A Phase I/II Dose-Escalation and Expansion Study of the Selective PKC-β Inhibitor MS-553 in Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
试验速览
- 阶段
- 1 期
- 状态
- 终止
- 发起方
- 入组人数
- 60
- 试验地点
- 5
- 主要终点
- The Incidence Rate of DLT and TEAE Requiring Study Drug Discontinuation
研究概览
简要总结
A Phase I/II Dose-Escalation and Expansion Study Of The Selective PKC-Β Inhibitor MS-553 In Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Single Group
- 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
- 否
入选标准
- •To be eligible for inclusion in the primary escalation and expansion cohort 1 in this study, patients must meet all of the following criteria:
- •Age 18 years or older
- •Diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL):
- •History of histologically documented CLL or SLL that meets IWCLL diagnostic criteria according to the 2008 guidelines, and
- •Indication for treatment as defined by the 2008 IWCLL guidelines, or the need for disease reduction prior to allogeneic transplantation
排除标准
- •Patients who meet any of the following criteria are not eligible for the primary escalation and expansion cohorts of this study:
- •Current or past transformation of CLL/SLL to prolymphocytic leukemia (PLL), non-Hodgkin lymphoma, or Hodgkin lymphoma aggressive lymphoma outlined in the inclusion criteria for the optional cohort.
- •Active and uncontrolled autoimmune cytopenia(s)
- •Any of the following prior therapies within 14 days prior to cycle 1, day 1:
- •Major surgery
- •Corticosteroids greater than 20 mg / day prednisone (or equivalent), unless used by inhalation or topical route, or unless necessary for premedication before iodinated contrast dye, or for autoimmune hemolytic anemia
- •Cytotoxic chemotherapy or biologic therapy, excepting BCR pathway kinase inhibitors for which no wash out is required (but must be stopped before cycle 1 day 1)
研究组 & 干预措施
Phase II Expansion Cohort B2
BTK inhibitor naïve CLL/SLL patients
干预措施: acalabrutinib (Drug)
Phase II Expansion Cohort A3 (MS-553 Monotherapy)
patients with aggressive lymphoma
干预措施: MS-553 (Drug)
Phase I Combination Dose Escalation Cohort B1
BTK inhibitor naïve CLL/SLL patients
干预措施: MS-553 (Drug)
Phase I Combination Dose Escalation Cohort B1
BTK inhibitor naïve CLL/SLL patients
干预措施: acalabrutinib (Drug)
Phase II Expansion Cohort B2
BTK inhibitor naïve CLL/SLL patients
干预措施: MS-553 (Drug)
Phase I Dose Escalation Cohort A1 (MS-553 Monotherapy)
R/R CLL/SLL patients
干预措施: MS-553 (Drug)
Phase II Expansion Cohort A2 (MS-553 Monotherapy)
R/R CLL/SLL patients
干预措施: MS-553 (Drug)
Phase II Expansion Cohort B3
BTK inhibitor naïve CLL/SLL patients with certain gene mutations
干预措施: MS-553 (Drug)
Phase II Expansion Cohort B3
BTK inhibitor naïve CLL/SLL patients with certain gene mutations
干预措施: acalabrutinib (Drug)
Phase I Combination Dose Escalation Cohort C1
Bcl-2 inhibitor naïve CLL/SLL patients
干预措施: MS-553 (Drug)
Phase I Combination Dose Escalation Cohort C1
Bcl-2 inhibitor naïve CLL/SLL patients
干预措施: venetoclax (Drug)
Phase I Combination Dose Escalation Cohort C1
Bcl-2 inhibitor naïve CLL/SLL patients
干预措施: Rituximab (Drug)
Phase I Combination Dose Escalation Cohort C1
Bcl-2 inhibitor naïve CLL/SLL patients
干预措施: obinutuzumab (Drug)
Experimental: Phase II Expansion Cohort C2
Bcl-2 inhibitor naïve CLL/SLL patients
干预措施: MS-553 (Drug)
Experimental: Phase II Expansion Cohort C2
Bcl-2 inhibitor naïve CLL/SLL patients
干预措施: venetoclax (Drug)
Experimental: Phase II Expansion Cohort C2
Bcl-2 inhibitor naïve CLL/SLL patients
干预措施: Rituximab (Drug)
Experimental: Phase II Expansion Cohort C2
Bcl-2 inhibitor naïve CLL/SLL patients
干预措施: obinutuzumab (Drug)
结局指标
主要结局
The Incidence Rate of DLT and TEAE Requiring Study Drug Discontinuation
时间窗: Assessments for DLT and TEAE will occur during Cycle 1 (28 days) for A1 Cohort and B1 Cohort and Cycles 1-4 (up to 112 days) for C1 Cohort.
DLT are defined as any of the following treatment-emergent events occurring during the DLT evaluation period. 1. Death 2. Hematologic toxicities: • Grade 4 neutropenia for ≥ 7 days • Grade 3 febrile neutropenia: absolute neutrophil count (ANC) 38.3°C (101°F) or a sustained temperature ≥38°C (100.4°F) for \> 1 hour • Grade 4 thrombocytopenia ≥ 14 days (patients with baseline platelet count of ≥ 50 x 109 /L) • Grade 4 thrombocytopenia ≥ 28 days (patients with baseline platelet count \< 50 x 10 9 /L) • ≥ Grade 3 thrombocytopenia associated with ≥ Grade 2 hemorrhage • New ≥ Grade 3 anemia requiring transfusion in a patient previously transfusion independent. 3. Nonhematologic toxicities: • Any other ≥ Grade 3 toxicity not reversed to any one of the following three conditions in 7 days with appropriate intervention: a) baseline; b) \< Grade 1; or c) a status considered to be controlled by the SRC. • Any TEAE requiring \>25% of doses of scheduled study drug to be withheld during the DLT period
次要结局
- The ORR of MS-553 in Patients With CLL/SLL Whose Disease Relapsed After or Was Refractory to at Least One Prior Therapy(Evaluation of the efficacy endpoints related to response will incorporate the data from the first 9 cycles (up to 252 days) of treatment.)
