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临床试验/NCT03492125
NCT03492125终止1 期

A Phase I/II Dose-Escalation and Expansion Study of the Selective PKC-β Inhibitor MS-553 in Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

MingSight Pharmaceuticals, Inc5 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2018年5月25日最近更新:
适应症
干预措施
相关药物

试验速览

阶段
1 期
状态
终止
发起方
入组人数
60
试验地点
5
主要终点
The Incidence Rate of DLT and TEAE Requiring Study Drug Discontinuation

研究概览

简要总结

A Phase I/II Dose-Escalation and Expansion Study Of The Selective PKC-Β Inhibitor MS-553 In Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 —(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • To be eligible for inclusion in the primary escalation and expansion cohort 1 in this study, patients must meet all of the following criteria:
  • Age 18 years or older
  • Diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL):
  • History of histologically documented CLL or SLL that meets IWCLL diagnostic criteria according to the 2008 guidelines, and
  • Indication for treatment as defined by the 2008 IWCLL guidelines, or the need for disease reduction prior to allogeneic transplantation

排除标准

  • Patients who meet any of the following criteria are not eligible for the primary escalation and expansion cohorts of this study:
  • Current or past transformation of CLL/SLL to prolymphocytic leukemia (PLL), non-Hodgkin lymphoma, or Hodgkin lymphoma aggressive lymphoma outlined in the inclusion criteria for the optional cohort.
  • Active and uncontrolled autoimmune cytopenia(s)
  • Any of the following prior therapies within 14 days prior to cycle 1, day 1:
  • Major surgery
  • Corticosteroids greater than 20 mg / day prednisone (or equivalent), unless used by inhalation or topical route, or unless necessary for premedication before iodinated contrast dye, or for autoimmune hemolytic anemia
  • Cytotoxic chemotherapy or biologic therapy, excepting BCR pathway kinase inhibitors for which no wash out is required (but must be stopped before cycle 1 day 1)

研究组 & 干预措施

Phase II Expansion Cohort B2

Experimental

BTK inhibitor naïve CLL/SLL patients

干预措施: acalabrutinib (Drug)

Phase II Expansion Cohort A3 (MS-553 Monotherapy)

Experimental

patients with aggressive lymphoma

干预措施: MS-553 (Drug)

Phase I Combination Dose Escalation Cohort B1

Experimental

BTK inhibitor naïve CLL/SLL patients

干预措施: MS-553 (Drug)

Phase I Combination Dose Escalation Cohort B1

Experimental

BTK inhibitor naïve CLL/SLL patients

干预措施: acalabrutinib (Drug)

Phase II Expansion Cohort B2

Experimental

BTK inhibitor naïve CLL/SLL patients

干预措施: MS-553 (Drug)

Phase I Dose Escalation Cohort A1 (MS-553 Monotherapy)

Experimental

R/R CLL/SLL patients

干预措施: MS-553 (Drug)

Phase II Expansion Cohort A2 (MS-553 Monotherapy)

Experimental

R/R CLL/SLL patients

干预措施: MS-553 (Drug)

Phase II Expansion Cohort B3

Experimental

BTK inhibitor naïve CLL/SLL patients with certain gene mutations

干预措施: MS-553 (Drug)

Phase II Expansion Cohort B3

Experimental

BTK inhibitor naïve CLL/SLL patients with certain gene mutations

干预措施: acalabrutinib (Drug)

Phase I Combination Dose Escalation Cohort C1

Experimental

Bcl-2 inhibitor naïve CLL/SLL patients

干预措施: MS-553 (Drug)

Phase I Combination Dose Escalation Cohort C1

Experimental

Bcl-2 inhibitor naïve CLL/SLL patients

干预措施: venetoclax (Drug)

Phase I Combination Dose Escalation Cohort C1

Experimental

Bcl-2 inhibitor naïve CLL/SLL patients

干预措施: Rituximab (Drug)

Phase I Combination Dose Escalation Cohort C1

Experimental

Bcl-2 inhibitor naïve CLL/SLL patients

干预措施: obinutuzumab (Drug)

Experimental: Phase II Expansion Cohort C2

Experimental

Bcl-2 inhibitor naïve CLL/SLL patients

干预措施: MS-553 (Drug)

Experimental: Phase II Expansion Cohort C2

Experimental

Bcl-2 inhibitor naïve CLL/SLL patients

干预措施: venetoclax (Drug)

Experimental: Phase II Expansion Cohort C2

Experimental

Bcl-2 inhibitor naïve CLL/SLL patients

干预措施: Rituximab (Drug)

Experimental: Phase II Expansion Cohort C2

Experimental

Bcl-2 inhibitor naïve CLL/SLL patients

干预措施: obinutuzumab (Drug)

结局指标

主要结局

The Incidence Rate of DLT and TEAE Requiring Study Drug Discontinuation

时间窗: Assessments for DLT and TEAE will occur during Cycle 1 (28 days) for A1 Cohort and B1 Cohort and Cycles 1-4 (up to 112 days) for C1 Cohort.

DLT are defined as any of the following treatment-emergent events occurring during the DLT evaluation period. 1. Death 2. Hematologic toxicities: • Grade 4 neutropenia for ≥ 7 days • Grade 3 febrile neutropenia: absolute neutrophil count (ANC) 38.3°C (101°F) or a sustained temperature ≥38°C (100.4°F) for \> 1 hour • Grade 4 thrombocytopenia ≥ 14 days (patients with baseline platelet count of ≥ 50 x 109 /L) • Grade 4 thrombocytopenia ≥ 28 days (patients with baseline platelet count \< 50 x 10 9 /L) • ≥ Grade 3 thrombocytopenia associated with ≥ Grade 2 hemorrhage • New ≥ Grade 3 anemia requiring transfusion in a patient previously transfusion independent. 3. Nonhematologic toxicities: • Any other ≥ Grade 3 toxicity not reversed to any one of the following three conditions in 7 days with appropriate intervention: a) baseline; b) \< Grade 1; or c) a status considered to be controlled by the SRC. • Any TEAE requiring \>25% of doses of scheduled study drug to be withheld during the DLT period

次要结局

  • The ORR of MS-553 in Patients With CLL/SLL Whose Disease Relapsed After or Was Refractory to at Least One Prior Therapy(Evaluation of the efficacy endpoints related to response will incorporate the data from the first 9 cycles (up to 252 days) of treatment.)

研究者

发起方
MingSight Pharmaceuticals, Inc
申办方类型
Industry
责任方
Sponsor

研究点 (5)

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