Clinical Trials /

Phase I/II Trial of S65487 Plus Azacitidine in Acute Myeloid Leukemia

NCT04742101

Description:

The purpose of this study is to assess the safety, tolerability and clinical activity of the combination S65487 with azacitidine in patients with acute myeloid leukaemia.

Related Conditions:
  • Acute Myeloid Leukemia
Recruiting Status:

Recruiting

Phase:

Phase 1/Phase 2

Trial Eligibility

Document

Title

  • Brief Title: Phase I/II Trial of S65487 Plus Azacitidine in Acute Myeloid Leukemia
  • Official Title: Phase I / II, Open Label, Dose Escalation Part (Phase I) Followed by Noncomparative Expansion Part (Phase II), Multi-centre Study, Evaluating Safety, Pharmacokinetics and Efficacy of S65487, a Bcl2 Inhibitor Combined With Azacitidine in Adult Patients With Previously Untreated Acute Myeloid Leukemia Not Eligible for Intensive Treatment

Clinical Trial IDs

  • ORG STUDY ID: CL1-65487-003
  • SECONDARY ID: 2020-003061-19
  • NCT ID: NCT04742101

Conditions

  • Acute Myeloid Leukemia

Interventions

DrugSynonymsArms
S65487 and azacitidineS65487 with azacitidine

Purpose

The purpose of this study is to assess the safety, tolerability and clinical activity of the combination S65487 with azacitidine in patients with acute myeloid leukaemia.

Detailed Description

      The study is designed in two parts: A single arm dose escalation phase I part and dose
      expansion phase II part.

      During dose escalation of S65487 in combination with azacitidine, only S65487 agent dose will
      escalate and a DDI (Drug-Drug interaction) assessment between S65487 and posaconazole
      (antifungal drug) will be performed.

      For the expansion phase, Ramp up dose and full dose will be the RP2D (Recommended Phase 2
      Dose) determined during phase I part
    

Trial Arms

NameTypeDescriptionInterventions
S65487 with azacitidineExperimental
  • S65487 and azacitidine

Eligibility Criteria

        Inclusion Criteria:

          -  Male or female participant aged ≥ 18 years old

          -  Participants with cytologically confirmed and documented treatment naïve, de novo or
             secondary AML defined by WHO 2016 classification (Arber, 2016). Secondary AML
             includes:

               -  Previous myelodysplastic syndrome transformed

               -  AML due to exposure to potentially leukemogenic therapies or agents (e.g.
                  radiation therapy, alkylating agents, topoisomerase II inhibitors) with the
                  primary malignancy in remission for at least 3 years

          -  Participants not eligible for standard induction chemotherapy

               -  Aged ≥ 75 years old

               -  Or Age ≥18 years with at least one of the following comorbidities:

                    -  Clinically significant heart or lung comorbidities, as reflected by at least
                       one of:

                         -  Lung diffusing capacity for carbon monoxide (DLCO) ≤65% of expected

                         -  Forced expiratory volume in 1 second (FEV1) ≤65% of expected

                    -  Other contraindication(s) to anthracycline therapy (must be documented)

                    -  Other comorbidity that the Investigator judges as incompatible with
                       intensive remission induction chemotherapy, which must be documented

          -  ECOG (Eastern Cooperative Oncology Group) performance status should be (criterion
             should be rechecked at inclusion visit) ECOG ≤ 2.

          -  Written informed consent obtained prior any study-specific procedure as described in
             section 13.3 of the protocol.

          -  Adequate renal and hepatic function

          -  Circulating White Blood Cell Count (WBC count) < 25*109 G/L (with or without use of
             hydroxycarbamide/leukapheresis)

          -  Serum potassium, serum calcium, serum phosphates, serum magnesium within normal limits
             with or without supplementation.

        Exclusion Criteria:

          -  Major surgery within 3 weeks prior to the first IMP administration, or participants
             who have not recovered from side effects of the surgery

          -  Any radiotherapy within 3 weeks before the first IMP administration,

          -  Allogenic stem cell transplant within 3 months before the first IMP administration
             and/or participants with active Graft-versus-host disease within 3 months before the
             first IMP administration and/or participants who still receive immunosuppressive
             treatment within 3 months before the first IMP administration and/or participant who
             receive donor lymphocyte infusion (DLI) within 3 months before the first IMP
             administration

          -  Acute promyelocytic leukemia (APL, French-American-British M3 classification)

          -  Favorable risk cytogenetics such as t(8;21), inv(16) or t(16;16) or t(15;17) as per
             the National Comprehensive Cancer Network (NCCN) Guidelines Version 2, 2016 for Acute
             Myeloid Leukemia

          -  Treatment with hypomethylating agents (decitabine/azacitidine) or Venetoclax for AHD
             (antecedent hematologic disorders) in the 3 months prior to the first IMP intake
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Dose Limiting Toxicity (DLT)
Time Frame:From Ramp-up period (day 4 or day 3 before the first cycle) to the end of first cycle (each cycle is 28 days)
Safety Issue:
Description:DLT assessment at the end of cycle 1

Secondary Outcome Measures

Measure:PharmacoKinetics - maximum Concentration at the End of the infusion (Cinf)
Time Frame:Cycle 1 (each cycle is 28 days) Day 1, Cycle 1 Day 8, Cycle 1 Day 15
Safety Issue:
Description:PK parameters of S65487, azacitidine and potential metabolite(s)
Measure:PharmacoKinetics - Area Under the Curve (AUC)
Time Frame:Ramp-up (day 4 or day 3 before the first cycle), Cycle 1(each cycle is 28 days) Day 1, Cycle 1 Day 8, Cycle 1 Day 9, Cycle 1 Day 15 and each Day 1 for following cycles
Safety Issue:
Description:PK parameters of S65487, azacitidine and potential metabolite(s)
Measure:Assessment of anti-leukemic activity of S65487 combined to azacitidine
Time Frame:Through study completion, an average of 3 years ans 5 months
Safety Issue:
Description:Complete Response rate
Measure:Assessment of anti-leukemic activity of S65487 combined to azacitidine
Time Frame:Through study completion, an average of 3 years and 5 months
Safety Issue:
Description:Progression Free Survival

Details

Phase:Phase 1/Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Institut de Recherches Internationales Servier

Trial Keywords

  • Acute Myeloid Leukemia
  • Dose escalation
  • Phase I/II
  • Azacitidine
  • Combination
  • Oncology

Last Updated

May 5, 2021