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A Study to Evaluating the Pharmacokinetics, Safety, and Efficacy of ATG 016 Monotherapy in IPSS-R Intermediate Risk and Above Myelodysplastic Syndrome (MDS)

Phase 1
Terminated
Conditions
Myelodysplastic Syndrome
Interventions
Registration Number
NCT04691141
Lead Sponsor
Shanghai Antengene Corporation Limited
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.

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
15
Inclusion Criteria
  1. Understand and voluntarily sign an informed consent document prior to any study related assessments/procedures are conducted.
  2. ≥18 years of age, males or females.
  3. Eastern Cooperative Oncology Group (ECOG) performance status of ≤2.
  4. A life expectancy longer than 3 months in the opinion of the investigator at the screening.
  5. 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
  1. History of central nervous system (CNS) involvement.
  2. 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).
  3. History of human immunodeficiency virus (HIV) infection.
  4. History of severe bleeding disorder, such as hemophilia A, hemophilia B, and vascular hemophilia.
  5. History of allogeneic stem-cell transplantation.
  6. Serious psychiatric or medical conditions that, in the opinion of the investigator, could interfere with treatment, compliance, or the ability to give consent.
  7. Pregnant or lactating women.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
ATG-016ATG-0165 mg QD×Days 1-5/week will be the initial dose of this study.
Primary Outcome Measures
NameTimeMethod
AEs/SAEs25 months

Toxicity will be graded according to the NCI CTCAE, Version 5.0.

MTD in Phase I16 months

MTD will be evaluated using the NCI-CTCAE, Version 5.0

RP2D in Phase I16 months

RP2D will be determined under the guidance of the SRC.

ORR in Phase II25 months

Based on 2006 IWG Response Criteria, evaluated by IRC: ORR (CR + PR + mCR)

Secondary Outcome Measures
NameTimeMethod
Disease Control Rate (DCR) in Phase I/II12 months

DCR (CR + PR + mCR + HI + SD)

Duration of Response (DOR) in Phase I/II12 months

To evaluate duration of response

Progression-Free Survival (PFS) in Phase I/II12 months

To evaluate progression-free survival

Overall Survival (OS)12 months

The estimates of Kaplan-Meier

Trial Locations

Locations (6)

Shanghai the sixth people's hospital

🇨🇳

Shanghai, Shanghai, China

Henan Cancer Hospital

🇨🇳

Zhengzhou, Henan, China

Tianjin blood research institute

🇨🇳

Tianjin, Tianjin, China

Guangdong Provincal People's Hospital

🇨🇳

Guangzhou, Guangdong, China

The Affiliated Hospital of Qingdao University

🇨🇳

Qingdao, Shandong, China

The First Affiliated Hospital, Zhejiang University, School of Medicine

🇨🇳

Hangzhou, Zhejiang, China

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