NCT07753148Not yet recruitingPhase 1
An Open-Label, Multi-Center Phase I Study to Investigate the Safety and Tolerability of REGN17235 in Patients With Clonal Cytopenia of Undetermined Significance and Low-Risk Myelodysplastic Syndrome With SF3B1 Mutation
Conditions
Interventions
Drugs
Trial Snapshot
- Phase
- Phase 1
- Status
- Not yet recruiting
- Sponsor
- Regeneron Pharmaceuticals
- Enrollment
- 52
- Primary Endpoint
- Occurrence of Treatment Emergent Adverse Events (TEAEs)
Study Overview
Brief Summary
This study will test a study drug called REGN17235 (the "study drug") to see if it can help treat Clonal Cytopenia of Undetermined Significance (CCUS) and Low-Risk Myelodysplastic Syndrome (LR-MDS) with a specific genetic mutation (SF3B1 Mutation).
The study is looking at:
- What side effects the study drug might cause
- How well the study drug works
- How much of the study drug is in the blood at different times
- If the body makes antibodies (proteins that attach to substances your body does not recognize) against the study drug; this may cause the study drug to not work as well.
- What is the best dose of the study drug to treat CCUS and LR-MDS
Study Design
- Study Type
- Interventional
- Allocation
- Non Randomized
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to — (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Presence of SF3B1 mutation in the bone marrow or peripheral blood AND diagnosis of low-risk MDS OR diagnosis of CCUS as defined by WHO 2022, 5th edition as described in the protocol
- •Adequate bone marrow function as described in the protocol; red blood cell transfusion dependence is permitted
- •Adequate hepatic and renal function as described in the protocol
Exclusion Criteria
- •Clinically significant anemia due to non-MDS or non-CCUS etiologies (eg, iron deficiency, vitamin B12 or folate deficiency, autoimmune or hereditary hemolysis, or hemorrhage) diagnosed or treated within the last 3 months prior to informed consent
- •Recent or uncontrolled infections as described in the protocol
- •Diagnosed or treated for malignancy other than MDS as described in the protocol
- •Prior treatment with any systemic therapy for MDS or CCUS within 5 half-lives or within 14 days prior to first administration of study drug, whichever is shorter
- •Allogeneic hematopoietic stem cell transplant within 100 days of enrollment or any signs or symptoms of ongoing Graft-Versus Host Disease (GVHD) as described in the protocol
- •Note: Other protocol defined Inclusion/Exclusion Criteria apply
Arms & Interventions
Part 1 Dose Escalation
Experimental
Intervention: REGN17235 (Drug)
Part 2 Safety Expansion
Experimental
Intervention: REGN17235 (Drug)
Outcomes
Primary Outcomes
Occurrence of Treatment Emergent Adverse Events (TEAEs)
Time Frame: Up to 5 years
Severity of TEAEs
Time Frame: Up to 5 years
Occurrence of Serious Adverse Events (SAEs)
Time Frame: Up to 5 years
Severity of SAEs
Time Frame: Up to 5 years
Secondary Outcomes
- Concentration of REGN17235 in serum(Up to 5 years)
- Occurrence of Anti-Drug Antibodies (ADA) to REGN17235 in serum(Up to 5 years)
- Magnitude of ADA to REGN17235 in serum(Up to 5 years)
- Hematologic improvement per International Working Group (IWG) 2018(Up to 5 years)
Investigators
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