- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07572006
A Study of JNJ-95804306 for Relapsed or Refractory Hematological Malignancies
A Phase 1, First-in-human, Dose Escalation Study of JNJ-95804306 for Relapsed or Refractory Hematological Malignancies
Studieoversigt
Status
Betingelser
Intervention / Behandling
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 1
Kontakter og lokationer
Studiekontakt
- Navn: Study Contact
- Telefonnummer: 844-434-4210
- E-mail: Participate-In-This-Study1@its.jnj.com
Studiesteder
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Melbourne, Australien, 3000
- Rekruttering
- Peter MacCallum Cancer Centre
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Edegem, Belgien, 2650
- Rekruttering
- UZ Antwerpen
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Aarhus N, Danmark, DK-8200
- Rekruttering
- Aarhus University Hospital
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Manchester, Det Forenede Kongerige, M20 4BX
- Rekruttering
- The Christie NHS Foundation Trust
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Indiana
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Indianapolis, Indiana, Forenede Stater, 46237
- Rekruttering
- Indiana Blood & Marrow Transplantation
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Michigan
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Grand Rapids, Michigan, Forenede Stater, 49546
- Rekruttering
- START MidWest
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New Jersey
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Piscataway, New Jersey, Forenede Stater, 08854
- Rekruttering
- Rutgers Cancer Institute of New Jersey
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New York
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New York, New York, Forenede Stater, 10016
- Rekruttering
- NYU Langone Health
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Tennessee
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Nashville, Tennessee, Forenede Stater, 37203
- Rekruttering
- Sarah Cannon Cancer Institute
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Texas
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Houston, Texas, Forenede Stater, 77030
- Rekruttering
- MD Anderson Cancer Center - University of Texas
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Marseille, Frankrig, 13009
- Rekruttering
- Institut Paoli Calmettes
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Pierre-Bénite, Frankrig, 69495
- Rekruttering
- CHU Lyon Sud
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Toulouse, Frankrig, 31059
- Rekruttering
- Institut Claudius Regaud
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Madrid, Spanien, 28040
- Rekruttering
- Hosp Univ Fund Jimenez Diaz
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Pamplona, Spanien, 31008
- Rekruttering
- Clinica Univ. de Navarra
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Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Inclusion criteria:
For Arm A:
- Have a diagnosis of: Acute myeloid leukemia (AML) per International Consensus Classification (ICC) 2022 or myelodysplastic syndromes (MDS) per world health organization (WHO) 2022 classified as moderate high, high, or very high-risk per the molecular international prognostic scoring system (IPSSM). All participants must have relapsed or refractory disease and have exhausted or are ineligible for standard therapeutic options
- Body weight greater than or equal to (>=) 40 kilograms (kg)
- Eastern cooperative oncology group (ECOG) performance status of 0 to 2
For Arm B:
All participants must have relapsed or refractory disease with no other approved therapies available that would be more appropriate in the investigator's judgement. Have a diagnosis of either: Chronic lymphocytic leukemia (CLL)/Small lymphocytic lymphoma (SLL) meeting 2018 International workshop on chronic lymphocytic leukemia (iwCLL) National cancer institute (NCI) working group guidelines (Hallek 2018) that meet the following criteria:
a. Participants must have received at least 2 prior lines of therapy; b. Have clinically measurable disease
- Body weight >= 40 kg
- ECOG performance status of 0 to 2
- Must sign an Informed consent form (ICF)
- For US sites: Have a diagnosis of CLL/SLL that meets iwCLL, NCI Working Group Guidelines which is relapsed or refractory and requires treatment with no other approved therapies available that would be more appropriate in the investigator's judgement. a. Participants must have received at least 2 prior lines of therapy
Exclusion criteria:
For Arm A:
- Has acute promyelocytic leukemia according to world health organization (WHO) 2022 criteria or known active central nervous system (CNS) involvement of AML/MDS, unless in specific cohort (s) per study evaluation team (SET) decision
- Need for supplemental oxygen use to maintain adequate oxygenation
- Have evidence of uncontrolled systemic viral, bacterial, or fungal infection. Antimicrobial prophylaxis is permitted
- For US sites: Has acute promyelocytic leukemia according to WHO 2022 criteria or known active CNS involvement of AML/MDS
For Arm B:
- Need for supplemental oxygen use to maintain adequate oxygenation
- Have evidence of uncontrolled systemic viral, bacterial, or fungal infection requiring initiation of parenteral treatment as medical intervention
- Developed Richter's transformation or prolymphocytic leukemia
- Known active CNS or leptomeningeal involvement of CLL/SLL/Non-Hodgkin lymphoma (NHL)
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Ikke-randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
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Eksperimentel: Arm A: R/R Acute Myeloid Leukemia (AML)/ High-Risk Myelodysplastic Syndrome (HR MDS)
Participants with relapsed/refractory (R/R) AML/HR-MDS will receive JNJ-95804306 monotherapy (Arm A1) or as an addition to standard of care (SoC) therapy in AML (Arm A2) to determine the putative recommended phase 2 dose (RP2D) in Part 1 (Dose escalation) of the study.
In Part 2 (Dose expansion) participants will receive JNJ-95804306 monotherapy (Arm A1) or as an addition to SoC therapy in AML (Arm A2) at the determined RP2D regimen(s).
For US sites: Participants with R/R AML/HR-MDS will receive JNJ-95804306 monotherapy to determine the putative RP2D in Part 1 (Dose escalation) of the study.
In Part 2 (Dose expansion) participants will receive JNJ-95804306 monotherapy at the determined RP2D regimen(s).
AML SoC will not be administered for US sites.
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JNJ-95804306 will be administered orally.
AML SoC will be administered subcutaneously/intravenously.
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Eksperimentel: Arm B: R/R Chronic Lymphocytic Leukemia (CLL)/ Small Lymphocytic Lymphoma (SLL) or NHL monotherapy
Participants with R/R CLL/SLL/NHL will receive JNJ-95804306 monotherapy (Arm B1) or as an addition to SoC therapy in R/R CLL/SLL (Arm B2 or B3) to determine the putative RP2D in Part 1 (Dose escalation) of the study.
In Part 2 (Dose expansion) participants will receive JNJ-95804306 monotherapy (Arm B1) or as an addition to SoC therapy in R/R CLL/SLL (Arm B2 or B3) at the determined RP2D regimen(s).
For US sites: Participants with R/R CLL/SLL/NHL will receive JNJ-95804306 monotherapy to determine the putative RP2D in Part 1 (Dose escalation) of the study.
In Part 2 (Dose expansion) participants will receive JNJ-95804306 monotherapy at the determined RP2D regimen(s).
CLL/SLL/NHL SoC will not be administered for US sites.
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JNJ-95804306 will be administered orally.
CLL/SLL SoC will be administered orally/ intravenously.
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Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
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Number of Participants with Adverse Events (AEs) by Severity
Tidsramme: Up to 6 years 5 months
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An AE is any untoward medical occurrence in a participant administered a pharmaceutical (investigational or non investigational) product.
An AE does not necessarily have a causal relationship with the treatment.
Severity of AEs will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version (v) 6.0.
by using standard grades as follows: Grade 1: Mild; asymptomatic or mild symptoms; Grade 2: Moderate; minimal, local or noninvasive intervention indicated; Grade 3: Severe but not immediately life threatening; hospitalization or prolongation of hospitalization indicated; Grade 4: Life-threatening consequences; and Grade 5: Death related to AE.
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Up to 6 years 5 months
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Part 1: Number of Participants with Dose Limiting Toxicities (DLTs)
Tidsramme: Up to 28 days after first full dose of study drug
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DLT is defined as any toxicity that requires discontinuation of treatment; any toxicity resulting in dose reduction of study treatment, any toxicity resulting in a participant receiving less than (<) 2/3 of their intended dose; any grade 5 toxicity; non-hematologic toxicity (grade 3 or 4); and unacceptable hematologic toxicity.
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Up to 28 days after first full dose of study drug
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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For US sites: Part 1: Number of Participants with Dose Limiting Toxicities (DLTs)
Tidsramme: Up to first 28 days after first dose of study drug
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DLT is defined as any toxicity that requires discontinuation of treatment; any toxicity resulting in dose reduction of study treatment, any toxicity resulting in a participant receiving less than (<) 2/3 of their intended dose; any grade 5 toxicity; non-hematologic toxicity (grade 3 or 4); and unacceptable hematologic toxicity.
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Up to first 28 days after first dose of study drug
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Serum Concentrations of JNJ-95804306
Tidsramme: Up to approximately 6 years 5 months
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Serum samples will be analyzed to determine concentrations of JNJ-95804306.
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Up to approximately 6 years 5 months
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Area Under the Curve From Time of Administration until End of Dosing Interval (AUC[t]) of JNJ-95804306
Tidsramme: Up to approximately 6 years 5 months
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AUC[t] is defined as the area under the plasma concentration time curve during a dosing interval at steady-state.
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Up to approximately 6 years 5 months
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Maximum Plasma Concentration (Cmax) of JNJ-95804306
Tidsramme: Up to approximately 6 years 5 months
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Cmax is defined as the maximum serum concentration of JNJ-95804306.
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Up to approximately 6 years 5 months
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Minimum Plasma Concentration (Cmin) of JNJ-95804306
Tidsramme: Up to approximately 6 years 5 months
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Cmin is defined as the minimum plasma concentration of JNJ-95804306.
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Up to approximately 6 years 5 months
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Complete Response (CR) in Participants with Acute Myeloid Leukemia (AML)
Tidsramme: Up to 6 years 5 months
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Complete response (CR) is achieved when a participant with AML has a best response of CR (complete response with partial hematologic recovery [CRh] or complete response with incomplete hematologic recovery [CRi]) according to the European Leukemia Network (ELN) 2022 criteria.
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Up to 6 years 5 months
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Overall Response (OR) in Participants with Myelodysplastic Syndrome (MDS)
Tidsramme: Up to 6 years 5 months
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OR is achieved when a participant with MDS has a CR (any type, that is CRh or complete response with limited count recovery [CRL]), partial response (PR), or hematologic improvement (HI) according to the International Working Group (IWG) 2023 criteria.
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Up to 6 years 5 months
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Complete Response (CR) in Participants with MDS
Tidsramme: Up to 6 years 5 months
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CR is achieved when a participant with MDS has a best response of CR (including CRh/CRL) according to the IWG 2023 criteria.
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Up to 6 years 5 months
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Overall Response (OR) in Participants with Chronic Lymphocytic Leukemia (CLL)
Tidsramme: Up to 6 years 5 months
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OR is achieved when a participant with CLL has a CR or PR according to the International Workshop on Chronic Lymphocytic Leukemia (iwCLL) criteria.
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Up to 6 years 5 months
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Complete Response in Participants with CLL
Tidsramme: Up to 6 years 5 months
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Complete response as per iwCLL response criteria will be reported.
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Up to 6 years 5 months
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Duration of Response (DoR)
Tidsramme: Up to 6 years 5 months
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DOR is defined for responders only, as time from date of initial documentation of a response to the first documented evidence of no response, disease progression, relapse, initiation of a new systemic anti-cancer therapy (besides hematopoietic stem cell transplant [HSCT]), or death, whichever comes first.
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Up to 6 years 5 months
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Time to Response (TTR)
Tidsramme: Up to 6 years 5 months
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TTR is defined for responders only, as the time from the first dose of any study treatment to first qualifying response.
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Up to 6 years 5 months
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Overall Response in Participants with Non-Hodgkin Lymphoma (NHL) Subtypes Including Small Lymphocytic Lymphoma (SLL)
Tidsramme: Up to 6 years 5 months
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Overall response is achieved when a participant with NHL subtypes including SLL has a CR or PR according to the revised response criteria for malignant lymphoma.
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Up to 6 years 5 months
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Complete Response in Participants With NHL Subtypes Including SLL
Tidsramme: Up to 6 years 5 months
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Complete response is achieved when a participant with NHL subtypes including SLL has a best response of CR according to the revised response criteria for malignant lymphoma.
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Up to 6 years 5 months
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Overall Response in WM (Waldenstrom's Macroglobulinemia)
Tidsramme: Up to 6 years 5 months
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Overall response is achieved when a participant with WM has a CR or PR according to international workshop on waldenstrom's macroglobulinemia 2013
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Up to 6 years 5 months
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Complete Response in WM
Tidsramme: Up to 6 years 5 months
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Complete response is achieved when a participant with WM has a best response of CR according to international workshop on waldenstrom's macroglobulinemia 2013.
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Up to 6 years 5 months
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Best Overall Response (BOR) Based on Indication-Specific Criteria
Tidsramme: Up to 6 years 5 months
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Participants with BOR based on indication-specific criteria will be reported.
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Up to 6 years 5 months
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Samarbejdspartnere og efterforskere
Efterforskere
- Studieleder: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
- 95804306EDI1001 (Anden identifikator: Janssen Research & Development, LLC)
- 2026-525234-39 (EudraCT nummer)
- 2026-525234-39-00 (Registry Identifier: EUCT number)
Plan for individuelle deltagerdata (IPD)
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IPD-planbeskrivelse
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