Sikkerhed og anti-leukæmisk aktivitet af Vodobatinib (K0706) til behandling af refraktær/intolerant CML svigtende ≥3 tidligere CML-terapier
En todelt fase 1/2-undersøgelse til bestemmelse af sikkerhed, tolerabilitet, farmakokinetik og aktivitet af K0706, en ny tyrosinkinasehæmmer (TKI), hos raske forsøgspersoner og hos forsøgspersoner med kronisk myeloid leukæmi (CML) eller Philadelphia-kromosompositiv akut lymfoblastisk Leukæmi (Ph+ ALL)
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Del A (for raske frivillige) af undersøgelsen er afsluttet
Del B dosis-eskaleringsundersøgelse er afsluttet. Rekruttering til dosisudvidelse er i gang i Indien og Korea
Del C-studie i forsøgspersoner med behandlingsrefraktær/intolerant er på vej globalt.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Faktiske)
Tilmelding
Fase
Fase
- Fase 2
- Fase 1
Udvidet adgang
Udvidet adgang
Midlertidigt ikke tilgængelig
- Tilgængelig: Udvidet adgang er i øjeblikket tilgængelig for denne forsøgsbehandling, og patienter, der ikke er deltagere i den kliniske undersøgelse, kan muligvis få adgang til lægemidlet, det biologiske eller medicinske udstyr undersøgt.
- Ikke længere tilgængelig: Udvidet adgang var tilgængelig for denne intervention tidligere, men er ikke tilgængelig i øjeblikket og vil ikke være tilgængelig i fremtiden.
- Midlertidigt ikke tilgængelig: Udvidet adgang er i øjeblikket ikke tilgængelig for denne intervention, men forventes at være tilgængelig i fremtiden.
- Godkendt til markedsføring: Interventionen er blevet godkendt af U.S. Food and Drug Administration til brug for offentligheden.
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Head, Clinical development
- Telefonnummer: 5678 +9122 66455645
- E-mail: clinical.trials@sparcmail.com
Studiesteder
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Brussels, Belgien, 1200
- Cliniques universitaires Saint-Luc
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Greater London
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London, Greater London, Det Forenede Kongerige, SE5 9NU
- King's College Hospital
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London, Greater London, Det Forenede Kongerige, W120HS
- Hammersmith Hospital
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California
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Downey, California, Forenede Stater, 90241
- The Oncology Institute of Hope and Innovation, Innovative Clinical Research Institute
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Los Angeles, California, Forenede Stater, 90024
- UCLA Hematologic Malignancy Program
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Florida
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Jacksonville, Florida, Forenede Stater, 32224
- Mayo Clinic
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Georgia
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Augusta, Georgia, Forenede Stater, 30912
- Board of Regents of the University System of Georgia
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New York
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New York, New York, Forenede Stater, 10065
- Memorial Sloan Kettering Cancer Center - MAIN
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Texas
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Dallas, Texas, Forenede Stater, 75226
- Baylor University Medical Center
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Houston, Texas, Forenede Stater, 77030
- MD Anderson Cancer Center
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Utah
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Salt Lake City, Utah, Forenede Stater, 84112
- Huntsman Cancer Institute University of Utah
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Bouches-du-Rhône
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Marseille, Bouches-du-Rhône, Frankrig, 13273
- Institut Paoli Calmettes
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Rhone
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Lyon, Rhone, Frankrig, 69373
- Centre Léon Bérard
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Pierre-Bénite, Rhone, Frankrig, 69495
- Centre Hospitalier LYON SUD
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Maharashtra
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Mumbai, Maharashtra, Indien, 400012
- Tata Memorial Hospital
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Mumbai, Maharashtra, Indien, 400010
- Prince Aly Khan Hospital
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Pune, Maharashtra, Indien, 411004
- Sahyadri Specialty Hospital
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Tamil Nadu
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Madurai, Tamil Nadu, Indien, 625107
- Meenakshi Mission Hospital & Research Centre
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West Bengal
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Kolkata, West Bengal, Indien, 700156
- TATA Medical Centre
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Milan, Italien, 20122
- Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico
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Roma, Italien, 00161
- Azienda Ospedaliera Universitaria Policlinico Umberto I - Università di Roma La Sapienza
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Roma, Italien, 00144
- Ospedale Sant'Eugenio
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Forli - Cesena
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Meldola, Forli - Cesena, Italien, 47014
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
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Milano
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Monza, Milano, Italien, 20900
- Azienda Socio Sanitaria Territoriale Di Monza (Presidio San Gerardo)
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Bucharest, Rumænien, 020125
- Spitalul Clinic Colentina
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Cluj-Napoca, Rumænien, 400124
- Institutul Oncologic "Prof. Dr. Ion Chiricuta" Cluj-Napoca
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Craiova, Rumænien, 200143
- Spitalul Clinic Municipal Filantropia Craiova
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Barcelona, Spanien, 08035
- Hospital Universitari Vall d'Hebron
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Madrid, Spanien, 28034
- Hospital Universitario Ramon y Cajal
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Madrid, Spanien, 28041
- Hospital Universitario 12 de Octubre
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Madrid, Spanien, 28046
- Hospital Universitario La Paz
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Barcelona
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Badalona, Barcelona, Spanien, 08916
- ICO Badalona - Hospital Universitari Germans Trias i Pujol
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Gyeonggi-do, Sydkorea, 11759
- Uijeongbu Eulji Medical Center, Eulji University
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Gyeonggi-do
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Seoul, Gyeonggi-do, Sydkorea, 6591
- The Catholic University of Korea, Seoul St. Mary's Hospital
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Debrecen, Ungarn, 4032
- Debreceni Egyetem
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Beskrivelse
Inklusionskriterier:
- Villig og i stand til at give skriftligt og dateret informeret samtykke
- Mand eller kvinde i alderen ≥ 18 år
- Villig og i stand til at overholde de planlagte besøg
- Eastern Cooperative Oncology Group (ECOG) præstationsstatus på 0, 1 eller 2
- Forsøgspersoner diagnosticeret med Ph+ CML-CP, Ph+ CML-AP, Ph+ CML-BP, som er resistente og/eller intolerante over for ≥ 3 tidligere TKI'er, hvoraf den ene inkluderer ponatinib (del C).
Ekskluderingskriterier:
- Tilstedeværelse af T315I (DEL C)
- Enhver større operation, som bestemt af investigator, inden for 4 uger efter IMP-administration
- Manglende evne til at gennemgå venepunktur og/eller tolerere venøs adgang
- Positive eksklusionstests: uringraviditetstest (hvis relevant), HIV, hepatitis B overfladeantigen eller hepatitis C-virus
- Kendt eller mistænkt historie med betydeligt stofmisbrug som vurderet af efterforskeren
- Modtaget ethvert andet forsøgsmiddel inden for 30 dage eller en udvaskning på mindst 5 halveringstider, alt efter hvad der er længst af IMP-administration
- Forsøgspersoner, der er berettiget til potentielt helbredende terapi, der er tilgængelig, herunder hæmatopoietisk stamcelletransplantation
- En anden primær malignitet inden for de seneste 3 år eller tidligere (bortset fra tilstrækkeligt behandlet ikke-melanom hudkræft eller livmoderhalskræft in situ
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
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Eksperimentel: Vodobatinib (K0706) kapsler
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Part A: Oral Vodobatinib (K0706) capsules in single ascending doses. Part B: Oral Vodobatinib (K0706) capsules in multiple ascending doses, once daily. Part C: Oral Vodobatinib (K0706) capsules at recommended phase 2 dose of 174 mg, once daily. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Examination of the Safety and Tolerability of Single Oral Doses of K0706
Tidsramme: Approximately 56 ± 2 days
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Number of Participants with Adverse Events in Part A
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Approximately 56 ± 2 days
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To Determine the Maximum Tolerated Dose (MTD) as Determined by Frequency of Dose Limiting Toxicities
Tidsramme: Dose Limiting toxicities observed over a 4 week period
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PART B
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Dose Limiting toxicities observed over a 4 week period
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Incidence and Severity of Treatment Emergent AEs (PART B)
Tidsramme: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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Number of Participants with treatment emergent Adverse Events in Part B
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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For CML Subjects in CP at Study Entry
Tidsramme: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C: Proportion of subjects achieving Major Cytogenetic Response [ defined as complete cytogenetic response (CCyR; 0% Ph+metaphases) or partial cytogenetic response (PCyR; 1-35% Ph+ metaphases)] as assessed by conventional Karyotyping of Bone marrow aspirate
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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For CML Subjects in AP at Study Entry
Tidsramme: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C: Proportion of subjects achieving Major Hematologic Response [ defined as complete hematologic response (CHR) or no evidence of leukemia (NEL)] as assessed by complete blood count of peripheral blood sample
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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For CML Subjects in BP at Study Entry
Tidsramme: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C: Proportion of subjects achieving Major Hematologic Response [defined as complete hematologic response (CHR) or no evidence of leukemia (NEL)] as assessed by complete blood count of peripheral blood sample
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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To Characterize the Pharmacokinetics (Cmax) of K0706 After Single Oral Doses in Healthy Male Subjects
Tidsramme: Approximately 28 ± 2 days
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Part A
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Approximately 28 ± 2 days
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To Characterize the Pharmacokinetics of K0706 (Cmax) After Single Oral Doses in Fasted and Fed State in Healthy Male Subjects
Tidsramme: Approximately 28 ± 2 days
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Part A
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Approximately 28 ± 2 days
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Pharmacokinetic Profile of K0706 - Cmax [The Maximum (Peak) Observed Drug Concentration After Dose Administration]
Tidsramme: All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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PART B
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All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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Pharmacokinetic Profile of Vodobatinib (K0706) - Tmax [The Time to Reach Maximum (Peak) Drug Concentration After Dose Administration]
Tidsramme: All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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PART B
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All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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Pharmacokinetic Profile of Vodobatinib (K0706) - AUC[0-tau] (AUC Over the Dosing Interval of 0-24 Hours).
Tidsramme: All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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PART B
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All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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In Subjects With CML- CP:Proportion of Subjects Achieving Complete Hematological Response as Assessed by Complete Blood Count of Peripheral Blood Sample
Tidsramme: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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In Subjects With CML- CP:Proportion of Subjects Achieving Complete Cytogenetic Response as Assessed by Conventional Karyotyping of Bone Marrow Aspirate
Tidsramme: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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In Subjects With CML- CP:Proportion of Subjects Achieving Major Molecular Response as Assessed by BCR-ABL Transcript Levels (BCR-ABL1 Ratio of ≤ 0.1%) in Peripheral Blood Using PCR (Polymerase Chain Reaction)
Tidsramme: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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In Subjects With CML-AP & BP: Proportion of Subjects Achieving Complete Cytogenetic Response as Assessed by Conventional Karyotyping of Bone Marrow Aspirate
Tidsramme: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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In Subjects With CML-AP & BP: Proportion of Subjects Achieving Partial Cytogenetic Response (PCyR) as Assessed by Conventional Karyotyping of Bone Marrow Aspirate
Tidsramme: All subjects will be followed up for 60 months from the first dose of K0706
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Part C
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All subjects will be followed up for 60 months from the first dose of K0706
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In Subjects With CML-AP & BP: Proportion of Subjects Achieving Major Molecular Response as Assessed by BCR-ABL Transcript Levels (BCR-ABL1 Ratio of ≤ 0.1%) in Peripheral Blood Using PCR (Polymerase Chain Reaction)
Tidsramme: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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Time to Major Cytogenetic Response (MCyR): Time to MCyR is the Time From First Dose to First MCyR (0-35% Ph+ Metaphases); Computed Only for CML-CP Subjects Who Achieved MCyR
Tidsramme: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C; Time to response was calculated as time from date of first dose to date of first occurrence of best response
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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Time to Major Molecular Response : Time to MMR is the Time From First Dose to First MMR (BCR-ABL1 Ratio of ≤ 0.1%) Computed Only for CML-CP Subjects Who Achieved MMR
Tidsramme: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C; Time to response was calculated as time from date of first dose to date of first occurrence of best response
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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In All Subjects Progression Free Survival (PFS)
Tidsramme: All subjects will be followed up at 12, 24, 36 months from the first dose of K0706 and beyond, until intolerance, disease progression or subject withdrawal from the study.
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PART C
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All subjects will be followed up at 12, 24, 36 months from the first dose of K0706 and beyond, until intolerance, disease progression or subject withdrawal from the study.
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In All Subjects Overall Survival (OS)
Tidsramme: All subjects will be followed up at 12, 24, 36 months from the first dose of K0706 and beyond, until intolerance, disease progression or subject withdrawal from the study.
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PART C
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All subjects will be followed up at 12, 24, 36 months from the first dose of K0706 and beyond, until intolerance, disease progression or subject withdrawal from the study.
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Incidence and Severity of Treatment Emergent AEs (PART C)
Tidsramme: All subjects will be followed up for up to 60 months from the first dose of Vodobatinib (K0706), unless subject discontinues due to intolerance or progression of disease.
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Number of Participants with treatment emergent Adverse Events in Part C
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All subjects will be followed up for up to 60 months from the first dose of Vodobatinib (K0706), unless subject discontinues due to intolerance or progression of disease.
|
|
Pharmacokinetic Profile of K0706 - Cmax [The Maximum (Peak) Observed Drug Concentration After Dose Administration]
Tidsramme: All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
|
PART C
|
All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
|
|
Pharmacokinetic Profile of Vodobatinib (K0706) - Tmax [The Time to Reach Maximum (Peak) Drug Concentration After Dose Administration]
Tidsramme: All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
|
PART C
|
All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
|
|
To Characterize the Pharmacokinetics (AUC(0-inf)) of K0706 After Single Oral Doses in Healthy Male Subjects
Tidsramme: Approximately 28 ± 2 days
|
Part A
|
Approximately 28 ± 2 days
|
|
To Characterize the Pharmacokinetics of K0706 (AUC(0-inf)) After Single Oral Doses in Fasted and Fed State in Healthy Male Subjects
Tidsramme: Approximately 28 ± 2 days
|
Part A
|
Approximately 28 ± 2 days
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Publikationer og nyttige links
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Faktiske)
Primær færdiggørelse
Studieafslutning (Faktiske)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Anslået)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
- Patologiske processer
- Neoplasmer
- Kronisk sygdom
- Sygdomsegenskaber
- Neoplasmer efter histologisk type
- Hæmatologiske sygdomme
- Leukæmi, myeloid
- Knoglemarvssygdomme
- Leukæmi
- Myeloproliferative lidelser
- Patologiske tilstande, tegn og symptomer
- Hemiske og lymfatiske sygdomme
- Leukæmi, myelogen, kronisk, BCR-ABL positiv
- Farmaceutiske præparater
- Doseringsformer
- Kapsler
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- CLR_15_03 V 12 Amendment 12
Plan for individuelle deltagerdata (IPD)
Planlægger du at dele individuelle deltagerdata (IPD)?
Lægemiddel- og udstyrsoplysninger, undersøgelsesdokumenter
Studerer et amerikansk FDA-reguleret lægemiddelprodukt
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