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临床试验/NCT03672695
NCT03672695已完成1 期

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 Servier9 个研究点 分布在 3 个国家目标入组 37 人开始时间: 2018年11月28日最近更新:
适应症

试验速览

阶段
1 期
状态
已完成
入组人数
37
试验地点
9
主要终点
Incidence and severity of AEs

研究概览

简要总结

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.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Sequential
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

入选标准

  • 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:
  • AST and ALT ≤ 1.5 x ULN
  • Total serum bilirubin level ≤ 1.5 x ULN, except for patients with known Gilbert's syndrome, who are excluded if total bilirubin > 3.0 x ULN or direct bilirubin > 1.5 x ULN

排除标准

  • 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.

结局指标

主要结局

Incidence and severity of AEs

时间窗: 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.

时间窗: Through study completion, an average of 6 months.

Incidence and severity of SAEs

时间窗: Through study completion, an average of 6 months.

Dose intensity

时间窗: Through study completion, an average of 6 months.

Incidence of Dose Limiting Toxicity (DLTs)

时间窗: 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.

时间窗: Through study completion, an average of 6 months.

次要结局

  • 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).)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (9)

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