A Study Of The Selective PKC-β Inhibitor MS- 553
A Phase I/II Dose-Escalation and Expansion Study of the Selective PKC-β Inhibitor MS-553 in Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
Study Contact
- Name: Kai Zhang
- Phone Number: 858-699-7681
- Email: kzhang@mingsight.com
Study Contact Backup
- Name: Gerald Messerschmidt, MD
- Phone Number: 610-613-3882
Study Locations
-
-
Michigan
-
Ann Arbor, Michigan, United States, 48109
- University of Michigan Comprehensive Cancer Center
-
-
New York
-
New York, New York, United States, 10032
- Columbia University, Herbert Irving Comprehensive Cancer Center
-
-
Ohio
-
Columbus, Ohio, United States, 43210
- The Ohio State University, James Comprehensive Cancer Center
-
-
Texas
-
Houston, Texas, United States, 77030
- MD Anderson Cancer Center, Department of Leukemia
-
-
Utah
-
Salt Lake City, Utah, United States, 84112
- Huntsman Cancer Institute
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
To be eligible for inclusion in the primary escalation and expansion cohort 1 in this study, patients must meet all of the following criteria:
- Age 18 years or older
Diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL):
- History of histologically documented CLL or SLL that meets IWCLL diagnostic criteria according to the 2008 guidelines, and
- Indication for treatment as defined by the 2008 IWCLL guidelines, or the need for disease reduction prior to allogeneic transplantation
Exclusion Criteria:
Patients who meet any of the following criteria are not eligible for the primary escalation and expansion cohorts of this study:
- Current or past transformation of CLL/SLL to prolymphocytic leukemia (PLL), non-Hodgkin lymphoma, or Hodgkin lymphoma aggressive lymphoma outlined in the inclusion criteria for the optional cohort.
- Active and uncontrolled autoimmune cytopenia(s)
Any of the following prior therapies within 14 days prior to cycle 1, day 1:
- Major surgery
- Corticosteroids greater than 20 mg / day prednisone (or equivalent), unless used by inhalation or topical route, or unless necessary for premedication before iodinated contrast dye, or for autoimmune hemolytic anemia
- Cytotoxic chemotherapy or biologic therapy, excepting BCR pathway kinase inhibitors for which no wash out is required (but must be stopped before cycle 1 day 1)
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Phase I Dose Escalation Cohort A1 (MS-553 Monotherapy)
R/R CLL/SLL patients
|
Oral, multiple dose levels
Oral recommended phase 2 dose of MS-553
|
|
Experimental: Phase II Expansion Cohort A2 (MS-553 Monotherapy)
R/R CLL/SLL patients
|
Oral, multiple dose levels
Oral recommended phase 2 dose of MS-553
|
|
Experimental: Phase II Expansion Cohort A3 (MS-553 Monotherapy)
patients with aggressive lymphoma
|
Oral, multiple dose levels
Oral recommended phase 2 dose of MS-553
|
|
Experimental: Phase I Combination Dose Escalation Cohort B1
BTK inhibitor naïve CLL/SLL patients
|
Oral, multiple dose levels
Oral recommended phase 2 dose of MS-553
Oral
|
|
Experimental: Phase II Expansion Cohort B2
BTK inhibitor naïve CLL/SLL patients
|
Oral, multiple dose levels
Oral recommended phase 2 dose of MS-553
Oral
|
|
Experimental: Phase II Expansion Cohort B3
BTK inhibitor naïve CLL/SLL patients with certain gene mutations
|
Oral, multiple dose levels
Oral recommended phase 2 dose of MS-553
Oral
|
|
Experimental: Phase I Combination Dose Escalation Cohort C1
Bcl-2 inhibitor naïve CLL/SLL patients
|
IV
Other Names:
Oral, multiple dose levels
Oral recommended phase 2 dose of MS-553
Oral
Other Names:
IV
Other Names:
|
|
Experimental: Experimental: Phase II Expansion Cohort C2
Bcl-2 inhibitor naïve CLL/SLL patients
|
IV
Other Names:
Oral, multiple dose levels
Oral recommended phase 2 dose of MS-553
Oral
Other Names:
IV
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The Incidence Rate of DLT and TEAE Requiring Study Drug Discontinuation
Time Frame: Assessments for DLT and TEAE will occur during Cycle 1 (28 days) for A1 Cohort and B1 Cohort and Cycles 1-4 (up to 112 days) for C1 Cohort.
|
DLT are defined as any of the following treatment-emergent events occurring during the DLT evaluation period.
1. Death 2. Hematologic toxicities: • Grade 4 neutropenia for ≥ 7 days • Grade 3 febrile neutropenia: absolute neutrophil count (ANC) 38.3°C (101°F) or a sustained temperature ≥38°C (100.4°F) for > 1 hour • Grade 4 thrombocytopenia ≥ 14 days (patients with baseline platelet count of ≥ 50 x 109 /L) • Grade 4 thrombocytopenia ≥ 28 days (patients with baseline platelet count < 50 x 10 9 /L) • ≥ Grade 3 thrombocytopenia associated with ≥ Grade 2 hemorrhage • New ≥ Grade 3 anemia requiring transfusion in a patient previously transfusion independent.
3. Nonhematologic toxicities: • Any other ≥ Grade 3 toxicity not reversed to any one of the following three conditions in 7 days with appropriate intervention: a) baseline; b) < Grade 1; or c) a status considered to be controlled by the SRC.
• Any TEAE requiring >25% of doses of scheduled study drug to be withheld during the DLT period
|
Assessments for DLT and TEAE will occur during Cycle 1 (28 days) for A1 Cohort and B1 Cohort and Cycles 1-4 (up to 112 days) for C1 Cohort.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
The ORR of MS-553 in Patients With CLL/SLL Whose Disease Relapsed After or Was Refractory to at Least One Prior Therapy
Time Frame: Evaluation of the efficacy endpoints related to response will incorporate the data from the first 9 cycles (up to 252 days) of treatment.
|
This will be assessed according to the 2008 International Workshop on Chronic Lymphocytic Leukemia (IWCLL) Response Criteria with modifications for treatment-related lymphocytosis.
Any patient who receives at least one cycle of study therapy is evaluable for response.
|
Evaluation of the efficacy endpoints related to response will incorporate the data from the first 9 cycles (up to 252 days) of treatment.
|
Other Outcome Measures
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Pharmacokinetic (PK) parameters of MS-553
Time Frame: Time Frame: Cycle 1 day1, Cycle 1 Day 8, Cycle 2 Day 1(each cycle is 28 days)
|
Evaluate Cmax
|
Time Frame: Cycle 1 day1, Cycle 1 Day 8, Cycle 2 Day 1(each cycle is 28 days)
|
|
Pharmacokinetic (PK) parameters of MS-553
Time Frame: Cycle 1 day 1, Cycle 1 Day 8 (each cycle is 28 days)
|
Evaluate Tmax
|
Cycle 1 day 1, Cycle 1 Day 8 (each cycle is 28 days)
|
|
Pharmacokinetic (PK) parameters of MS-553
Time Frame: Cycle 1 Day 1, Cyle 1 Day 8 (each cycle is 28 days)
|
Evaluate t1/2
|
Cycle 1 Day 1, Cyle 1 Day 8 (each cycle is 28 days)
|
|
Pharmacokinetic (PK) parameters of MS-553
Time Frame: Cycle 1 day1, Cycle 1 Day 8, (each cycle is 28 days)
|
Evaluate AUC (0-24; 0-∞)
|
Cycle 1 day1, Cycle 1 Day 8, (each cycle is 28 days)
|
|
Evaluate pharmacodynamics biomarker,ability of MS-553 to inhibit PKC signaling (phosphorylation of PKC Beta substrate in patients with CLL/SLL treated with MS-553
Time Frame: C1D1 Pre-dose and C1D8 pre dose and 3 hours post dose
|
C1D1 Pre-dose and C1D8 pre dose and 3 hours post dose
|
|
|
Evaluate pharmacogenomic biomarkers in patients with CLL/SLL treated with MS-553 to compare germline DNA with tumor DNA via changes in sequence analysis
Time Frame: C1D1 and the 1st day of each cycle and end of treatment (each cycle is 28 days)
|
C1D1 and the 1st day of each cycle and end of treatment (each cycle is 28 days)
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Pathologic Processes
- Neoplasms
- Chronic Disease
- Disease Attributes
- Immune System Diseases
- Neoplasms by Histologic Type
- Hematologic Diseases
- Lymphatic Diseases
- Lymphoproliferative Disorders
- Immunoproliferative Disorders
- Leukemia, B-Cell
- Leukemia
- Lymphoma
- Leukemia, Lymphoid
- Leukemia, Lymphocytic, Chronic, B-Cell
- Antineoplastic Agents, Immunological
- Tyrosine Kinase Inhibitors
- Antineoplastic Agents
- Immunologic Factors
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Enzyme Inhibitors
- Antirheumatic Agents
- Protein Kinase Inhibitors
- Rituximab
- Acalabrutinib
- Venetoclax
- Obinutuzumab
Other Study ID Numbers
Other Study ID Numbers
- MS-553-103
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Chronic Lymphocytic Leukemia
-
NCT01269385CompletedB-cell Chronic Lymphocytic Leukemia | Refractory Chronic Lymphocytic Leukemia | Stage 0 Chronic Lymphocytic Leukemia | Stage I Chronic Lymphocytic Leukemia | Stage II Chronic Lymphocytic Leukemia
-
NCT00098670CompletedB-cell Chronic Lymphocytic Leukemia | Stage I Chronic Lymphocytic Leukemia | Stage II Chronic Lymphocytic Leukemia | Stage III Chronic Lymphocytic Leukemia | Stage IV Chronic Lymphocytic Leukemia
-
NCT00303966TerminatedRefractory Chronic Lymphocytic Leukemia | Stage I Chronic Lymphocytic Leukemia | Stage II Chronic Lymphocytic Leukemia | Stage III Chronic Lymphocytic Leukemia | Stage IV Chronic Lymphocytic Leukemia
-
NCT00003620CompletedB-cell Chronic Lymphocytic Leukemia | Refractory Chronic Lymphocytic Leukemia | Stage I Chronic Lymphocytic Leukemia | Stage II Chronic Lymphocytic Leukemia | Stage III Chronic Lymphocytic Leukemia | Stage IV Chronic Lymphocytic Leukemia
-
NCT01251250WithdrawnRefractory Chronic Lymphocytic Leukemia | Stage II Chronic Lymphocytic Leukemia | Stage III Chronic Lymphocytic Leukemia | Stage IV Chronic Lymphocytic Leukemia
-
NCT00612612TerminatedLeukemia | B-cell Chronic Lymphocytic Leukemia | Prolymphocytic Leukemia | Refractory Chronic Lymphocytic Leukemia | Stage I Chronic Lymphocytic Leukemia | Stage II Chronic Lymphocytic Leukemia | Stage III Chronic Lymphocytic Leukemia | Stage IV Chronic Lymphocytic Leukemia
-
NCT03204188CompletedLeukemia, Lymphocytic, Chronic, B-Cell | Chronic Lymphocytic Leukemia | Leukemia, Chronic Lymphatic | B-Cell Chronic Lymphocytic Leukemia | Leukemia, Lymphocytic, Chronic | B-Lymphocytic Leukemia, Chronic | Leukemia, Chronic Lymphocytic, B-Cell | Lymphocytic Leukemia, Chronic, B Cell | Lymphocytic Leukemia, Chronic, B-Cell
-
NCT01649791TerminatedChronic Lymphocytic Leukemia | B-cell Chronic Lymphocytic Leukemia | Stage 0 Chronic Lymphocytic Leukemia | Stage I Chronic Lymphocytic Leukemia | Stage II Chronic Lymphocytic Leukemia
-
NCT01441882CompletedRefractory Chronic Lymphocytic Leukemia | Stage I Chronic Lymphocytic Leukemia | Stage II Chronic Lymphocytic Leukemia | Stage III Chronic Lymphocytic Leukemia | Stage IV Chronic Lymphocytic Leukemia
-
NCT00845104WithdrawnB-cell Chronic Lymphocytic Leukemia | Refractory Chronic Lymphocytic Leukemia
Clinical Trials on Rituximab
-
NCT02900976CompletedEBV-Related Post-Transplant Lymphoproliferative Disorder | Monomorphic Post-Transplant Lymphoproliferative Disorder | Polymorphic Post-Transplant Lymphoproliferative Disorder | Recurrent Monomorphic Post-Transplant Lymphoproliferative Disorder | Recurrent Polymorphic Post-Transplant Lymphoproliferative Disorder | Refractory Monomorphic Post-Transplant Lymphoproliferative Disorder | Refractory Polymorphic Post-Transplant Lymphoproliferative Disorder
-
NCT01145495CompletedAnn Arbor Stage III Grade 1 Follicular Lymphoma | Ann Arbor Stage III Grade 2 Follicular Lymphoma | Ann Arbor Stage IV Grade 1 Follicular Lymphoma | Ann Arbor Stage IV Grade 2 Follicular Lymphoma | Ann Arbor Stage II Grade 3 Contiguous Follicular Lymphoma | Ann Arbor Stage II Grade 3 Non-Contiguous Follicular Lymphoma | Ann Arbor Stage III Grade 3 Follicular Lymphoma | Ann Arbor Stage IV Grade 3 Follicular Lymphoma | Ann Arbor Stage II Grade 1 Contiguous Follicular Lymphoma | Ann Arbor Stage II Grade 1 Non-Contiguous Follicular Lymphoma
-
NCT04659044TerminatedRecurrent Grade 1 Follicular Lymphoma | Recurrent Grade 2 Follicular Lymphoma | Recurrent Mantle Cell Lymphoma | Recurrent Marginal Zone Lymphoma | Refractory B-Cell Non-Hodgkin Lymphoma | Recurrent Small Lymphocytic Lymphoma | Recurrent B-Cell Non-Hodgkin Lymphoma | Recurrent Grade 3a Follicular Lymphoma | Refractory Grade 1 Follicular Lymphoma | Refractory Grade 2 Follicular Lymphoma
-
NCT04680962Withdrawn
-
NCT01643928Completed
-
NCT02007044Active, not recruitingRecurrent Small Lymphocytic Lymphoma | Prolymphocytic Leukemia | Recurrent Chronic Lymphocytic Leukemia
-
NCT07389356Not yet recruitingDLBCL - Diffuse Large B Cell Lymphoma
-
NCT01473628Active, not recruitingAnn Arbor Stage I Grade 1 Follicular Lymphoma | Ann Arbor Stage I Grade 2 Follicular Lymphoma | Ann Arbor Stage II Grade 1 Follicular Lymphoma | Ann Arbor Stage II Grade 2 Follicular Lymphoma
-
NCT01829568Active, not recruitingAnn Arbor Stage III Grade 1 Follicular Lymphoma | Ann Arbor Stage III Grade 2 Follicular Lymphoma | Ann Arbor Stage IV Grade 1 Follicular Lymphoma | Ann Arbor Stage IV Grade 2 Follicular Lymphoma | Ann Arbor Stage II Grade 3 Contiguous Follicular Lymphoma | Ann Arbor Stage II Grade 3 Non-Contiguous Follicular Lymphoma | Ann Arbor Stage III Grade 3 Follicular Lymphoma | Ann Arbor Stage IV Grade 3 Follicular Lymphoma | Ann Arbor Stage II Grade 1 Contiguous Follicular Lymphoma | Ann Arbor Stage II Grade 1 Non-Contiguous Follicular Lymphoma
-
NCT04458610Active, not recruitingChronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma