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Study to Evaluate Safety and Tolerability of CC-91633 (BMS-986397) in Participants With Relapsed or Refractory Acute Myeloid Leukemia or Relapsed or Refractory Higher-Risk Myelodysplastic Syndromes

NCT04951778

Description:

Study CC-91633-AML-001 is a Phase 1, open-label, dose escalation and expansion, first-in-human (FIH) clinical study of CC-91633 (BMS-986397) in participants with relapsed or refractory acute myeloid leukemia (R/R AML) or in participants with relapsed or refractory higher-risk myelodysplastic syndromes (R/R HR-MDS). The Dose Escalation part (Part A) of the study will enroll participants with R/R AML and R/R HR-MDS and will evaluate the safety and tolerability of escalating doses of CC-91633 (BMS-986397), administered orally, and determine the maximum tolerated dose (MTD) or preliminary recommended Phase 2 dose (RP2D) and schedule. Throughout the study, final decisions on dose escalation/de-escalation will be made by the safety review committee (SRC). Approximately 40 participants may be enrolled in Part A of the study. The expansion part (Part B) will confirm tolerability of the selected doses and schedules and evaluate whether efficacy is in a range that warrants further clinical development. Separate expansion cohorts for participants with R/R AML and R/R HR-MDS may enroll approximately 20 to 40 response evaluable participants per cohort. Parts A and B will consist of 3 periods: Screening, Treatment, and Follow-up.

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

Not yet recruiting

Phase:

Phase 1

Trial Eligibility

Document

Title

  • Brief Title: Study to Evaluate Safety and Tolerability of CC-91633 (BMS-986397) in Participants With Relapsed or Refractory Acute Myeloid Leukemia or Relapsed or Refractory Higher-Risk Myelodysplastic Syndromes
  • Official Title: A Phase 1, Open-label, Dose-finding Study of CC-91633 (BMS-986397) in Subjects With Relapsed or Refractory Acute Myeloid Leukemia or Relapsed or Refractory Higher-Risk Myelodysplastic Syndromes

Clinical Trial IDs

  • ORG STUDY ID: CC-91633-AML-001
  • SECONDARY ID: 2020-005329-95
  • NCT ID: NCT04951778

Conditions

  • Leukemia, Myeloid, Acute
  • Myelodysplastic Syndromes

Interventions

DrugSynonymsArms
CC-91633BMS-986397Participants with R/R AML and R/R HR-MDS - Part A

Purpose

Study CC-91633-AML-001 is a Phase 1, open-label, dose escalation and expansion, first-in-human (FIH) clinical study of CC-91633 (BMS-986397) in participants with relapsed or refractory acute myeloid leukemia (R/R AML) or in participants with relapsed or refractory higher-risk myelodysplastic syndromes (R/R HR-MDS). The Dose Escalation part (Part A) of the study will enroll participants with R/R AML and R/R HR-MDS and will evaluate the safety and tolerability of escalating doses of CC-91633 (BMS-986397), administered orally, and determine the maximum tolerated dose (MTD) or preliminary recommended Phase 2 dose (RP2D) and schedule. Throughout the study, final decisions on dose escalation/de-escalation will be made by the safety review committee (SRC). Approximately 40 participants may be enrolled in Part A of the study. The expansion part (Part B) will confirm tolerability of the selected doses and schedules and evaluate whether efficacy is in a range that warrants further clinical development. Separate expansion cohorts for participants with R/R AML and R/R HR-MDS may enroll approximately 20 to 40 response evaluable participants per cohort. Parts A and B will consist of 3 periods: Screening, Treatment, and Follow-up.

Trial Arms

NameTypeDescriptionInterventions
Participants with R/R AML and R/R HR-MDS - Part AExperimentalPart A (Dose Escalation) of the study will enroll R/R AML (Relapsed or Refractory Acute Myeloid Leukemia) and R/R HR-MDS (Relapsed or Refractory Higher-Risk Myelodysplastic Syndromes) participants and will evaluate the safety and tolerability of escalating doses of CC-91633, administered orally, and determine the maximum tolerated dose (MTD) or preliminary recommended Phase 2 dose (RP2D) and schedule.
  • CC-91633
Participants with Relapsed or Refractory Acute Myeloid Leukemia (R/R AML)ExperimentalPart B (expansion part) will confirm tolerability of the selected doses and schedules and evaluate whether efficacy is in a range that warrants further clinical development for R/R AML participants.
  • CC-91633
Participants with Relapsed or Refractory Higher-Risk Myelodysplastic Syndromes (HR-MDS)ExperimentalPart B (expansion part) will confirm tolerability of the selected doses and schedules and evaluate whether efficacy is in a range that warrants further clinical development for R/R HR-MDS participants.
  • CC-91633

Eligibility Criteria

        Inclusion Criteria:

        Participants must satisfy the criteria below to be enrolled in the Dose Escalation (Part A)
        or the Dose Expansion (Part B) of this study.

          -  Participant is ≥ 18 years of age, at the time of signing the ICF.

          -  Participant must understand and voluntarily sign an ICF prior to any study-related
             assessments/procedures being conducted.

          -  Participant is willing and able to adhere to the study visit schedule and other
             protocol requirements.

          -  Relapsed or refractory acute myeloid leukemia (R/R AML) and relapsed or refractory
             higher-risk myelodysplastic syndromes (R/R HR-MDS) as defined by the World Health
             Organization (WHO) criteria who have failed or are ineligible for all available
             therapies which may provide clinical benefit

          -  Participant has Eastern Cooperative Oncology Group Performance Status of 0 to 2.

          -  Participants must have the following screening laboratory values:

               -  Total White Blood Cell count (WBC) < 25 x 109/L prior to first infusion.

               -  Aspartate aminotransferase (AST)/serum glutamic oxaloacetic transaminase (SGOT)
                  and alanine aminotransferase (ALT)/serum glutamic pyruvic transaminase (SGPT) ≤
                  3.0 x upper limit of normal (ULN), unless considered due to leukemic organ
                  involvement, in which case AST and ALT can be ≤ 5.0 x ULN.

               -  Uric acid ≤ 7.5 mg/dL (446 μmol/L).

               -  Serum total bilirubin ≤ 1.5 x ULN, unless considered due to Gilbert's syndrome

               -  Estimated serum creatinine clearance of ≥ 60 mL/min using the Cockcroft-Gault
                  equation. Measured creatinine clearance from a 24-hour urine collection is
                  acceptable if clinically indicated.

               -  INR < 1.5 x ULN and partial thromboplastin time (PTT) < 1.5 x ULN.

        Exclusion Criteria:

        The presence of any of the following will exclude a participant from enrollment:

          -  Participant has any condition, including active or uncontrolled infection, or the
             presence of laboratory abnormalities, which places the participant at unacceptable
             risk if the participant were to participate in the study.

          -  Any other significant medical condition, laboratory abnormality, or psychiatric
             illness which places the participant at unacceptable risk if he/she were to
             participate in the study or that would prevent the participant from complying with the
             study.

          -  Participant has any condition that confounds the ability to interpret data from the
             study.

          -  Participants with acute promyelocytic leukemia.

          -  Participants with clinical symptoms suggesting active central nervous system (CNS)
             leukemia or known CNS leukemia.

          -  Participants with immediately life-threatening, severe complications of leukemia such
             as disseminated/uncontrolled infection, uncontrolled bleeding, and/or uncontrolled
             disseminated intravascular coagulation.

          -  Participants with impaired cardiac function or clinically significant cardiac
             diseases,

          -  Participants who have undergone major surgery ≤ 2 weeks prior to starting CC-91633.
             Participants must have recovered from any clinically significant effects of recent
             surgery.

          -  Pregnant or nursing individuals.

          -  Participants with known human immunodeficiency virus infection.

          -  Participants with known chronic, active hepatitis B virus or hepatitis C virus C (HCV)
             infection.

          -  Participants with ongoing treatment with chronic, therapeutic dosing of anticoagulants
             (eg, warfarin, low molecular weight heparin, Factor Xa inhibitors).

          -  Participants with history of concurrent second cancers requiring active, ongoing
             systemic treatment

          -  Participants with clinically significant diarrhea, vomiting or malabsorption felt to
             limit absorption of orally administered medications.
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Maximum Tolerated Dose (MTD)
Time Frame:Up to 2 years
Safety Issue:
Description:Defined as the dose with highest posterior probability of the Dose-limiting toxicity (DLT) rate falling in the target interval and fulfilling escalation with overdose control (EWOC).

Secondary Outcome Measures

Measure:Complete Remission Rate (CRR)
Time Frame:Up to 4 years
Safety Issue:
Description:Complete remission rate (CRR) is defined as the percent of participants whose best response is CRs including complete remission (CR), complete remission with partial hematologic recovery (CRh) and complete remission with incomplete hematologic recovery (CRi).
Measure:Efficacy determined by response rates of Acute Myeloid Leukemia (AML) - Minimal residual disease negative complete remission rate (CRRMRD-)
Time Frame:Up to 4 years
Safety Issue:
Description:Minimal residual disease negative complete remission rate is defined as the percent of participants with Minimal residual disease negative complete remission.
Measure:Efficacy determined by response rates of Acute Myeloid Leukemia (AML) - Combined Complete Remission Rate (cCRR)
Time Frame:Up to 4 years
Safety Issue:
Description:Combined complete remission rate (cCRR), is defined as the percent of participants whose best response is complete remission, includes minimal residual disease negative complete remission rate (CRRMRD-), morphologic complete remission, complete remission with incomplete hematologic recovery (CRi), complete remission with partial hematologic recovery (CRh).
Measure:Efficacy determined by response rates of Acute Myeloid Leukemia (AML) - Morphologic Leukemia-free State Rate (MLFSR)
Time Frame:Up to 4 years
Safety Issue:
Description:The Morphologic Leukemia-free State Rate is defined as the percent of participants with the best response of Morphologic Leukemia-free State.
Measure:Partial Remission Rate (PRR)
Time Frame:Up to 4 years
Safety Issue:
Description:Partial Remission Rate is defined as the percent of participant with the best response of Partial Remission.
Measure:Stable Disease Rate (SDR)
Time Frame:Up to 4 years
Safety Issue:
Description:Stable Disease Rate is defined as the percent of participants with the best response of Stable Disease.
Measure:Progression-free Survival (PFS) rate at 3 and 9 months
Time Frame:At 3 months and 9 months of PFS
Safety Issue:
Description:Progression free survival rate is defined as the percent of participants with progression free for at least 3/9 months.
Measure:Overall Survival (OS) rate
Time Frame:At 6 and 12 months of survival
Safety Issue:
Description:Overall survival rate is defined as the percent of participant who have survived for at least 6/12 months.
Measure:Overall Response Rate (ORR)
Time Frame:Up to 4 years
Safety Issue:
Description:Overall response rate is defined as the percent of participants whose best response is any of those composite complete response rate (cCRR) or morphologic Leukemia-free state (MLFS) or partial remission (PR) for AML and any of CR, marrow CR with HI (mCRHIR), PR, hematologic improvement (HI) for MDS.
Measure:Overall Survival (OS)
Time Frame:Up to 4 years
Safety Issue:
Description:Overall Survival is measured as the time from the first dose of CC-91633 to death due to any cause.
Measure:Relapse-free Survival (RFS)
Time Frame:Up to 4 years
Safety Issue:
Description:Relapse-free survival is defined only for participants who have achieved the best response of any of CR/CRh/CRi/CRRMRD- or any of PR/MLFS/mCRHIR/HI, and is measured as the interval from the date of first achieved of any CR/CRh/Cri/CRRMRD- or any of PR/ MLFS/mCRHIR/HI to the date of disease relapse or death from any cause, whichever occurs first.
Measure:Progression-free Survival (PFS)
Time Frame:Up to 4 years
Safety Issue:
Description:Progression-Free Survival is defined as the time from the first dose of CC-91633 to the first occurrence of relapse or progression or death from any cause.
Measure:Event-free Survival (EFS)
Time Frame:Up to 4 years
Safety Issue:
Description:Event-free Survival is defined as the interval from the date of the first dose to an event including disease progression, treatment failure, relapse, or death from any cause, whichever occurs first.
Measure:Duration of remission/response
Time Frame:Up to 4 years
Safety Issue:
Description:For participants with best response of any of CR/CRh/ CRi/CRRMRD- or any of PR/MLFS/mCRHIR/HI, duration of remission/response is measured from the time when criteria for the best response of any of CR/CRh/ Cri/CRRMRD- or any of PR/ MLFS/mCRHIR/HI are first met (whichever is first recorded) until the first date at which relapse, or progressive disease is objectively documented assessment.
Measure:Time to remission/response
Time Frame:Up to 4 years
Safety Issue:
Description:Time to onset of first remission/response is defined as the time interval from the date of first dose and the earliest date any remission/response (any CRs or PR) is observed.
Measure:Efficacy: Time to transformation to Acute Myeloid Leukemia (AML) for High-Risk Myelodysplastic Syndrome (HR-MDS)
Time Frame:Up to 4 years
Safety Issue:
Description:Time interval from first dose to onset date of having 20% more bone marrow (BM) or peripheral blood (PB) blasts.
Measure:CC-91633 Pharmacokinetics - Cmax
Time Frame:Up to 4 years
Safety Issue:
Description:Maximum plasma drug concentration.
Measure:CC-91633 Pharmacokinetics - AUC(0-T)
Time Frame:Up to 4 years
Safety Issue:
Description:Area under the plasma concentration-time curve from time zero to time t, where t is the time point of the last measurable concentration.
Measure:CC-91633 Pharmacokinetics - AUC(TAU)
Time Frame:Up to 4 years
Safety Issue:
Description:Area under the plasma concentration time-curve from time 0 to 24 hours postdose.
Measure:CC-91633 Pharmacokinetics - Tmax
Time Frame:Up to 4 years
Safety Issue:
Description:Time to peak (maximum) plasma concentration.
Measure:CC-91633 Pharmacokinetics - T-HALF
Time Frame:Up to 4 years
Safety Issue:
Description:Half-life.
Measure:CC-91633 Pharmacokinetics - CLT/F
Time Frame:Up to 4 years
Safety Issue:
Description:Apparent total clearance of the drug from plasma after oral administration, as appropriate.
Measure:CC-91633 Pharmacokinetics - Vz/F
Time Frame:Up to 4 years
Safety Issue:
Description:Apparent volume of distribution, as appropriate.
Measure:CC-2004772 Pharmacokinetics - Cmax
Time Frame:Up to 4 years
Safety Issue:
Description:Maximum plasma drug concentration, if possible.
Measure:CC-2004772 Pharmacokinetics - AUC(0-T)
Time Frame:Up to 4 years
Safety Issue:
Description:Area under the plasma concentration-time curve from time zero to time t, where t is the time point of the last measurable concentration, if possible.
Measure:CC-2004772 Pharmacokinetics - AUC(TAU)
Time Frame:Up to 4 years
Safety Issue:
Description:Area under the plasma concentration time-curve from time 0 to 24 hours postdose, if possible.
Measure:CC-2004772 Pharmacokinetics - Tmax
Time Frame:Up to 4 years
Safety Issue:
Description:Time to peak (maximum) plasma concentration, if possible.
Measure:CC-2004772 Pharmacokinetics - T-HALF
Time Frame:Up to 4 years
Safety Issue:
Description:Half-life, if possible.
Measure:CC-2004772 Pharmacokinetics - CLT/F
Time Frame:Up to 4 years
Safety Issue:
Description:Apparent total clearance of the drug from plasma after oral administration, if possible.
Measure:CC-2004772 Pharmacokinetics - Vz/F
Time Frame:Up to 4 years
Safety Issue:
Description:Apparent volume of distribution, if possible.

Details

Phase:Phase 1
Primary Purpose:Interventional
Overall Status:Not yet recruiting
Lead Sponsor:Celgene

Trial Keywords

  • Relapsed or Refractory Acute Myeloid Leukemia
  • Relapsed or Refractory Higher-Risk Myelodysplastic Syndromes

Last Updated

July 7, 2021