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Clinical Trials/EUCTR2019-002089-11-IT
EUCTR2019-002089-11-IT
Active, not recruiting
Phase 1

A randomized, double-blind, placebo-controlled phase III multi-center study of azacitidine with or without MBG453 for the treatment of patients with intermediate, high or very high risk myelodysplastic syndrome (MDS) as per IPSS-R, or Chronic Myelomonocytic Leukemia-2 (CMML-2)

ovartis Pharma AG0 sites500 target enrollmentFebruary 25, 2020

Overview

Phase
Phase 1
Intervention
Not specified
Conditions
adult subjects with intermediate, high or very high risk (per IPSS-R prognostic risk categories) myelodysplastic syndrome or with Chronic Myelomonocytic Leukemia - 2 (CMML-2)
Sponsor
ovartis Pharma AG
Enrollment
500
Status
Active, not recruiting
Last Updated
5 years ago

Overview

Brief Summary

No summary available.

Registry
who.int
Start Date
February 25, 2020
End Date
TBD
Last Updated
5 years ago
Study Type
Interventional clinical trial of medicinal product
Sex
All

Investigators

Eligibility Criteria

Inclusion Criteria

  • Key inclusion criteria:
  • Signed informed consent must be obtained prior to participation in the study
  • Age \= 18 years at the date of signing the informed consent form (ICF)
  • Morphologically confirmed diagnosis of myelodysplastic syndrome (MDS) based on WHO 2016 classification (Arber et al 2016\) by local investigator assessment with one of the following Prognostic Risk Categories, based on the revised International Prognostic Scoring System (IPSS\-R):
  • Very high (\> 6 points)
  • High (\> 4\.5 \- \= 6 points)
  • Intermediate (\> 3 \- \= 4\.5 points)
  • Morphologically confirmed diagnosis of Chronic Myelomonocytic Leukemia \-2 based on WHO 2016 classification (Arber et al 2016\) by local investigator assessment with WBC \< 13 x 10^9/L
  • Indication for azacitidine treatment according to the investigator, based on local standard medical practice and institutional guidelines for treatment decisions
  • Not eligible for intensive chemotherapy according to the investigator, based on local standard medical practice and institutional guidelines for treatment decisions

Exclusion Criteria

  • Key exclusion criteria:
  • Prior exposure to TIM\-3 directed therapy at any time. Prior therapy with immune checkpoint inhibitors (e.g, anti\-CTLA4, anti\-PD\-1, anti\-PD\-L1, or anti\-PD\-L2\), cancer vaccines is allowed except if the drug was administered within 4 months prior to randomization
  • Previous first\-line treatment for intermediate, high, very high risk myelodysplastic syndromes (based on IPSS\-R) or CMML\-2 with any antineoplastic agents including for example chemotherapy, lenalidomide and hypomethylating agents (HMAs) such as decitabine or azacitidine. However, previous treatment with hydroxyurea or leukopheresis to reduce WBC count is allowed prior to randomization.
  • Investigational treatment received within 4 weeks prior to randomization. In case of a checkpoint inhibitor: a minimal interval of 4 months prior to randomization is necessary to allow randomization.
  • Subjects with Myelodysplastic syndrome (MDS) based on 2016 WHO classification (Arber et al 2016\) with revised International Prognostic Scoring System (IPSS\-R) \= 3
  • Diagnosis of acute myeloid leukemia (AML) including acute promyelocytic leukemia and extra\-medullary acute myeloid leukemia, primary or secondary myelofibrosis based on WHO 2016 classification (Arber et al 2016\)
  • Diagnosis of therapy related myeloid neoplasms based on WHO 2016 classification
  • (Arber et al 2016\)
  • History of organ or allogeneic hematopoietic stem cell transplant
  • Please refer to protocol for further details and any additional exclusion criteria.

Outcomes

Primary Outcomes

Not specified

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