ClinicalTrials.gg
CompletedNCT07444268Updated Sep 30, 2026

How [14C]-DSP-5336 is Absorbed, Broken Down, and Removed From the Body After a Single Oral Dose in Patients With Advanced Blood Cancers

A Phase 1 interventional study of DSP-5336 and [14C]-DSP-5336 in Advanced Hematologic Malignancies, sponsored by Sumitomo Pharma America, Inc.. Completed at 2 sites in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-30.

Sponsored by Sumitomo Pharma America, Inc. (part of Sumitomo Pharma Co., Ltd.) · Phase 1, Interventional, and Treatment

Updated Sep 30, 2026Now CompletedStudy completion moved+1 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
8
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to evaluate the absorption, metabolism, and excretion of DSP-5336 following a single oral administration of the study drug in patients with hematologic malignancies whose disease has progressed after available standard therapies.

02

Conditions studied

  • Advanced Hematologic Malignancies
03

In context

Lead sponsor

Sumitomo Pharma America, Inc. is the lead sponsor of 181 studies on the registry; 5 are open to participants now.

Of its 33 completed or terminated interventional studies of FDA-regulated products, 21 (64%) have results posted.

First submitted after Sumitomo Pharma America, Inc. became part of Sumitomo Pharma Co., Ltd..

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

  • Male or female, of any race, ≥ 18 years of age. Female patients must be surgically sterile or . Male patients must be permanently sterile or agree to use .
  • Have an advanced hematological that is , refractory, or has progressed following receipt of standard and available treatments.
  • Any prior pre-treatment toxicities resolved to ≤Grade 1 prior to enrolment, with exception of ≤Grade 2 alopecia or neuropathy.
  • Adequate kidney and liver function
  • performance status of ≤ 2.
  • Able to attend the required study visits, including the confinement period for monitoring and collection of bowel movements and micturition.
  • Able to comprehend and are willing to sign the ICF and abide by the study restrictions.

Exclusion criteria

Exclusion Criteria:

  • Histologic diagnosis of acute promyelocytic leukemia.
  • Abnormal that is , such as > 480 msec. QT interval correction can be performed in the case of bundle branch block.
  • History of torsades de pointes.
  • ≤ 45%, as determined by echocardiogram.
  • Have any concurrent conditions that could pose an undue risk or interfere with interpretation of the study results, including, but not limited to clinically significant non-healing or healing wounds, concurrent congestive heart failure, unstable angina, cardiac arrhythmia requiring treatment (excluding asymptomatic atrial fibrillation), myocardial infarction within 6 months, acute coronary syndrome within 6 months, significant pulmonary disease (shortness of breath at rest or on mild exertion; eg, due to concurrent severe obstructive pulmonary disease, hypertension not controlled with concomitant medication, or diabetes mellitus with > 2 episodes of ketoacidosis in the prior 6 months).
  • History of stomach or intestinal surgery or resection that would potentially alter absorption and/or excretion of orally administered drugs (uncomplicated appendectomy and hernia repair are allowed).
  • History or evidence of severe dysphagia, short-gut syndrome, gastroparesis, gastrointestinal tract disease, malabsorption syndrome, the requirement for intravenous alimentation, gastric/jejunal feeds, any uncontrolled gastrointestinal disease, or other conditions that limit the ingestion or gastrointestinal absorption of drugs administered orally, including the inability to swallow oral medication
  • Have cognitive, psychological, or psychosocial impediment that would impair their ability to receive therapy according to the protocol or would adversely affect their ability to comply with the process, protocol, or protocol-required visits and procedures.
  • History of bowel obstruction, abdominal fistula, gastrointestinal perforation, or intra-abdominal abscess within 6 months of check-in, unless approved by the investigator and medical monitor.
  • Active and uncontrolled bacterial, viral, or fungal infection requiring parenteral therapy.
  • Positive hepatitis panel and/or positive test indicative of active infection. Patients whose results are compatible with prior immunization may be included.
  • Undergone , chimeric antigen receptor cell therapy, or other modified T-cell therapy within 60 days prior to dosing.
  • Received donor lymphocyte infusion within 28 days prior to dosing, receiving therapy post-HSCT, or have clinically active or GVHD requiring active medical intervention other than the use of topical for ongoing cutaneous GVHD.
  • Received systemic calcineurin inhibitors within 2 weeks prior to dosing.
  • Received other anticancer drugs or other treatment within 14 days or 5 half-lives, whichever is shorter, prior to dosing.
  • Major surgery within 28 days prior to dosing.
  • Any known intolerance or to components of the study intervention.
  • Patients who have previously been dosed in > 2 radiolabeled drug studies in the last 12 months. For patients who have previously been dosed in ≤ 2 radiolabeled drug studies within the last 12 months, the previous radiolabeled dose must be at least 4 months prior to check-in to the study site where exposures are known to the investigator or 6 months prior to check-in to the study site for a radiolabeled drug study where exposures are not known to the investigator.
  • Poor peripheral venous access.
  • Patients with exposure to significant diagnostic or therapeutic radiation or current employment in a job requiring radiation exposure monitoring within 12 months prior to check-in.
  • Patients who, in the opinion of the investigator or designee, should not participate in this study.
Terms in these criteria, in plain language(17)

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.

Postmenopausal

Periods have stopped for good: usually no period for 12 months in a row without another medical reason, sometimes confirmed by a blood test (FSH).

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.

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.

ECG (electrocardiogram)

A recording of the heart’s electrical activity, taken with stickers on the chest, arms and legs. It takes a few minutes and does not hurt.

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.

QT and QTc

On an ECG, the QT interval is the time the heart’s lower chambers take to activate electrically and recover in each beat. QTc is that time adjusted for heart rate (QTcF by Fridericia’s formula, QTcB by Bazett’s). Some medicines lengthen it, and a long QTc can raise the risk of a dangerous heart rhythm.

The study may name a correction formula and a limit in milliseconds, often around 450–480.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

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.

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.

Allogeneic and autologous transplant

Stem cell (bone marrow) transplants. Allogeneic uses cells from a donor; autologous uses your own cells, collected earlier and given back.

Immunosuppression

A weakened immune system. It can come from an illness, such as HIV or some blood cancers, or from medicines that turn the immune system down, for example after an organ transplant or for an autoimmune disease; steroids at higher doses count.

Read whether the line is about a condition or about medicines, and which medicines and doses it means.

GVHD (graft-versus-host disease)

After a transplant from a donor, the donor’s immune cells attack the recipient’s body, often the skin, gut or liver.

Corticosteroids (steroids)

Anti-inflammatory medicines such as prednisone, prednisolone and dexamethasone — not the anabolic steroids used for muscle.

Studies differ in what they allow: check which steroid medicines, routes (tablets, injections, creams, inhalers, eye drops) and doses this study accepts.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

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.

05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Sequential assignment
Masking
None (open label)
Enrollment
8 participants (actual)

Study arms

  • Experimental
    DSP-5336 tablets and [14C]-DSP-5336 solution

    Part 1

    Drug: DSP-5336 · Drug: [14C]-DSP-5336

  • Experimental
    Optional Continued Access

    Part 2

    Drug: DSP-5336

Interventions

  • tablet

  • Drug[14C]-DSP-5336

    oral solution

06

What researchers measure

Primary outcomes

  1. Total recovery of radioactivity in urine as percentage of total radioactive dose of [14C]-DSP-5336

    The percentage of dose excreted in urine

    Time frame: Day 1 to 4, max 7 days if less than 90% is collected by Day 4

  2. Total recovery of radioactivity in fecal waste as percentage of total radioactive dose of [14C]-DSP-5336

    The percentage of dose excreted in fecal waste

    Time frame: Day 1 to 4, max 7 days if less than 90% is collected by Day 4

  3. Total recovery of radioactivity in excreta balance as percentage of total radioactive dose of [14C]-DSP-5336

    The percentage of dose excreted in combined urine and fecal waste

    Time frame: Day 1 to 4, max 7 days if less than 90% is collected by Day 4

  4. Relative abundance (mean value) of [14C]-DSP-5336

    Plasma samples will be analyzed for \[14C\]-DSP-5336 and its metabolites.

    Time frame: 4 days, max 7 days

Secondary outcomes

  1. Area under the plasma concentration time profile from time zero to time of the last quantifiable concentration (AUClast) of [14C]-DSP-5336

    The determination of AUClast using the linear/log trapezoidal rule

    Time frame: 4 days, max 7 days

  2. Cmax for the relative bioavailability of [14C]-DSP-5336

    Analysis of the maximum concentration (Cmax) of the relative bioavailability of \[14C\]-DSP-5336 utilizing the ratio of the adjusted geometric means

    Time frame: 4 days, max 7 days

  3. t(1/2) of [14C]-DSP-5336

    Elimination half-life (t\[1/2\]) of \[14C\]-DSP-5336

    Time frame: 4 days, max 7 days

  4. Ratio of plasma to whole blood total radioactivity

    The fraction of \[14C\]-DSP-5336 radioactivity associated with whole blood and plasma and with red blood cells and other cellular components of whole blood was determined by using the concentration of \[14C\]-DSP-5336 radioactivity in whole blood and plasma

    Time frame: 4 days, max 7 days

  5. Number of participants with adverse events and serious adverse events

    Safety of DSP-5336 by reporting of AEs and SAEs

    Time frame: 30 days

07

Study locations

2 sites
  • University of North Carolina
    Chapel Hill, North Carolina 27514, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
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→Completed
changed Sep 30, 2026
Study completion
Aug 2026→Sep 4, 2026 (actual)
Sep 30, 2026
Show all 1 update
  1. Sep 30, 2026
    Recruiting→Completed
    Study completion Aug 2026→Sep 4, 2026 (now actual)
    + 3 other changes: verification date, contact details and site 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
NCT07444268
Responsible party
Sponsor
First posted
Mar 2, 2026
Start date
Mar 26, 2026
Primary completion
Aug 11, 2026
Completion
Sep 4, 2026
Last update
Sep 30, 2026

Oversight

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

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

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Studies of the drug tested here: Enzomenib

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