Clinical Trials /

A Study of LNK01002 in Patients With Primary (PMF) or Secondary Myelofibrosis (PV-MF, ET-MF) or Acute Myeloid Leukemia

NCT04896112

Description:

This multicenter, open-label, phase 1 study designed to evaluate safety and tolerability of multi-kinase inhibitor LNK01002 in patients with primary myelofibrosis (MF), or MF due to polycythemia vera (PV-MF), or essential thrombocythemia (ET-MF), or with acute myeloid leukemia (AML).

Related Conditions:
  • Acute Myeloid Leukemia
  • Myelofibrosis Transformation in Essential Thrombocythemia
  • Polycythemia Vera, Post-Polycythemic Myelofibrosis Phase
  • Primary Myelofibrosis
Recruiting Status:

Recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: A Study of LNK01002 in Patients With Primary (PMF) or Secondary Myelofibrosis (PV-MF, ET-MF) or Acute Myeloid Leukemia
  • Official Title: An Open-Label, Multicenter, Phase I Study to Evaluate the Safety, Pharmacokinetics and Preliminary Efficacy of LNK01002 in Patients With Malignant Myeloid Hematologic Neoplasms

Clinical Trial IDs

  • ORG STUDY ID: LNK-1002-01
  • SECONDARY ID: IND 153144
  • NCT ID: NCT04896112

Conditions

  • Acute Myeloid Leukemia
  • Primary Myelofibrosis
  • Post-polycythemia Vera Myelofibrosis
  • Post-essential Thrombocythemia Myelofibrosis

Interventions

DrugSynonymsArms
LNK01002LNK-1000318Patient with Malignant Myeloid Hematologic Neoplasms treated with LNK01002 15 mg

Purpose

This multicenter, open-label, phase 1 study designed to evaluate safety and tolerability of multi-kinase inhibitor LNK01002 in patients with primary myelofibrosis (MF), or MF due to polycythemia vera (PV-MF), or essential thrombocythemia (ET-MF), or with acute myeloid leukemia (AML).

Detailed Description

      This is a Phase I, open-label, dose-finding study of the triple kinase inhibitor LNK01002 in
      patients with myelofibrosis (MF). The study consists of two periods: the dose escalation,
      main period and a dose expansion period. In the dose escalation period, successive cohorts of
      patients with MF will be enrolled to establish the maximum tolerated dose. In the dose
      expansion period (dose-confirmation phase), three cohorts of patients will be enrolled: AML
      patients with confirmed FLT3-ITD mutations, AML patients without FLT3-ITD mutations, and
      patients with primary MF or PV/ET-MF.

      The safety, tolerability, pharmacokinetics, pharmacodynamics, and preliminary clinical
      activity of LNK01002 in patients with myelofibrosis/AML will be evaluated.
    

Trial Arms

NameTypeDescriptionInterventions
Patient with Malignant Myeloid Hematologic Neoplasms treated with LNK01002 15 mgExperimentalSingle dose of LNK01002 15 mg; followed by a 3-day observation period then 15mg BID in 28-day treatment cycles
  • LNK01002
Patients with Malignant Myeloid Hematologic Neoplasms treated with LNK01002 30 mgExperimentalLNK01002 30 mg twice daily (BID), followed by a 3-day observation period then 30 mg BID in 28-day treatment cycles
  • LNK01002
Patients with Malignant Myeloid Hematologic Neoplasms treated with LNK01002 45 mgExperimentalLNK01002 45 mg BID, followed by a 3-day observation period then 45 mg BID in 28-day treatment cycles
  • LNK01002
Patients with Malignant Myeloid Hematologic Neoplasms treated with LNK01002 60 mgExperimentalLNK01002 60 mg BID, followed by a 3-day observation period then 60 mg BID in 28-day treatment cycles
  • LNK01002
Patients with Malignant Myeloid Hematologic Neoplasms treated with LNK01002 80 mgExperimentalLNK01002 80 mg BID, followed by a 3-day observation period then 80 mg BID in 28-day treatment cycles
  • LNK01002
Patients with Malignant Myeloid Hematologic Neoplasms treated with LNK01002 100 mgExperimentalLNK01002 100 mg BID, followed by a 3-day observation period then 100 mg BID in 28-day treatment cycles
  • LNK01002
Patients with Acute Myeloid Leukemia With Mutant FLT3ExperimentalLNK01002 at the RP2D dose in 28-day treatment cycles
  • LNK01002
Patients with Malignant Myeloid Hematologic Neoplasms Without Mutant FLT3ExperimentalLNK01002 at the RP2D dose in 28-day treatment cycles
  • LNK01002
Patients with Primary or Secondary MyelofibrosisExperimentalLNK01002 at the RP2D dose in 28-day treatment cycles
  • LNK01002

Eligibility Criteria

        Inclusion Criteria:

          1. Age: 18 years old or older, male or female.

          2. Patients must have histologically or cytologically confirmed tumors of the following
             types.

          3. Dose Escalation Phase: Patients with PMF, PV/ET-MF

               1. Intermediate or high-risk primary myelofibrosis, post-polycythemia vera
                  myelofibrosis, or post-essential thrombocythaemia myelofibrosis which failed
                  standard treatment.

               2. Symptomatic splenomegaly

               3. Not undergone splenectomy or splenic radiation therapy within 6 months prior to
                  screening.

          4. Dose expansion phase: Patients with PMF, PV/ET-MF who relapsed or are intolerant to
             standard treatment, and relapsed/refractory AML

          5. Platelet count ≥ 100 × 10e9/L within 14 days before study drug administration

          6. Absolute neutrophil count (ANC) ≥ 1.5 × 10e9/L within 14 days before study drug
             administration

          7. Women of childbearing potential negative pregnancy test at screening. Female patients
             of childbearing potential, or male patients and their partners should agree to
             effective contraception from signing ICF until 6 months after the last dose of study
             drug.

        Exclusion Criteria:

        Patients who meet any of the following exclusion criteria will be excluded from the
        clinical study:

          1. Allergic to any component of LNK01002.

          2. Serum total bilirubin greater than 1.5 times the upper limit of the normal (ULN)
             reference range, except patients diagnosed as Gilbert's disease

          3. ALT or AST higher than 3 times the ULN reference range without hepatic involvement by
             leukemia, which are excluded if higher than 5 times the ULN

          4. Glomerular filtration rate or estimated creatinine clearance < 50 mL/min according to
             the Cockcroft-Gault formula;

          5. Serum amylase or lipase levels higher than the ULN and considered clinically
             significant

          6. International normalized ratio (INR) or partial activated prothrombin time (aPTT)
             above 1.5 times the ULN reference range

          7. Known history of clinically significant liver disease, including viral or other
             hepatitis:

             a) Patients with hepatitis B or hepatitis C may be enrolled if they have a negative
             polymerase chain reaction (PCR)

          8. Known human immunodeficiency virus (HIV) infection;

          9. Clinically significant cardiovascular diseases, including acute myocardial infarction,
             unstable angina, coronary artery bypass surgery within 6 months before enrollment,
             congestive heart failure with New York Heart Association (NYHA) classification of III
             or above, left ventricular ejection fraction (LVEF) < 50%, or uncontrolled
             hypertension, cardiac arrhythmia;

         10. Patients with history or presence of clinically relevant non-malignant CNS disease
             requiring treatment

         11. Patients who have received systemic antineoplastic therapy or radiotherapy within 2
             weeks prior to start of study treatment:

         12. Patients who have received hematopoietic stem cell transplantation (HSCT) within 60
             days prior to the start of study treatment, or are receiving immunosuppressive therapy
             after HSCT at screening, or have graft-versus-host disease (GVHD) requiring drug
             control:

         13. Received anti-tumor Chinese herbal medicine treatment within 1 week before the start
             of study treatment;

         14. Received CYP3A substrates, CYP2B6 substrates, CYP2C substrates, OATP1B3 substrates,
             UGT1A1 inhibitors, or UGT1A3 inhibitors less than one week or 5 half-lives (whichever
             is longer) prior to the start of study treatment;

         15. Uncontrolled, active infections requiring intravenous antibiotic treatment;
      
Maximum Eligible Age:99 Years
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Assessing the safety and tolerability of LNK01002 in patients with myelofibrosis
Time Frame:31 days
Safety Issue:
Description:Assessed by monitoring the frequency, duration and severity of adverse events and serious adverse events.

Secondary Outcome Measures

Measure:Measurement of pharmacokinetic (PK) parameter, AUC, in MF, PV-MF or ET-MF patients
Time Frame:Day 1, Day 2, and Day 15
Safety Issue:
Description:Measurement will be using extensive PK sampling
Measure:Measurement of pharmacokinetic (PK) parameter, Cmax, in MF, PV-MF or ET-MF patients
Time Frame:Day 1, Day 2, and Day 15
Safety Issue:
Description:Measurement will be using extensive PK sampling
Measure:Measurement of pharmacokinetic (PK) parameter, Tmax, in MF, PV-MF or ET-MF patients
Time Frame:Day 1, Day 2, and Day 15
Safety Issue:
Description:Measurement will be using extensive PK sampling
Measure:Measurement of pharmacokinetic (PK) parameter, CL/F, in MF, PV-MF or ET-MF patients
Time Frame:Day 1, Day 2, and Day 15
Safety Issue:
Description:Measurement will be using extensive PK sampling
Measure:Measurement of pharmacokinetic (PK) parameter, T1/2, in MF, PV-MF or ET-MF patients
Time Frame:Day 1, Day 2, and Day 15
Safety Issue:
Description:Measurement will be using extensive PK sampling
Measure:Measurement of pharmacokinetic (PK) parameter, Vz/F, in MF, PV-MF or ET-MF patients
Time Frame:Day 1, Day 2, and Day 15
Safety Issue:
Description:Measurement will be using extensive PK sampling
Measure:Measurement of pharmacokinetic (PK) parameter, MRT, in MF, PV-MF or ET-MF patients
Time Frame:Day 1, Day 2, and Day 15
Safety Issue:
Description:Measurement will be using extensive PK sampling

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Lynk Pharmaceuticals Co., Ltd

Trial Keywords

  • Acute Myeloid Leukemia
  • Primary Myelofibrosis
  • Post-polycythemia Vera Myelofibrosis
  • Post-essential Thrombocythemia Myelofibrosis
  • Myeloid malignancies
  • Myelofibrosis

Last Updated

June 9, 2021