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BLEX 404 Liquid

Phase 2

Myelodysplastic Syndrome (MDS) | Small molecule | Hematology |ABVC BioPharma, Inc.|Last Updated: Apr 13, 2026

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Trial Design
UNCONTROLLEDDMCBiomarker
Total Trials1
Total Enrollment52
FDA Designations
No designations recorded
Clinical trial landscape

BLEX 404 Liquid · 2 trials · 2 indications

Phase 2 1Phase 1 1
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
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
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.

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.

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.
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.
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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...

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Recent Changes (Last 90 Days)
MEDIUMMay 26, 2026NCT02802423Phase: PHASE2 → PHASE1
MEDIUMMay 26, 2026NCT02944955primaryCompletionDate: changed
LOWMay 24, 2026NCT02802423studyFirstPostDate: changed
LOWMay 24, 2026NCT02944955studyFirstPostDate: changed