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Not yet recruitingNCT07751744Updated Aug 7, 2026

Phase 1/2 Study Evaluating the Safety, PK/PD, and Clinical Activity of Oral JBI-778 in Patients With Brain Metastases, Leptomeningeal Disease, or Recurrent High Grade Glioma

A Phase 1/2 interventional study of JBI-778 in Brain Metastases From Solid Tumors, Leptomeningeal Disease and High Grade Glioma (HGG), sponsored by Jubilant Therapeutics Inc.. Not yet recruiting. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-08-07.

Sponsored by Jubilant Therapeutics Inc. · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
113
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

This is a Phase 1/2, multicenter, open-label, dose-escalation and dose-expansion study evaluating the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), cerebrospinal fluid penetration, and preliminary antitumor activity of orally administered JBI-778, a selective PRMT5 inhibitor, in patients with brain metastases, leptomeningeal disease, or recurrent high-grade glioma. The study consists of a dose-escalation phase to determine the maximum tolerated dose (MTD) and recommended Phase 2 dose (RP2D), followed by expansion cohorts to evaluate preliminary efficacy at the RP2D.

Read the detailed description

JBI-778 is an orally active selective inhibitor of PRMT5 developed for the treatment of cancers involving the central nervous system. This first-in-human Phase 1/2 study includes:

PART 1: Dose-Escalation- The starting dose for JBI-778 is 40 mg orally, once daily in 21-days treatment cycles. In order to reduce the risk of exposing patients to subtherapeutic doses of JBI-778, an accelerated single patient cohort dose escalation approach will be initially adopted using dose doubling until dose level 4 is reached provided that no study drug related ≥ grade 2 adverse event is observed or any toxicity which leads to a dose hold and/or dose reduction. In the absence of such toxicities, a 3+3 design will be implemented for all subsequent cohorts and further dose escalation increments will be limited to 33-75%.

If the toxicities described above are observed at any point in the study 2 changes will be implemented to the study design

  • A 3+3 design will be introduced overseen by the SRC
  • In the absence of a DLT, 33-50% dose increments will be employed with a maximum of 33% when the first DLT is observed. All doses will be rounded up or down based on capsule strength. In the event that any DLTs occur at the starting dose in 2 patients, and with the approval of the Safety Review Committee (SRC), a 20 mg once daily dose level will be evaluated using a 3+3 design. If 20 mg once daily is not tolerated, no further patients will be recruited, and the study will be terminated. With these restrictions, the next dose to be studied will be determined by the Sponsor with approval by the SRC. Population PK-based modeling approach may also be applied for PK characterization and PK covariate analyses. In addition to the PK evaluation, patients in Part 1 dose-escalation will provide pretreatment and on-treatment biopsies to aid in the assessment of the PD effects of the compound. In the 3+3 design, if 3 patients at a dose level complete the DLT evaluation period with no DLT, that dose level ofJBI-778 will be deemed safe, and another 3 patients will be treated at the next higher dose level. If 1 of the first 3 patients experiences a DLT, 3 more patients will be treated at the same JBI-778 dose level. If 2 or more of the 3 to 6 patients in any dose level experience a DLT, dosing will stop at that level, and either the previous dose level will be considered the Maximum Tolerated Dose (MTD) or intermediate doses may be explored to determine MTD, especially if the difference between the non-tolerated dose and the previous dose is > 50%.

Dose-escalation will continue until any of the following events occur:

  • The highest planned dose level is determined to be safe and tolerable (minimum of 6 DLT evaluable patients).
  • An MTD is identified. Additional dose levels may be explored based on emerging data. Additional patients (up to 20 patients may be enrolled in 1 or more dose levels that have been shown to be safe and tolerable, defined as backfill enrollment). This backfill enrollment will be done to better estimate the RP2D and to better characterize the safety, efficacy, PK and pharmacodynamics for JBI-778 and may be concurrent with dose-escalation to identify the MTD. The RP2D dose will include up to 12 patients and will be selected based on the totality of the clinical data including PK/PD, preliminary efficacy, and safety.

Study patients who do not complete the DLT period for reasons other than study drug toxicity will be replaced.All patients will be assessed for a response using relevant RECIST 1.1 and RANO criteria. Clinical status will be assessed by the NANO instrument.

Intra-subject dose-escalations are allowed in this study. Patients who complete the DLT period, tolerate the dose, and have been on the treatment for ≥ 2 cycles without significant toxicities may proceed to a higher dose level for the following treatment cycle if the next dose cohort is deemed safe (for both acute and cumulative toxicities) at that time by the Safety ReviewCommittee (SRC), and after consultation with the Sponsor and if the patient has not experienced any ≥ Grade 2 adverse events (deemed treatment-related by the Investigator) during the current treatment with the study drug.

The maximum Intra-subject Dose-Escalation level should be one level below the current actively enrolling dose level if tolerability based on the protocol defined criteria has not yet been established. Patients who do not proceed to a higher dose may continue to receive additional cycles at their original dose.

PART 2: Dose-Expansion Part- Once the RP2D is determined, expansion cohorts will be opened to evaluate the preliminary efficacy of the study drug.

These cohorts will include patients with:

  • Progressive or recurrent high-grade glioma
  • Brain metastases from NSCLC, breast cancer, or melanoma
  • Solid tumors and leptomeningeal disease A SRC will have oversight of safety and will meet at the end of each cohort and approximately quarterly and as needed, during the dose-escalation phase to review cumulative toxicity data, make recommendations to the Sponsor regarding ongoing safety, cohort expansions and dose-escalation. The SRC may recommend protocol amendments to maintain patient safety at any stage. In addition, any serious adverse events (SAEs) will be forwarded to the SRC upon occurrence.

Safety and tolerability of JBI-778 will be characterized by adverse event and serious adverse event type, severity (graded using the National Cancer Institute Common Terminology Criteria for Adverse Events [NCI CTCAE] Version 5.0), timing, and relationship to study therapy, and laboratory abnormalities in the first and in subsequent cycles.

Administration of JBI-778 (in the Dose-Escalation and Dose-Expansion phases of this study) may continue until evidence of disease progression, intolerance to study drug, or withdrawal of consent. Stable or responding patients who experience DLTs may continue therapy once DLTs have resolved.

02

Conditions studied

  • Brain Metastases From Solid Tumors
  • Leptomeningeal Disease
  • High Grade Glioma (HGG)
  • Glioblastoma (GBM)

Keywords

  • JBI-778
  • PRMT5 Inhibitor
  • Brain Metastases
  • Leptomeningeal Disease
  • High-Grade Glioma
  • Glioblastoma
03

In context

Meningeal Neoplasms

40 studies on the registry are indexed under Meningeal Neoplasms; 17 are open to participants now.

This study's planned enrollment of 113 is above the median of 33 across 33 interventional studies indexed under Meningeal Neoplasms.

Browse Meningeal Neoplasms studies →

Lead sponsor

Jubilant Therapeutics Inc. is the lead sponsor of 3 studies on the registry; 3 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

Male or female patients aged ≥18 years.

or cytologically confirmed:

Solid tumors with stable (Dose Escalation Part), or Recurrent/progressive high-grade glioma, or Brain metastases from NSCLC, breast cancer, or melanoma, or (Dose Expansion Part).

Adequate organ function:

≥1,500/mm³ ≥100,000/mm³ >8.0 g/dL Total ≤1.5 × (≤3 × ULN for Gilbert syndrome) /ALT ≤2.5 × ULN (≤5 × ULN if liver present) ≥60 mL/min PT/ ≤1.5 × ULN (or stable anticoagulation therapy) At least one on MRI according to applicable RANO criteria, or positive CSF cytology for leptomeningeal disease.

Resolution of toxicities from prior therapy to Grade ≤1 (except alopecia, Grade 2 peripheral neuropathy, or chronic Grade 2 endocrinopathies due to prior immunotherapy).

performance status ≤2. Ability to swallow oral medication. ≥3 months. Willing and able to provide written . Willingness to use effective during treatment and for 3 months after the last dose.

Additional Dose Escalation Cohort Inclusion Criteria:

Histologically or cytologically confirmed solid tumors with stable treated brain metastases and no available effective treatment options.

Neurologically stable brain metastases without progression or hemorrhage for ≥4 weeks following treatment.

Off systemic for symptomatic brain metastases for ≥14 days before enrollment.

Additional Dose Expansion Cohort Inclusion Criteria:

Recurrent or progressive high-grade glioma after standard therapy including radiation and temozolomide.

Brain metastases from melanoma, NSCLC, or breast cancer meeting protocol-defined prior treatment requirements.

Leptomeningeal disease with protocol-defined prior therapy requirements.

Exclusion criteria

Exclusion Criteria:

Systemic anticancer therapy or therapy within 2 weeks or 5 half-lives before first dose.

Major surgery within 21 days before first dose or not recovered from surgery. Conditions that may significantly impair drug absorption. Radiotherapy within 2 weeks prior to study treatment (except permitted palliative radiation or stereotactic radiosurgery).

Severe or unstable medical conditions including:

Class III/IV heart failure Uncontrolled hypertension Uncontrolled diabetes Significant psychiatric illness Uncontrolled arrhythmias Myocardial infarction within 6 months Congenital long syndrome or QTcF >470 msec. History of optic neuritis or optic neuropathy. Other active likely to interfere with study assessments. within 30 days before first dose. Known active infection or active or C infection (-negative patients may be eligible).

Use of strong or moderate inhibitors within 14 days or 5 half-lives before Cycle 1 Day 1, or grapefruit-containing products within 7 days.

Active gastrointestinal disease or malabsorption syndrome affecting drug absorption.

Acute illness within 14 days before first dose unless approved by investigator and sponsor.

Active infection requiring systemic antimicrobial or antiviral therapy not completed before treatment.

Pregnant or breastfeeding women. Concurrent participation in another investigational drug study. Previous treatment with JBI-778 in this study. Any condition that, in the investigator's opinion, places the patient at unacceptable risk or prevents compliance with study requirements.

For Dose Escalation Part only: ongoing therapy, including systemic for treatment of (except protocol-permitted low-dose corticosteroids).

Terms in these criteria, in plain language(29)

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.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Brain metastases

Cancer deposits in the brain from a cancer that started elsewhere in the body (CNS metastases include the spinal cord).

Studies differ: some leave out any brain metastases, some accept ones treated and stable for some weeks. Check what this study allows.

Leptomeningeal disease

Cancer that has spread to the leptomeninges, the thin layers covering the brain and spinal cord, and the fluid between them. It is not the same as brain metastases.

Criteria often treat it separately, and many studies leave it out even where treated brain metastases are allowed.

Absolute neutrophil count (ANC)

The number of neutrophils, white blood cells that help fight infection, in a given amount of blood. Too few raises the risk of infection.

It is a count, not a percentage of the white cells. Limits are written in units that mean the same: ≥ 1.5 × 10⁹/L is ≥ 1,500 per mm³ (µL). Each lab has its own reference range.

Platelets

Blood cells that help blood clot. Too few raises the risk of bleeding and bruising. A usual adult range is about 150–400 × 10⁹/L (150,000–400,000 per µL); each lab has its own reference range.

Hemoglobin (Hb)

The protein in red blood cells that carries oxygen. A low level is anaemia, which can cause tiredness and breathlessness. Measured in g/dL or g/L (9 g/dL is 90 g/L).

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Creatinine clearance (CrCl)

How quickly the kidneys clear creatinine, a waste product, from the blood. A study may estimate it from a blood test with age, weight and sex (often by the Cockcroft–Gault formula), or measure it using blood and urine collected over a set time. Given in mL/min; higher is better.

INR, PT and aPTT (clotting tests)

Blood tests of how long blood takes to clot. The INR is the prothrombin time (PT) put on a common scale; about 1 is usual for someone not taking a blood thinner.

Criteria often make an exception for people on a blood thinner such as warfarin, whose INR is raised on purpose.

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.

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.

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.

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.

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.

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.

NYHA class (heart failure)

The New York Heart Association’s four classes of how much heart failure limits physical activity.

I
No limits: ordinary activity causes no undue tiredness or breathlessness.
II
Slight limits: comfortable at rest, ordinary activity causes symptoms.
III
Marked limits: comfortable at rest, less than ordinary activity causes symptoms.
IV
Symptoms even at rest; any activity makes them worse.

Studies set their own limit — many outside heart failure leave out class III–IV, while heart failure studies may ask for a particular class. Check the class this study names.

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.

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.

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.

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.

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.

CYP3A (CYP3A4) inhibitors and inducers

CYP3A is a group of enzymes, mainly CYP3A4, in the liver and gut that break down many medicines. Some medicines, supplements and foods (grapefruit, St John’s wort) slow them down or speed them up, which changes how much of a study drug stays in the body.

Studies list them so they can be avoided or switched; bring a list of everything you take, including supplements.

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.

05

Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
113 participants (estimated)

Study arms

  • Experimental
    Arm 1 - Dose-Escalation Phase

    Intervention Drug: JBI-778 Oral capsule Strengths: 20 mg, 100 mg, 250 mg Starting dose: 40 mg daily Continuous once-daily administration in 21-day cycles

    Drug: JBI-778

  • Experimental
    Arm 2 - High-Grade Glioma Expansion Cohort

    Intervention Drug: JBI-778 Oral capsule Strengths: 20 mg, 100 mg, 250 mg Starting dose: 40 mg daily Continuous once-daily administration in 21-day cycles

    Drug: JBI-778

  • Experimental
    Arm 3 - Brain Metastases Expansion Cohort

    Intervention Drug: JBI-778 Oral capsule Strengths: 20 mg, 100 mg, 250 mg Starting dose: 40 mg daily Continuous once-daily administration in 21-day cycles

    Drug: JBI-778

  • Experimental
    Arm 4 - Leptomeningeal Disease Expansion Cohort

    Intervention Drug: JBI-778 Oral capsule Strengths: 20 mg, 100 mg, 250 mg Starting dose: 40 mg daily Continuous once-daily administration in 21-day cycles

    Drug: JBI-778

Interventions

  • DrugJBI-778

    Drug: JBI-778 Oral capsule Strengths: 20 mg, 100 mg, 250 mg Starting dose: 40 mg daily Continuous once-daily administration in 21-day cycles

06

What researchers measure

Primary outcomes

  1. Phase 1 - Incidence of Dose Limiting Toxicities (DLTs)

    Number of participants with dose-limiting toxicity (DLT) events during the DLT monitoring period. DLTs are defined per protocol criteria and graded using NCI CTCAE Version 5.0.

    Time frame: At the end of Cycle 1 (each cycle is 21 days)

  2. Phase 2 High-Grade Glioma Cohort: Objective Response Rate (ORR)

    Investigator-assessed ORR according to Response Assessment in Neuro-Oncology (RANO) criteria.

    Time frame: Up to 2 years

  3. Phase 2 Brain Metastases Cohort: Objective Response Rate (ORR)

    Investigator-assessed ORR according to RANO Brain Metastases (RANO-BM) criteria.

    Time frame: Up to 2 years.

  4. Phase 2 Leptomeningeal Disease Cohort: Overall Survival (OS)

    Overall survival in participants with leptomeningeal disease.

    Time frame: Up to 2 years.

Secondary outcomes

  1. Incidence of Adverse Events

    Incidence of treatment-emergent adverse events, serious adverse events, and adverse events graded according to NCI CTCAE Version 5.0.

    Time frame: Up to 2 years

  2. Maximum Plasma Concentration (Cmax) of JBI-778

    Maximum observed plasma concentration of JBI-802 following dosing. Units: ng/mL

    Time frame: From Cycle 1 Day 1 up to Cycle 2 Day 1 (each cycle is 21 days)

  3. Area Under the Plasma Concentration-Time Curve (AUC0-t) of JBI-778

    Area under the plasma concentration-time curve from time 0 to last measurable concentration.

    Time frame: From Cycle 1 Day 1 up to Cycle 2 Day 1 (each cycle is 21 days)

  4. Time to Maximum Plasma Concentration (Tmax) of JBI-778

    Time to reach maximum plasma concentration.

    Time frame: From Cycle 1 Day 1 up to Cycle 2 Day 1 (each cycle is 21 days)

07

Study locations

No study locations are listed for this record.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 7, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07751744
Lead sponsor
Jubilant Therapeutics Inc.
Responsible party
Sponsor
First posted
Aug 7, 2026
Start date
Apr 1, 2028 (estimated)
Primary completion
Mar 31, 2030 (estimated)
Completion
Mar 31, 2030 (estimated)
Last update
Aug 7, 2026

Study contacts

Melda Dolan, MD
Contact
Melda.Dolan@jubl.com
3144989959

Oversight

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

Not currently enrolling

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

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