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).
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.
Investigators
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).)