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BLEX 404

Phase 2

Myelodysplastic Syndrome (MDS) | Small molecule | Hematology |ABVC BioPharma, Inc.|Trials Updated: Apr 20, 2026

BLEX 404 development status

Highest phase Phase 2
Registered trials 2 across 1 sponsor since Oct 2017

BLEX 404 target and mechanism

ModalitySmall molecule

Also known as BLEX 404 Oral Liquid, BLEX 404 Liquid

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDDMC
Total Trials4
Total Enrollment168

FDA Designations

No designations recorded

BLEX 404 clinical trials

BLEX 404 · 4 trials · 4 indications

Phase 2 2Phase 1 2
NCT02944955A Study of BLEX 404 Oral Liquid in Patients With International Prognostic Scoring System (IPSS) Intermediate-1, Intermediate-2 or High-Risk Myelodysplastic Syndrome (MDS) and Chronic Myelomonocytic Leukemia (CMML)Myelodysplastic Syndrome (MDS)
NOT YET_RECRUITING52 Analytics
NCT03301805A Phase II, EvaluateBLEX 404 Combined With Gemcitabine Monotherapy With Pancreatic CancerPancreatic Cancer
NOT YET_RECRUITING40 Analytics
PHASE2NOT YET_RECRUITING
A Study of BLEX 404 Oral Liquid in Patients With International Prognostic Scoring System (IPSS) Intermediate-1, Intermediate-2 or High-Risk Myelodysplastic Syndrome (MDS) and Chronic Myelomonocytic Leukemia (CMML)
Myelodysplastic Syndrome (MDS)Unlock trial analytics
PHASE2NOT YET_RECRUITING
A Phase II, EvaluateBLEX 404 Combined With Gemcitabine Monotherapy With Pancreatic Cancer
Pancreatic CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Part I: Recommended dose level (RDL) of BLEX 404 Oral Liquid
8 weeks (2 cycles of azacitidine)

RDL is defined by BLEX 404 Oral Liquid-related prohibited toxicity in subjects undergoing 2 cycles of azacitidine treatment. When one of the stopping criteria is met during the study treatment period, RDL will be set at the lower dose level.

Part II: Incidence of infections
24 weeks (6 cycles of azacitidine)

Number of subjects experience infection events and inpatient hospitalization due to infections.

Part I: Dose-limiting toxicity (DLT) observation
4 weeks (1 cycle)

Presence or absence of dose-limiting toxicity (DLT) related to BLEX 404 Oral Liquid for each patient during first cycle of Gemcitabine monotherapy to determine the recommended dose level (RDL).

Part II: Overall response rate (PR + CR)
12 weeks (3 cycle)

Overall response rate (PR + CR) after 4 cycles of combination use in BLEX 404 + Gemcitabine monotherapy.

Phase I: Dose-limiting toxicity (DLT) observation
3 weeks (1 cycle)

Presence or absence of dose-limiting toxicity (DLT) related to BLEX 404 Oral Liquid for each patient during first cycle of Docetaxel monotherapy to determine the recommended dose level (RDL).

Phase II: Overall response rate (PR + CR)
12 weeks (4 cycles)

Overall response rate (PR + CR) after 4 cycles of combination use in BLEX 404 + Docetaxel monotherapy.

DLT determination
end of 21 days

To determine the dose-limiting toxicity (DLT) in the first cycle of combination use

RDL Determination
end of 21 days

To determine the recommended dose level (RDL) in the first cycle of combination use

Overall response rate (PR + CR) after 4 cycles of combination use
end of 84 days

Overall response rate (PR + CR) after 4 cycles of combination use in BLEX 404 \+ Pemetrexed \& Cisplatin Therapy.

Secondary Endpoints

Part I: (A) Number of subjects experience infections events and inpatient hospitalization due to infections
8 weeks (2 cycles of azacitidine)
Part I: (B) Treatments and duration of each infections
8 weeks (2 cycles of azacitidine)
Part I: (C) Complete remission (CR) or partial remission (PR) of bone marrow, peripheral blood, cytogenetic response (defined by 2006 IWG Criteria)
8 weeks (2 cycles of azacitidine)
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Study Design & Arms

AllocationNA
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
BLEX 404 Oral LiquidEXPERIMENTALPart I: Part I-1: Low Dose BLEX 404 Oral Liquid (3 mg/kg, BID) is administered in combination with 2 cycles of azacitidine. Part I-2: High Dose BLEX 404 Oral Liquid (4.5 mg/kg, BID) is administered in combination with 2 cycles of azacitidine. Part II: Recommended Dose Level (RDL) of BLEX 404 Oral Liquid will be determined by results from Part I. BLEX 404 Oral Liquid at RDL is administered in combination with 6 cycles of azacitidine.
Phase I: 1.5 mg/kg BLEX404EXPERIMENTALOral administration BID
Phase I: 3.0 mg/kg BLEX404EXPERIMENTALOral administration BID
Phase I: 6.0 mg/kg BLEX404EXPERIMENTALOral administration BID
Phase II: RDL of BLEX 404EXPERIMENTALOral administration BID

Interventions

NameTypeDescription
BLEX 404 Oral LiquidDRUGBLEX 404 Oral Liquid is orally administered twice daily in combination with azacitdine treatment cycles (2 cycles in Part I and 6 cycles in Part II). Azacitidine treatment: SC or IV injections at 75 mg/m2, QD for 7 days each cycle. 28 days/cycle, and repeat cycles every 4 weeks.
BLEX 404DRUGBLEX 404 Oral Liquid is administered twice daily during the Gemcitabine monotherapy period. The dose of Gemcitabine 1,000 mg/m2 IV fusion at Day 1, 8, 15 of every cycle * 28 days a cycle.
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Eligibility Criteria

Age Range20 Years to N/A
SexALL
Healthy VolunteersNo

Inclusion Criteria: * Age 20 or older, able to sign informed consent, understand and comply with protocol requirements and instructions. * Body weight between 30 to 120 kg * International Prognostic Scoring System (IPSS) intermediate-1 (int-1), intermediate-2 (int-2) or high-risk myelodysplastic sy...

Countries:Taiwan
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Frequently asked questions about BLEX 404

What is BLEX 404?

BLEX 404 is an investigational oral liquid small molecule developed by ABVC BioPharma, Inc. It is being studied in several cancer and blood conditions, including myelodysplastic syndrome, nonsquamous nonsmall cell lung cancer, pancreatic cancer, and triple negative breast cancer. It is in Phase 2 clinical development and has not been approved for any indication.

What is BLEX 404 used for?

BLEX 404 is being studied for myelodysplastic syndrome, nonsquamous nonsmall cell lung cancer, pancreatic cancer, and triple negative breast cancer. These are investigational uses only. The drug has not been approved for any indication and remains in clinical development.

Who makes BLEX 404?

BLEX 404 is developed by ABVC BioPharma, Inc., which trades under the ticker ABVC. The company is the sponsor of the clinical program studying the oral liquid small molecule across hematology and oncology indications.

What phase is BLEX 404 in?

BLEX 404 is in Phase 2 clinical development. It is an investigational drug and has not been approved by the FDA or any other regulatory agency for any indication. Trials in the program have been listed at both Phase 1 and Phase 2.

What clinical trials is BLEX 404 in?

BLEX 404 has been studied in trials including NCT02944955 in myelodysplastic syndrome and chronic myelomonocytic leukemia, NCT03301805 in pancreatic cancer, NCT02802423 in triple negative breast cancer, and NCT05764928 in nonsquamous nonsmall cell lung cancer combined with pemetrexed and cisplatin.

Is BLEX 404 the same as BLEX 404 Oral Liquid?

Yes. BLEX 404 Oral Liquid and BLEX 404 Liquid are alternative names for BLEX 404, the investigational small molecule developed by ABVC BioPharma, Inc. Searches using any of these names refer to the same drug candidate in clinical development.