Clinical Trials /

A Safety Study of SEA-CD70 in Patients With Myeloid Malignancies

NCT04227847

Description:

This trial will look at a drug called SEA-CD70 to find out if it is safe for patients with myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML). It will study SEA-CD70 to find out what its side effects are and if it works for AML and MDS. A side effect is anything the drug does besides treating cancer. This study will have three groups or "parts." Part A will find out how much SEA-CD70 should be given to patients. Part B will use the dose found in Part A to find out how safe SEA-CD70 is and if it works to treat patients with MDS. Part C will use the dose found in Part A to find out how safe SEA-CD70 is and if it works to treat patients with AML.

Related Conditions:
  • Acute Myeloid Leukemia
  • Myelodysplastic Syndromes
  • Secondary Acute Myeloid Leukemia
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Safety Study of SEA-CD70 in Patients With Myeloid Malignancies
  • Official Title: A Phase 1 Study of SEA-CD70 in Myeloid Malignancies

Clinical Trial IDs

  • ORG STUDY ID: SGNS70-101
  • SECONDARY ID: 2019-001917-18
  • NCT ID: NCT04227847

Conditions

  • Myelodyspastic Syndrome
  • Acute Myeloid Leukemia

Interventions

DrugSynonymsArms
SEA-CD70Part A

Purpose

This trial will look at a drug called SEA-CD70 to find out if it is safe for patients with myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML). It will study SEA-CD70 to find out what its side effects are and if it works for AML and MDS. A side effect is anything the drug does besides treating cancer. This study will have three groups or "parts." Part A will find out how much SEA-CD70 should be given to patients. Part B will use the dose found in Part A to find out how safe SEA-CD70 is and if it works to treat patients with MDS. Part C will use the dose found in Part A to find out how safe SEA-CD70 is and if it works to treat patients with AML.

Detailed Description

      This is a phase 1, open-label, multicenter, dose-escalation, and cohort expansion study
      designed to evaluate the safety, tolerability, PK, and antitumor activity of SEA-CD70 in
      adults with myeloid malignancies. The study will be conducted in up to 3 parts.

      Part A is a dose escalation cohort designed to identify the MTD or recommended expansion dose
      of SEA-CD70 in subjects with relapsed/refractory (HMA-failure) MDS. Part B is an expansion
      cohort designed to evaluate the safety and tolerability of SEA-CD70 in subjects with
      relapsed/refractory (HMA-failure) MDS. Part C is an expansion cohort designed to evaluate the
      safety and tolerability of SEA-CD70 in subjects with relapsed/refractory AML.
    

Trial Arms

NameTypeDescriptionInterventions
Part AExperimentalSEA-CD70 dose escalation cohort in relapsed/refractory (HMA-failure) MDS
  • SEA-CD70
Part BExperimentalSEA-CD70 expansion cohort in relapsed/refractory (HMA-failure) MDS
  • SEA-CD70
Part CExperimentalSEA-CD70 expansion cohort in relapsed/refractory AML
  • SEA-CD70

Eligibility Criteria

        Part A Inclusion Criteria

          -  Participants with cytologically/histologically confirmed myelodysplastic syndrome
             (MDS) according to the 2016 World Health Organization (WHO) classification with the
             following:

               -  Measurable disease per WHO MDS with excess blasts criteria as defined either:

                    -  5%-9% blasts in the bone marrow or 2%-4% blasts in the peripheral blood or

                    -  10%-19% blasts in the bone marrow or 5%-19% blasts in the peripheral blood

               -  MDS that is relapsed or refractory and must not have other therapeutic options
                  known to provide clinical benefit in MDS available.

               -  Treatment failure after prior hypomethylating agent (HMA) therapy for MDS,
                  defined as one of the following:

                    -  Progression (per 2006 International Working Group [IWG] criteria) at any
                       time after initiation of HMA therapy.

                    -  Lack of response (failure to achieve complete remission [CR], partial
                       response [PR], or hematologic improvement [HI] per 2006 IWG criteria) after
                       at least 6 cycles of azacitidine (or equivalent HMA) or 4 cycles of
                       decitabine (or equivalent HMA).

                    -  Relapse after achievement of CR, PR, or HI (per 2006 IWG criteria).

                    -  Intolerance of HMA (Grade 3 or higher non-hematologic toxicity leading to
                       treatment discontinuation).

                    -  Participants with isolated 5q-/5q- syndrome must have progressed, failed,
                       relapsed, or not tolerated lenalidomide in addition to HMA.

          -  Must be off HMA therapy ≥ 2 weeks and must be off any other treatments for MDS for ≥ 4
             weeks prior to first dose of SEA-CD70; growth factors and transfusions are allowed
             before and during the study as clinically indicated

          -  Eastern Cooperative Oncology Group (ECOG) performance status of 0-1

        Part B Inclusion Criteria

          -  Participants with cytologically/histologically confirmed MDS according to the WHO
             classification with the following:

               -  Measurable disease per WHO MDS with excess blasts (MDS-EB) criteria as defined
                  either:

                    -  5%-9% blasts in the bone marrow or 2%-4% blasts in the peripheral blood, or

                    -  10%-19% blasts in the bone marrow or 5%-19% in the peripheral blood

               -  MDS that is relapsed or refractory and must not have other therapeutic options
                  known to provide clinical benefit in MDS available.

               -  Treatment failure after prior HMA therapy for MDS defined as one of the
                  following:

                    -  Progression (per 2006 IWG criteria) at any time after initiation of HMA
                       therapy.

                    -  Lack of response (failure to achieve CR, PR, or HI per 2006 IWG criteria)
                       after at least 6 cycles of azacitidine or 4 cycles of decitabine.

                    -  Relapse after achievement of CR, PR, or HI (per 2006 IWG criteria).

                    -  Intolerance of HMA (Grade 3 or higher non-hematologic toxicity leading to
                       treatment discontinuation).

                    -  Participants with isolated 5q-/5q- syndrome must have progressed, failed,
                       relapsed, or not tolerated lenalidomide in addition to HMA.

          -  Must be off HMA therapy ≥ 2 weeks and must be off any other systemic treatments for
             MDS for ≥ 4 weeks prior to first dose of SEA-CD70; growth factors (e.g., G-CSF,
             erythropoietin and thrombopoietin) and transfusions are allowed before and during the
             study as clinically indicated.

          -  ECOG Performance Status of 0-2

        Part C Inclusion Criteria

          -  Participants with relapsed or refractory acute myeloid leukemia (AML) according to the
             WHO 2016 classification (except for acute promyelocytic leukemia [APL]):

               -  Who have received either 2 or 3 previous regimens to treat active disease.
                  Post-remission treatments, intrathecal chemotherapy, and radiotherapy are not
                  considered previous regimens.

               -  Who have received 1 previous regimen to treat active disease and have at least
                  one of the following:

                    -  Age > 60 and ≤75 years.

                    -  Primary resistant AML (defined as failure to achieve CR after 1-2 courses of
                       induction therapy)

                    -  First CR duration <6 months

                    -  Adverse-risk per European Leukemia Net (ELN) genetic risk stratification

                    -  Secondary AML (prior history of MDS or therapy-related)

          -  Age 18-75 years

          -  ECOG performance status of 0-2

        Exclusion Criteria (All Parts)

          -  History of another malignancy within 3 years before the first dose of study drug or
             any evidence of residual disease from a previously diagnosed malignancy. Exceptions
             are malignancies with a negligible risk of metastasis or death.

          -  Previous exposure to CD70-targeted agents

          -  Prior allogeneic hematopoietic stem cell transplant, for any condition

          -  Central nervous system leukemia based on imaging or documented positive cytology in
             cerebral spinal fluid

          -  History of clinically significant sickle cell anemia, autoimmune hemolytic anemia, or
             idiopathic thrombocytopenic purpura
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Number of participants with adverse events (AEs)
Time Frame:Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years
Safety Issue:
Description:Any untoward medical occurrence in a clinical investigational participant administered a medicinal product and which does not necessarily have a causal relationship with this treatment.

Secondary Outcome Measures

Measure:AUC - Area under the plasma concentration-time curve
Time Frame:Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years
Safety Issue:
Description:To be summarized using descriptive statistics.
Measure:Tmax - Time to maximum concentration attained
Time Frame:Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years
Safety Issue:
Description:To be summarized using descriptive statistics.
Measure:Cmax - Maximum observed plasma concentration
Time Frame:Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years
Safety Issue:
Description:To be summarized using descriptive statistics.
Measure:Ctrough - Minimum plasma concentration per dosing interval
Time Frame:Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years
Safety Issue:
Description:To be summarized using descriptive statistics.
Measure:T1/2 - Terminal elimination half-life
Time Frame:Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years
Safety Issue:
Description:To be summarized using descriptive statistics.
Measure:Incidence of antidrug antibodies (ADA)
Time Frame:Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years
Safety Issue:
Description:To be summarized using descriptive statistics.
Measure:Complete remission (CR) Rate
Time Frame:Up to approximately 4 years
Safety Issue:
Description:Proportion of participants with AML or MDS who achieve CR
Measure:Complete remission with incomplete blood count recovery (CRi) rate
Time Frame:Up to approximately 4 years
Safety Issue:
Description:Proportion of participants with AML who achieve CRi
Measure:Complete remission with partial hematologic recovery (CRh) rate
Time Frame:Up to approximately 4 years
Safety Issue:
Description:Proportion of participants with AML or MDS who achieve CRh
Measure:Hematologic response (HI) rate
Time Frame:Up to approximately 4 years
Safety Issue:
Description:Proportion of MDS participants with HI
Measure:Objective response rate (ORR)
Time Frame:Up to approximately 4 years
Safety Issue:
Description:For AML, the proportion of participants who achieve a best response of CR, CRi, CRh, or partial response (PR). For MDS, the proportion of participants who achieve a best response of CR, CRh, or PR.
Measure:Blast clearance rate for participants with MDS
Time Frame:Up to approximately 4 years
Safety Issue:
Description:Proportion of participants with MDS who achieve CR, PR, Marrow CR, or CRh
Measure:Duration of response (DOR)
Time Frame:Up to approximately 4 years
Safety Issue:
Description:For AML, the time from first CR, CRi, or CRh response to the first documentation of disease progression, start of new therapy, or death due to any cause. For MDS, the time from first PR, CR, or CRh to the first documentation of disease progression, start of new therapy, or death due to any cause.
Measure:Overall survival (OS)
Time Frame:Up to approximately 4 years
Safety Issue:
Description:Time from start of study treatment to the date of death due to any cause
Measure:Event-free survival (EFS)
Time Frame:Up to approximately 4 years
Safety Issue:
Description:Time from first dose to the first documentation of progression, disease relapse, or death due to any cause, whichever comes first.
Measure:MRD-negative ORR
Time Frame:Up to approximately 4 years
Safety Issue:
Description:Proporation of participants with AML or MDS who achieve MRD-negative ORR
Measure:Time to response (TTR)
Time Frame:Up to approximately 4 years
Safety Issue:
Description:Time from start of study treatment to the first documentation of objective response
Measure:Rate of conversion to transfusion independence (TI)
Time Frame:Up to approximately 4 years
Safety Issue:
Description:Proportion of participants who convert from transfusion dependence at baseline to TI post-baseline
Measure:Maintenance of TI
Time Frame:Up to approximately 4 years
Safety Issue:
Description:Number of subjects who were TI at baseline and maintain TI post-baseline

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Seagen Inc.

Trial Keywords

  • Seattle Genetics

Last Updated

August 24, 2021