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NX-5948

Phase 3

B-cell Lymphoma | Small molecule | Oncology |Nurix Therapeutics, Inc.|Trials Updated: Oct 22, 2026

NX-5948 development status

Highest phase Phase 3
Registered trials 6 across 1 sponsor since Nov 2021

NX-5948 target and mechanism

Molecular targetBTK
ModalitySmall molecule

Also known as bexobrutideg

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials4
Total Enrollment1,442

FDA Designations

No designations recorded

NX-5948 clinical trials

NX-5948 · 4 trials · 12 indications

Phase 3 1Phase 2 1Phase 1 2
NCT07516093Study of NX-5948 Versus Pirtobrutinib in R/R CLL/SLLB-cell Lymphoma
RECRUITING620 Analytics
PHASE3RECRUITING
Study of NX-5948 Versus Pirtobrutinib in R/R CLL/SLL
B-cell LymphomaUnlock trial analytics

Study Endpoints

Primary Endpoints

Progression-free survival (PFS) as assessed by Independent Review Committee (IRC)
Up to approximately 3.5 years

Time from randomization to disease progression per 2018 International Workshop on CLL (iwCLL) or death due to any cause, whichever is earlier

Objective response rate (ORR) without partial response with lymphocytosis (PR-L) as assessed by IRC
Up to approximately 2.5 years

Percentage of participants with best overall response of complete response (CR)/CR with incomplete marrow recovery (CRi), partial response (PR), or nodular PR, as assessed per 2018 iwCLL guidelines

Objective response rate without partial response with lymphocytosis (PR-L) as determined by an Independent Review Committee (IRC)
Up to approximately 5 years

The percentage of participants with response as determined according to 2018 International Workshop on CLL (iwCLL) guidelines. Response will include complete response (CR)/CR with incomplete marrow recovery (CRi), partial response (PR), and nodular PR.

Number of participants with treatment-emergent adverse events
Up to approximately 7 years
Number of participants with protocol specified dose-limiting toxicities
Up to 24 months

Phase 1a

To establish the maximum tolerated dose and/or recommended Phase 1b dose(s)
Up to 24 months

Phase 1a

To evaluate the anti-tumor activity of NX-5948 in the dose levels selected for Phase 1b safety expansion based on overall response rate (ORR) as assessed by Investigator
Up to 3 years

Phase 1b Part 1

Number of participants with treatment-emergent adverse events (TEAEs); Grade 3, 4, 5 TEAEs, serious adverse events (SAEs), TEAEs leading to study drug discontinuation, deaths due to TEAEs, and all deaths
Up to 6 years

Phase 1a / Phase 1b Part 1

To further evaluate the anti-tumor activity of NX-5948 in patients with CLL/SLL at the dose identified in Phase 1b Part 1 based on overall response rate (ORR) as assessed by Investigator
Up to 3 years

Phase 1b Part 2

Secondary Endpoints

Overall survival
Up to approximately 7 years
PFS as assessed by the investigator
Up to approximately 3.5 years
Objective response rate (ORR) with and without partial response with lymphocytosis (PR-L) as assessed by IRC and investigator
Up to approximately 3.5 years
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Arm A: NX-5948EXPERIMENTAL -
Arm B: PirtobrutinibEXPERIMENTAL -
NX-5948EXPERIMENTAL -
NX-5948 + venetoclaxEXPERIMENTAL -
NX-5948 + venetoclax + rituximabEXPERIMENTAL -
NX-5948 + venetoclax + obinutuzumabEXPERIMENTAL -
Phase 1a Dose EscalationEXPERIMENTALMultiple dose levels of NX-5948 to be evaluated; determination of Maximum Tolerated Dose/Phase 1b recommended dose(s)
Phase 1b Part 1 Cohort 1 in CLL or SLL with prior BTKi and BCL2iEXPERIMENTALCLL or SLL with prior exposure to both a Bruton's tyrosine kinase inhibitor (BTKi) and BCL-2 inhibitor, unless previously deemed ineligible for a BCL-2i. Patients enrolled in CLL/SLL arm will be randomized to one of two dose levels.
Phase 1b Part 1 Cohort 2 in CLL/SLL with non-C481S BTK mutationsEXPERIMENTALPrior exposure to both BTKi and BCL-2i (unless deemed ineligible for BCL-2i by Investigator at the time of study enrollment) and documented BTK mutation other than C481S within 6 months prior to study entry
Phase 1b Part 1 Cohort 3 in CLL/SLL with prior non-covalent BTKiEXPERIMENTALCLL/SLL with prior exposure to ncBTKi and are BCL-2i naïve.
Phase 1b Part 1 Cohort 4 in CLL/SLL with TP53 or 17p deletion, 2L, prior BTKiEXPERIMENTALPatients with documented TP53 mutation or 17p deletion and 1 prior line of therapy that included a BTKi and are BCL-2i naïve.
Phase 1b Part 1 Cohort 5 in CLL/SLL with 2L+, prior BTKiEXPERIMENTALPatients with at least 1 prior line of therapy that included a BTKi and are BCL-2i naïve.
Phase 1b Part 1 Cohort 6 in MCLEXPERIMENTALNon-blastoid MCL with prior exposure to a BTKi and an anti-CD20 monoclonal antibody (mAb)-based chemoimmunotherapy regimen
Phase 1b Part 1 Cohort 7 in MZLEXPERIMENTALMZL (EMZL, MALT, NMZL, SMZL) with prior exposure to an anti-CD20 mAb-based chemo-immunotherapy regimen and an additional line of therapy
Phase 1b Part 1 Cohort 8 in WM (3L+)EXPERIMENTALWM with prior exposure to a BTKi and at least an additional line of therapy
Phase 1b Part 1 Cohort 9 in WM (2L)EXPERIMENTALWM following upfront therapy with a BTKi
Phase 1b Part 1 Cohort 10 in DLBCLEXPERIMENTALDLBCL which transformed from indolent lymphoma or Richters transformation with prior exposure to an anthracycline (unless previously deemed ineligible to receive), an anti-CD20 mAb-based chemoimmunotherapy regimen, and an additional line of therapy
Phase 1b Part 1 Cohort 11 in FLEXPERIMENTALFL (grade 1-3a) with prior exposure to an anti-CD20 mAb-based chemoimmunotherapy regimen and an additional line of therapy
Phase 1b Part 1 Cohort 12 in PCNSL/SCNSLEXPERIMENTALPCNSL following at least 1 prior line of therapy that included a BTKi (2L+) or following 2 or more prior lines of therapy (3L+), or SCNSL patients meeting criteria for a non-CLL/SLL cohort enrolling that disease with secondary CNS involvement of lymphoma
Phase 1b Part 1 Cohort 13 in PCNSLEXPERIMENTALPCNSL following upfront therapy and with no prior exposure to a BTKi (2L).
Phase 1b Part 2 in CLL or SLL with prior BTKi and BCL-2iEXPERIMENTALCLL or SLL with prior exposure to both a Bruton's tyrosine kinase inhibitor (BTKi) and BCL-2 inhibitor
Phase 1b Part 1 Cohort 14 in first-line WMEXPERIMENTALTreatment-naïve WM deemed unfit for chemoimmunotherapy
Phase 1b Part 1 Cohort 15 in BTKi-naive CLL/SLLEXPERIMENTALFirst-line (1L) or second-line+ (2L)+ CLL/SLL with no prior exposure to a BTKi
Phase 1b Part 1 Cohort 16 in CLL/SLL with secondary warm autoimmune hemolytic anemia (wAIHA)EXPERIMENTALBTKi-exposed R/R CLL or SLL with secondary wAIHA
Phase 1b Part 1 Cohort 17 in CLL/SLL with CNS involvementEXPERIMENTALBTKi-exposed R/R CLL or SLL with CNS involvement

Interventions

NameTypeDescription
NX-5948DRUGAdministered orally once daily
PirtobrutinibDRUGAdministered orally once daily per prescribing information
venetoclaxDRUGAdministered orally once daily as a tablet per prescribing information
rituximabDRUGAdministered as an intravenous (IV) infusion per prescribing information
obinutuzumabDRUGAdministered as an IV infusion per prescribing information
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites6

Key Inclusion Criteria: * Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2 * Adequate organ and bone marrow function * Confirmed diagnosis of CLL/SLL that meets iwCLL 2018 criteria for diagnosis and systemic treatment * Received at least 1 prior line of therapy for CLL/SLL tha...

Countries:United StatesFranceItalyPolandUnited KingdomNetherlandsSpainSwitzerland
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Competitive Landscape -Cutaneous T-Cell Lymphoma 7 trials (matched to "B-cell Lymphoma")

Top 1 of 2 competitors

CompanyTickerTrialsLead PhaseDrugs
Incyte CorporationINCY2PHASE2Ruxolitinib
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Recent Changes (Last 90 Days)

LOWOct 22, 2026NCT07520006startDate: changed
LOWOct 22, 2026NCT07520006startDate: changed
LOWSep 17, 2026NCT07221500lastUpdatePostDate: changed
LOWSep 17, 2026NCT07221500lastUpdatePostDate: changed
MEDIUMAug 31, 2026NCT07516093Status: NOT_YET_RECRUITING → RECRUITING
MEDIUMAug 31, 2026NCT07516093Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 28, 2026NCT07520006Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 28, 2026NCT07520006Status: NOT_YET_RECRUITING → RECRUITING
LOWAug 20, 2026NCT07221500lastUpdatePostDate: changed
LOWAug 20, 2026NCT07221500lastUpdatePostDate: changed
LOWAug 20, 2026NCT07221500lastUpdatePostDate: changed
LOWAug 20, 2026NCT07221500lastUpdatePostDate: changed
LOWAug 19, 2026NCT07221500lastUpdatePostDate: changed
LOWAug 19, 2026NCT07221500lastUpdatePostDate: changed
LOWAug 19, 2026NCT07221500lastUpdatePostDate: changed
LOWAug 4, 2026NCT07221500lastUpdatePostDate: changed
LOWAug 4, 2026NCT07221500lastUpdatePostDate: changed

Frequently asked questions about NX-5948

What is NX-5948 used for?

NX-5948 is an investigational small molecule being studied for B-cell lymphoma and chronic lymphocytic leukemia (CLL), including small lymphocytic lymphoma. It is also being evaluated in other relapsed or refractory B-cell malignancies such as diffuse large B-cell lymphoma, follicular lymphoma, mantle cell lymphoma, marginal zone lymphoma, and Waldenstrom macroglobulinemia. It is not yet approved.

What does NX-5948 target?

NX-5948 targets Bruton's tyrosine kinase, or BTK. By binding BTK, the drug is designed to interfere with B-cell receptor signaling that supports the growth and survival of malignant B cells. This mechanism underlies its development across B-cell lymphoma and chronic lymphocytic leukemia.

Who is developing NX-5948?

NX-5948 is being developed by Nurix Therapeutics, Inc., which trades on the Nasdaq under the ticker NRIX. Nurix is the sponsor of the clinical program evaluating the drug in B-cell malignancies, including chronic lymphocytic leukemia and small lymphocytic lymphoma.

What phase is NX-5948 in?

NX-5948 is in Phase 3 development. The Phase 3 trial compares NX-5948 with pirtobrutinib in relapsed or refractory chronic lymphocytic leukemia and small lymphocytic lymphoma. The drug remains investigational and is not FDA approved; earlier Phase 1 and Phase 2 studies are also ongoing.

What clinical trials is NX-5948 in?

NX-5948 is being studied in several recruiting trials. These include the Phase 3 NCT07516093 trial versus pirtobrutinib in relapsed or refractory CLL/SLL, the Phase 2 DAYBreak CLL-201 trial NCT07221500, the Phase 1 combination trial NCT07520006, and the Phase 1 trial NCT05131022 in relapsed or refractory B-cell malignancies.

Is NX-5948 the same as pirtobrutinib?

No. NX-5948 and pirtobrutinib are different drugs. NX-5948 is an investigational BTK-targeting small molecule developed by Nurix Therapeutics. Pirtobrutinib is used as the comparator arm in the Phase 3 NCT07516093 trial, which evaluates NX-5948 versus pirtobrutinib in relapsed or refractory chronic lymphocytic leukemia and small lymphocytic lymphoma.