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OncoMatch/Clinical Trials/NCT06820268

A Study of XS-04 in Patients with Relapsed or Refractory Hematologic Malignancies

Is NCT06820268 recruiting? Yes, currently enrolling (Jun 2026). This Phase 1 trial studies XS-04 tablet for b-cell lymphoma.

Phase 1RecruitingNovaOnco Therapeutics Co., Ltd.NCT06820268Data as of Jun 2026Location: China

Treatment: XS-04 tabletEvaluation of the safety, tolerability, pharmacokinetics, and preliminary efficacy of XS-04 in patients with relapsed or refractory hematologic malignancies

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Extracted eligibility criteria

Treatments studied

Other

XS-04 tablet

Cancer type

Non-Hodgkin Lymphoma

Acute Myeloid Leukemia

Myelodysplastic Syndrome

Performance status

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

Demographics

Ages ≤ 75

Prior therapy

Must have received: systemic therapy (anti-CD20 antibody)

indolent B-NHL (FL, MZL, WM): at least two lines of systemic therapy, including at least one line of combination therapy containing anti-CD20 antibodies

Must have received: systemic therapy (BTK inhibitor, BCL-2 inhibitor)

CLL/SLL: at least two lines of systemic therapy, including BTK inhibitors or BCL-2 inhibitors

Must have received: systemic therapy (anti-CD20 antibody, BTK inhibitor)

MCL: at least two lines of systemic therapy (including anti-CD20 antibodies, BTK inhibitors, etc.)

Must have received: systemic therapy

aggressive B-NHL (DLBCL): failed or relapsed after at least two lines of systemic therapy and are not suitable for hematopoietic stem cell transplantation

Cannot have received: allogeneic stem cell transplantation

Previous allogeneic stem cell transplantation

Cannot have received: autologous stem cell transplantation

Exception: within 3 months before the first dose (mature B-cell malignant tumor patients) or within 6 months (AML, MDS patients)

autologous stem cell transplantation or adoptive immune cell therapy within 3 months before the first dose of the study drug (mature B-cell malignant tumor patients) or within 6 months (AML, MDS patients)

Cannot have received: adoptive immune cell therapy

Exception: within 3 months before the first dose (mature B-cell malignant tumor patients) or within 6 months (AML, MDS patients)

autologous stem cell transplantation or adoptive immune cell therapy within 3 months before the first dose of the study drug (mature B-cell malignant tumor patients) or within 6 months (AML, MDS patients)

Cannot have received: cytotoxic chemotherapy

Exception: except hydroxycarbamide and leukapheresis

Use of other cytotoxic drugs, investigational drugs, or other antitumor drugs within 14 days or 5 half-lives before the first dose of the study drug (whichever is shorter) (except hydroxycarbamide and leukapheresis)

Cannot have received: tumor immunotherapy

Patients who received tumor immunotherapy, antibody, or peptide antitumor drug treatment within 4 weeks before the first dose of the study drug

Cannot have received: antibody-drug conjugate

Patients who received tumor immunotherapy, antibody, or peptide antitumor drug treatment within 4 weeks before the first dose of the study drug

Cannot have received: peptide antitumor drug

Patients who received tumor immunotherapy, antibody, or peptide antitumor drug treatment within 4 weeks before the first dose of the study drug

Cannot have received: systemic radiotherapy

Systemic radiotherapy within 4 weeks before the first dose of the study drug

Lab requirements

Blood counts

ANC ≥1.0×10^9/L (exceptions for lymphoma BM infiltration); Platelets ≥75×10^9/L (dose escalation), ≥50×10^9/L (dose expansion), no transfusion within 14 days; Hemoglobin ≥80 g/L; For AML, WBC ≤20×10^9/L (hydroxycarbamide allowed)

Kidney function

Serum creatinine ≤1.5×ULN or estimated creatinine clearance ≥50 mL/min

Liver function

AST, ALT ≤2.5×ULN, total bilirubin ≤1.5×ULN; if liver involvement, AST, ALT ≤5×ULN; total bilirubin ≤3×ULN

Cardiac function

NYHA class <II; LVEF ≥50%; QTcF ≤450ms (male) or ≤470ms (female); no severe arrhythmia, acute coronary syndrome, CHF, MI, unstable angina, bypass grafting, stroke, PE, DVT within 3-6 months; no torsades de pointes, congenital long QT; no uncontrolled hypertension (SBP ≥160 mmHg or DBP ≥100 mmHg)

Adequate organ function, with laboratory tests within the following requirements within 7 days before the first dose: Liver function: AST, ALT ≤2.5×ULN, total bilirubin ≤1.5×ULN; if liver involvement, AST, ALT ≤5×ULN; total bilirubin ≤3×ULN; Kidney function: Serum creatinine ≤1.5×ULN or estimated creatinine clearance ≥50 mL/min; Coagulation: INR/PT ≤1.5×ULN; aPTT ≤1.5×ULN. Cardiac: NYHA <II, LVEF ≥50%, QTcF ≤450ms (male) or ≤470ms (female), no severe arrhythmia, acute coronary syndrome, CHF, MI, unstable angina, bypass grafting, stroke, PE, DVT within 3-6 months, no torsades de pointes, congenital long QT, no uncontrolled hypertension (SBP ≥160 mmHg or DBP ≥100 mmHg)

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

Frequently asked questions

Is NCT06820268 currently recruiting?

Yes, this trial is currently recruiting patients.

Are there prior therapy exclusions?

Yes. Prior allogeneic stem cell transplantation, autologous stem cell transplantation, adoptive immune cell therapy disqualifies patients from enrollment.

Is there an age limit?

Yes. Patients must be 75 years or younger.

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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