JNJ-75276617:n tutkimus osallistujilla, joilla on akuutti leukemia (cAMeLot-1)
Ensimmäinen ihmistutkimus Menin-KMT2A (MLL1) -estäjää JNJ-75276617 osallistujilla, joilla on akuutti leukemia
The purpose of this study is to determine the recommended Phase 2 dose(s) (RP2D[s]) of bleximenib in phase 1 Part 1 (Dose Escalation) and to determine the safety and tolerability at RP2D in Phase 1 Part 2 (Dose expansion). The purpose of the Phase 2 part of the study is to evaluate the efficacy of bleximenib at the RP2D.
Tutkimuksen yleiskatsaus
Opintotyyppi
Ilmoittautuminen (Arvioitu)
Vaihe
- Vaihe 2
- Vaihe 1
Yhteystiedot ja paikat
Opiskeluyhteys
- Nimi: Study Contact
- Puhelinnumero: 844-434-4210
- Sähköposti: Participate-In-This-Study1@its.jnj.com
Opiskelupaikat
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Clayton, Australia, 3168
- Rekrytointi
- Monash Medical Centre
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Perth, Australia, 6000
- Rekrytointi
- Royal Perth Hospital
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Southport, Australia, 4211
- Rekrytointi
- Gold Coast University Hospital
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Ghent, Belgia, 9000
- Rekrytointi
- Ghent University Hospital
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Brasília, Brasilia, 70390-140
- Rekrytointi
- IDOR - Regional Brasilia
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Natal, Brasilia, 59062 000
- Rekrytointi
- Liga Norte Riograndense Contra O Cancer
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Rio de Janeiro, Brasilia, 20230 130
- Rekrytointi
- Ministerio da Saude Instituto Nacional do Cancer
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São Paulo, Brasilia, 01246 000
- Rekrytointi
- Fundacao Faculdade de Medicina - Instituto do Cancer do Estado de Sao Paulo
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São Paulo, Brasilia, 01509 900
- Rekrytointi
- Fundacao Antonio Prudente A C Camargo Cancer Center
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São Paulo, Brasilia, 01401 002
- Rekrytointi
- IDOR - Regional Sao Paulo
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Barcelona, Espanja, 08036
- Rekrytointi
- Hosp Clinic de Barcelona
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Barcelona, Espanja, 08035
- Rekrytointi
- Hosp Univ Vall D Hebron
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Madrid, Espanja, 28009
- Rekrytointi
- Hospital Infantil Universitario Nino Jesus
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Madrid, Espanja, 28007
- Rekrytointi
- Hosp. Gral. Univ. Gregorio Maranon
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Madrid, Espanja, 28040
- Rekrytointi
- Hosp Univ Fund Jimenez Diaz
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Pamplona, Espanja, 31008
- Rekrytointi
- Clinica Univ. de Navarra
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Salamanca, Espanja, 37007
- Rekrytointi
- Hosp Clinico Univ de Salamanca
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Seville, Espanja, 41013
- Rekrytointi
- Hosp. Virgen Del Rocio
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Valencia, Espanja, 46010
- Rekrytointi
- Hosp. Clinico Univ. de Valencia
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Seoul, Etelä -Korea, 05505
- Rekrytointi
- Asan Medical Center
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Seoul, Etelä -Korea, 03080
- Rekrytointi
- Seoul National University Hospital
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Seoul, Etelä -Korea, 06351
- Rekrytointi
- Samsung Medical Center
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Haifa, Israel, 3436212
- Rekrytointi
- Carmel Medical Center
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Jerusalem, Israel, 9112001
- Rekrytointi
- Hadassah University Hospita Ein Kerem
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Ramat Gan, Israel, 52621
- Rekrytointi
- Sheba Medical Center
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Tel Aviv, Israel, 6423906
- Rekrytointi
- Tel Aviv Sourasky Medical Center
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Fukuoka, Japani, 812-0054
- Aktiivinen, ei rekrytointi
- Kyushu University Hospital
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Fukushima, Japani, 960 1295
- Aktiivinen, ei rekrytointi
- Fukushima Medical University Hospital
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Kanazawa, Japani, 920 8641
- Aktiivinen, ei rekrytointi
- Kanazawa University Hospital
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Kashiwa, Japani, 277-8577
- Aktiivinen, ei rekrytointi
- National Cancer Center Hospital East
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Kobe, Japani, 650 0047
- Valmis
- Kobe City Medical Center General Hospital
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Maebashi, Japani, 371-0821
- Valmis
- Gunmaken Saiseikai Maebashi Hospital
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Nagoya, Japani, 466-8560
- Valmis
- Nagoya University Hospital
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Sapporo, Japani, 060-8648
- Valmis
- Hokkaido University Hospital
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Tokyo, Japani, 141-8625
- Aktiivinen, ei rekrytointi
- NTT Medical Center Tokyo
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Yamagata, Japani, 990 2331
- Valmis
- Yamagata University Hospital
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Yoshida, Japani, 910-1193
- Valmis
- University of Fukui Hospital
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British Columbia
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Vancouver, British Columbia, Kanada, V5Z 1M9
- Rekrytointi
- Vancouver Coastal Health
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Ontario
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Toronto, Ontario, Kanada, M5G 1X6
- Rekrytointi
- Princess Margaret Cancer Centre University Health Network
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Quebec
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Montreal, Quebec, Kanada, H1T 2M4
- Rekrytointi
- Hopital Maisonneuve Rosemont
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Beijing, Kiina, 100034
- Rekrytointi
- Peking University First Hospital
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Changchun, Kiina, 130021
- Rekrytointi
- The First Hospital of Jilin University
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Chengdu, Kiina, 610041
- Rekrytointi
- West China Hospital Si Chuan University
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Guangzhou, Kiina, 510515
- Valmis
- Nanfang Hospital of Southern Medical Hospital
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Hangzhou, Kiina, 310009
- Rekrytointi
- First Affiliated Hospital Medical School of Zhejiang University
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Jinan, Kiina, 250012
- Rekrytointi
- Qilu Hospital of Shandong University
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Nanchang, Kiina, 330006
- Rekrytointi
- The First Affiliated Hospital of NanChang University
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Nanjing, Kiina, 210009
- Rekrytointi
- Zhongda Hospital Southeast University
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Tianjin, Kiina, 301609
- Rekrytointi
- Institute of Hematology and Blood Diseases Hospital
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Wenzhou, Kiina, 325000
- Rekrytointi
- The First Affiliated Hospital of Wenzhou Medical University
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Wuhan, Kiina, 430022
- Rekrytointi
- Union Hospital Tongji Medical College of Huazhong University of Science and Technology
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Zhengzhou, Kiina, 450003
- Rekrytointi
- Henan Cancer Hospital
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Besançon, Ranska, 25000
- Rekrytointi
- Hopital Jean Minjoz
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Marseille, Ranska, 13009
- Rekrytointi
- Institut Paoli Calmettes
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Nantes, Ranska, 44093
- Rekrytointi
- CHU de Nantes hotel Dieu
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Paris, Ranska, 75010
- Rekrytointi
- Hopital Saint Louis
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Paris, Ranska, 75012
- Rekrytointi
- Hopital trousseau- APHP
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Pessac, Ranska, 33604
- Valmis
- Centre Hospitalier Universitaire (CHU) de Bordeaux Hopital HautLeveque Centre Francois Magendie
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Pierre-Bénite, Ranska, 69310
- Rekrytointi
- CHU Lyon Sud
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Strasbourg, Ranska, 67098
- Rekrytointi
- Hôpitaux Universitaires de Strasbourg - Hôpital de Hautepierre
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Toulouse, Ranska, 31059
- Rekrytointi
- Institut Universitaire du Cancer Toulouse Oncopole
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Tours, Ranska, 37044
- Rekrytointi
- CHU Bretonneau
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Vandœuvre-lès-Nancy, Ranska, 54511
- Rekrytointi
- CHRU Nancy Brabois
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Vandœuvre-lès-Nancy, Ranska, 54500
- Rekrytointi
- CHRU de Nancy - Hopitaux de Brabois
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Villejuif, Ranska, 94805
- Rekrytointi
- Gustave Roussy
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Taichung, Taiwan, 404327
- Rekrytointi
- China Medical University Hospital
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Tainan, Taiwan, 704
- Rekrytointi
- National Cheng Kung University Hospital
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Taipei, Taiwan, 10043
- Rekrytointi
- National Taiwan University Hospital
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Cardiff, Yhdistynyt kuningaskunta, CF14 4XW
- Rekrytointi
- University Hospital of Wales
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Leeds, Yhdistynyt kuningaskunta, LS9 7TF
- Rekrytointi
- Leeds Teaching Hospitals NHS Trust
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Liverpool, Yhdistynyt kuningaskunta, L7 8YA
- Rekrytointi
- The Clatterbridge Cancer Centre
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London, Yhdistynyt kuningaskunta, SE1 9RT
- Rekrytointi
- Guys and St Thomas NHS Foundation Trust
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London, Yhdistynyt kuningaskunta, W1T 7HA
- Rekrytointi
- University College London Hospitals
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Manchester, Yhdistynyt kuningaskunta, M20 4BX
- Rekrytointi
- The Christie Nhs Foundation Trust
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Oxfordshire, Yhdistynyt kuningaskunta, OX3 7LE
- Rekrytointi
- Oxford University Hospitals NHS Trust
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Plymouth, Yhdistynyt kuningaskunta, PL6 8DH
- Rekrytointi
- University Hospitals Plymouth NHS Trust
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California
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Duarte, California, Yhdysvallat, 91010
- Rekrytointi
- City of Hope
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Orange, California, Yhdysvallat, 92868
- Valmis
- University of California Irvine Medical Center
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San Francisco, California, Yhdysvallat, 94143
- Rekrytointi
- University of California San Francisco
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San Francisco, California, Yhdysvallat, 94158
- Rekrytointi
- UCSF Benioff Children's Hospital
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Illinois
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Chicago, Illinois, Yhdysvallat, 60637
- Rekrytointi
- University of Chicago
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Indiana
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Indianapolis, Indiana, Yhdysvallat, 46237
- Rekrytointi
- St Francis Hospital & Health Centers Indiana Blood and Marrow Transplantation
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Kentucky
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Louisville, Kentucky, Yhdysvallat, 40207
- Valmis
- Norton Cancer Institute
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Maine
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South Portland, Maine, Yhdysvallat, 04106
- Rekrytointi
- Maine Health
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Massachusetts
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Boston, Massachusetts, Yhdysvallat, 02114
- Rekrytointi
- Massachusetts General Hospital
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Boston, Massachusetts, Yhdysvallat, 02115
- Rekrytointi
- Dana Farber Cancer Institute
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Michigan
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Detroit, Michigan, Yhdysvallat, 48201 2013
- Valmis
- Karmanos Cancer Institute
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Grand Rapids, Michigan, Yhdysvallat, 49546
- Rekrytointi
- Start Midwest
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New Mexico
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Albuquerque, New Mexico, Yhdysvallat, 87131
- Rekrytointi
- University of New Mexico
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New York
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Buffalo, New York, Yhdysvallat, 14263
- Rekrytointi
- Roswell Park Comprehensive Cancer Center
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New York, New York, Yhdysvallat, 10016
- Rekrytointi
- NYU Langone Medical Center
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The Bronx, New York, Yhdysvallat, 10467
- Rekrytointi
- Montefiore Medical Center
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Oregon
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Portland, Oregon, Yhdysvallat, 97239
- Rekrytointi
- Oregon Health And Science University
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Pennsylvania
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Philadelphia, Pennsylvania, Yhdysvallat, 19111
- Valmis
- Fox Chase Cancer Center
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Tennessee
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Knoxville, Tennessee, Yhdysvallat, 37920
- Rekrytointi
- University of Tennessee Medical Center
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Texas
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Dallas, Texas, Yhdysvallat, 75246
- Rekrytointi
- Baylor University Medical Center
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Houston, Texas, Yhdysvallat, 77030
- Rekrytointi
- MD Anderson
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Houston, Texas, Yhdysvallat, 77030-2740
- Rekrytointi
- Houston Methodist Hospital
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San Antonio, Texas, Yhdysvallat, 78229
- Rekrytointi
- San Antonio Methodist TX Transplant Physicians Group
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Virginia
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Richmond, Virginia, Yhdysvallat, 23298
- Rekrytointi
- Virginia Commonwealth University
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Washington
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Seattle, Washington, Yhdysvallat, 98104
- Rekrytointi
- Swedish Cancer Institute
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Wisconsin
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Milwaukee, Wisconsin, Yhdysvallat, 53226
- Rekrytointi
- Medical College of WI at Froedtert
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Sukupuolet, jotka voivat opiskella
Kuvaus
Inclusion Criteria:
Phase 1:
- Age 2 years to less than (<) 18 years of age (pediatric cohort only), all other cohorts 18 years and above
- Relapsed or refractory (R/R) acute leukemia and has exhausted, or is ineligible for, available therapeutic options
- Acute leukemia harboring histone-lysine N-methyltransferase 2A (KMT2A), nucleophosmin 1 gene (NPM1) or nucleoporin 98 gene or nucleoporin 214 gene (NUP98 or NUP214) alterations
Phase: 2
- Participants greater than 18 years are eligible
- Must have had an initial diagnosis of acute myeloid leukemia (AML) per the WHO 2022 classification criteria and have relapsed/refractory disease
- AML harboring KMT2A-r (gene rearrangement/translocation) or NPM1 mutations only
For Both Phase 1 and 2:
- Pretreatment clinical laboratory values meeting the following criteria: (a) Hematology: white blood cell (WBC) count <= 20*10^9/liter (L) and (b) renal function; For adult participants, estimated or measured glomerular filtration rate >= 30 milliliter per minute (mL/min) per four variable MDRD equation. For pediatric participants an estimated or measured glomerular filtration rate >=40 mL/min per the CKiD (Chronic Kidney Disease in Children) Schwartz formula
- Eastern Cooperative Oncology Group (ECOG) performance status grade of 0, 1 or 2. Pediatric participants only: Performance status >=70 by Lansky scale (for participants < 16 years of age) or >=70 Karnofsky scale (for participants >=16 years of age)
- A female of childbearing potential must have a negative highly sensitive serum beta-human chorionic gonadotropin at screening and within 48 hours prior to the first dose of study treatment
- Participant must agree to all protocol required contraception requirements and avoid sperm or egg donations or freezing for future reproductive use while on study and for 90 days (males) or 6 months (females) after the last dose of study treatment
Exclusion Criteria:
- Acute promyelocytic leukemia, diagnosis of Down syndrome associated leukemia or juvenile myelomonocytic leukemia according to World Health Organization (WHO) 2016 criteria
- Active central nervous system (CNS) disease
- Prior solid organ transplantation
- QTc according to Fridericia's formula (QTcF) for males >= 450 millisecond (msec) or for females >= 470 msec. Participants with a family history of Long QT syndrome are excluded
- Exclusion criteria related to stem cell transplant: a. Received prior treatment with allogenic bone marrow or stem cell transplant <=3 months before the first dose of study treatment ; b. Has evidence of graft versus host disease; c. Received donor lymphocyte infusion <=1 month before the first dose of study treatment; d. Requires immunosuppressant therapy (exception: daily doses <=10 milligrams (mg) prednisone or equivalent are allowed for adrenal replacement)
- Prior cancer immunotherapy within 4 weeks prior to enrollment or blinatumomab within 2 weeks prior to enrollment. Additional prior cancer therapies must not be given within 4 weeks prior to enrollment or 5 half-lives of the agent (whichever is shorter)
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Ei käytössä
- Inventiomalli: Peräkkäinen tehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
|---|---|
|
Kokeellinen: Bleximenib
Participants in Phase 1 Part 1 (dose escalation) will receive bleximenib orally. The dose levels will be escalated based on the dose limiting toxicities (DLT) evaluation by Study Evaluation Team (SET) until the recommended Phase 2 Doses (RP2Ds) have been identified. Participants in Phase 1 Part 2 (dose expansion) will receive bleximenib orally at the RP2D(s) determined in Part 1. In Phase 2 participants will receive bleximenib at the RP2D to evaluate anti-leukemia activity and demonstrate acceptable safety at the RP2D(s). |
Bleximenib is administered orally.
Muut nimet:
|
Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
|
Phase 1: Number of Participants with Adverse Events (AEs) as a Measure of Safety and Tolerability
Aikaikkuna: Up to 4 years and 9 months
|
An AE is any untoward medical occurrence in a participant participating in a clinical study that does not necessarily have a causal relationship with the pharmaceutical/biological agent under study. |
Up to 4 years and 9 months
|
|
Phase 1: Number of Participants with AEs by Severity
Aikaikkuna: Up to 4 years and 9 months
|
Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0. Severity scale ranges from Grade 1 (Mild) to Grade 5 (Death). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening and Grade 5= Death related to adverse event. |
Up to 4 years and 9 months
|
|
Phase 1: Part 1: Percentage of Participants with Dose-Limiting Toxicity (DLT)
Aikaikkuna: Up to 28 days Cycle 1
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Percentage of participants with DLT will be assessed accordingly to national cancer institute common terminology criteria for adverse events (NCI-CTCAE) version 5. |
Up to 28 days Cycle 1
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Phase 2: Rate of Complete Remission or Complete Remission with Partial Hematologic Recovery (CR/CRh)
Aikaikkuna: Up to 4 years and 9 months
|
Rate of CR/CRh is defined as the percentage of participants achieving a CR or CRh at any time post-treatment. |
Up to 4 years and 9 months
|
Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
|---|---|---|
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Phase 1 and 2: Plasma Concentration of Bleximenib
Aikaikkuna: Up to 4 years and 9 months
|
Plasma concentration of bleximenib will be reported. |
Up to 4 years and 9 months
|
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Phase 1 and 2: Overall Response Rate (ORR)
Aikaikkuna: Up to 4 years and 9 months
|
ORR is defined as the percentage of participants who achieve any response. |
Up to 4 years and 9 months
|
|
Phase 1: Duration of Response (DOR)
Aikaikkuna: Up to 4 years and 9 months
|
DOR will be calculated among responders from the date of initial documentation of a response to the date of first documented evidence of relapse, as defined in the disease-specific response criteria, or death due to any cause, whichever occurs first. |
Up to 4 years and 9 months
|
|
Phase 1 and 2: Time To Response (TTR)
Aikaikkuna: Up to 4 years and 9 months
|
TTR is defined for the responders as the time from the date of the first dose of bleximenib to the date of the first documented response. |
Up to 4 years and 9 months
|
|
Phase 2: Duration of Complete Response (CR)/Complete Remission With Partial Hematologic Recovery (CRh)
Aikaikkuna: Up to 4 years and 9 months
|
The duration of CR/CRh is defined from the date of first CR or CRh response achieved to the date of first evidence of relapsed disease or death due to any cause, whichever occurs first, for participants who achieve a CR or CRh. |
Up to 4 years and 9 months
|
|
Phase 2: Time To CR/CRh
Aikaikkuna: Up to 4 years and 9 months
|
Time to CR/CRh is defined for responders as the time from the date of the first dose of bleximenib to the date of first achieving either CR or CRh, depending on which milestone is reached. |
Up to 4 years and 9 months
|
|
Phase 2: Event-free survival (EFS)
Aikaikkuna: Up to 4 years and 9 months
|
EFS is defined as the time from the date of first dose of study treatment to the date of treatment failure, relapse, or death due to any cause, whichever occurs first. |
Up to 4 years and 9 months
|
|
Phase 2: Overall survival (OS)
Aikaikkuna: Up to 4 years and 9 months
|
OS is defined from the date of first dose of study treatment to the date of death due to any cause. |
Up to 4 years and 9 months
|
|
Phase 2: Measurable Residual Disease (MRD) Negativity Among Participants Achieving CR/CRh/CRi
Aikaikkuna: Up to 4 years and 9 months
|
MRD-negative rate is defined as the percentage of participants who are MRD-negative at any timepoint after the first dose of bleximenib in the responders. |
Up to 4 years and 9 months
|
|
Phase 2: Number of Participants with Adverse Events (AEs) and Serious Adverse Events (SAEs)
Aikaikkuna: Up to 4 years and 9 months
|
An AE is any untoward medical event that occurs in a participant administered an investigational product, and it does not necessarily indicate only events with clear causal relationship with the relevant investigational product. A Serious AE is an AE resulting in any of the following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly. |
Up to 4 years and 9 months
|
|
Phase 2: Number of Participants Reporting Transfusion Independence
Aikaikkuna: Up to 4 years and 9 months
|
Transfusion independence is defined as independence from red blood cells (RBC) and platelet transfusions during any 56-day interval after receiving study treatment. |
Up to 4 years and 9 months
|
Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Opintojohtaja: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Julkaisuja ja hyödyllisiä linkkejä
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Arvioitu)
Opintojen valmistuminen (Arvioitu)
Opintoihin ilmoittautumispäivät
Ensimmäinen lähetetty
Ensimmäinen toimitettu, joka täytti QC-kriteerit
Ensimmäinen Lähetetty (Todellinen)
Tutkimustietojen päivitykset
Viimeisin päivitys julkaistu (Todellinen)
Viimeisin lähetetty päivitys, joka täytti QC-kriteerit
Viimeksi vahvistettu
Lisää tietoa
Tähän tutkimukseen liittyvät termit
Muut tutkimustunnusnumerot
- CR108998
- 75276617ALE1001 (Muu tunniste: Janssen Research & Development, LLC)
- 2023-506581-31-00 (Rekisterin tunniste: EUCT number)
- 2023 (Yhdysvaltain NIH-apuraha/sopimus)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
The data sharing policy of Johnson & Johnson Innovative Medicine is available at innovativemedicine.jnj.com/our-innovation/clinical-trials/transparency. As noted on this site, requests for access to the study data can be submitted through Yale Open Data Access (YODA) Project site at yoda.yale.edu
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
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