ClinicalTrials.gg
RecruitingNCT07616089FXS0683-001Updated Oct 14, 2026

Phase I Study of FXS0683 in the Treatment of Blood Tumors

A Phase 1 interventional study of FXS0683 in B-Cell Lymphoma, Acute Myeloid Leukemia and Myelodysplastic Syndromes, sponsored by Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd.. Recruiting at 1 site in China. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-10-14.

Sponsored by Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd. (part of Fosun Pharma) · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Started Jun 2026; still recruiting 5 months later.
Updated Oct 14, 2026Now RecruitingSite recruiting status changed+2 moreGo to Updates ↓
Phase
Phase 1
Study type
Interventional
Enrollment
228
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This is a first-in-human, multicenter, open-label, single-arm Phase I study of FXS0683 in participants with relapsed or refractory hematologic malignancies to evaluate safety, tolerability, pharmacokinetics (PK), and preliminary antitumor activity, and to determine the maximum tolerated dose (MTD) and/or recommended Phase 2 dose (RP2D).

Read the detailed description

This is a first-in-human, multicenter, open-label, single-arm Phase I study of FXS0683 tablets in participants with relapsed or refractory hematologic malignancies, designed to evaluate safety, tolerability, PK, and preliminary antitumor activity.The study consists of a dose-escalation phase and a dose-expansion phase. The primary objective of dose escalation is to assess safety and tolerability and to determine the MTD and/or RP2D. Dose escalation will follow an accelerated titration design combined with a Bayesian Optimal Interval (BOIN) design. The initial cohort will enroll one participant; if a treatment-related adverse event of Grade ≥2 occurs during the dose-limiting toxicity (DLT) observation period, the cohort will transition to a BOIN design and expand to include additional participants. Dose escalation may proceed in the absence of DLTs among evaluable participants.

The dose-expansion phase is intended to further evaluate safety and preliminary efficacy at selected dose level(s). Expansion may be initiated based on emerging safety, tolerability, and PK data from the dose-escalation phase without requiring completion of all escalation cohorts.

02

Conditions studied

  • B-Cell Lymphoma
  • Acute Myeloid Leukemia
  • Myelodysplastic Syndromes
  • Acute Lymphoblastic Leukemia
03

In context

Lymphoma, B-Cell

885 studies on the registry are indexed under Lymphoma, B-Cell; 286 are open to participants now.

This study's planned enrollment of 228 is above the median of 34 across 773 interventional studies indexed under Lymphoma, B-Cell.

Browse Lymphoma, B-Cell studies →

Lead sponsor

Shanghai Fosun Pharmaceutical Industrial Development Co. Ltd. is the lead sponsor of 34 studies on the registry; 21 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

  1. Voluntary participation in the clinical trial and signing of the ICF.
  2. Age ≥ 18 years, regardless of gender.
  3. Dose escalation phase: Patients with mature B-cell diagnosed per the 2017 WHO classification who have failed standard therapies and have no appropriate treatment options. Dose expansion phase: Patients with B-cell lymphoma (2017 WHO), myeloid malignancies (2022 WHO), or acute lymphoblastic leukemia.
  4. Dose escalation phase: Evaluable disease. Dose expansion phase: For B-cell lymphoma, at least one per Lugano 2014 criteria.
  5. Patients must be willing to undergo bone marrow aspiration and/or .
  6. performance status of 0-1 (dose escalation phase) or 0-2 (dose expansion phase).
  7. Expected survival time ≥3 months.
  8. Adequate bone marrow function during screening, as defined by local laboratory reference ranges, without growth factor support.
  9. Adequate organ function, defined by laboratory values within 7 days prior to the first dose.
  10. Women of must have a negative serum pregnancy test within 7 days prior to the first dose and agree to use effective from signing the ICF until 6 months after the last dose.
  11. Patients at high risk of tumor lysis syndrome (TLS), defined as absolute lymphocyte count (ALC) ≥25×10⁹/L with ≥1 measurable lymph node ≥5 cm or any node ≥10 cm, must be willing to comply with TLS prophylaxis and monitoring requirements.
  12. Patients must be able to comply with the study procedures and visit schedule.

Exclusion criteria

Exclusion Criteria:

  1. Burkitt lymphoma/leukemia, plasma cell myeloma, or plasmablastic lymphoma.
  2. Acute promyelocytic leukemia (APL) or BCR-ABL positive AML patients, or patients with a history of myeloproliferative neoplasms (MPN).
  3. Use of cytotoxic agents, drugs, or other antitumor therapies within 14 days or 5 half-lives prior to the first dose; or immunotherapy, antibody-based or peptide-based therapies, or within 4 weeks prior to the first dose.
  4. Patients who received any therapeutic surgery other than diagnosis, , or drainage within 4 weeks before the first dose, or patients expected to undergo major surgery during the study. Patients who underwent drainage or placement of drainage tubes within 4 weeks before the first dose must have symptoms/signs alleviated and not require prophylactic or therapeutic antibiotics.
  5. Patients who received systemic radiotherapy or palliative local radiotherapy within 4 weeks before the first dose.
  6. Toxicity from previous anticancer treatment has not recovered to ≤ grade 2, except for hair loss and pigmentation.
  7. Prior stem cell transplantation; or autologous stem cell transplantation or CAR-T therapy within 3 months prior to the first dose.
  8. Patients with lymphoma/leukemia that has infiltrated the central nervous system.
  9. Patients with dysphagia or a history of severe gastrointestinal diseases and whose related symptoms cannot be reasonably controlled; or patients with gastrointestinal diseases affecting drug absorption or other malabsorption conditions.
  10. Active or cardiovascular or cerebrovascular disease.
  11. Patients with interstitial lung disease or a history of pulmonary interstitial fibrosis; or evidence of active pneumonia found on screening chest CT scan.
  12. Patients with congenital immunodeficiency disorders or active diseases, including but not limited to those with active and uncontrolled autoimmune cytopenias lasting ≥2 weeks, including autoimmune hemolytic anemia and idiopathic thrombocytopenic purpura.
  13. Patients with coagulation disorders.
  14. Patients with a history of severe allergies or allergies to any active or inactive component of the study drug.
  15. Patients with uncontrolled systemic infections within 2 weeks before the first dose; surface antigen positive with hepatitis B virus DNA >1000 IU/ml; antibody positive with HCV RNA positive; antibody positive.
  16. Other primary within 5 years prior to enrollment, except for adequately treated basal or squamous cell skin cancer or carcinoma in situ.
  17. Patients who still require systemic agents or systemic within 2 weeks before the study drug.
  18. Pregnant or breastfeeding women.
  19. Any other serious or uncontrolled acute or chronic disease or laboratory abnormality or other reasons deemed unsuitable for participation in this clinical trial by the investigator.
Terms in these criteria, in plain language(16)

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.

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.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

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.

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.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

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.

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.

Autoimmune disease

A condition in which the immune system attacks the body’s own tissues, such as rheumatoid arthritis, lupus, psoriasis, type 1 diabetes or inflammatory bowel disease.

Immunotherapy studies often leave out active autoimmune disease, and some name exceptions, such as thyroid disease on replacement hormone. Check the exceptions this study lists.

Hepatitis B tests

Hepatitis B is a virus that infects the liver. These are separate tests: HBsAg positive usually means a current infection (a recent vaccination can briefly cause it too); total anti-HBc (HBcAb) positive means an infection now or in the past; HBV DNA measures how much virus is in the blood.

Some studies accept a past infection if HBV DNA is undetectable, sometimes with antiviral medicine during the study. Check what this study allows.

Hepatitis C tests

Hepatitis C is a virus that infects the liver. An HCV antibody test can stay positive after an infection has cleared (and is occasionally positive without one); an HCV RNA test shows whether the virus is there now.

After treatment, hepatitis C counts as cured when HCV RNA is still undetectable 12 weeks or more after the treatment ended. Studies often accept people cured this way.

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.

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.

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.

05

Study design

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

Study arms

  • Experimental
    FXS0683

    This is a first-in-human, multicenter, open-label, single-arm Phase I study consisting of dose-escalation and dose-expansion phases. FXS0683 will be administered orally once daily at assigned dose levels in 28-day cycles.

    Drug: FXS0683

Interventions

  • DrugFXS0683

    FXS0683 is a potent and highly selective BCL-2 inhibitor

06

What researchers measure

Primary outcomes

  1. Number of participants with DLTs

    A DLT is defined as any adverse event or laboratory abnormality occurring during the DLT observation period that is assessed as at least possibly related to FXS0683 and meets pre-specified DLT criteria, graded per NCI-CTCAE Version 6.0.

    Time frame: At the end of Cycle 1 (each cycle is 28 days).

  2. MTD and/or RP2D

    The MTD and/or RP2D will be determined based on the overall assessment of safety, tolerability, PK, and preliminary efficacy data.

    Time frame: Up to approximately 3 years.

Secondary outcomes

  1. Incidence and Severity of Adverse Events and Clinically Significant Safety Findings

    Adverse events (AEs) will be summarized, and severity will be graded according to NCI-CTCAE Version 6.0.

    Time frame: From first dose of study drug until 30 days after the last dose.

  2. Objective Response Rate (ORR) Of FXS0683 Monotherapy

    ORR will be assessed according to disease-specific response criteria (e.g., Lugano 2014, iwCLL 2018, ELN 2022, or IWG 2006), as applicable.

    Time frame: Up to approximately 3 years.

07

Study locations

1 of 1 sites recruiting
  • Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences (IHCAMS)
    Tianjin, Tianjin Municipality 301600, China
    Recruiting
08

Updates

1 registry update since Sep 25, 2026
Status
Not yet recruiting→Recruiting
changed Oct 14, 2026
Sites
Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences (IHCAMS) is now Recruiting
Oct 14, 2026
Start date
Jun 1, 2026→Jun 2, 2026 (actual)
Oct 14, 2026
Interventions
Added Drug: FXS0683; removed Biological: FXS0683
Oct 14, 2026
Show all 1 update
  1. Oct 14, 2026
    Not yet recruiting→Recruiting
    Institute of Hematology & Blood Diseases Hospital, Chinese Academy of Medical Sciences (IHCAMS) is now Recruiting
    Start date Jun 1, 2026→Jun 2, 2026 (now actual)
    Interventions Added Drug: FXS0683; removed Biological: FXS0683
    + 2 other changes: identifiers and verification date

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 ↗

09

Registry details

Key details

Study ID
NCT07616089
Responsible party
Sponsor
First posted
May 29, 2026
Start date
Jun 2, 2026
Primary completion
Aug 7, 2028 (estimated)
Completion
Aug 8, 2029 (estimated)
Last update
Oct 14, 2026

Study contacts

Lugui Qiu
Contact
qiulg@ihcams.ac.cn
86 022-23608108
Bo Jiang
Contact
jiangbo@ihcams.ac.cn
86 022-23608381

Oversight

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

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