Description:
An open-label, global, multi-center study to evaluate the safety and pharmacokinetics of
venetoclax monotherapy, to determine the dose limiting toxicity (DLT) and the recommended
Phase 2 dose (RPTD), and to assess the preliminary efficacy of venetoclax in pediatric and
young adult participants with relapsed or refractory malignancies.
Title
- Brief Title: A Study of the Safety and Pharmacokinetics of Venetoclax in Pediatric and Young Adult Patients With Relapsed or Refractory Malignancies
- Official Title: A Phase 1 Study of the Safety and Pharmacokinetics of Venetoclax in Pediatric and Young Adult Patients With Relapsed or Refractory Malignancies
Clinical Trial IDs
- ORG STUDY ID:
M13-833
- SECONDARY ID:
2017-000439-14
- NCT ID:
NCT03236857
Conditions
- Malignancies
- Acute Lymphoblastic Leukemia (ALL)
- Acute Myeloid Leukemia (AML)
- Non-Hodgkin's Lymphoma
- Neuroblastoma
Interventions
Drug | Synonyms | Arms |
---|
chemotherapy | | Venetoclax with or without chemotherapy |
venetoclax | ABT-199, GDC-0199, Venclexta | Venetoclax with or without chemotherapy |
Purpose
An open-label, global, multi-center study to evaluate the safety and pharmacokinetics of
venetoclax monotherapy, to determine the dose limiting toxicity (DLT) and the recommended
Phase 2 dose (RPTD), and to assess the preliminary efficacy of venetoclax in pediatric and
young adult participants with relapsed or refractory malignancies.
Trial Arms
Name | Type | Description | Interventions |
---|
Venetoclax with or without chemotherapy | Experimental | Venetoclax administered orally once daily (QD) with various doses and dosing regimens with or without chemotherapy at the discretion of the investigator. Allowed chemotherapy regimens as outlined in the study protocol. | |
Eligibility Criteria
Inclusion Criteria:
- Participants must have relapsed or refractory cancer.
- Participants must have adequate hepatic and kidney function.
- Participants less than or equal to 16 years of age must have performance status of
Lansky greater than or equal to 50% and participants greater than 16 years of age must
have performance status of Karnofsky greater than or equal to 50%.
- Participants with solid tumors (with the exception of neuroblastoma) must have
adequate bone marrow function in Part 1.
- For the fifth cohort during Part 2 Cohort Expansion, participants with solid tumors
must have evidence of BCL-2 expression (except participants with TCF3-HLF ALL).
Exclusion Criteria:
- Participants with primary brain tumors or disease metastatic to the brain.
- Participants who have central nervous system (CNS) disease with cranial involvement
that requires radiation.
- Participants who have received any of the following within the listed time frame,
prior to the first dose of study drug
- Inotuzumab ozogamicin or gemtuzumab ozogamicin within 30 days
- Biologic agent (i.e., antibodies) for anti-neoplastic intent within 30 days or 5
half-lives whichever is shorter.
- CAR-T infusion or other cellular therapy within 30 days
- Anticancer therapy including chemotherapy, radiation therapy, targeted small
molecule agents, investigational agents within 14 days or 5 half-lives, whichever
is shorter (Exceptions: Ph+ALL participants on Tyrosine Kinase Inhibitor (TKI) at
Screening may enroll and remain on TKI therapy to control disease and TCF3-HLF
ALL participants are allowed to have received chemotherapy within 14 days or 5
half-lives, whichever is shorter).
- Steroid therapy for anti-neoplastic intent within 5 days (with the exception of
TCF3-HLF ALL participants).
- Requires ongoing hydroxyurea (hydroxyurea permitted up to first dose)
- Participants who are less than 100 days post-transplant, or greater than or equal to
100 days post-transplant with active graft versus host disease (GVHD), or are
receiving immunosuppressant therapy within 7 days prior to first dose of study drug.
- Participants who are less than 6 weeks post-131 I-metaiodobenzylguanidine (mIBG)
therapy.
- Participants who have received the following within 7 days prior to the first dose of
study drug:
- Strong and moderate Cytochrome P450 3A (CYP3A) inhibitors (Part 1 Dose
Determination);
- Strong and moderate CYP3A inducers (Part 1 Dose Determination and Part 2 Cohort
Expansion).
- Participants who have not recovered from clinically significant adverse
effect(s)/toxicity(s) of the previous therapy (Exception: Chemotherapy induced side
effects that are expected to return to baseline in TCF3-HLF ALL participants).
- Participants who have active, uncontrolled infections.
- Participants with malabsorption syndrome or any other condition that precludes enteral
administration.
- Participants with recent positive test for SARS-CoV-2 (COVID-19) and no follow up
test with negative result cannot be enrolled. Participants with contact to
persons with COVID-19 and participants with signs and symptoms for COVID-19
infection must be tested before enrolling.
Maximum Eligible Age: | 25 Years |
Minimum Eligible Age: | N/A |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Number of Participants Experiencing Adverse Events |
Time Frame: | Up to 9 months |
Safety Issue: | |
Description: | An adverse event (AE) is defined as any untoward medical occurrence in a patient or clinical investigation participant administered a pharmaceutical product which does not necessarily have a causal relationship with this treatment. The investigator assesses the relationship of each event to the use of study. |
Secondary Outcome Measures
Measure: | Objective Response Rate (ORR) |
Time Frame: | Up to 9 months |
Safety Issue: | |
Description: | ORR is defined as the proportion of participants who achieved a response according to established criteria described in detail in the study protocol. |
Measure: | Partial Response (PR) Rate |
Time Frame: | Up to 9 months |
Safety Issue: | |
Description: | PR is defined according to established criteria for each tumor type and is described in detail within the study protocol. |
Measure: | Complete Response (CR) Rate |
Time Frame: | Up to 9 months |
Safety Issue: | |
Description: | CR is defined according to established criteria for each tumor type and is described in detail within the study protocol. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Recruiting |
Lead Sponsor: | AbbVie |
Trial Keywords
- Cancer
- Venetoclax
- pediatric
- relapsed or refractory
- Venclexta
Last Updated
July 26, 2021