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临床试验/NCT02719574
NCT02719574已完成1 期

A Phase 1/2, Multicenter, Open-label Study of FT-2102 as a Single Agent and in Combination With Azacitidine or Cytarabine in Patients With Acute Myeloid Leukemia or Myelodysplastic Syndrome With an IDH1 Mutation

Forma Therapeutics, Inc.85 个研究点 分布在 7 个国家目标入组 336 人开始时间: 2016年4月30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
已完成
入组人数
336
试验地点
85
主要终点
Phase 1: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

研究概览

简要总结

This Phase 1/2 study will evaluate the safety, efficacy, PK, and PD of FT-2102 (olutasidenib) as a single agent or in combination with azacitidine or cytarabine. The Phase 1 stage of the study is split into 2 distinct parts: a dose escalation part, which will utilize an open-label design of FT-2102 (olutasidenib) (single agent) and FT-2102 (olutasidenib) + azacitidine (combination agent) administered via one or more intermittent dosing schedules followed by a dose expansion part. The dose expansion part will enroll patients in up to 5 expansion cohorts, exploring single-agent FT-2102 (olutasidenib) activity as well as combination activity with azacitidine or cytarabine. Following the completion of the relevant Phase 1 cohorts, Phase 2 will begin enrollment. Patients will be enrolled across 8 different cohorts, examining the effect of FT-2102 (olutasidenib) (as a single agent) and FT-2102 (olutasidenib) + azacitidine (combination) on various AML/MDS disease states.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Parallel
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

  • Pathologically proven acute myeloid leukemia (AML) (except acute promyelocytic leukemia [APL] with the t(15;17) translocation) or intermediate, high-risk, or very high risk Myelodysplastic Syndrome (MDS) as defined by the World Health Organization (WHO) criteria or Revised International Prognostic Scoring System (IPSS-R) which is relapsed or refractory (R/R) to standard therapy and/or for which standard therapy is contraindicated or which has not adequately responded to standard therapy.
  • Patients must have documented IDH1-R132 gene-mutated disease as evaluated by the site
  • Good performance status
  • Good kidney and liver function

排除标准

  • Patients with symptomatic central nervous system (CNS) metastases or other tumor location (such as spinal cord compression, other compressive mass, uncontrolled painful lesion, bone fracture, etc.) necessitating an urgent therapeutic intervention, palliative care, surgery or radiation therapy
  • Congestive heart failure (New York Heart Association Class III or IV) or unstable angina pectoris. Previous history of myocardial infarction within 1 year prior to study entry, uncontrolled hypertension or uncontrolled arrhythmias
  • Active, uncontrolled bacterial, viral, or fungal infections, requiring systemic therapy

研究组 & 干预措施

PH1 Dose Escalation & Expansion FT-2102 (olutasidenib)

Experimental

干预措施: FT-2102 (olutasidenib) (Drug)

PH1 Esc. and Exp. FT-2102 (olutasidenib)+Cytarabine

Experimental

干预措施: Cytarabine (Drug)

PH2 Cohort 2 FT-2102 (olutasidenib) Single Agent

Experimental

AML in morphologic complete remission or complete remission with incomplete blood count recovery (CR/CRi) after prior therapy with residual IDH1-R132 mutation

干预措施: FT-2102 (olutasidenib) (Drug)

PH2 Cohort 4 FT-2102 (olutasidenib)+Azacitidine

Experimental

R/R AML/MDS that are naïve to prior hypomethylating therapy and IDH1 inhibitor therapy

干预措施: Azacitidine (Drug)

PH2 Cohort 6 FT-2102 (olutasidenib)+Azacitidine

Experimental

R/R AML/MDS that have been previously treated with single-agent FT-2102 as their last therapy prior to study enrollment

干预措施: Azacitidine (Drug)

PH2 Cohort 5 FT-2102 (olutasidenib)+Azacitidine

Experimental

R/R AML/MDS that have inadequately responded to or have progressed on prior hypomethylating therapy

干预措施: Azacitidine (Drug)

PH1 Esc. and Exp. FT-2102 (olutasidenib)+Azacitidine

Experimental

干预措施: FT-2102 (olutasidenib) (Drug)

PH1 Esc. and Exp. FT-2102 (olutasidenib)+Cytarabine

Experimental

干预措施: FT-2102 (olutasidenib) (Drug)

PH2 Cohort 1 FT-2102 (olutasidenib) Single Agent

Experimental

Relapsed or Refractory (R/R) AML

干预措施: FT-2102 (olutasidenib) (Drug)

PH2 Cohort 3 FT-2102 (olutasidenib) Single Agent

Experimental

R/R AML/MDS, previously treated with FT-2102

干预措施: FT-2102 (olutasidenib) (Drug)

PH2 Cohort 4 FT-2102 (olutasidenib)+Azacitidine

Experimental

R/R AML/MDS that are naïve to prior hypomethylating therapy and IDH1 inhibitor therapy

干预措施: FT-2102 (olutasidenib) (Drug)

PH2 Cohort 5 FT-2102 (olutasidenib)+Azacitidine

Experimental

R/R AML/MDS that have inadequately responded to or have progressed on prior hypomethylating therapy

干预措施: FT-2102 (olutasidenib) (Drug)

PH2 Cohort 6 FT-2102 (olutasidenib)+Azacitidine

Experimental

R/R AML/MDS that have been previously treated with single-agent FT-2102 as their last therapy prior to study enrollment

干预措施: FT-2102 (olutasidenib) (Drug)

PH2 Cohort 7 FT-2102 (olutasidenib) Single Agent

Experimental

Treatment naïve AML for whom standard treatments are contraindicated

干预措施: FT-2102 (olutasidenib) (Drug)

PH2 Cohort 8 FT-2102 (olutasidenib)+Azacitidine

Experimental

Treatment naïve AML who are candidates for azacitidine first line treatment

干预措施: FT-2102 (olutasidenib) (Drug)

PH1 Esc. and Exp. FT-2102 (olutasidenib)+Azacitidine

Experimental

干预措施: Azacitidine (Drug)

PH2 Cohort 8 FT-2102 (olutasidenib)+Azacitidine

Experimental

Treatment naïve AML who are candidates for azacitidine first line treatment

干预措施: Azacitidine (Drug)

结局指标

主要结局

Phase 1: Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)

时间窗: Phase 1: From start of drug administration (Day 1) up to 28 days after last dose of study drug (up to 82 months)

A TEAE was defined as an adverse event (AE) that emerges during treatment, having been absent pre-treatment, or worsens relative to the pre-treatment state. An AE was defined as any unfavourable and unintended sign (including an abnormal laboratory finding), symptom or disease temporally associated with the use of a product, whether or not considered related to the product. A serious adverse event (SAE) is defined as any untoward medical occurrence that at any dose results in death, or is life-threatening, or requires inpatient hospitalization or causes prolongation of existing hospitalization results in persistent or significant disability/incapacity, or may have caused a congenital anomaly/birth defect, or requires intervention to prevent permanent impairment or damage. Number of participants with TEAEs and SAEs is reported. Safety analysis set (SAS) included all the participants who have received at least one dose of study drug (FT-2102, azacitidine, or cytarabine).

Phase 1: Number of Participants With Change From Baseline in Clinically Significant Abnormal Laboratory Values

时间窗: Phase 1: From Baseline up to 28 days after last dose of study drug (up to 82 months)

Number of participants with change from baseline in clinically significant abnormal laboratory values for hematology, chemistry and coagulation with Grade \<1 to 4 is reported. National Cancer Institute - Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.03 toxicity grade used to determine severity of AE. Grade 1: mild;asymptomatic/mild symptoms; Grade 2: moderate; minimal; Grade 3: severe/medically significant; Grade 4: life-threatening consequences, Grade 5: death.

Phase 1: Number of Participants With Change From Baseline in Clinically Significant Abnormal Electrocardiogram (ECG)

时间窗: Phase 1: From Baseline up to 28 days after last dose of study drug (up to 82 months)

Number of participants with change from baseline in clinically significant abnormal ECG parameter (QTcF) is reported. QT interval was the time between the start of the Q wave and the end of the T wave in the cardiac electrical cycle. QTcF was the QT interval corrected for heart rate using Fridericia's formula: QTcF = QT divided by cube root of 60/heart rate.

Phase 2, Cohort 1: Percentage of Participants With Complete Remission (CR) Plus Complete Remission With Partial Hematological Recovery (CRh) for Acute Myeloid Leukemia Assessed by Investigator Based on International Working Group (IWG) Response Criteria

时间窗: Phase 2: up to 3 weeks post last dose of study drug or until the introduction of new anticancer therapy, whichever is earlier (up to 82 months)

Percentage of participants with CR plus CRh (CR, Molecular CR \[CRm\], Cytogenetic CR \[CRc\], CRh) is re-ported. CR is defined as bone marrow blasts less than (\<) 5 percent (%) (in aspirate with spicules and 200 nucleated cells), no blasts with auer rods, no extramedullary disease, absolute neutrophil count (ANC) greater than or equal to (\>=) 1000/μL, platelet count \>=100,000/μL and transfusion independ-ence. CRc is defined as CR with no residual cytogenetic abnormalities. CRm is defined as CR with unde-tectable IDH1m minimal residual disease (MRD) and CRh is defined as bone marrow blasts and partial recovery of peripheral blood counts (platelet count \>50 × 10\^9/L and ANC \> 0.5 × 10\^9/L).

Phase 2, Cohort 3, 4, 5, 6, 7, 8: Percentage of Participants With CR Plus CRh for Acute Myeloid Leukemia Assessed by Investigator Based on IWG Response Criteria

时间窗: Phase 2: up to 3 weeks post last dose of study drug or until the introduction of new anticancer therapy, whichever is earlier (up to 82 months)

Percentage of participants with CR plus CRh (CR, Molecular CR \[CRm\]), Cytogenetic CR \[CRc\], CRh) is re-ported. CR is defined as bone marrow blasts \<5 % (in aspirate with spicules and 200 nucleated cells), no blasts with auer rods, no extramedullary disease, ANC \>=1000/μL, platelet count \>=100,000/μL and transfusion independ-ence. CRc is defined as CR with no residual cytogenetic abnormalities. CRm is de-fined as CR with undetectable IDH1m MRD and CRh is defined as bone marrow blasts and partial recovery of peripheral blood counts (platelet count \>50 × 10\^9/L and ANC \> 0.5 × 10\^9/L).

Phase 2, Cohort 4 and 5: Percentage of Participants With CR for MDS Assessed by IWG Response Criteria

时间窗: Phase 2: up to 3 weeks post last dose of study drug or until the introduction of new anticancer therapy, whichever is earlier (up to 82 months)

Percentage of participants with complete remission (CR) is reported. CR is defined as bone marrow blast ≤ 5% myeloblasts with normal maturation of all cell lines, peripheral blood: Hgb ≥11 grams per deciliter (g/dL), platelets ≥ 100 × 10\^9/L, neutrophils ≥ 1.0 × 10\^9/L and blasts 0%.

Phase 2, Cohort 2: Four-month Relapse Free Survival (RFS) Rate

时间窗: Phase 2: From the date of first dose until relapse or death from any cause, whichever occurs first (up to 4 months)

RFS is defined as the time between the date of first dose until relapse or death from any cause, whichever occurs first. RFS is calculated for all participants in Phase 2 Cohort 2. 4-Month RFS rate is defined as the percentage of participants in Phase 2 Cohort 2 who have not relapsed or died on or before their 4-month response evaluation.

次要结局

  • Phase 1: Area Under the Curve (AUClast) for FT-2102(Phase 1: Cycle 1 Day 1 and Cycle 2 Day 1 (Cycle length= 28 days))
  • Phase 1: Maximum Plasma Concentration (Cmax) for FT-2102(Phase 1: Cycle 1 Day 1 and Cycle 2 Day 1 (Cycle length= 28 days))
  • Phase 1: Time to Maximum Plasma Concentration (Tmax) for FT-2102(Phase 1: Cycle 1 Day 1 and Cycle 2 Day 1 (Cycle length= 28 days))
  • Phase 1: Time to Response (TTR) for AML(Phase 1: Time from first dose of study drug until documentation of the first overall response (up to 82 months))
  • Phase 1: Duration of Overall Response for AML(Phase 1: From date of the first response to the date of the relapse or death (up to 82 months))
  • Phase 1: Time to Response (TTR ) for MDS(Phase 1: Time from first dose of study drug until documentation of the first overall response (up to 82 months))
  • Phase 2: Time to Response (TTR) for Acute Myeloid Leukemia (AML)(Phase 2: Time from first dose of study drug until documentation of the first overall response (up to 82 months))
  • Phase 2: Duration of Overall Response for Acute Myeloid Leukemia (AML)(Phase 2: From the date of the first response to the date of the relapse or death (up to 82 months))
  • Phase 2, Cohort 4 and Cohort 5: Time to Response (TTR) for Myelodysplastic Syndrome (MDS)(Phase 2: Time from first dose of study drug until documentation of the first overall response (up to 82 months))
  • Phase 2, Cohort 4 and Cohort 5: Duration of Overall Response for Myelodysplastic Syndrome (MDS)(Phase 2: From the documentation of the first response of PR or better until the date of relapse, death, whichever is earlier (up to 82 months))
  • Phase 2, Cohort 2: Time to Relapse-Free Survival (RFS)(Phase 2: From the date of first dose until relapse or death from any cause, whichever occurs first (up to 82 months))
  • Phase 2: Overall Survival (OS)(Phase 2: From first dose of study drug until death from any cause (up to 82 months))
  • Phase 2: Event-free Survival (EFS)(Phase 2: From first dose of study drug to disease progression, relapse, death from any cause, treatment failure, or start of other (non-protocol study drug) new antileukemia therapy (up to 82 months))
  • Phase 2: Transfusion Independence(Phase 2: From baseline (8 weeks prior to first dose) up to treatment period (up to 82 months))
  • Phase 2: Number of Participants With Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)(Phase 2: From start of drug administration (Day 1) up to 28 days after last dose of study drug (up to 82 months))
  • Phase 2: Number of Participants With Change From Baseline in Clinically Significant Abnormal Laboratory Values(Phase 2: From Baseline up to 28 days after last dose of study drug (up to 82 months))
  • Phase 2: Number of Participants With Change From Baseline in Clinically Significant Abnormal Electrocardiogram (ECG)(Phase 2: From Baseline up to 28 days after last dose of study drug (up to 82 months))
  • Phase 2: Area Under the Curve (AUClast) for FT-2102(Phase 2: Cycle 1 Day 1 and Cycle 2 Day 1 (Cycle length= 28 days))
  • Phase 2: Maximum Plasma Concentration (Cmax) for FT-2102(Phase 2: Cycle 1 Day 1 and Cycle 2 Day 1 (Cycle length= 28 days))
  • Phase 2: Time to Maximum Plasma Concentration (Tmax) for FT-2102(Phase 2: Cycle 1 Day 1 and Cycle 2 Day 1 (Cycle length= 28 days))

研究者

申办方类型
Industry
责任方
Sponsor

研究点 (85)

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