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Diffuse Large B Cell LymphomaPhase 1NCT04018248

BR101801 in Adult Patients With Advanced Hematologic Malignancies(Phase I)

A Phase 1 study testing BR101801 (Phase Ia) and BR101801 (Phase Ib) in people with Diffuse Large B Cell Lymphoma and Follicular Lymphoma, run by Boryung Pharmaceutical Co., Ltd at 9 sites in 2 countries.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This is a Phase I, multi-center, open-label, FIH study comprising of 2 study parts (Phase Ia, Phase Ib). The Phase Ia (dose escalation) part of the study is designed to determine the safety, tolerability, and maximum tolerated dose (MTD)/recommended dose for expansion (RP2D) of BR101801 in subjects with… Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
BR101801 (Phase Ia) and BR101801 (Phase Ib)
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
26 participants
Where
9 sitesin 2 countries
Study dates
21 Apr 2020to 21 Sep 2023
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

<Inclusion Criteria>

  1. Patients must sign an informed consent document
  2. Female or male patients aged ≥ 18 years.
  3. ECOG performance status ≤ 2.
  4. Life expectancy more than 3 months.
  5. Phase Ia:Patients with relapsed and/or refractory relapsed/refractory B-cell lymphoma, CLL/SLL, and PTCL diagnosed with World Health Organization (WHO) classification
  6. Phase Ib: Subjects with PTCL NOS, PTCL AITL, Nodal PTCL with TFH and PTCL FTCL.
  7. Patients have measurable disease based on the appropriate tumor type criteria( Phase Ib only)
  8. Have a current need for systemic therapy, the assessment of the investigator.
  9. An archival or fresh tumor tissue (ie, tissue block or series of at least 5 slides, up to 15 slides) is required and should be provided during the Screening Visit for Lymphoma subjects. Local review of pathology is required for study entry in Phase Ib only.
  10. Phase Ia subjects should be prepared to undergo a fresh tumor biopsy during the study (tumor biopsies will be obtained from 1 to 2 subjects per cohort in Phase Ia).
  11. Subject having laboratory values defined as:
  • Creatinine clearance (measured or calculated per institutional standard practice) ≥ 60 mL/min. GFR can also be used in place of creatinine clearance.
  • Total bilirubin < 1.5 × ULN, except for subjects with Gilbert's syndrome who are excluded if total bilirubin > 3.0 × ULN or direct bilirubin < 1.5 × ULN.
  • ALT < 2.5 × ULN, except for subjects who have tumor involvement of the liver, who are included if ALT < 5 × ULN.
  • AST < 2.5 × ULN, except for subjects that have tumor involvement of the liver, who are included if AST < 5 × ULN.
  • Absolute neutrophil count > 1.0 × 109/L.
  • Platelet count > 75 × 109/L.
  • Hemoglobin > 8 g/dL.

<Exclusion Criteria>

  1. Presence of overt leptomeningeal or active CNS metastases, or CNS metastases that require local CNS-directed therapy or increasing doses of corticosteroids within the prior 2 weeks. Patients with treated brain metastases should be neurologically stable and off steroids for at least 2 weeks before administration of any study treatment.
  2. Impaired cardiac function or clinically significant cardiac disease
  3. Patients with interstitial pneumonia or history of drug-induced interstitial pneumonia/pneumonitis.
  4. Human immunodeficiency virus (HIV) infection.
  5. Patients who are positive for hepatitis B surface antigen (HBsAg), hepatitis B core antibody (HBcAb), or hepatitis C virus antibody (HCVAb).
  6. Chronic liver disease or chronic hepatitis
  7. Any gastrointestinal disorders interfering with study drug absorption or are unable to swallow tablets or capsules.
  8. Malignant disease, other than that being treated in this study.
  9. Prior PI3K inhibitor will be accepted in the dose escalation part of the study (Phase Ia) only.
  10. For patients with lymphoma:
  • Systemic antineoplastic therapy (including cytotoxic chemotherapy, alfa-interferon [INF], and toxin immunoconjugates) or any experimental therapy within 3 weeks or 5 half lives, whichever is shorter, before the first dose of study treatment.
  • Therapy with tyrosine kinase inhibitor within 5 half-lives before the first dose of study treatment.
  • Unconjugated monoclonal antibody therapies < 6 weeks before the first dose of study treatment.
  1. Patients receiving systemic chronic steroid therapy or any immunosuppressive therapy (≥ 10 mg/day prednisone or equivalent).
  2. Use of any live vaccines against infectious diseases within 4 weeks of initiation of study treatment.
  3. Use of hematopoietic colony-stimulating growth factors, thrombopoietin mimetics, or erythroid-stimulating agents ≤ 2 weeks prior to start of study drug.
  4. Patients with a history of stroke or having active neurological symptoms, with the exception of chronic conditions which, in the opinion of the neurologist, Investigator, and the Sponsor, would not impact ongoing neurologic assessments while on study treatment.
  5. Active infection requiring systemic or antiviral antibiotic therapy.
  6. Subjects with active CMV infection.
  7. Subjects receiving moderate or potent CYP3A4 inhibitors or inducers and are unable to withdraw until 2 weeks or 5 times longer than the half-life, whichever is shorter, before the first dose of study treatment.
  8. Major surgery within 2 weeks of the first dose of study treatment (mediastinoscopy, insertion of a central venous access device, and insertion of a feeding tube are not considered major surgery).
  9. Radiotherapy within 2 weeks of the first dose of study treatment, except for palliative radiotherapy to a limited-field, such as for the treatment of bone pain or a focally painful tumor mass.
  10. Presence of CTCAE ≥ Grade 2 toxicity (except alopecia, peripheral neuropathy, and ototoxicity, which are excluded if ≥ CTCAE Grade 3) due to prior cancer therapy.
  11. Participation in an interventional, investigational study within 2 weeks or 5 half-lives, whichever is shorter, of the first dose of study treatment.
  12. Any medical condition that would, in the Investigator's judgment, prevent the subject's participation in the clinical study due to safety concerns, compliance with clinical study procedures, or interpretation of study results.
  13. Pregnant or lactating women, where pregnancy is defined as the state of a female after conception and until the termination of gestation, confirmed by a positive human chorionic gonadotropin laboratory test.

Trial locations and contacts

9 sites in 2 countries.

9 sites in 2 countries

South Korea8 sites
  • Inje University Busan Paik Hospital

    Busan

  • National Cancer Center

    Goyang-si, Gyeonggi-do

  • Chonnam National University Hwasun Hospital

    Hwasun, Jeollanam-do

  • Seoul National University Bundang Hospital

    Seongnam-si, Gyeonggi-do

  • Asan Medical Center

    Seoul

  • Samsung Medical Center

    Seoul

  • Seoul national university hospital

    Seoul

  • Severance Hospital, Yonsei University Health System

    Seoul

Other trials in South Korea

United States1 site
  • Henry Ford Hospital

    Detroit, Michigan, 48202

Other trials in United States

About this study

Official title: A Phase I, Open-label, Multi-center, Dose Escalation, and Expansion Study of BR101801 in Adult Patients With Advanced Hematologic Malignancies

This is a Phase I, multi-center, open-label, FIH study comprising of 2 study parts (Phase Ia, Phase Ib).

The Phase Ia (dose escalation) part of the study is designed to determine the safety, tolerability, and maximum tolerated dose (MTD)/recommended dose for expansion (RP2D) of BR101801 in subjects with relapsed/refractory B cell lymphoma, chronic lymphocytic leukemia (CLL)/small lymphocytic leukemia (SLL), and peripheral T cell lymphoma (PTCL).

The Phase Ib (dose expansion) part of the study is designed to assess tumor response and safety in specific advanced relapsed/refractory Peripheral T-cell lymphoma(PTCL) at a dose of BR101801 identified in Phase Ia. Once the RP2D has been determined in Phase Ia (dose escalation), Phase Ib (dose expansion) will commence.

Read the detailed description
  1. Phase Ia (Dose Escalation) Primary Objectives
  • To assess the safety and tolerability of BR101801 in patients with relapsed/refractory B-cell lymphoma, CLL/SLL, and PTCL.
  • To assess DLT and to determine the MTD and/or the RDE dose for BR101801 when administered orally on a daily schedule in 4-week cycles until disease progression. SecondaryObjectives
  • To characterize the plasma and urine PK of BR101801.
  • To assess the preliminary antitumor activity of BR101801.
  1. Phase Ib (Dose Expansion)

Primary Objectives

  • To assess the safety and tolerability of BR101801 at the RP2D dose in subjects with relapsed/refractory Peripheral T-cell lymphoma (PTCL).

SecondaryObjectives

  • To assess clinical activity of BR101801 when administered orally on a daily schedule in 4-week cycles until disease progression.
  • To assess the plasma PK of BR101801.

OUTLINE: This is a Phase I, multi-center, open-label, FIH study. The safety monitoring committee(SMC) will be responsible for safety oversight.

Being tested
BR101801 (Phase Ia), BR101801 (Phase Ib)
Medical subject headings
Lymphoma, Large B-Cell, Diffuse, Lymphoma, Follicular, Leukemia, Lymphocytic, Chronic, B-Cell, Lymphoma, B-Cell, Lymphoma, B-Cell, Marginal Zone, Waldenstrom Macroglobulinemia, Lymphoma, T-Cell, Peripheral

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • BR101801 (Phase Ia)Drug

    Phase Ia (dose escalation):25 mg capsules and 100 mg capsules Planned doses are 50, 100, 200, 325, and 450 mg.

  • BR101801 (Phase Ib)Drug

    Phase Ib (dose expansion):25 and 100 mg capsules Doses administered will be determined from Phase Ia data.

Study groups in NCT04018248
Study groupRoleWhat they receive
Treatment (BR101801): Phase Ia (dose escalation)ExperimentalPatients will receive BR101801 capsules orally, QD in 28-day cycles. The regimen may be changed to BID dosing based on emerging data.
Receives: Drug: BR101801 (Phase Ia)
Treatment (BR101801):Phase Ib (dose expansion)Experimental• Subjects with PTCL NOS, PTCL AITL, Nodal PTCL with TFH and PTCL FTCL
Receives: Drug: BR101801 (Phase Ib)

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To determination of the MTD and RDE based on DLTs during Cycle 1 (Phase Ia)

    The recommended dose is determined by the number of patients who experience a dose limiting toxicity (DLT).

    Measured: From baseline to Week 4

  2. Number of participants with adverse events (AE) as a measure of safety and tolerability of BR101801 when administered at the MTD or recommended dose (Phase Ia and Ib)

    To evaluate safety and tolerability the aggregate review will include but is not limited to:

    • CTCAE TEAEs, treatment-related TEAEs, Grade 3 or higher TEAEs, Grade 3 or higher treatment-related TEAEs, serious treatment-related TEAEs, and TEAEs leading to death.
    • Laboratory results;
    • Vital signs;
    • ECGs;
    • Physical examination
    • ECOG performance status

    Measured: through study completion, and about average of 1 year

Secondary outcomes (5)
  1. Cmax

    Maximum concentration obtained directly from the observed concentration versus time data.

    Measured: Cycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15

  2. AUC(0-inf)

    Area under the plasma concentration-time curve from time zero extrapolated to infinity, calculated by linear up/log down trapezoidal summation

    Measured: Cycle1( each cycle is 28 days) Day 1

  3. AUC(0-last)

    Area under the plasma concentration-time curve from time zero to the time of the last quantifiable concentration

    Measured: Cycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15, Pre-dose to 24 hours after dosing

  4. AUC(0-tau)

    Area under the plasma concentration-time curve from time zero during a dosing interval

    Measured: Cycle1( each cycle is 28 days) Day 1 and Cycle 1( each cycle is 28 days) Day 15, dosing interval: 24 or 12 hours

  5. Ae

    Cumulative amount of unchanged drug excreted in urine

    Measured: Cycle 1( each cycle is 28 days)Day 15, Pre-dose to 12 hours for BID dosing and Pre-dose to 24 hours for QD dosing

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted12 Jul 2019
  2. Study start21 Apr 2020
  3. Primary completion21 Sep 2023
  4. Study completion21 Sep 2023

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
26 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04018248
Sponsor's protocol ID
BR-101801-CT-101
Status last verified
Sep 2025
First submitted
14 Jun 2019
Last updated
10 Sep 2025
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Kim TM, Kim SJ, Kim JS, Yang DH, Yoon DH, Lee WS, Lee E, Lee JO, Mattour AH, Chaves J, Kim BS. Bosmolisib (BR101801), a novel PI3K-delta/gamma and DNA-PK inhibitor for relapsed/refractory patients with peripheral T-cell lymphoma: a phase I study. Blood Cancer J. 2026 Aug 7;16(1):197. doi: 10.1038/s41408-026-01600-0.

    PubMed 42982785

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing BR101801 (Phase Ia) and BR101801 (Phase Ib) in people with Diffuse Large B Cell Lymphoma and Follicular Lymphoma, run by Boryung Pharmaceutical Co., Ltd at 9 sites in 2 countries.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Sep 2025. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 9 sites in South Korea, United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To determination of the MTD and RDE based on DLTs during Cycle 1 (Phase Ia) (time frame: From baseline to Week 4). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04018248, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Sep 2025.

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