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DRUG:

ZN-d5

i
Other names: ZN-d5, KP-2541
Associations
Company:
Zentalis Pharma
Drug class:
Bcl2 inhibitor
Related drugs:
Associations
2ms
ZN-d5-001: Phase 1 First in Human Study of ZN-d5 as a Single Agent (clinicaltrials.gov)
P1, N=39, Completed, K-Group Alpha, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc. | Recruiting --> Completed | N=115 --> 39 | Trial completion date: Jan 2025 --> Dec 2023 | Trial primary completion date: Aug 2024 --> Dec 2023
Trial completion • Enrollment change • Trial completion date • Trial primary completion date
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BCL2 (B-cell CLL/lymphoma 2)
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ZN-d5
2ms
ZN-d5-003: Phase 1/2 Study of ZN-d5 for the Treatment of Relapsed or Refractory Light Chain (AL) Amyloidosis (clinicaltrials.gov)
P1/2, N=18, Completed, K-Group Alpha, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc. | Active, not recruiting --> Completed | N=135 --> 18 | Trial completion date: Dec 2025 --> Feb 2024 | Trial primary completion date: May 2025 --> Feb 2024
Trial completion • Enrollment change • Trial completion date • Trial primary completion date
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Chr t(11;14)
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ZN-d5
2ms
ZN-d5-004C: Study of the ZN-d5 and ZN-c3 in Subjects With Acute Myeloid Leukemia (AML) (clinicaltrials.gov)
P1/2, N=40, Terminated, K-Group Alpha, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc. | N=95 --> 40 | Trial completion date: Feb 2026 --> Jul 2024 | Recruiting --> Terminated | Trial primary completion date: Mar 2025 --> Jul 2024; Sponsor decision
Enrollment change • Trial completion date • Trial termination • Trial primary completion date
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BCL2 (B-cell CLL/lymphoma 2)
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azenosertib (ZN-c3) • ZN-d5
2ms
ZN-d5-002: A Food Effect Study of ZN-d5 in Healthy Female Volunteers (clinicaltrials.gov)
P1, N=16, Completed, K-Group Alpha, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc. | Not yet recruiting --> Completed
Trial completion
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ZN-d5
12ms
Phase 1/2 Study of ZN-d5 for the Treatment of Relapsed or Refractory Light Chain (AL) Amyloidosis (clinicaltrials.gov)
P1/2, N=135, Active, not recruiting, K-Group Alpha, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc. | Recruiting --> Active, not recruiting
Enrollment closed
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Chr t(11;14)
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ZN-d5
over1year
A Phase I Study of ZN-d5 in Chinese Subjects With Non-Hodgkin Lymphoma (clinicaltrials.gov)
P1, N=8, Terminated, Zentera Therapeutics HK Limited | N=30 --> 8 | Trial completion date: Mar 2024 --> May 2023 | Enrolling by invitation --> Terminated; Sponsor's decision
Enrollment change • Trial completion date • Trial termination
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ZN-d5
over1year
A PHASE 1/2 MULTI-CENTER, DOSE-FINDING STUDY INVESTIGATING THE SAFETY, TOLERABILITY, PK AND EFFICACY OF ZN-D5, A NOVEL BCL-2 INHIBITOR, IN PATIENTS WITH RELAPSED/REFRACTORY AL AMYLOIDOSIS (EHA 2023)
Recently, the addition of subcutaneous daratumumab to the standard first-line regimen of cyclophosphamide, bortezomib, and dexamethasone (CyBorD) was shown to significantly improve complete hematologic and organ response rates. This study will evaluate treatment of AL amyloidosis utilizing BCL-2 inhibition. Dose escalation cohorts arecurrently undergoing evaluation and the study is open to enrollment. Upon determination of the RP2D, the study will commence Phase 2.
Clinical • P1/2 data
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bortezomib • cyclophosphamide • dexamethasone • Darzalex Faspro (daratumumab and hyaluronidase-fihj) • ZN-d5
over1year
Phase 1 First in Human Study of ZN-d5 as a Single Agent (clinicaltrials.gov)
P1, N=115, Recruiting, K-Group Alpha, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc. | N=85 --> 115 | Trial completion date: May 2023 --> Jan 2025 | Trial primary completion date: Oct 2022 --> Aug 2024
Enrollment change • Trial completion date • Trial primary completion date
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BCL2 (B-cell CLL/lymphoma 2)
|
ZN-d5
almost2years
Study of the ZN-d5 and ZN-c3 in Subjects With Acute Myeloid Leukemia (AML) (clinicaltrials.gov)
P1/2, N=95, Recruiting, K-Group Alpha, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc.
New P1/2 trial
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BCL2 (B-cell CLL/lymphoma 2)
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azenosertib (ZN-c3) • ZN-d5
over2years
Combination of the BCL-2 inhibitor ZN-d5 with the WEE1 inhibitor ZN-c3 shows additive or synergistic anti-tumor activity in acute myeloid leukemia (AML) models (AACR 2022)
These results justify testing the ZN-d5 and ZN-c3 combination or possibly the triple combination including azacitidine in AML patients independently of TP53 status. Due to synergism observed with these combination(s) and activity in samples from patients resistant to venetoclax, activity may be seen in patients with low sensitivity to Bcl-2 inhibitors or even in patients who progressed on venetoclax plus azacitidine.
IO biomarker
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TP53 (Tumor protein P53) • PTPRC (Protein Tyrosine Phosphatase Receptor Type C)
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TP53 mutation
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Venclexta (venetoclax) • azacitidine • azenosertib (ZN-c3) • ZN-d5