OncoMatch

OncoMatch/Clinical Trials/NCT04807881

Phase Ib Clinical Study of Keynatinib

Is NCT04807881 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1 trial studies Keynatinib for lymphoma, b-cell.

Phase 1RecruitingMedolution Ltd.NCT04807881Data as of Jun 2026Location: China

Treatment: KeynatinibThe purpose of this study is to evaluate the efficacy, safety, PK characteristics in subjects with relapsed/refractory B-cell lymphoma. Furthermore, the relationship between the exposure level of Keynatinib and its efficacy and safety, the penetration rate of keynatinib in the Blood-Brain Barrier (BBB) and its PK characteristics in cerebrospinal fluid in R/R-PCNSL patients, the relationship between the BTK receptor occupancy rate and the efficacy are also evaluated.

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Extracted eligibility criteria

Treatments studied

Targeted therapy

Keynatinib

Cancer type

Non-Hodgkin Lymphoma

Biomarker criteria

Required: CCND1 high expression (high)

cyclin D1 highly expressed by immunohistochemistry

Required: IGH t(11;14)(q13;q32)

t (11; 14) (q13; q32) positive by cytogenetic test

Performance status

ECOG 0–2(Ambulatory, capable of self-care)

Prior therapy

Must have received: systemic therapy — Cohort 1: at least first line treatment to CNS lesions; Cohort 2: at least first-line systemic treatment (≥2 cycles); Cohort 3: >1 but ≤3 different chemotherapies and/or targeted drugs

relapsed or refractory...at least first line treatment must be given to CNS lesions; relapsed or refractory CLL/SLL that previously received at least first-line systemic treatment; pretreated with >1 but failed in ≤3 different chemotherapies and/or targeted drugs treatment

Cannot have received: BTK inhibitor

Have previously received the treatment of B Cell Receptor (BCR) inhibitors (such as BTK, phosphoinositide kinase 3 kinase [PI3K] or SYK inhibitors)

Cannot have received: PI3K inhibitor

Have previously received the treatment of B Cell Receptor (BCR) inhibitors (such as BTK, phosphoinositide kinase 3 kinase [PI3K] or SYK inhibitors)

Cannot have received: SYK inhibitor

Have previously received the treatment of B Cell Receptor (BCR) inhibitors (such as BTK, phosphoinositide kinase 3 kinase [PI3K] or SYK inhibitors)

Cannot have received: BCL-2 inhibitor (ABT-199)

BCL-2 inhibitors (such as ABT-199)

Cannot have received: CAR-T cell therapy

Chimeric Antigen Receptor T-Cell Immunotherapy (CAR-T)

Cannot have received: bispecific antibody

bispecific antibody drug

Cannot have received: allogeneic hematopoietic stem cell transplant

Exception: except for those who have received ASCT more than six months

Allogenetic Haematopoietic Stem Cell Transplantation (Allo-HSCT) or other organ transplants (except for those who have received ASCT more than six months)

Cannot have received: autologous hematopoietic stem cell transplant

Exception: allowed if >6 months prior

autologous hematopoietic stem cell transplantation within the past 6 months

Lab requirements

Blood counts

Neutrophil absolute value ≥ 1.0 (cohort 1), 0.75 (cohort 2/3) ×10^9/L; platelet ≥ 75 (cohort 1), 50 (cohort 2/3), 30×10^9/L acceptable if CLL patients have bone marrow involvement; hemoglobin ≥ 80 g/L (cohort 1); no blood transfusion/hematopoietic stimulating factor within 21 days (7 days in cohort 2/3)

Kidney function

serum creatinine ≤ 2 × ULN or creatinine clearance rate ≥ 50 ml / min (Cockcroft Gault)

Liver function

Total bilirubin (TBIL) ≤ 2 × ULN (unless diagnosed as Gilbert syndrome), AST and ALT ≤ 2.5 × ULN

Cardiac function

LVEF ≥ 50%; no NYHA II or higher heart failure, no unstable angina, no recent MI, no arrhythmia requiring treatment, no primary cardiomyopathy, no QTc >470 ms (female) or >450 ms (male)

Subjects have appropriate organ functions, the main organ functions meet the following criteria: ... see above

Structured fields extracted by AI. May contain errors — verify against the official protocol.

Frequently asked questions

Is NCT04807881 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior BTK inhibitor, PI3K inhibitor, SYK inhibitor disqualifies patients from enrollment.

Does this trial require CCND1?

Yes, CCND1 high expression is a required biomarker for enrollment.

Does this trial require IGH?

Yes, IGH t(11;14)(q13;q32) is a required biomarker for enrollment.

Could you qualify for this trial?

Enter your biomarker results to see how this trial's eligibility criteria match your specific cancer profile.

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