A Phase I/II, Open-label Study to Investigate the Pharmacokinetics, Safety, and Efficacyof ATG 016 Monotherapy in IPSS-R Intermediate Risk and Above Myelodysplastic Syndrome (MDS) Patients After Failure of Hypomethylating Agent (HMA)-Based Therapy
Overview
- Phase
- Phase 1
- Intervention
- ATG-016
- Conditions
- Myelodysplastic Syndrome
- Sponsor
- Shanghai Antengene Corporation Limited
- Enrollment
- 15
- Locations
- 6
- Primary Endpoint
- AEs/SAEs
- Status
- Terminated
- Last Updated
- 2 years ago
Overview
Brief Summary
This is a Phase Ⅰ/II, Open-label Study to Investigate the Pharmacokinetics, Safety, and Efficacyof ATG 016 Monotherapy in IPSS-R Intermediate Risk and above Myelodysplastic Syndrome (MDS) Patients after Failure of Hypomethylating Agent (HMA)-based Therapy.
Detailed Description
This is a Phase Ⅰ/II, Open-label Study to Investigate the Pharmacokinetics, Safety, and Efficacyof ATG 016 Monotherapy in IPSS-R Intermediate Risk and above Myelodysplastic Syndrome (MDS) Patients after Failure of Hypomethylating Agent (HMA)-based Therapy. In Phase I: approximately 15 to 21 subjects and Phase II: approximately 44 subjects; approximately 59 to 65 subjects will be enrolled totally in this study.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Understand and voluntarily sign an informed consent document prior to any study related assessments/procedures are conducted.
- •≥18 years of age, males or females.
- •Eastern Cooperative Oncology Group (ECOG) performance status of ≤
- •A life expectancy longer than 3 months in the opinion of the investigator at the screening.
- •Male subjects (Including those who have received vasectomy) must agree to use condoms during sex with a woman of childbearing age and have no plans to impregnate the woman throughout the study and for 3 months following the last dose after the date of signing the ICF.
Exclusion Criteria
- •History of central nervous system (CNS) involvement.
- •Toxicity from prior antitumor therapy did not return to Grade 1 or baseline (Except for alopecia, neutropenia, anemia, and thrombocytopenia. For neutrophils, hemoglobin, and platelets, please follow Exclusion Criteria No. 5).
- •History of human immunodeficiency virus (HIV) infection.
- •History of severe bleeding disorder, such as hemophilia A, hemophilia B, and vascular hemophilia.
- •History of allogeneic stem-cell transplantation.
- •Serious psychiatric or medical conditions that, in the opinion of the investigator, could interfere with treatment, compliance, or the ability to give consent.
- •Pregnant or lactating women.
Arms & Interventions
ATG-016
5 mg QD×Days 1-5/week will be the initial dose of this study.
Intervention: ATG-016
Outcomes
Primary Outcomes
AEs/SAEs
Time Frame: 25 months
Toxicity will be graded according to the NCI CTCAE, Version 5.0.
MTD in Phase I
Time Frame: 16 months
MTD will be evaluated using the NCI-CTCAE, Version 5.0
ORR in Phase II
Time Frame: 25 months
Based on 2006 IWG Response Criteria, evaluated by IRC: ORR (CR + PR + mCR)
RP2D in Phase I
Time Frame: 16 months
RP2D will be determined under the guidance of the SRC.
Secondary Outcomes
- Disease Control Rate (DCR) in Phase I/II(12 months)
- Duration of Response (DOR) in Phase I/II(12 months)
- Progression-Free Survival (PFS) in Phase I/II(12 months)
- Overall Survival (OS)(12 months)