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Aggressive B-Cell Non-Hodgkin's Lymphoma (NHL)Phase 1NCT05665530

A Study of PRT2527 as Monotherapy and in Combination With Zanubrutinib or Venetoclax in Participants With R/R Hematologic Malignancies

A Phase 1 study testing PRT2527, Zanubrutinib and Venetoclax in people with Aggressive B-Cell Non-Hodgkin's Lymphoma (NHL) and Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL), run by Prelude Therapeutics Incorporated at 24 sites in 10 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 1 dose-escalation study of PRT2527, a potent and highly selective cyclin-dependent kinase (CDK) 9 inhibitor, in participants with select relapsed or refractory (R/R) hematologic malignancies. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
PRT2527, Zanubrutinib and Venetoclax
Could I receive a placebo?
No, everyone receives an active treatment
How many people
86 participants
Where
24 sitesin 10 countries
Study dates
12 Sep 2023to 21 Jan 2026
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

Who may be able to join

  • Willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations, and other study procedures
  • Histologically or cytologically confirmed diagnosis of aggressive B-cell lymphoma subtypes, MCL, MZL, or CLL/SLL (including Richter's syndrome) based on local testing, or TCL (monotherapy only), AML, CMML, MDS, or MDS/MPN overlap syndrome that have relapsed or become refractory to or be ineligible for standard-of-care therapy
  • Eastern Cooperative Oncology Group (ECOG) Performance Status of < 2.
  • Adequate organ function (hematology, renal, and hepatic)
  • Echocardiogram (or multigated acquisition [MUGA] scan) indicating a left ventricular ejection fraction of ≥ 50%

Who cannot join

  • Have active central nervous system involvement by malignancy, uncontrolled intercurrent illnesses, and active infections requiring systemic therapy
  • Have undergone HSCT within the last 90 days or have graft versus host disease (GvHD) Grade > 1 at study entry
  • Have severe pulmonary disease with hypoxemia
  • History of another malignancy except for adequately treated non-melanoma skin cancer or lentigo maligna, superficial bladder cancer, and carcinoma in situ of the cervix without evidence of disease, and asymptomatic prostate cancer without known metastatic disease and no requirement for therapy
  • Concurrent treatment or within 15 days of starting study treatment with strong CYP3A4 inhibitors
  • Prior exposure to a CDK9 inhibitor
Show all 9Show fewer
  • Wait at least 5 half-lives of the agent or 14 days after their investigational or approved therapies before start of study treatment, whichever is shorter
  • Mean corrected QT interval of > 470 msec following triplicate ECG measurement or history of long QT syndrome
  • T-Cell leukemias

Trial locations and contacts

24 sites in 10 countries.

24 sites in 10 countries

United States5 sites
  • American Oncology Partners of Maryland, PA

    Bethesda, Maryland, 20817

  • Dana-Farber Cancer Institute

    Boston, Massachusetts, 02215

  • University of Virginia Comprehensive Cancer Center

    Charlottesville, Virginia, 22903

  • City of Hope

    Duarte, California, 91010

  • Laura and Isaac Perlmutter Cancer Center at NYU Langone Health

    New York, New York, 10016

Other trials in United States

Australia4 sites
  • Austin Health

    Heidelberg, Victoria, 3084

  • Alfred Health

    Melbourne, Victoria, 3004

  • Monash Health

    Melbourne, Victoria, 3168

  • Linear Clinical Research Ltd

    Perth, Western Australia, 6009

Other trials in Australia

France4 sites
  • Hopital Henri Mondor

    Créteil, 94010

  • Claude Huriez Hospital

    Lille, 59000

  • Centre Léon Bérard

    Lyon, 69373 Cedex 08

  • Institut Curie

    Saint-Cloud, 92210

Other trials in France

Italy3 sites
  • IRCCS Azienda Ospedaliero-Universitaria di Bologna Policlinico Sant'Orsola

    Bologna, 40138

  • lstituto Romagnolo per lo Studio dei Tumori "Dino Amadori" IRST

    Meldola, FC, 47014

  • Ospedale Santa Maria delle Croci - AUSL della Romagna

    Ravenna, 48121

Other trials in Italy

South Korea3 sites
  • lnje University Busan Paik Hospital

    Busan, 47392

  • Keimyung_University Dongsan Hospital

    Daegu, 42601

  • Samsung Medical Center

    Seoul, 06351

Other trials in South Korea

Canada1 site
  • Jewish General Hospital

    Montreal, Quebec, H3T 1E2

Other trials in Canada

Germany1 site
  • Universitatsklinikum Koln, Klinik I fur lnnere Medizin

    Cologne, North Rhine-Westphalia, 50937

Other trials in Germany

Poland1 site
  • Pratia MCM Krakow

    Krakow, Lesser Poland Voivodeship, 30-727

Other trials in Poland

Switzerland1 site
  • Ente Ospedaliero Cantonale (EOC) lstituto Oncologico della Svizzera italiana (IOSl)- Ospedale San Giovanni (ORBV)

    Bellinzona, Canton Ticino, 6500

Other trials in Switzerland

United Kingdom1 site
  • The Leeds Teaching Hospitals NHS Trust, St James University Hospital

    Leeds, West Yorkshire, LS9 7TF

Other trials in United Kingdom

About this study

Official title: A Phase 1 Open-Label, Multi-Center, Safety and Efficacy Study of PRT2527 as Monotherapy and in Combination With Zanubrutinib or Venetoclax in Participants With Relapsed/Refractory Hematologic Malignancies

This is a Phase 1 dose-escalation study of PRT2527, a potent and highly selective cyclin-dependent kinase (CDK) 9 inhibitor, in participants with select relapsed or refractory (R/R) hematologic malignancies. The purpose of this study is to evaluate the safety, tolerability, recommended phase 2 dose (PR2D), and preliminary efficacy of PRT2527 as a monotherapy and in combination with zanubrutinib or venetoclax.

Read the detailed description

This is an open-label, multi-center, dose-escalation, Phase 1 study of PRT2527, a CDK9 inhibitor, as monotherapy for participants with relapsed and refractory lymphoid and myeloid malignancies, in combination with zanubrutinib, a Bruton tyrosine kinase inhibitor (BTKi) for participants with lymphoid malignancies, or in combination with venetoclax, a B-cell lymphoma 2 inhibitor (BCL-2i) in participants with myeloid malignancies. The study will be conducted in two parts, the dose escalation phase and the dose confirmation phase for both monotherapy and combination therapy. The dose escalation phase will evaluate escalating doses of PRT2527 as a monotherapy and in combination with zanubrutinib or venetoclax until MTD is identified or when the RP2D is determined. The dose confirmation phase will evaluate indication-specific cohorts at the RP2D to confirm the dose.

Approximately 274 participants will be enrolled in the dose escalation and indication-specific, dose confirmation cohorts.

Being tested
PRT2527, Zanubrutinib, Venetoclax
Keywords
Aggressive B-Cell Non-Hodgkin's Lymphoma (NHL), Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma, CDK9, Cyclin-Dependent Kinase 9, Hematologic Malignancies, Mantle Cell Lymphoma (MCL), PRT2527, Relapse/Refractory, Richter's Syndrome, T-cell Lymphoma (TCL), Zanubrutinib, Diffuse Large B-cell lymphoma (DLBCL), Venetoclax, Marginal Zone Lymphoma (MZL), Myeloid Malignancies, Acute Myeloid Leukemia (AML), Chronic Myelomonocytic Leukemia (CMML), Myelodysplastic Syndrome (MDS), MDS/Myeloproliferative Neoplasm (MPN) Overlap Syndrome
Medical subject headings
Leukemia, Lymphocytic, Chronic, B-Cell, Lymphoma, Mantle-Cell, Lymphoma, T-Cell, Lymphoma, Large B-Cell, Diffuse, Lymphoma, B-Cell, Marginal Zone, Leukemia, Myeloid, Acute, Leukemia, Myelomonocytic, Chronic, Myelodysplastic Syndromes

What participants receive

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

  • PRT2527Drug

    PRT2527 will be administered by intravenous infusion once weekly.

  • ZanubrutinibDrug

    Zanubrutinib will be provided in capsules for oral administration once or twice daily.

  • VenetoclaxDrug

    Venetoclax will be provided in tablet for oral administration once daily

Study groups in NCT05665530
Study groupRoleWhat they receive
PRT2527 Monotherapy in Lymphoid MalignanciesExperimentalPRT2527 will be administered by intravenous infusion once weekly at the dose level assigned during the dose escalation phase and at the defined RP2D dose for indication-specific cohorts during the dose confirmation phase.
Receives: Drug: PRT2527
PRT2527/Zanubrutinib Combination in Lymphoid MalignanciesExperimentalPRT2527 will be administered by intravenous infusion once weekly at the dose level assigned during the dose escalation phase and at the defined RP2D dose for indication specific cohort during the dose confirmation phase. Zanubrutinib will be administered orally as combination therapy once or twice daily.
Receives: Drug: PRT2527; Drug: Zanubrutinib
PRT2527 Monotherapy in Myeloid MalignanciesExperimentalPRT2527 will be administered by intravenous infusion once weekly at the dose level assigned during the dose escalation phase and at the defined RP2D dose for indication-specific cohorts during the dose confirmation phase.
Receives: Drug: PRT2527
PRT2527/Venetoclax Combination in Myeloid MalignanciesExperimentalPRT2527 will be administered by intravenous infusion once weekly at the dose level assigned during the dose escalation phase and at the defined RP2D dose for indication specific cohort during the dose confirmation phase. Venetoclax will be administered orally as a combination therapy once daily.
Receives: Drug: PRT2527; Drug: Venetoclax

What is being measured

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

  1. Dose limiting toxicity (DLT) of PRT2527

    Dose limiting toxicities will be evaluated during Cycle 1 depending on the treatment arm and intrapatient ramp-up.

    Measured: Baseline through Day 21, 28, or 35 days.

  2. Safety and tolerability of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax: AEs, CTCAE Assessments

    Safety and tolerability will be evaluated by incidence of DLTs, dose interruption, modification, and discontinuation due to adverse events (AEs) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE)

    Measured: Baseline through approximately 2 years

  3. Maximum tolerated dose (MTD)/Recommended phase 2 dose (RP2D) of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax

    The MTD/RP2D will be established for further investigation in participants with relapsed or refractory hematologic malignancies

    Measured: Baseline through approximately 2 years

Secondary outcomes (5)
  1. Anti-tumor activity of PRT2527 as monotherapy and in combination with zanubrutinib or venetoclax: Objective response rate (ORR)

    Best overall response as assessed by the investigator in accordance with standard disease-specific criteria for the hematologic malignancies under study

    Measured: Baseline through approximately 2 years

  2. Anti-tumor activity of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax: Duration of response/Complete Response (DOR/DoCR)

    Duration from time of first observed response to the earliest date of disease progression, as assessed by the investigator in accordance with standard disease-specific criteria for the hematologic malignancies under study, or death due to any cause, whichever occurs first

    Measured: Baseline through approximately 2 years

  3. Pharmacokinetic profile of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax: Maximum observed plasma concentration

    PRT2527 pharmacokinetics will be calculated including the maximum observed plasma concentration (Cmax)

    Measured: Baseline through approximately 2 years

  4. Pharmacokinetic profile of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax: Area under the curve

    PRT2527 pharmacokinetics will be calculated including the area under the plasma concentration versus time curve (AUC)

    Measured: Baseline through approximately 2 years

  5. Pharmacokinetic profile of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax: Time of maximum concentration

    PRT2527 pharmacokinetics will be calculated including the time of maximum concentration (Tmax)

    Measured: Baseline through approximately 2 years

Timeline

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

  1. First posted27 Dec 2022
  2. Study start12 Sep 2023
  3. Primary completion12 Jun 2025
  4. Study completion21 Jan 2026

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
86 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT05665530
Sponsor's protocol ID
PRT2527-02
Status last verified
Jan 2026
First submitted
16 Dec 2022
Last updated
26 Jan 2026
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing PRT2527, Zanubrutinib and Venetoclax in people with Aggressive B-Cell Non-Hodgkin's Lymphoma (NHL) and Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma (CLL/SLL), run by Prelude Therapeutics Incorporated at 24 sites in 10 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 5 inclusion and 9 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: finished, as of the sponsor's last update on 26 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 24 sites in United States, Australia, France, Italy, South Korea and 5 more countries. 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?

Dose limiting toxicity (DLT) of PRT2527 (time frame: Baseline through Day 21, 28, or 35 days.). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 26 Jan 2026.

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