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RecruitingPhase 1NCT06994676

A Study of CBX-250 in Participants With Relapsed or Refractory Myeloid Leukemias

Trial Parameters

ConditionHigh-risk Myelodysplastic Syndrome
SponsorCrossbow Therapeutics, Inc.
Study TypeINTERVENTIONAL
PhasePhase 1
Enrollment72
SexALL
Min Age12 Years
Max AgeN/A
Start Date2025-07-16
Completion2027-01
Interventions
CBX-250

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Brief Summary

Study CBX-250-001 is a Phase 1, open-label, dose-escalation study of CBX-250 in participants with relapsed/refractory AML, HR-MDS, CMML, and CML. Participants aged ≥ 12 years are planned to be enrolled. CBX-250 will initially be investigated on a fixed step-up dosing schedule. CBX-250 will be administered subcutaneously in 28-day cycles, with the first study drug dose administered on Cycle 1, Day 1. Cycle 1 will consist of a priming phase over 7 days, and a target phase over 28 days. Participants will continue CBX-250 until progressive disease (PD) or unacceptable toxicity. All subsequent treatment cycles will be 28 days.

Eligibility Criteria

Inclusion Criteria: Participants are eligible to be included in the study only if all of the following criteria apply: Age 1. Dose Escalation: Male or female participants aged ≥18 years. 2. Backfill Cohorts: Male or female participants aged ≥12 years for whom no curative treatment options, including transplantation, are available. Diagnosis \& Disease Characteristics 3. Participants with histological confirmation of advanced hematologic malignancy including: 1. R/R AML, as defined by standardized criteria (e.g., European LeukemiaNet criteria \[Dohner 2022\]; after standard of care therapy. Participants with persistent leukemia after initial therapy or with recurrence of leukemia at any time after achieving a response during or after the course of treatment (including HSCT) are eligible. 2. R/R HR-MDS or very high risk MDS as per the Revised International Prognostic Scoring System (IPSS-R; Greenberg 2012) or Molecular International Prognostic Scoring System (IPPS-M, Bernard 2022) who ar

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