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NCT Number: NCT07758491

A Phase I/II Study of FG-M131 in TRBC1+ Relapsed/Refractory Peripheral T-Cell Lymphoma

FG-M131 for injection is an antibody-drug conjugate (ADC) targeting the T-cell receptor beta chain constant region 1 (TRBC1). TRBC1 is a subunit of the αβ T-cell receptor (TCR) complex. Targeting TRBC1 can eliminate TRBC1-positive malignant T cells while sparing TRBC2-positive normal T cells, providing a novel strategy for the treatment of T-cell malignancies.

This study is a multicenter, open-label Phase I/II clinical trial in patients with TRBC1-positive relapsed/refractory peripheral T-cell lymphoma, designed to evaluate the safety, tolerability, pharmacokinetic profile, and preliminary antitumor activity of FG-M131 for injection in this patient population. The study consists of a Phase I dose-escalation stage and a Phase IIa cohort-expansion stage.

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Key information

Conditions

Age range

18 year–75 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Phase 1 / Phase 2

Primary location

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Voluntarily sign the informed consent form, understand the study, are willing to comply with and have the ability to complete all trial procedures;
  • Age 18-75 years (inclusive), any gender;
  • Histologically and/or cytologically confirmed peripheral T-cell lymphoma or cutaneous T-cell lymphoma;
  • Relapsed or refractory lymphoma after at least one prior line of therapy;
  • Able to provide tumor tissue specimens;
  • ECOG performance status of 0 or 1;
  • Expected survival ≥3 months;
  • Have at least one measurable tumor lesion;
  • Adequate cardiac, bone marrow, liver, renal function;

Exclusion criteria

  • Have received a live vaccine within 3 months prior to the first dose;
  • Have received radiotherapy within 4 weeks prior to the first dose;
  • Have received other anti-tumor drug therapy within 3 weeks or within 5 half-lives of the anti-tumor drug prior to the first dose;
  • Have undergone major surgery within 4 weeks prior to the first dose;
  • Have previously received any therapy targeting the TRBC1 antigen or any antibody-drug conjugate with MMAE payload;
  • Have received autologous stem cell transplantation within 3 months prior to the first dose;
  • Have previously received allogeneic stem cell transplantation;
  • Have a history of other malignancies within 5 years prior to the first dose;
  • Have received high-dose systemic vitamin A therapy (daily dose >15,000 IU [i.e., 5,000 mcg]) within 3 weeks prior to the first dose of study drug;
  • Have any condition requiring systemic treatment with corticosteroids (>20 mg/day prednisone or equivalent) or other immunosuppressive agents within 14 days prior to the first dose;
  • Have received oral retinoid drugs for any indication within 3 weeks prior to the first dose;
  • Have adverse reactions from prior treatments that have not recovered to CTCAE v5.0 Grade ≤1 (excluding alopecia and anemia) prior to the first dose;
  • Presence or history of central nervous system lymphoma, leptomeningeal disease, or spinal cord compression;
  • Have a history of severe allergic reactions or are allergic to the investigational drug;
  • Have experienced a clinically significant cardiac disease within 6 months before the first dose;
  • Have uncontrolled systemic diseases assessed by the investigator, including diabetes, hypertension, pulmonary fibrosis, interstitial lung disease, etc.;
  • Known history of Hepatitis C or chronic active Hepatitis B;
  • Clinically uncontrolled diseases such as diabetes mellitus, thyroid disease, or other severe systemic diseases requiring systemic treatment;
  • Active or progressive infection requiring systemic therapy within 2 weeks prior to the first dose;
  • Known or suspected active autoimmune disease requiring systemic therapy within 2 years prior to the first dose;
  • Are pregnant or breastfeeding;

Treatment and study plan

FG-M131

Drug

Accelerated titration method, IV infusion Q3W; Adaptive BOIN design, IV infusion Q3W. (21-day cycles)

Primary outcomes

  1. Safety assessed by Adverse Events (AEs)

    Time frame: Up to 24 months

    An AE is any adverse medical event that occurs during a clinical study, whether or not related with medicinal product, including signs, symptoms, abnormal laboratory test results and diseases. The incidence and severity of AEs during the clinical study are recorded and analyzed.

  2. Maximum Tolerated Dose (MTD)

    Time frame: 21 days

    MTD

  3. Objective Response Rate (ORR)

    Time frame: Up to 24 months

    ORR is defined as the proportion of participants who have a best overall response of Complete Response (CR) or Partial Response (PR) as assessed by investigator evaluation.

  4. Complete Response Rate (CRR)

    Time frame: Up to 24 months

    CRR is defined as the proportion of participants who have a best overall response of Complete Response (CR) as assessed by investigator evaluation

Secondary outcomes

  1. Progression Free Survival (PFS)

    Time frame: Up to 24 months

    PFS is defined as the duration from randomization to the first imaging confirmation of progressive disease by investigator evaluation or death due to any cause (whichever occurs first).

  2. Duration Of Response (DOR)

    Time frame: Up to 24 months

    DOR is defined as the time from the date of the first response (CR/PR) until the date of progressive disease as assessed by investigator evaluation or death due to any cause (whichever occurs first).

  3. Overall Survival (OS)

    Time frame: Up to 24 months

    OS is defined as the time from randomization to deathdue to any cause.

  4. Maximum measured plasma concentration of FG-M131

    Time frame: Up to 24 months

    Cmax

  5. Time to maximum plasma concentration of FG-M131

    Time frame: Up to 24 months

    Tmax

  6. Half-life of FG-M131

    Time frame: Up to 24 months

    T1/2

  7. ADA

    Time frame: Up to 24 months

    Incidence, onset time, duration, and titer of anti-FG-M131 antibody and/or neutralizing antibody positivity

Study contacts

Contact information is provided by the study sponsor or research team.

Zhaoyu Jin

CONTACT

[email protected]

+8610-60709130

Sponsors and collaborators

Lead sponsor

FutureGen Biopharmaceutical (Beijing) Co., Ltd

Industry

Registry information

Official study title

An Open-label, Multicenter Phase I/II Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Efficacy of FG-M131 in Patients With TRBC1-positive Relapsed/Refractory Peripheral T-cell Lymphoma

Important dates

Study start
2026
Primary completion
2031
Study completion
2031
First posted
Aug 11, 2026
Registry last updated
Aug 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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