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Clinical Trials/NCT03672695
NCT03672695
Completed
Phase 1

An International Phase Ib Multicentre Study to Characterize the Safety and Tolerability of Intravenously Administered S64315, a Selective Mcl-1 Inhibitor, in Combination With Orally Administered Venetoclax, a Selective Bcl-2 Inhibitor in Patients With Acute Myeloid Leukaemia (AML).

Institut de Recherches Internationales Servier7 sites in 3 countries37 target enrollmentNovember 28, 2018

Overview

Phase
Phase 1
Intervention
Not specified
Conditions
Acute Myeloid Leukaemia
Sponsor
Institut de Recherches Internationales Servier
Enrollment
37
Locations
7
Primary Endpoint
Incidence and severity of AEs
Status
Completed
Last Updated
2 years ago

Overview

Brief Summary

The purpose of this study is to determine the safety profile, tolerability and the Recommended Phase 2 Dose of the combination S64315 with venetoclax in patients with Acute Myeloid Leukaemia.

Registry
clinicaltrials.gov
Start Date
November 28, 2018
End Date
May 30, 2023
Last Updated
2 years ago
Study Type
Interventional
Study Design
Sequential
Sex
All

Investigators

Responsible Party
Sponsor

Eligibility Criteria

Inclusion Criteria

  • Male or female aged ≥ 18 years;
  • Patients with cytologically confirmed and documented de novo, secondary or therapy-related AML as defined by World Health Organization (WHO) 2016 classification (Arber, 2016), excluding acute promyelocytic leukaemia (APL, French-American British M3 classification):
  • With relapsed or refractory disease without established alternative therapy or
  • Secondary to MDS treated at least by hypomethylating agent and without established alternative therapy or
  • ≥ 65 years not previously treated for AML and who are not candidates for intensive chemotherapy nor candidates for established alternative therapy
  • Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2
  • Able to comply with study procedures
  • Adequate renal function within 7 days before the inclusion of the patient defined as:
  • Serum creatinine ≤ 1.5 x ULN (upper normal limit) or calculated creatinine clearance (determined by MDRD) \> 50 mL/min/1.73m2
  • Adequate hepatic function within 7 days before the inclusion of the patient defined as:

Exclusion Criteria

  • Participant already enrolled and treated in the study
  • Pregnancy, breastfeeding or possibility of becoming pregnant during the study
  • Participation in another interventional study requiring investigational treatment intake at the same time or within 2 weeks or at least 5 halflives (whichever is longer) prior to first dose of IMP (participation in non-interventional registries or epidemiological studies is allowed). In case of biologic agents with a long half life such as CART cells, immune checkpoint antibodies, bispecific antibodies a flat wash-out of 28 days will be acceptable
  • Presence of ≥ CTCAE Grade 2 toxicity (except alopecia of any grade) due to prior cancer therapy, according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCICTCAE, version 4.03).
  • Known carriers of HIV antibodies
  • Known history of significant liver disease
  • Uncontrolled hepatitis B or C infection
  • Known active acute or chronic pancreatitis
  • History of myocardial infarction (MI), unstable angina pectoris, coronary artery bypass graft (CABG) within 6 months prior to starting study treatment
  • Any factors that could increase the risk of QTc prolongation or risk of arrhythmic events.

Outcomes

Primary Outcomes

Incidence and severity of AEs

Time Frame: Through study completion, an average of 6 months.

Number of participants with dose reductions "will be measured and reported in the Outcome Measure results data table.

Time Frame: Through study completion, an average of 6 months.

Incidence and severity of SAEs

Time Frame: Through study completion, an average of 6 months.

Dose intensity

Time Frame: Through study completion, an average of 6 months.

Incidence of Dose Limiting Toxicity (DLTs)

Time Frame: At the end of cycle 1 (each cycle is 21 or 28 days).

Number of participants with dose interruptions "will be measured and reported in the Outcome Measure results data table.

Time Frame: Through study completion, an average of 6 months.

Secondary Outcomes

  • Pharmacokinetic profile of S64315 administered in combination with Venetoclax in plasma: Concentration at the end of infusion (Cinf)(From Day 1 of cycle 1 to the end of cycle 2 (each cycle is 21 or 28 days).)
  • Pharmacokinetic profile of S64315 administered in combination with Venetoclax in plasma: terminal half-life (t½z)(From Day 1 of cycle 1 to the end of cycle 2 (each cycle is 21 or 28 days).)
  • Anti-leukemic activity(Through study completion, an average of 6 months.)
  • Pharmacokinetic profile of S64315 administered in combination with Venetoclax in plasma: Area Under the Curve (AUC)(From Day 1 of cycle 1 to the end of cycle 2 (each cycle is 21 or 28 days).)

Study Sites (7)

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