliferation. MEK inhibitors are recognized to play a significant role in the pathogenesis of plexiform neurofibromas associated with neurofibromatosis type 1.

  • DrugTQ-B3234 placebo

    TQ-B3234 placebo without drug substance.

06

What researchers measure

Primary outcomes

  1. IRC-Assessed Objective Response Rate (ORR)

    Percentage of subjects achieving complete response (CR) or partial response (PR) as assessed by independent review committee (IRC) per REiNS criteria at the end of Cycle 24.

    Time frame: From subject enrollment to the end of cycle 24 (each cycle is 28 days)

Secondary outcomes

  1. Investigator-Assessed ORR

    Percentage of subjects achieving complete response (CR) or partial response (PR) as assessed by investigators per REiNS criteria.

    Time frame: From subject enrollment to the end of cycle 24 (each cycle is 28 days)

  2. IRC/Investigator-Assessed DOR

    Duration of response (DOR), defined as the time from first documented confirmed objective response to disease progression or death from any cause (whichever occurs first), as determined by IRC/investigators per REiNS criteria.

    Time frame: From subject enrollment to the end of cycle 24 (each cycle is 28 days)

  3. IRC/Investigator-Assessed disease control rate (DCR)

    Percentage of subjects achieving complete response (CR), partial response (PR), or stable disease (SD) as determined by IRC/investigators per REiNS criteria.

    Time frame: From subject enrollment to the end of cycle 24 (each cycle is 28 days)

  4. IRC/Investigator-Assessed progression-free survival (PFS )

    Time from randomization to first disease progression or death from any cause (whichever occurs first), as determined by IRC/investigators per REiNS criteria.

    Time frame: From subject enrollment to the end of cycle 24 (each cycle is 28 days)

  5. IRC/Investigator-Assessed TTP

    Time from randomization to first disease progression (TTP), as assessed by IRC/investigators per REiNS criteria.

    Time frame: From subject enrollment to the end of cycle 24 (each cycle is 28 days)

  6. IRC/Investigator-Assessed time to response (TTR)

    Time from randomization to first objective response, as determined by IRC/investigators per REiNS criteria.

    Time frame: From subject enrollment to the end of cycle 24 (each cycle is 28 days)

  7. Tumor response in subject

    Difference in the best percentage change from baseline in target PN volume between groups, as assessed by IRC/investigators.

    Time frame: From subject enrollment to the end of cycle 24 (each cycle is 28 days)

  8. Number of subjects with incidence and severity of adverse events (AEs)

    Incidence and severity of adverse events from subject enrollment to the end of cycle 24.

    Time frame: From subject enrollment to the end of cycle 24 (each cycle is 28 days)

  9. Patient-reported outcomes

    Patient self-assessment results from subject enrollment to the end of cycle 24.

    Time frame: From subject enrollment to the end of cycle 24 (each cycle is 28 days)

  10. Peak concentration (Cmax)

    Maximum plasma drug concentration

    Time frame: 2 hours after administration

  11. Plasma concentration at steady state (Ctrough, SS)

    The pre-dose concentration observed when the drug has reached steady state with repeated dosing, indicating baseline exposure and accumulation.

    Time frame: Cycle 1 day 28: pre-dose, Cycle 2 day 28 pre-dose, Cycle 3 day 28: pre-dose, Cycle 6 day 28: pre-dose. (each cycle is 28 days)

  12. Effects on pain score in subjects

    Questionnaire: Numerical Rating Scale-11 (NRS-11); The line segments below all have numbers from 0 to 10, where 0 means no pain and 10 is the worst pain you can imagine.

    Time frame: From subject enrollment to the end of the 24th cycle (each cycle is 28 days)

  13. Effects on pain interference index in subjects

    Questionnaire: pain interference index; Please answer each one by circling a number from 0 to 6, where 0 means none at all and 6 means completely

    Time frame: From subject enrollment to the end of the 24th cycle (each cycle is 28 days)

  14. Effects on subjects' general quality of life

    Questionnaire: Functional Assessment of Cancer Therapy - General (FACT-G); the scores from all items across its four domains are summed to obtain a total score, which ranges from 0 to 108 points.

    Time frame: From subject enrollment to the end of the 24th cycle (each cycle is 28 days)

  15. Effects on subjects; disease-specific quality of life

    Questionnaire: PedsQL NF1 Module; It includes an Adult version (\>25 years) and a Young Adult version (18-25 years), with 104 items, respectively.

    Time frame: From subject enrollment to the end of the 24th cycle (each cycle is 28 days)

07

Study locations

3 of 29 sites recruiting
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on May 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07407803
Responsible party
Sponsor
First posted
Feb 12, 2026
Start date
Mar 31, 2026
Primary completion
Dec 2027 (estimated)
Completion
Dec 2028 (estimated)
Last update
May 27, 2026

Study contacts

Qingfeng Li, Doctor
Contact
dr.liqingfeng@shsmu.edu.cn
021 53315108

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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