Clinical Trials /

(Apex) CGT9486 in Patients With Advanced Systemic Mastocytosis

NCT04996875

Description:

This is an open-label, two-part Phase 2 study investigating CGT9486 for the treatment of patients with Advanced Systemic Mastocytosis (AdvSM), including patients with Aggressive SM (ASM), SM with Associated Hematologic Neoplasm (SM-AHN), and Mast Cell Leukemia (MCL).

Related Conditions:
  • Aggressive Systemic Mastocytosis
  • Mast Cell Leukemia
  • Systemic Mastocytosis with an Associated Hematological Neoplasm (SM-AHN)
Recruiting Status:

Recruiting

Phase:

Phase 2

Trial Eligibility

Document

Title

  • Brief Title: (Apex) CGT9486 in Patients With Advanced Systemic Mastocytosis
  • Official Title: A Phase 2 Open-Label, Multicenter Clinical Study of the Safety, Efficacy, Pharmacokinetic, and Pharmacodynamic Profiles of CGT9486 as a Single Agent in Patients With Advanced Systemic Mastocytosis

Clinical Trial IDs

  • ORG STUDY ID: CGT9486-20-201
  • SECONDARY ID: 2021-001010-10
  • NCT ID: NCT04996875

Conditions

  • Advanced Systemic Mastocytosis (AdvSM)
  • SM With an Associated Hematologic Neoplasm (SM-AHN)
  • Mast Cell Leukemia (MCL)
  • Aggressive Systemic Mastocytosis (ASM)

Interventions

DrugSynonymsArms
CGT9486 tabletsPLX9486, bezuclastinibCGT9486

Purpose

This is an open-label, two-part Phase 2 study investigating CGT9486 for the treatment of patients with Advanced Systemic Mastocytosis (AdvSM), including patients with Aggressive SM (ASM), SM with Associated Hematologic Neoplasm (SM-AHN), and Mast Cell Leukemia (MCL).

Trial Arms

NameTypeDescriptionInterventions
CGT9486Experimental
  • CGT9486 tablets

Eligibility Criteria

        Key Inclusion Criteria:

          1. Diagnosed with 1 of the following advanced mastocytosis diagnoses by Eligibility
             Committee:

               1. Aggressive Systemic Mastocytosis (ASM)

               2. Systemic Mastocytosis with an Associated Hematologic Neoplasm (SM-AHN)

               3. Mast Cell Leukemia (MCL)

          2. Measurable disease according to modified IWG-MRT-ECNM criteria

          3. ECOG (0 to 3)

          4. Have clinically acceptable local laboratory screening results (clinical chemistry,
             hematology) within certain limits

        Key Exclusion Criteria:

          1. Persistent toxicity from previous therapy for Advanced Systemic Mastocytosis that has
             not resolved to ≤ Grade 1

          2. Associated hematologic neoplasm requiring immediate antineoplastic therapy

          3. Clinically significant cardiac disease

          4. Known positivity for the FIP1L1 PDGFRA fusion (Patients with eosinophilia without
             detectable KIT D816V mutation must also lack the PDGFRA fusion mutation prior to
             enrollment)

          5. Seropositive for human immunodeficiency virus (HIV) 1 or 2, or positive for hepatitis
             B surface antigen or hepatitis C virus (HCV) antibody

          6. History of clinically significant bleeding event within 30 days before the first dose
             of study drug or need for therapeutic anticoagulation on study

          7. Diagnosed with or treated for malignancy other than the disease under study within the
             prior 3 years before enrollment

          8. Received any cytoreductive therapy or any investigational agent less than 14 days, and
             for cladribine, interferon alpha, pegylated interferon, and any antibody therapy less
             than 28 days, before screening bone marrow biopsy

          9. Received hematopoietic growth factor support within 14 days before the first dose of
             study drug

         10. Received strong CYP3A4 inhibitors or inducers before the first dose of study drug

         11. Need for treatment with steroids
      
Maximum Eligible Age:N/A
Minimum Eligible Age:18 Years
Eligible Gender:All
Healthy Volunteers:No

Primary Outcome Measures

Measure:Determine the optimal dose of CGT9486 by safety assessments and response criteria
Time Frame:18 months
Safety Issue:
Description:

Secondary Outcome Measures

Measure:Safety of CGT9486 as assessed by incidence of adverse events (AEs)
Time Frame:18 months
Safety Issue:
Description:Incidence of AEs according to CTCAE version 5.0 or higher
Measure:Mutation allele burden
Time Frame:18 months
Safety Issue:
Description:Percentage change in KIT D816V
Measure:Serum Tryptase
Time Frame:18 months
Safety Issue:
Description:Percentage change in Serum Tryptase
Measure:Pharmacokinetic studies
Time Frame:18 months
Safety Issue:
Description:Percentage change in plasma concentrations of CGT9486
Measure:Change from baseline in histopathologic findings in blood and bone marrow
Time Frame:18 months
Safety Issue:
Description:Percentage change in mast cell infiltration in the bone marrow and percentage change in eosinophilia and monocytosis in the blood
Measure:Change in spleen and liver volume by imaging
Time Frame:18 months
Safety Issue:
Description:Percentage
Measure:Change in Patient Global Impression of Severity (PGIS) scale
Time Frame:18 months
Safety Issue:
Description:0 -10 points (higher values represent worse symptom outcomes)
Measure:Change in Patient Global Impression of Change (PGIC) scale
Time Frame:18 months
Safety Issue:
Description:0 - 7 points (higher values represent better symptom outcomes)
Measure:Change in Mastocytosis Quality of Life Questionnaire (MC-QoL)
Time Frame:18 months
Safety Issue:
Description:0 - 100 (higher values represent better symptom outcomes)
Measure:Change in Mastocytosis Activity Score (MAS)
Time Frame:18 months
Safety Issue:
Description:0 - 252 (higher values represent worse symptom outcomes)
Measure:Duration of Response (DOR)
Time Frame:18 months
Safety Issue:
Description:Months
Measure:Time to Response (TTR)
Time Frame:18 months
Safety Issue:
Description:Months
Measure:Progression Free Survival (PFS)
Time Frame:18 Months
Safety Issue:
Description:Months
Measure:Overall Survival (OS)
Time Frame:18 months
Safety Issue:
Description:Months
Measure:Pure Pathological Response (PPR)
Time Frame:18 months
Safety Issue:
Description:Months

Details

Phase:Phase 2
Primary Purpose:Interventional
Overall Status:Recruiting
Lead Sponsor:Cogent Biosciences, Inc.

Trial Keywords

  • Mastocytosis
  • Systemic Mastocytosis
  • Advanced Mastocytosis
  • Aggressive Mastocytosis
  • Hematologic Neoplasms
  • Mast Cell
  • Mast Cell Leukemia
  • Soft Tissue Neoplasms
  • Neoplasms by site
  • Skin Diseases
  • Immune Complex Diseases
  • Immune System Diseases
  • Hypersensitivity
  • Hematologic Diseases
  • Leukemia
  • Myeloid Leukemia
  • Acute Myeloid Leukemia
  • SM with Associated Hematologic Neoplasm
  • AdvSM
  • ASM
  • SM-AHN
  • MCL
  • Neoplasm
  • D816V
  • KIT D816V
  • AML
  • bezuclastinib
  • CGT9486
  • CGT
  • PLX
  • Connective Tissue Neoplasms

Last Updated

August 9, 2021