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FL LymphomaPhase 1/2NCT04390737

Evaluate the Safety and Clinical Activity of HH2853

A Phase 1/2 study testing HH2853 Tablets in people with FL Lymphoma and Epithelioid Sarcoma, run by Haihe Biopharma Co., Ltd. at 25 sites in 2 countries.

Recruiting

Looking for participants now. Contact the study team or a site below to ask about taking part.

Sites and contacts
Official record
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Trial summary

This is an open-label, multicenter, first-in-human phase I/II study which is composed of 3 parts: phase I dose escalation, phase I dose extension and phase II. HH2853 will be administered orally on a continuous BID schedule on a continuous 28-day treatment cycle. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
HH2853 Tablets
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
254 participants
Where
25 sitesin 2 countries
Study dates
8 Sep 2020to 31 Dec 2028
Phase
Phase 1/2
Are there results?
Not yet: the study is under way

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

Who may be able to join

  • Provided signed written informed consent prior to initiation of any study-related procedures;
  • Males and females ≥ 18years of age at the time of consent are obtained (or meet the country's regulatory defined adult legal age);
  • Tumor type criteria:
  • The specific requirements for specific subtypes of recurrent/refractory non Hodgkin's lymphoma (NHL) confirmed by histology are as follows:
  • Histologically confirmed follicular lymphoma (FL) that has been treated with at least two lines of systemic therapy (at least one regimen based on anti-CD20 monoclonal antibodies) according to GELF criteria or as determined by researchers (Grade 1-3a); Relapsed/refractory diffuse large B-cell lymphoma - non-specific (DLBCL NOS, 2016 World Health Organization Lymphoma Classification) that has received at least two treatment regimens in the past (at least one with CD20 monoclonal antibody as the main treatment, with a maximum number of treatment lines<5), and is not a candidate for salvage treatment or autologous/allogeneic stem cell transplantation.
  • Relapsed/refractory clinicopathologically documented PTCL with at least 1 line of prior systemic treatment (maximum <5 lines). Solid tumors that meet the following criteria:
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  • Histologically or cytologically documented advanced recurrent or metastatic solid tumor.
  • Phase I dose escalation: Measurable or evaluable lesions by RECIST v1.1 in at least 1 site; phase I dose extension and phase II: Measurable target lesions by RECIST v1.1 in at least 1 site. (Lesions that have been treated with radiotherapy or other local treatment are generally considered unmeasurable unless there is definite progression of the lesion.)
  • Patients must have disease not amenable to surgery, radiation, or combined modality therapy with curative intent. One of the following criteria should be met.
  • Patients must experience at least one prior standard therapy. Disease progression occurred on or after last line of therapy, or intolerant to last line of therapy (maximum ≤3 lines, Patients without treatment options available known to provide clinical benefit are also eligible upon agreement from investigator and sponsor) There is no approved therapy, or for which standard therapy is unsuitable or refused by patients after being fully informed.
  • For epithelioid sarcoma in Phase I and Phase II cohort 2:
  • Confirmed by local histology or cytology
  • Patients with unresectable locally delayed or metastatic epithelioid sarcoma who have undergone treatment (including those who have failed treatment and developed intolerable toxicity).
  • For solid tumors in Phase I and Phase II queue 3:
  • Confirmed by local pathology as advanced recurrent or metastatic solid tumor.
  • Patients must have disease not amenable to surgery, radiation, or combined modality therapy with curative intent 4. Eastern Cooperative Oncology Group (ECOG) performance status ≤1; 5. Availability of archival tissue within three years 6. Relapsed/Refractory FL, Epithelioid sarcoma, relapsed/refractory PTCL, other relapsed/refractory non-Hodgkin's lymphomas with EZH2 mutation, and advanced solid tumors with specific genetic alterations, including EZH2 mutation, INI1 deficiency, BAP1 deficiency, ARID1A mutation, or/and SMARCA4 mutation 7. Predicted life expectancy of ≥ 3 months; 8. Patient must meet the following laboratory values: 1.Serum total Bilirubin ≤ 1.5 x ULN or ≤ 3.0 mg/dL for patients with Gilbert's syndrome 2.AST/SGOT and ALT/SGPT ≤ 2.5 x ULN or ≤ 5 x ULN if liver metastases are present 3.24-hour creatinine clearance (calculated* or measured value**)≥ 50 mL/min 4.Platelets ≥ 1 x LLN (no Platelet transfusion for 7 days prior to screening) 5.Hemoglobin (Hgb) ≥ 9 g/dL 6.Absolute Neutrophil Count (ANC) ≥ 1.0 x 10^9/L 7.Adequate coagulation function: International normalized ratio (INR) <1.3 (or <3.0 on anticoagulants) 9. Measurable lesion

Who cannot join

  • Any cancer-directed therapy within 28 days or five half-lives prior to first dose; Small molecule anticancer therapy within 2 weeks or five half-lives; Local radiotherapy within 14 days of first dose.
  • Symptomatic CNS metastases that are neurologically unstable or requiring increasing doses of steroids to control CNS disease.
  • Patients with prior transplant are excluded;
  • Major surgery within 4 weeks prior to first dose;
  • A prohibited medication or expected to require any of these medications during treatment with study drug within 2 weeks of first dose;
  • HIV (human immunodeficiency virus) infection, active hepatitis B or hepatitis C patients (HBsAg positive patients with HBV (hepatitis B virus) DNA ≥ 10^3 copies or ≥ 200 IU/mL; HCV antibody test results are positive, and HCV (hepatitis C virus) RNA PCR test results are positive).
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  • Concomitant malignancies or previous malignancies
  • Concurrent use of therapeutic warfarin is allowed. However, anticoagulants that do not have reversal agents available are prohibited except low molecular weight heparin and direct oral anticoagulants.
  • Any toxicities from prior treatment that have not recovered to ≤ CTCAE Grade 1
  • There were ≥ 3 lesions with punctate bleeding, any active bleeding, intratumoral bleeding, known bleeding tendencies, or treatment with antiplatelet/antithrombotic drugs.
  • Gastrointestinal condition which could impair absorption of study medication;
  • Psychological, familial, sociological or geographical conditions that do not permit compliance with the protocol;
  • Cardiac exclusion criteria:
  • 1.History of acute coronary syndromes (including myocardial infarction and unstable angina), coronary angioplasty, or stenting within the past 3 months prior to first dose of study drug; 2.Fridericia's corrected QT interval (QTcF) > 450 ms (for male) and > 470 ms (for female) on ECG conducted during screening; 3.Congenital long QT syndrome, or any known history of torsade de pointes (TdP), or family history of unexplained sudden death; 4.History or current evidence of serious uncontrolled ventricular arrhythmias; 5.Symptomatic congestive heart failure (Class III or IV heart failure as defined by the New York Heart Association (NYHA) functional classification system) within the previous 3 months; 6.Left ventricular ejection fraction (LVEF) < 50%; 14. Any evidence of serious active infections requiring antibiotics; 15. Known immediate or delayed hypersensitivity reaction or idiosyncrasy to drugs chemically related to the study drug or their excipients; 16. Pregnant or breast-feeding female; 17. Contraception: 18. Other serious illness or medical conditions at the Investigator's discretion, that may influence study results 19. Previously received treatment with EZH2 or EZH1/2 inhibitors. 20. Grade 3b FL or evidence of transformation to invasive lymphoma

Trial locations and contacts

25 sites in 2 countries. Contact the study team or a site near you to ask about taking part.

25 sites in 2 countries

China21 sites, 21 recruiting
  • Beijing Cancer Hospital

    Beijing, Beijing Municipality, 100142

    Lin Shen, linshenpku@163.com

    Recruiting
  • Beijing Cancer Hospital

    Beijing, Beijing Municipality

    Jun Zhu, zhujun3346@163.com

    Yuqin Song, songyuqin622@163.com

    Recruiting
  • Beijing Jishuitan Hospital

    Beijing, Beijing Municipality

    Xiaohui Niu, niuxiaohui@263.net

    Recruiting
  • Beijing Cancer Hospital

    Beijing

    Zhengfu Fan, zhengfufan@126.com

    Recruiting
  • Hunan Cancer Hospital

    Changsha, Hunan

    Hui Zhou, Zhouhui9403@126.com

    Xianan Li

    Recruiting
  • West China Hospital of Sichuan University

    Chengdu, Sichuan

    Lijun Zou, hxlcyxy@163.com

    Yu Jiang

    Recruiting
  • Sun Yat-Sen University Cancer Hospital

    Guangzhou, Guangdong

    Zhiming Li, lizhm@sysucc.org.cn

    Jundong Li

    Recruiting
  • Sun Yat-Sen University Cancer Hospital

    Guangzhou

    Jin Wang, wangjinr@sysucc.org.cn

    Recruiting
  • Zhejiang Cancer Hospital

    Hangzhou, Zhejiang

    Meiyu Fang, fangmy@zjcc.org.cn

    Haiyan Yang

    Recruiting
  • The First Affiliated Hospital of Anhui Medical University

    Hefei, Anhui

    Kangsheng Gu, 13805692145@163.com

    Recruiting
  • Linyi Tumor Hospital

    Linyi, Shandong

    Zhen Wang, LYSZLYYNSK@163.com

    Recruiting
  • Affiliated Drum Tower Hospital, Medical School of Nanjing University

    Nanjing, Jiangsu

    Tianru Li, li_rutian@163.com

    Recruiting
  • Affiliated Tumor Hospital of Guangxi Medical University

    Nanning, Guangxi

    Hong Cen, cen_hong@163.com

    Weimin Xie

    Recruiting
  • Shanghai Sixth People's Hospital

    Shanghai, Shanghai Municipality

    Yang Dong, dongyang6405@163.com

    Recruiting
  • Zhongshan Hospital Fudan University

    Shanghai, Shanghai Municipality

    Yuhong Zhou, zhou.yuhong@zs-hospital.sh.cn

    Recruiting
  • Liaoning Cancer Hospital&Institute

    Shenyang, Liaoning

    Xiaojing Zhang, Zhangxiaojingwu@163.com

    Recruiting
  • Shengjing Hospital Of China Medical University

    Shenyang, Liaoning

    Wei Yang, sjyangw@163.com

    Recruiting
  • Shanxi Cancer Hospital

    Taiyuan, Shanxi

    Yuxia Shi, 1274174089@qq.com

    Recruiting
  • Tianjin Cancer Hospital

    Tianjin, Tianjin Municipality

    Shiyong Zhou, zsy1003@163.com

    Jilong Yang

    Recruiting
  • Union Hospital, Tongji Medical College, Huazhong University of Science and Technology

    Wuhan, Hubei

    Liling Zhang, zlladct@163.com

    Jing Chen

    Recruiting
  • Henan Cancer Hospital

    Zhengzhou, Henan

    Keshu Zhou, drzhouks77@163.com

    Weitao Yao, ywtwhm@163.com

    Recruiting

Other trials in China

United States4 sites
  • Mayo Clinic

    Jacksonville, Florida, 32224

    Completed
  • Mayo Clinic

    Phoenix, Arizona, 85054

    Completed
  • Mayo Clinic

    Rochester, Minnesota, 55905

    Completed
  • NEXT Oncology

    San Antonio, Texas, 78240

    Completed

Other trials in United States

About this study

Official title: A Phase I/II Study to Evaluate the Safety, Tolerability, Pharmacokinetics and Clinical Activity of HH2853 in Patients With Relapsed/Refractory Non-Hodgkin's Lymphomas or Advanced Solid Tumors

This is an open-label, multicenter, first-in-human phase I/II study which is composed of 3 parts: phase I dose escalation, phase I dose extension and phase II. HH2853 will be administered orally on a continuous BID schedule on a continuous 28-day treatment cycle.

Read the detailed description

Phase I:

Phase I dose escalation The accelerated titration (ATD) incorporated with Bayesian Optimal Interval design (BOIN) will be used to assess the DLT, safety, tolerability, MTD and furthermore, to establish the RP2D. DLT assessment is only applicable to phase I dose escalation.

Eligible patients will be enrolled in the ascending dose until MTD/RP2D is established.

Phase I dose extension During the dose escalation phase, a dose extension with additional patients will be included in order to further evaluate the tolerability, pharmacokinetics, and efficacy at doses that have been evaluated as safe. The number of patients to be enrolled in each dose extension cohort is up to 15, but the final number of dose level can be determined and the final patient number at each dose level can be adjusted slightly based on available safety, efficacy, PK, and PD data upon agreement from sponsor and investigators (e.g. safety evaluation meeting). For phase I dose extension, approximately 30 patients will be enrolled based on initial estimate, but the final total number of patients will depend on the number of dose levels extended and patient number at each dose level.

The total number of patients is estimated to be approximately 60 patients for phase I dose escalation and dose extension, but the final total number of patients will depend upon the number of dose cohorts to reach MTD/RP2D, and patient number at each dose level.

Phase II(China Only):

Phase II is planned after the completion of phase I. Up to approximately 193 patients will be enrolled as outlined below:

  • Cohort 1: Relapsed/Refractory FL (n≈56)
  • Cohort 2: Epithelioid sarcoma (n≈77)
  • Cohort 3: Relapsed/Refractory PTCL, other relapsed/refractory Non-Hodgkin's lymphomas with EZH2 mutation, or advanced solid tumors with specific genetic alterations, including EZH2 mutation, INI1 deficiency, BAP1 deficiency, ARID1A mutation, or/and SMARCA4 mutation (n≈60)
Being tested
HH2853 Tablets
Keywords
Phase I/II, HH2853, PRC2, EZH 1/2 inhibitor
Medical subject headings
Lymphoma, Follicular, Sarcoma, Lymphoma, T-Cell, Peripheral

What participants receive

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

  • HH2853 TabletsDrug

    Proposed daily dose (BID): 50mg, 100mg, 200mg, 400mg, 600mg, 800mg, 1000mg. It is possible for additional and/or intermediate dose levels to be added during the course of the study. Cohorts may be added at any dose level below the MTD in order to better understand safety, PK or PD.

Study groups in NCT04390737
Study groupRoleWhat they receive
HH2853 administered on a BID schedule in continuous 28-day treatment cyclesExperimentalHH2853 is supplied as tables with dosage strength of 25mg and 200mg. HH2853 Tablet will be administered orally on a continuous twice daily (BID) schedule, on a flat scale of mg and not individually adjusted by weight or body surface area. A treatment cycle is defined as 28 days for the purposes of scheduling procedures and evaluations. All patients will be treated with HH2853 orally on a continuous BID schedule, beginning on Cycle 1 Day 1. But patients in accelerated titration (ATD) part should be administered a single dose on the first day in order to evaluate the PK of a single dose administration. Dosing is twice daily from the second day thereafter.
Receives: Drug: HH2853 Tablets

What is being measured

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

  1. Maximum tolerated Dose (MTD)

    Determine MTD of HH2853

    Measured: 28-day treatment cycles

  2. Recommended phase II dose (RP2D)

    Determine RP2D of HH2853

    Measured: 28-day treatment cycles

  3. Adverse events assessed according to NCI-CTCAE V5.0

    Evaluate the safety of HH2853

    Measured: 28-day treatment cycles

  4. Dose limiting toxicities (DLT)

    Evaluate the tolerability of HH2853

    Measured: 28-day treatment cycles

  5. Objective response rate (ORR)

    Assess the preliminary efficacy of HH2853

    Measured: 28-day treatment cycles

Secondary outcomes (13)
  1. AUClast

    Characterize the pharmacokinetic profile of HH2853

    Measured: 28-day treatment cycles

  2. AUCinf

    Characterize the pharmacokinetic profile of HH2853

    Measured: 28-day treatment cycles

  3. Cmax

    Characterize the pharmacokinetic profile of HH2853

    Measured: 28-day treatment cycles

  4. Tmax

    Characterize the pharmacokinetic profile of HH2853

    Measured: 28-day treatment cycles

  5. CL/F

    Characterize the pharmacokinetic profile of HH2853

    Measured: 28-day treatment cycles

  6. Vz/F

    Characterize the pharmacokinetic profile of HH2853

    Measured: 28-day treatment cycles

  7. Terminal half-life (T1/2)

    Characterize the pharmacokinetic profile of HH2853

    Measured: 28-day treatment cycles

  8. Duration of response (DoR)

    Assess the preliminary efficacy of HH2853

    Measured: 28-day treatment cycles

  9. Progression-free survival (PFS)

    Assess the preliminary efficacy of HH2853

    Measured: 28-day treatment cycles

  10. Disease control rate (DCR)

    Assess the preliminary efficacy of HH2853

    Measured: 28-day treatment cycles

  11. Time to response (TTR)

    Assess the preliminary efficacy of HH2853

    Measured: 28-day treatment cycles

  12. Time to progression (TTP)

    Assess the preliminary efficacy of HH2853

    Measured: 28-day treatment cycles

  13. Clinical Outcome

    Explore the association between potential biomarker and the clinical outcome

    Measured: 28-day treatment cycles

Timeline

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

  1. First posted15 May 2020
  2. Study start8 Sep 2020
  3. Primary completion31 Dec 2027 (estimated)
  4. Study completion31 Dec 2028 (estimated)

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 1/2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrolment
254 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04390737
Sponsor's protocol ID
HH2853-G101
Status last verified
Jan 2026
First submitted
6 May 2020
Last updated
30 Jan 2026
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: We are committed to enhancing public health through responsible sharing of clinical trial data. Following approval of a new product or a new indication for an approved product in China, the study sponsor and/or its affiliated companies will share study protocols, anonymized patient data and study level data with qualified scientific and medical researchers, upon request, as necessary for conducting legitimate research. Further information on how to request data can be found on our website https://www.haihepharma.com/

Publications

  • Fan Z, Wang J, Liu D, Shen L, Fang M, Johnson P, Tun H, Sommerhalder D, Yang J, Yang Y, Munozi J, Zhu J, Gao T, Li Z, Li X, Ma Q, Lv C, Yu S, Li F, Song Y, Gong J. Safety and efficacy of HH2853, a novel EZH1/2 dual inhibitor, in patients with refractory solid tumours or non-Hodgkin lymphomas: a phase I study. EClinicalMedicine. 2025 Aug 7;86:103398. doi: 10.1016/j.eclinm.2025.103398. eCollection 2025 Aug.

    PubMed 40821900
  • Hong H, Chen Z, Zhang M, Peng Z, Shen J, Shuang Y, Zhou H, Guo H, Huang H, Li F, Qian Z, Liu L, Wang L, Yang W, Zhang L, He P, Qian S, Li F, Li M, Lin T. A multicenter, open-label, single-arm, phase Ib clinical trial of HH2853 treatment in patients with relapsed and/or refractory peripheral T-cell lymphoma. J Hematol Oncol. 2025 Apr 27;18(1):50. doi: 10.1186/s13045-025-01697-z.

    PubMed 40289142

Questions about this trial

What is this clinical trial studying?

A Phase 1/2 study testing HH2853 Tablets in people with FL Lymphoma and Epithelioid Sarcoma, run by Haihe Biopharma Co., Ltd. at 25 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?

The sponsor lists 16 inclusion and 14 exclusion criteria. 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: looking for participants now, as of the sponsor's last update on 30 Jan 2026. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 25 sites in China, 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 combined 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.

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

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

Are results available for this study?

This study is still under way. Results are not available in the source record yet.

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

Contact Haiyue Chen (+86 21 20568888, haiyue.chen@haihepharma.com), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum tolerated Dose (MTD) (time frame: 28-day treatment cycles). The study lists 5 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 NCT04390737, which also lists 2 linked publications.

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 30 Jan 2026.

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