Udvidet adgangsprogram til SNDX-5613
Udvidet adgangsprogram til SNDX-5613 hos patienter med recidiverende/refraktær akutte leukæmier med genetiske ændringer forbundet med HOXA-overekspression
This expanded access program will provide an investigational treatment option in a controlled clinical setting for participants who are not otherwise eligible to participate in other Syndax-sponsored clinical studies and have no approved treatment options.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Undersøgelsestype
Undersøgelsestype
Udvidet adgangstype
Udvidet adgangstype
- Individual patienter: Giver en enkelt patient med en alvorlig sygdom eller tilstand, som ikke kan deltage i et klinisk forsøg, adgang til et lægemiddel eller et biologisk produkt som ikke er godkendt af FDA. Denne kategori omfatter også adgang i en nødsituation.
- Befolkning af mellemstørrelse: Giver mere end én patient (men generelt færre patienter end gennem en behandlings-IND/-protokol) adgang til en lægemiddel eller biologisk produkt, der ikke er godkendt af FDA. Denne type udvidet adgang bruges, når flere patienter med samme sygdom eller tilstand søger adgang til et specifikt lægemiddel eller biologisk produkt, som ikke er godkendt af FDA.
- Behandling IND/protokol strong>: Giver en stor, udbredt befolkning adgang til et lægemiddel eller et biologisk produkt, der ikke er godkendt af FDA. Denne form for udvidet adgang kan kun gives, hvis produktet allerede er under udvikling til markedsføring til samme brug som den udvidede adgang.
- Behandling IND/Protokol
Kontakter og lokationer
Studiesteder
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Alabama
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Birmingham, Alabama, Forenede Stater, 35233
- Alabama Center for Childhood Cancer And Blood Disorders, Children's of Alabama
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Arizona
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Phoenix, Arizona, Forenede Stater, 85016
- Phoenix Children's Hospital
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California
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Duarte, California, Forenede Stater, 91010
- City of Hope
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Irvine, California, Forenede Stater, 92618
- City of Hope at Orange County Lennar Foundation Cancer Center
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Los Angeles, California, Forenede Stater, 90095
- UCLA, UCLA RRMC, Drug Information Center, Department of Pharmaceutical Services Drug Supply Shipment
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Palo Alto, California, Forenede Stater, 94304
- Lucile Packard Children's Hospital-Stanford
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San Diego, California, Forenede Stater, 92123
- Rady Children's Hospital
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San Francisco, California, Forenede Stater, 94158
- University of California, San Francisco
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Colorado
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Aurora, Colorado, Forenede Stater, 80045
- Center for Cancer and Blood Disorders, Colorado Children's Hospital
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Aurora, Colorado, Forenede Stater, 80045
- HCTU, Division of Hematology, University of Colorado, Anschutz Medical Center
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Florida
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Orlando, Florida, Forenede Stater, 32804
- Advent Health Orlando
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Georgia
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Atlanta, Georgia, Forenede Stater, 30322
- Children's Healthcare of Atlanta
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Atlanta, Georgia, Forenede Stater, 30322
- Winship Cancer Institute at Emory University
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Illinois
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Chicago, Illinois, Forenede Stater, 60611
- Lurie Children's Hospital of Chicago
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Chicago, Illinois, Forenede Stater, 60637
- University of Chicago Medical Center
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Iowa
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Iowa City, Iowa, Forenede Stater, 52242
- University of Iowa Hospitals and Clinics
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Louisiana
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New Orleans, Louisiana, Forenede Stater, 70118
- Children's Hospital
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Massachusetts
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Boston, Massachusetts, Forenede Stater, 02215
- Dana-Farber Cancer Institute, Boston Children's Cancer and Blood Disorders Center
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Missouri
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Kansas City, Missouri, Forenede Stater, 64108
- Children's Mercy Hospital-Kansas City
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St Louis, Missouri, Forenede Stater, 63110
- Siteman Cancer Center - Washington University
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New Jersey
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Hackensack, New Jersey, Forenede Stater, 07601
- Hackensack University Medical Center
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New York
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Long Island City, New York, Forenede Stater, 10065
- Memorial Sloan Kettering Cancer Center
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The Bronx, New York, Forenede Stater, 10467
- Montefiore Medical Center
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North Carolina
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Durham, North Carolina, Forenede Stater, 27705
- Duke University Medical Center
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Ohio
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Cincinnati, Ohio, Forenede Stater, 45229
- Cincinnati Children's Hospital Medical Center
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Cincinnati, Ohio, Forenede Stater, 45267
- Division of Hematology and Oncology, Division of Pulmonary, Critical Care and Sleep Medicine, Vontz Center for Molecular Studies
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Columbus, Ohio, Forenede Stater, 43210
- OSU Medical Center
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Oregon
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Portland, Oregon, Forenede Stater, 97239
- Doernbecher Children's Hospital, Oregon Health & Science University
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Pennsylvania
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Philadelphia, Pennsylvania, Forenede Stater, 19104
- Children's Hospital of Philadelphia
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Tennessee
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Memphis, Tennessee, Forenede Stater, 38105
- St. Jude Children's Research Hospital
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Texas
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Houston, Texas, Forenede Stater, 77030
- MD Anderson Cancer Center
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Houston, Texas, Forenede Stater, 77030
- Texas Children's Hospital
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Houston, Texas, Forenede Stater, 77030
- Memorial Hermann-Texas Medical Center
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Utah
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Salt Lake City, Utah, Forenede Stater, 84112
- Division of Hematology and Hematologic Malignancies, University of Utah-Huntsman Cancer Hospital
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Washington
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Seattle, Washington, Forenede Stater, 98105
- Seattle Children's Research Institute, Seattle Childrens Hospital
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Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Key Inclusion Criteria:
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Male or female participant aged ≥6 months.
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Not eligible for participation in an ongoing clinical study and have no approved treatment options.
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Participant or participant's health care proxy is able and willing to provide written informed consent and able to follow study instructions.
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Relapsed or refractory (R/R) acute leukemia, as defined by standardized criteria, after standard of care therapy, including but not limited to 1 or 2 cycles of intensive chemotherapy, or venetoclax combinations:
- R/R leukemia is defined by the presence of ≥5% blasts in the bone marrow and/or persistence or reappearance of peripheral blasts.
- Participants with persistent leukemia after initial therapy or recurrence of leukemia at any time after achieving a response during or after the course of treatment (including allogeneic hematopoietic stem cell transplant [HSCT]) are eligible.
- Participants with isolated extra-medullary disease are allowed if extramedullary disease was confirmed with biopsy.
- Participants previously treated on a revumenib clinical study who are entering the expanded access program for post-transplant maintenance because they are not eligible to receive revumenib on study or because the study is closed are not required to meet the R/R status.
- Participants who underwent HSCT and are eligible to resume treatment with revumenib will be dosed with the last revumenib tolerated dose before transplant.
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Acute leukemia harboring a lysine (K) methyltransferase 2A gene rearrangement (KMT2Ar), nucleoporin 98 rearrangement, nucleophosmin 1 mutation (or mutated) or any other genetic alteration with overexpression of HOXA genes predicted to potentially respond to menin inhibitors.
- Note: As revumenib is now approved in the United States, only participants with a KMT2Ar who are not included in the United States prescribing information indication or cannot be accurately dosed (within a 20% margin) with commercial supply and require use of oral solution will be allowed into the study.
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Adequate liver, renal, and cardiac function.
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Use of highly effective methods of contraception are required for females and males of childbearing potential from the time of enrollment through 120 days following the last study intervention dose.
For participants currently being treated with revumenib in a Syndax-sponsored clinical study or Syndax investigator-sponsored trial, the following criteria must be met:
- In the opinion of the Investigator, participant demonstrated acceptable benefit from and tolerability of the study intervention.
- Participant is considered compliant with study intervention and procedures.
- Participant does not meet any criteria for study intervention discontinuation.
- Investigator and participant agree to continue study intervention treatment.
- Participant continues to experience clinical benefit.
Key Exclusion Criteria:
- Evidence of uncontrolled infection.
- Pregnant or nursing women.
- Cardiac or gastrointestinal disease.
- Graft-Versus-Host Disease (GVHD): Signs or symptoms of acute or chronic GVHD >Grade 1 within 4 weeks of enrollment. All transplant participants must have been off all systemic immunosuppressive therapy and calcineurin inhibitors for at least 1 week before enrollment, with the exception of steroids.
- History of or any concurrent condition, therapy, laboratory abnormality, or allergy to excipients that, in the Investigator's opinion, either may interfere with the participant's participation or results in the conclusion that it is not in the best interest of the participant to participate.
- Participants receiving other antileukemic therapy within 14 days of start of study drug and who have not recovered from previous adverse reactions.
Note: Other protocol defined Inclusion/Exclusion criteria may apply.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Studieleder: Medical Director, Syndax Pharmaceuticals
Datoer for undersøgelser
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
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
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- SNDX-5613-0707
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