Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Also known as PRT062070, ALXN2075
Cerdulatinib · 1 trial · 5 indications
DLT was defined as any of the following toxicities, possibly or probably related to cerdulatinib, and clinically significant (in the judgement of Investigator): -Febrile neutropenia (absolute neutrophil count \<1000/microliter \[μL\] and temperature ≥38.5°Celcius). -Grade 4 neutropenia for \>5 days. -Grade 4 thrombocytopenia with or without bleeding. -Grade 3 thrombocytopenia with bleeding. -Grade 4 anemia, unexplained by underlying disease. -Grade 3 or greater nausea, vomiting, or diarrhea if persistent despite optimal antiemetic or anti-diarrheal therapy. -Grade 3 or greater increase in transaminases lasting \>5 days. -Grade 3 or greater fatigue persisting \>7 days in absence of any other underlying cause. -Any other Grade 3 or greater non-hematologic toxicity (except fatigue as noted above) considered clinically significant by Investigator. -Toxicity of any grade resulting in dose delay of \>7 days. -Toxicity resulting in study drug discontinuation prior to completion of Cycle 1.
CR included: -Via a positron emission tomography (PET)/computed tomography (CT) scan, score of 1 (no uptake above background), 2 (uptake of \<mediastinum), or 3 (uptake of \>mediastinum but \<liver) for lymph nodes and extralymphatic sites; no new lesions; and no evidence of fluorodeoxyglucose (FDG)-avid disease in bone marrow. -Via CT scan, target nodes/nodal masses regressed to \<1.5 centimeters (cm) in longest transverse diameter of a lesion (LDi); no extralymphatic sites of disease; organ enlargement has regressed to normal; and bone marrow was normal by morphology and if indeterminate, immunohistochemistry was negative. PR included: -Via a PET/CT scan, score of 4 (uptake of moderately \>liver) or 5 (uptake markedly higher than liver and/or new lesions) with reduced uptake compared with baseline and residual masses of any size. -Via CT scan, \>50% decrease in the sum of the product of perpendicular diameters for multiple lesions of up to 6 target measurable nodes and extranodal sites.
| Arm | Type | Description |
|---|---|---|
| Phase 1 Cerdulatinib | EXPERIMENTAL | During Phase 1, participants will receive oral cerdulatinib on Day 1 and then starting on Day 4 at doses of 15 mg up to 100 mg QD or oral cerdulatinib at doses of 15 mg up to 45 mg BID in 28-day cycles (except Cohort 1 will have a 21-day cycle starting on Day 1) for up to 10 cycles. |
| Phase 2a Cerdulatinib | EXPERIMENTAL | During Phase 2a, participants in cohorts based on cancer type will receive oral cerdulatinib at starting doses of 35, 30, or 20 mg BID on Day 1 in 28-day cycles for up to 10 cycles. Doses of cerdulatinib can be reduced to a minimum dose of 15 mg BID or increased to a maximum dose of 30 mg BID at the discretion of the Investigator based upon clinical judgment and with Sponsor Medical Monitor approval. |
| Phase 2a Cerdulatinib plus Rituximab | EXPERIMENTAL | During Phase 2a, participants in this cohort will receive oral cerdulatinib at their applicable dose and an IV injection of rituximab 375 mg/m\^2 on Days 1, 8, 15, and 22 of Cycle 1 and Day 1 of Cycles 4, 6, 8, and 10. |
| Name | Type | Description |
|---|---|---|
| Cerdulatinib | DRUG | Oral capsule |
| Rituximab | BIOLOGICAL | IV infusion |
Inclusion Criteria: Phase 1 Inclusion • Participant at least 18 years of age with histologically confirmed CLL/SLL or B-cell non-Hodgkin lymphoma (diffuse large B-cell lymphoma \[DLBCL\], FL, mantle cell lymphoma \[MCL\], marginal zone lymphoma \[MZL\], lymphoplasmacytic lymphoma). Phase 2a Inclu...
Cerdulatinib is an investigational small molecule being studied in oncology, specifically for follicular lymphoma and indolent non-Hodgkin lymphoma. It has also been evaluated in other blood cancers, including chronic lymphocytic leukemia, small lymphocytic lymphoma, and T-cell lymphomas. It is not yet approved for any indication.
Cerdulatinib is a small molecule inhibitor that targets JAK1, JAK3, SYK, and TYK2. By inhibiting these kinases, it aims to disrupt signaling pathways involved in B-cell and T-cell malignancies, including follicular lymphoma and other non-Hodgkin lymphomas.
Cerdulatinib is being developed by AstraZeneca PLC, which trades on the Nasdaq under the ticker AZN. AstraZeneca is the sponsor of the clinical program evaluating the drug in hematologic malignancies.
Cerdulatinib is in Phase 1 clinical development. It is an investigational agent and has not been approved by the FDA for any indication. The Phase 1/2a trial has been completed, and no active trials are currently listed.
Cerdulatinib has been studied in a single completed Phase 1/2a trial, NCT01994382, titled a dose escalation study in participants with CLL, SLL, or NHL. The trial enrolled 260 participants in the United States and included conditions such as follicular lymphoma, aggressive NHL, CLL/SLL, T-cell lymphoma, and B-cell NHL.