A Phase I/II Study of SEL24 in Patients With Acute Myeloid Leukemia
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 发起方
- 入组人数
- 73
- 试验地点
- 15
- 主要终点
- Part 1 and Part 2: Number of Participants Experiencing Treatment-emergent Adverse Events
研究概览
简要总结
The purpose of the clinical trial is to identify the maximum tolerated dose of MEN1703 and to further investigate its safety profile in participants with acute myeloid leukemia (AML).
详细描述
Phase I/II, open-label, multi-center, dose escalation study to estimate the maximum tolerated dose of MEN1703 in participants with acute myeloid leukemia.
The clinical trial will investigate the safety profile and anti-leukemic activity of MEN1703 in participants with AML and that have no standard therapeutic options available.
The clinical trial encompasses 2 parts:
- Part 1: Ascending dose levels - the main purpose of this part of the clinical trial is to determine the highest dose of MEN1703 considered to be well tolerated.
- Part 2: Expansion cohort - the main purpose of this part of the clinical trial is to assess the safety and anti-leukemia activity of MEN1703 given at the highest tolerated dose in participant with relapsed/refractory acute myeloid leukemia, either all comers as well as harboring isocitrate dehydrogenase (IDH1/IDH2) mutations.
Participants participating to the clinical trial will take the study drug as oral capsules once daily for 14 consecutive days over a 21-day treatment cycle.
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
- 否
入选标准
- •Participants with diagnosis of AML, all comers or bearing IDH1 or IDH2 mutation (completed)
- •Participant has no standard therapeutic options available and has either relapsed AML unsuitable for intensive chemotherapy, with no standard therapeutic options and/or not eligible for any approved targeted therapy or primary refractory AML unsuitable for intensive chemotherapy, with no standard therapeutic options and/or not eligible for any approved targeted therapy
排除标准
- •Anti-cancer treatments (including cytotoxic chemotherapy, radiotherapy, hormonal therapy, biologic, immunotherapy or investigational drugs) received within 14 days or 5 half-lives for targeted therapies (whichever is shorter) before first dose of study drug (to be supplemented)
研究组 & 干预措施
Cohort 1 (25 mg)
Participants received MEN1703 (25 milligrams [mg]) orally once daily for 14 consecutive days in cycles of 21 days.
干预措施: MEN1703 (Drug)
Cohort 2 (50 mg)
Participants received MEN1703 (50 mg) orally once daily for 14 consecutive days in cycles of 21 days.
干预措施: MEN1703 (Drug)
Cohort 3 (75 mg)
Participants received MEN1703 (75 mg) orally once daily for 14 consecutive days in cycles of 21 days.
干预措施: MEN1703 (Drug)
Cohort 4 (100 mg)
Participants received MEN1703 (100 mg) orally once daily for 14 consecutive days in cycles of 21 days.
干预措施: MEN1703 (Drug)
Cohort 5 (125 mg)
Participants received MEN1703 (125 mg) orally once daily for 14 consecutive days in cycles of 21 days.
干预措施: MEN1703 (Drug)
Cohort 6 (150 mg)
Participants received MEN1703 (150 mg) orally once daily for 14 consecutive days in cycles of 21 days.
干预措施: MEN1703 (Drug)
结局指标
主要结局
Part 1 and Part 2: Number of Participants Experiencing Treatment-emergent Adverse Events
时间窗: Up to 21 months
An adverse event (AE) was defined as any new untoward medical occurrence or worsening of a pre-existing medical condition in a participant or clinical investigation participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment. An AE could therefore be any unfavorable and unintended sign (including a clinically significant abnormal laboratory finding, for example), symptom, or disease temporally associated with the use of a medicinal (investigational) product, whether or not considered related to the investigational medicinal product. A summary of serious and all other non-serious adverse events regardless of causality is located in the Reported Adverse events module.
Part 1: Number of Participants Experiencing Dose-limiting Toxicity (DLT)
时间窗: Day 1 through Day 21 (first treatment cycle)
AEs were graded according to the National Cancer Institute common terminology criteria for adverse events, version 4.03. The following AEs were considered as DLT unless they were clearly and incontrovertibly attributable to the underlying disease or to an extraneous cause: Grade 5 toxicity; Grade 4 neutropenia lasting ≥42 days from the start of the therapy cycle in absence of evidence of active acute myeloid leukemia (AML) (\<5% blasts); Grade 3 or 4 non-hematologic toxicity (with protocol-define exceptions). Only clinically significant abnormalities in laboratory findings, physical examination, vital signs, weight, or electrocardiogram were considered for DLT assessment.
次要结局
- Part 1 and Part 2: Overall Response Rate (ORR)(Up to 32 months)
- Part 1 and Part 2: Partial Remission (PR) Rate(Up to 32 months)
- Part 1 and Part 2: Duration of Response (DoR)(Up to 32 months)
- Part 1 and Part 2: Relapse Free Survival (RFS)(Up to 32 months)
- Part 1 and Part 2: Overall Survival (OS)(Up to 32 months)
- Part 1 and Part 2: Event Free Survival (EFS)(Up to 32 months)
- Part 1 and Part 2: Transfusion Conversion Rate(Up to 21 months)
- Part 1 and Part 2: Transfusion Maintenance Rate(Up to 21 months)
- Part 1 and Part 2: Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) Rate(Up to 21 months)
- Part 1 and Part 2: Percentage of Participants With ≥ 50% Bone Marrow Blast Reduction(Up to 20 months)
- Part 1 and Part 2: Maximum Observed Concentration (Cmax) for MEN1703(Day 1 and Day 14 of Cycle 1 (pre-dose, up to 120 hours post dose) (21 days/cycle))
- Part 1 and Part 2: Area Under the Concentration Versus Time Curve From Time Zero to the Last Quantifiable Concentration (AUClast) for MEN1703(Day 1 of Cycle 1 (pre-dose, up to 24 hours post dose) (21 days/cycle))
- Part 1 and Part 2: Area Under the Concentration Versus Time Curve From Time Zero to 24 Hours (AUC0-24) for MEN1703(Day 14 of Cycle 1 (pre-dose, up to 120 hours post dose) (21 days/cycle))
