- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04522375
A Dose Escalation Study of FP-045 in Patients With Fanconi Anemia
A Multinational, Multicenter, Dose Escalation Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Activity of FP 045 in Patients With Fanconi Anemia (FusuciA Study)
Study Overview
Detailed Description
Dose escalation will begin with young adult/adolescent patients. The initial two patients enrolled in the study will be > 15 years of age. These patients must complete the entire 28-day period of treatment at Dose Level 1 prior to additional young adult/adolescent patients being enrolled. All 6 young adult/adolescent patients must complete 28 days of treatment at Dose Level 1, and cumulative safety must be reviewed by the Safety Review Committee (SRC), prior to the enrollment of pediatric patients. The initial two pediatric patients enrolled will be > 6 years of age. These patients must complete the entire 28-day period of treatment at Dose Level 1 prior to additional pediatric patients being enrolled. A minimum of 8 and maximum of 12 pediatric patients will be enrolled to allow for at least 4 patients between the ages of 3-6.
Study assessments will be conducted at each visit. Patients will be observed closely for Dose Limiting Toxicity (DLT) during each dosing period. Any patient experiencing a DLT will have study drug interrupted and will not be allowed to escalate to the next higher dose level. The patient may resume treatment at one dose level lower once the DLT has resolved to baseline or to ≤ Grade 1 in severity. The MTD will be defined as the dose level immediately below the dose level at which DLT occurred. Patients requiring an interruption in treatment of > 3 weeks following a DLT will be withdrawn from the study. The MTD will be assessed separately for each individual patient.
Following the completion of dose escalation, each patient will continue treatment at either the highest dose or their individual MTD, and then transition to the OBD for their age group (once defined), for a total of 3 months. Patients failing to receive 75% of planned doses for reasons other than adverse effects may be replaced.
Study Type
Enrollment (Estimated)
Phase
- Phase 2
- Phase 1
Contacts and Locations
Study Contact
- Name: Bassem Elmankabadi, MD
- Phone Number: 562 310-8718
- Email: Bassem.elmankabadi@foreseepharma.com
Study Contact Backup
- Name: Yisheng Lee, MD, PhD
- Phone Number: 408 823-4807
- Email: yisheng.lee@foreseepharma.com
Study Locations
-
-
California
-
Palo Alto, California, United States, 94305
- Recruiting
- Lucille Packard Children's Hospital, Stanford University
-
Contact:
- Rajni Agarwal-Hashmi, M.D.
- Phone Number: 650-497-0753
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Minnesota
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Minneapolis, Minnesota, United States, 55455
- Recruiting
- Masonic Cancer Center, University of Minnesota
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Principal Investigator:
- Meera Srikanthan, MD
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New York
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New York, New York, United States, 10022
- Recruiting
- David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center
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Contact:
- Maria Cancio, M.D.
- Phone Number: 212-639-8478
- Email: canciom@mskcc.org
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Tennessee
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Memphis, Tennessee, United States, 38105
- Not yet recruiting
- St. Jude Childrens Research Hospital
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Contact:
- Olivia McGregor
- Email: Olivia.McGregor@STJUDE.ORG
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Principal Investigator:
- Clifford Takemoto
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-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- male or female aged 3-25
- documented Fanconi anemia by chromosome breakage analysis
- females of child-bearing potential and males required to use highly effective birth control
- mild to moderate bone marrow failure with at least one cytopenia of > grade 1 severity
Exclusion Criteria:
- history of any malignancy except focal squamous cell or basal cell carcinoma of the skin or carcinoma in situ of cervix
- has myelodysplastic syndrome or acute leukemia per world health organization (WHO) criteria
- has history of any significant medical conditions
- has aspartate aminotransferase (AST)/alanine aminotransferase (ALT) > 5x upper limit of normal (ULN) or calculated creatinine clearance (Clcr) of < 50 mL/min
- has active Hepatitis B or C
- has an ongoing systemic infection
- requires a strong CYP3A4 inhibitor
- has had major surgery within 30 days
- Active graft versus host disease requiring systemic treatment
- Has a history of bone marrow or stem cell transplant
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: N/A
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: FP-045
The study will enroll a total of 6 young adult/adolescent patients progressing through three dose levels, followed by a minimum of 8 and up to 12 pediatric patients progressing through up to three dose levels.
|
activator of aldehyde dehydrogenase
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The Optimal Biologic Dose (OBP) of FP-045
Time Frame: 28 days x up to 3 doses
|
The OBP of FP-045 in adolescent and pediatric subjects
|
28 days x up to 3 doses
|
stabilizing or improving cytopenia in FA
Time Frame: 3 months
|
Change from baseline in hemoglobin
|
3 months
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Safety and tolerability
Time Frame: 3-6 months
|
Frequency of adverse events and serious adverse events
|
3-6 months
|
pharmacokinetic profile
Time Frame: 3- 6 months
|
Mean AUC of FP-045 by dose level
|
3- 6 months
|
Collaborators and Investigators
Investigators
- Study Director: Susan Whitaker, Foresee Pharmaceuticals
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Metabolic Diseases
- Kidney Diseases
- Urologic Diseases
- Bone Marrow Diseases
- Hematologic Diseases
- Genetic Diseases, Inborn
- DNA Repair-Deficiency Disorders
- Anemia, Hypoplastic, Congenital
- Anemia, Aplastic
- Congenital Bone Marrow Failure Syndromes
- Bone Marrow Failure Disorders
- Renal Tubular Transport, Inborn Errors
- Female Urogenital Diseases
- Female Urogenital Diseases and Pregnancy Complications
- Urogenital Diseases
- Male Urogenital Diseases
- Anemia
- Fanconi Syndrome
- Fanconi Anemia
Other Study ID Numbers
- FP045C-19-001
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Study Data/Documents
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Study Protocol
Information comments: clinicaltrials.gov
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Statistical Analysis Plan
Information comments: clinicaltrials.gov
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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.
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