Description:
This is a Phase 1b, open-label, multicenter study designed to evaluate the safety and
pharmacokinetics of venetoclax as a single-agent and in combination with azacitidine in
participants with relapsed/refractory Myelodysplastic Syndromes (MDS).
Title
- Brief Title: A Study Evaluating Venetoclax Alone and in Combination With Azacitidine in Subjects With Relapsed/Refractory Myelodysplastic Syndromes (MDS)
- Official Title: A Phase 1b Study Evaluating the Safety and Pharmacokinetics of Venetoclax as a Single-Agent and in Combination With Azacitidine in Subjects With Relapsed/Refractory Myelodysplastic Syndromes
Clinical Trial IDs
- ORG STUDY ID:
M15-522
- SECONDARY ID:
2016-001904-46
- NCT ID:
NCT02966782
Conditions
- Myelodysplastic Syndromes (MDS)
Interventions
Drug | Synonyms | Arms |
---|
venetoclax | ABT-199, GDC-0199 | Safety Expansion (Cohort 3) |
azacitidine | Vidaza | Safety Expansion (Cohort 3) |
Purpose
This is a Phase 1b, open-label, multicenter study designed to evaluate the safety and
pharmacokinetics of venetoclax as a single-agent and in combination with azacitidine in
participants with relapsed/refractory Myelodysplastic Syndromes (MDS).
Trial Arms
Name | Type | Description | Interventions |
---|
Venetoclax monotherapy (Cohort 1) | Experimental | | |
Venetoclax + azacitidine (Cohort 2) | Experimental | | |
Safety Expansion (Cohort 3) | Experimental | | |
Eligibility Criteria
Inclusion Criteria:
- Subjects who have relapsed or refractory MDS.
- Subject enrolled in venetoclax monotherapy must have documented failure of prior
therapy with a hypomethylating agent (HMA). HMA-failure is defined as:
1. Relapse after initial complete or partial response or hematological improvement
after at least 4 cycles of azacitidine or at least 4 cycles of decitabine within
the last 5 years, OR
2. Failure to achieve complete or partial response or hematological improvement
after at least 4 cycles of azacitidine or at least 4 cycles of decitabine within
the last 5 years
- Subjects must have presence of < 20% bone marrow blasts per bone marrow
biopsy/aspirate at screening.
- Subject is not a candidate to undergo allogenic hematopoietic stem cell
transplantation (HSCT).
- Subject must have an Eastern Cooperative Oncology Group (ECOG) performance score of
≤2.
- Subject must have adequate hematologic, renal, and hepatic function.
Exclusion Criteria:
- Subject has received prior therapy with a BH3 mimetic.
- Subject has MDS evolving from a pre-existing myeloproliferative neoplasm (MPN).
- Subject has MDS/MPN including chronic myelomonocytic leukemia (CMML), atypical chronic
myeloid leukemia (CML), juvenile myelomonocytic leukemia (JMML) and unclassifiable
MDS/MPN.
- Subject has received allogeneic HSCT or solid organ transplantation.
- Subject has received a live attenuated vaccine within 4 weeks prior to the first dose
of study drug.
- Subject is pregnant or breastfeeding.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | AUCt for azacitidine |
Time Frame: | Up to 32 days |
Safety Issue: | |
Description: | Area under the plasma concentration-time curve (AUC) from 0 to the time of the last measurable concentration (AUCt) for azacitidine |
Secondary Outcome Measures
Measure: | Event-Free Survival (EFS) |
Time Frame: | Measured from the date of the first dose of study drug to date of earliest disease progression, death, or initiation of new non-protocol-specified anti-MDS therapy without documented progression, and for up to 5 years after the last subject is enrolled. |
Safety Issue: | |
Description: | |
Measure: | Overall Survival (OS) |
Time Frame: | Measured from the date of first dose of study drug to the date of death, and for up to 5 years after the last subject is enrolled. |
Safety Issue: | |
Description: | |
Measure: | Rate of bone marrow blast response |
Time Frame: | Measured from Cycle 1 Day 1 (C1D1) as long as the subject continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months. |
Safety Issue: | |
Description: | Proportion of participants with a bone marrow blast response |
Measure: | Time to next treatment (TTNT) |
Time Frame: | Measured from first dose of study drug to start of new non-protocol specified MDS therapy, and for up to 5 years after the last subject is enrolled. |
Safety Issue: | |
Description: | |
Measure: | Duration of Response (DOR) |
Time Frame: | Measured from the date of first response (CR, mCR or PR) to the earliest documentation of progressive disease (PD), and for an anticipated maximum duration of 24 months. |
Safety Issue: | |
Description: | Defined as the number of days from the date of first response (CR, mCR or PR) to the earliest documentation of progressive disease. |
Measure: | Rate of platelet (PLT) transfusion independence |
Time Frame: | Measured from Cycle 1 Day 1 as long as the subject continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months. |
Safety Issue: | |
Description: | Proportion of participants who become platelet transfusion-independent |
Measure: | Time to Transformation acute myeloid leukemia (AML) |
Time Frame: | Measured from the date of first dose of study drug to the date of documented AML transformation for an anticipated maximum duration of 24 months. |
Safety Issue: | |
Description: | Defined as blast count greater than or equal to 20% in either peripheral blood or bone marrow. |
Measure: | Progression-Free Survival (PFS) |
Time Frame: | Measured from the date of the first dose of study drug to the date of earliest disease progression or death, and for an anticipated maximum duration of 24 months. |
Safety Issue: | |
Description: | |
Measure: | Overall Response Rate (ORR) |
Time Frame: | Measured from Cycle 1 Day 1 as long as the subject continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months. |
Safety Issue: | |
Description: | ORR (equals the sum of rates of complete remission [CR] + marrow complete remission (mCR) + partial remission [PR]) of venetoclax as a single-agent and in combination with azacitidine. |
Measure: | Complete Remission (CR) Rate |
Time Frame: | Measured from Cycle 1 Day 1 as long as the subject continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months. |
Safety Issue: | |
Description: | Proportion of subjects who achieved a complete remission. |
Measure: | Rate of red blood cell (RBC) transfusion independence |
Time Frame: | Measured from Cycle 1 Day 1 as long as the subject continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months. |
Safety Issue: | |
Description: | Proportion of red blood cell (RBC) transfusion independence. |
Measure: | Rate of complete cytogenetic response |
Time Frame: | Measured from Cycle 1 Day 1 as long as the subject continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months. |
Safety Issue: | |
Description: | Proportion of participants with complete cytogenetic response |
Measure: | Rate of Hematologic Improvement (HI) |
Time Frame: | Measured from Cycle 1 Day 1 as long as the subject continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months. |
Safety Issue: | |
Description: | Proportion of participants with HI (erythroid/platelet/neutrophil responses) |
Measure: | Rate of marrow complete remission (mCR) |
Time Frame: | Measured from Cycle 1 Day 1 (C1D1) as long as the subject continues to benefit, or until the occurrence of unacceptable toxicity, death, exercise of investigator discretion, or withdrawal of consent, and for an anticipated maximum duration of 24 months. |
Safety Issue: | |
Description: | Proportion of participants with marrow complete remission with or without hematological improvement. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Active, not recruiting |
Lead Sponsor: | AbbVie |
Trial Keywords
- Relapsed/refractory
- Venetoclax
- Azacitidine
Last Updated
January 5, 2021