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A Study to Assess Safety and Tolerability of CC-486 (ONUREG®, Oral Azacitidine) in Combination Therapy in Participants With Acute Myeloid Leukemia (AML)

Phase 1
Completed
Conditions
Leukemia, Myeloid, Acute
Interventions
Registration Number
NCT04887857
Lead Sponsor
Celgene
Brief Summary

The purpose of this study is to evaluate the safety, tolerability, and preliminary efficacy of CC-486 (ONUREG®) in combination with venetoclax in relapsed and/or refractory Acute Myeloid Leukemia (AML) and newly diagnosed AML.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
6
Inclusion Criteria
  • Confirmation of the following for Acute Myeloid Leukemia (AML)
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2. ECOG 3 is allowed if participants are 18 to 74 years old with comorbidities
  • Agree to serial bone marrow aspirate/biopsies
Exclusion Criteria
  • Suspected or proven to have acute promyelocytic leukemia based on morphology, immunophenotype, molecular assay, or karyotype
  • Received prior hypomethylating agent (HMA) therapy for myelodysplastic syndromes/Chronic myelomonocytic leukemia then develop AML within 4 months of discontinuing the HMA therapy
  • Prior history of malignancy unless the participant has been free of the disease for ≥ 1 year prior to the start of study treatment

Other protocol-defined inclusion/exclusion criteria apply

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
CC-486 in combination with VenetoclaxCC-486-
CC-486 in combination with VenetoclaxVenetoclax-
Primary Outcome Measures
NameTimeMethod
Maximum Tolerated Dose (MTD)Up to 42 days after first dose
Incidence of relationship of AEs to study treatmentFrom informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of clinically significant changes in clinical laboratory results: Urinalysis testsFrom informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of type of adverse events (AEs)From informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of frequency of AEsFrom informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of clinically significant changes in clinical laboratory results: Clinical Chemistry testsFrom informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of severity of AEsFrom informed consent form (ICF) signature to 28 days after last dose of study drug
Incidence of clinically significant changes in clinical laboratory results: Hematology testsFrom informed consent form (ICF) signature to 28 days after last dose of study drug
Secondary Outcome Measures
NameTimeMethod
Overall Response Rate (ORR)Up to approximately 12 months
Minimal Residual Disease (MRD) Response RateUp to approximately 12 months
MRD Conversion RateUp to approximately 12 months
Rate of complete remission (CR)/complete remission with incomplete recovery of blood counts (CRi)Up to approximately 12 months
Rate of complete remission (CR)/complete remission with partial hematologic recovery (CRh)Up to approximately 12 months

Trial Locations

Locations (10)

Local Institution - 105

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Boston, Massachusetts, United States

Local Institution - 102

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Cleveland, Ohio, United States

Local Institution - 201

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Melbourne, Australia

Local Institution - 202

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North Melbourne, Victoria, Australia

Local Institution - 106

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New York, New York, United States

Local Institution - 110

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Denver, Colorado, United States

Local Institution - 104

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Stanford, California, United States

Local Institution - 113

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New York, New York, United States

Local Institution - 101

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Houston, Texas, United States

Local Institution - 111

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Oklahoma City, Oklahoma, United States

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