Clinical Trials /

A Study of JNJ-75276617 in Participants With Acute Leukemia

NCT04811560

Description:

The purpose of this study is to determine the recommended Phase 2 dose(s) (RP2D[s]) of JNJ-75276617 in Part 1 (Dose Escalation) and to determine safety and tolerability at the RP2D(s) in Part 2 (Dose Expansion).

Related Conditions:
  • Acute Lymphoblastic Leukemia
  • Acute Myeloid Leukemia
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Study of JNJ-75276617 in Participants With Acute Leukemia
  • Official Title: A First in Human Study of the Menin-KMT2A (MLL1) Inhibitor JNJ-75276617 in Participants With Acute Leukemia

Clinical Trial IDs

  • ORG STUDY ID: CR108998
  • SECONDARY ID: 2020-005967-30
  • SECONDARY ID: 75276617ALE1001
  • NCT ID: NCT04811560

Conditions

  • Acute Leukemias
  • Acute Myeloid Leukemia
  • Acute Lymphoblastic Leukemia

Interventions

DrugSynonymsArms
JNJ-75276617JNJ-75276617

Purpose

The purpose of this study is to determine the recommended Phase 2 dose(s) (RP2D[s]) of JNJ-75276617 in Part 1 (Dose Escalation) and to determine safety and tolerability at the RP2D(s) in Part 2 (Dose Expansion).

Detailed Description

      Acute myeloid leukemia (AML) is a heterogeneous disease characterized by uncontrolled clonal
      expansion of hematopoietic progenitor cells (myeloid blasts) in the peripheral blood, bone
      marrow, and other tissues. Acute lymphoblastic leukemia (ALL) is a hematologic malignancy
      propagated by impaired differentiation, proliferation, and accumulation of lymphoid
      progenitor cells in the bone marrow and/or extramedullary sites. JNJ-75276617 is an orally
      bioavailable, potent, and selective protein-protein interaction inhibitor of the binding
      between histone-lysine N-methyltransferase 2A ([KMT2A], also called mixed-lineage leukemia 1
      [MLL1]; wild-type and fusion) and menin, with activity in leukemic cell lines and primary
      leukemia patient or patient-derived samples with either KMT2A alterations including gene
      rearrangements (KMT2A-r), duplications, and amplification, or nucleophosmin 1 gene (NPM1)
      alterations. The primary goal of this FIH study is to establish the recommended Phase 2 dose
      (RP2D) of JNJ-75276617 with an acceptable safety profile. The total duration of the study is
      up to 2 years and 7 months. Safety assessment will include adverse events (AEs), serious
      adverse events (SAEs), physical examination, Eastern Cooperative Oncology Group (ECOG)
      performance status, vital signs, electrocardiogram, clinical safety laboratory assessment and
      pregnancy testing.
    

Trial Arms

NameTypeDescriptionInterventions
JNJ-75276617ExperimentalParticipants in Part 1 (dose escalation) will receive JNJ-75276617 orally on a 28-day cycle. The dose levels will be escalated based on the dose limiting toxicities (DLT) evaluation by Study Evaluation Team (SET) until the recommended Phase 2 Doses (RP2Ds) has been identified. Food effect cohort participants in Part 1 will receive JNJ-75276617 orally on Cycle 2 Day 1 under fasted condition and on Cycle 2 Day 2 under fed condition. Participants in Part 2 (dose expansion) will receive JNJ-75276617 orally at one of the RP2D(s) determined in Part 1.
  • JNJ-75276617

Eligibility Criteria

        Inclusion Criteria:

          -  Relapsed or refractory acute leukemia and has exhausted, or is ineligible for,
             available therapeutic options

          -  Acute leukemia harboring histone-lysine N-methyltransferase 2A (KMT2A) or
             nucleophosmin 1 gene (NPM1) alterations

          -  Pretreatment clinical laboratory values meeting the following criteria: (a)
             Hematology: white blood cell (WBC) count less than or equal to (<=) 50 * 10^9/liter
             (L) (hydroxyurea may be used to lower WBC count at screening and during study; (b)
             Chemistry: Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) <=2.5 *
             upper limit of normal (ULN), Corrected serum bilirubin <= 1.5 * ULN (participants with
             elevated bilirubinemia, such as Gilbert's syndrome, may enroll if conjugated bilirubin
             is within normal range) and renal function; Estimated or measured glomerular
             filtration rate greater than or equal to (>=) 50 milliliter per minute (mL/min)/1.73
             meter square (m^2)

          -  Eastern Cooperative Oncology Group (ECOG) performance status grade of 0, 1, or 2

          -  A woman of childbearing potential must have a negative highly sensitive serum
             beta-human chorionic gonadotropin at screening and within 48 hours prior to the first
             dose of study treatment

          -  A male must agree to all the following during the study and for 90 days after the last
             dose of study treatment: A male must agree to all the following during the study and
             for 90 days after the last dose of study treatment: (a) wear a condom when engaging in
             any activity that allows for passage of ejaculate to another person; (b) not to donate
             sperm or freeze for future use for the purpose of reproduction. In addition, the
             participant should be advised of the benefit for a female partner to use a highly
             effective method of contraception as condom may break or leak

        Exclusion Criteria:

          -  Acute promyelocytic leukemia according to World Health Organization (WHO) 2016
             criteria

          -  Known central nervous system (CNS) involvement

          -  Prior solid organ transplantation

          -  QTc according to Fridericia's formula (QTcF) for males >= 450 millisecond (msec) or
             for females >= 470 msec

          -  Exclusion criteria related to stem cell transplant: a. Willing and able to undergo
             allogeneic stem cell transplant (if clinically indicated); b. Received prior treatment
             with allogenic bone marrow or stem cell transplant <=3 months before the first dose of
             study treatment; c. Has evidence of graft versus host disease; d. Received donor
             lymphocyte infusion <=1 month before the first dose of study treatment; e. Requires
             immunosuppressant therapy (exception: daily doses <=10 milligrams (mg) prednisone or
             equivalent are allowed for adrenal replacement)

          -  Chemotherapy, targeted therapy, immunotherapy, or radiotherapy within 4 weeks or 5
             half-lives (whichever is shorter) before the planned first dose of study treatment
      
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) as a Measure of Safety and Tolerability
Time Frame:Up to 2 years and 7 months
Safety Issue:
Description:An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study.

Secondary Outcome Measures

Measure:Plasma Concentration of JNJ-75276617
Time Frame:Up to 2 years and 7 months
Safety Issue:
Description:Plasma concentration of JNJ-75276617 will be reported.
Measure:Number of Participants with Depletion of Leukemic Blasts
Time Frame:Up to 2 years and 7 months
Safety Issue:
Description:Number of participants with depletion of leukemic blasts will be reported.
Measure:Number of Participants with Differentiation of Leukemic Blasts
Time Frame:Up to 2 years and 7 months
Safety Issue:
Description:Number of participants with differentiation of leukemic blasts will be reported.
Measure:Changes in Expression of Menin-histone-lysine N-methyltransferase 2A (KMT2A) Target Genes
Time Frame:Up to 2 years and 7 months
Safety Issue:
Description:Changes in expression of menin-KMT2A target genes will be reported.
Measure:Overall Response Rate (ORR)
Time Frame:Up to 2 years and 7 months
Safety Issue:
Description:ORR is defined as the percentage of participants who achieve complete remission (CR), CR with incomplete hematologic recovery (CRi) and CR with partial hematologic recovery (CRh).
Measure:Duration of Response (DOR)
Time Frame:Up to 2 years and 7 months
Safety Issue:
Description:DOR will be calculated among responders from the date of initial documentation of a response to the date of first documented evidence of relapse, as defined in the disease-specific response criteria, or death due to any cause, whichever occurs first.
Measure:Time to Response (TTR)
Time Frame:Up to 2 years and 7 months
Safety Issue:
Description:TTR is defined for the responders as the time from the date of the first dose of JNJ-75276617 to the date of the first documented response.

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Janssen Research & Development, LLC

Last Updated

August 11, 2021