- ICH GCP
- Yhdysvaltain kliinisten tutkimusten rekisteri
- Kliininen tutkimus NCT05086315
Ensimmäinen ihmisissä tehty SAR443579-infuusiotutkimus vähintään 12-vuotiailla miehillä ja naisilla, joilla on uusiutunut tai refraktaarinen akuutti myelooinen leukemia (R/R AML), B-solujen akuutti lymfoblastinen leukemia (B-ALL) tai korkea riski myelodysplasia (HR-MDS)
Avoin, ensimmäinen ihmisellä, annoskorotustutkimus SAR443579:stä, joka annettiin yksittäisenä aineena laskimonsisäisenä infuusiona potilaille, joilla on uusiutunut tai refraktaarinen akuutti myelooinen leukemia (R/R AML), B-solujen akuutti lymfoblastinen leukemia (B-ALL) ) tai korkean riskin myelodysplasia (HR-MDS)
Tutkimuksen yleiskatsaus
Tila
Ehdot
Interventio / Hoito
Yksityiskohtainen kuvaus
Opintotyyppi
Ilmoittautuminen (Todellinen)
Vaihe
- Vaihe 2
- Vaihe 1
Yhteystiedot ja paikat
Opiskelupaikat
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Amsterdam, Alankomaat, 1081 HV
- Investigational Site Number :5280002
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Groningen, Alankomaat, 9713 GZ
- Investigational Site Number :5280003
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Nijmegen, Alankomaat, 6525 GA
- Investigational Site Number : 5280005
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Rotterdam, Alankomaat, 3015 CE
- Investigational Site Number :5280001
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Utrecht, Alankomaat, 3584 CS
- Investigational Site Number :5280004
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Victoria
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Melbourne, Victoria, Australia, 3000
- Investigational Site Number :0360002
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Melbourne, Victoria, Australia, 3004
- Investigational Site Number :0360001
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Tianjin, Kiina, 300020
- Investigational Site Number : 1560001
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Zhengzhou, Kiina, 450008
- Investigational Site Number : 1560003
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Marseille, Ranska, 13009
- Investigational Site Number :2500002
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Paris, Ranska, 75010
- Investigational Site Number :2500001
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Paris, Ranska, 75019
- Investigational Site Number : 2500004
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Villejuif, Ranska, 94800
- Investigational Site Number :2500003
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California
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Duarte, California, Yhdysvallat, 91010
- City of Hope-Site Number:8400002
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Georgia
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Atlanta, Georgia, Yhdysvallat, 30303
- Emory University School of Medicine- Grady Campus- Site Number : 8400006
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Massachusetts
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Boston, Massachusetts, Yhdysvallat, 02215
- Beth Israel Deaconess Medical Center-Site Number:8400004
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New York
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New York, New York, Yhdysvallat, 10021
- Weill Cornell Medical College-Site Number:8400003
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The Bronx, New York, Yhdysvallat, 10461
- Montefiore Hutchinson Campus- Site Number : 8400012
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Ohio
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Columbus, Ohio, Yhdysvallat, 43210
- The Ohio State University- Site Number : 8400009
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Oregon
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Portland, Oregon, Yhdysvallat, 97239
- Oregon Health and Science University-Site Number:8400011
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Pennsylvania
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Philadelphia, Pennsylvania, Yhdysvallat, 19104
- The Children's Hospital of Philadelphia- Site Number : 8400013
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Texas
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Houston, Texas, Yhdysvallat, 77030
- MD Anderson Cancer Center-Site Number:8400001
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Washington
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Seattle, Washington, Yhdysvallat, 98105
- Seattle Children's Hospital- Site Number : 8400014
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Osallistumiskriteerit
Kelpoisuusvaatimukset
Opintokelpoiset iät
Hyväksyy terveitä vapaaehtoisia
Kuvaus
Sisällyttämiskriteerit:
- Osallistujan tulee olla vähintään 12-vuotias silloin, kun kokeen osallistuja tai laillinen huoltaja allekirjoittaa tietoisen suostumuslomakkeen.
Vain eskalaatio-osan osallistujille:
- Primaarisen tai sekundaarisen AML:n vahvistettu diagnoosi [mikä tahansa alatyyppi paitsi akuutti promyelosyyttinen leukemia (APL)] Maailman terveysjärjestön (WHO) luokituksen mukaan. AML-potilaiden on täytettävä jokin seuraavista kriteereistä, a), b) tai c), ja heidät on rajoitettava potilaisiin, joilla ei ole saatavilla (tai eivät kelpaa) hoitoa, josta tiedetään olevan kliinistä hyötyä.
a) Primary Induction Failure (PIF) -AML, joka määritellään sairaudeksi, joka on resistentti jollekin seuraavista: i tai ii.
i) Intensiivinen perehdytysyritys laitoskohtaisesti. Induktioyritykset sisältävät suuren annoksen ja/tai vakioannoksen sytarabiinia ± antrasykliinit/antraseenidioni ± antimetaboliitti, kasvutekijän kanssa tai ilman tai kohdennettua hoitoa, joka sisältää hoito-ohjelmat.
Esimerkkejä ovat, mutta niihin rajoittumatta:
- Yksi sykli korkean annoksen sytarabiinia (HiDAC) sisältävää hoito-ohjelmaa
- Yksi sykli liposomaalista sytarabiinia ja daunorubisiinia
Kaksi sykliä normaaliannoksen sytarabiinia sisältävää hoito-ohjelmaa ii) Aikuisille, jotka ovat 75-vuotiaita tai vanhempia tai joilla on muita sairauksia, jotka estävät intensiivisen induktiokemoterapian käytön; PIF määritellään AML-resistentiksi jollekin seuraavista vähemmän intensiivisistä hoito-ohjelmista, 1 tai 2:
- 4 sykliä hypometylointiaineita (HMA) tai
2 sykliä HMA + venetoklaksi b) Early Relapse (ER) AML, joka määritellään AML:ksi relapsin aikana, kun CR:n kesto < 6 kuukautta viimeisimmästä hoidosta c) Leukemia ensimmäisessä tai korkeammassa relapsissa
- Vahvistettu diagnoosi klusterin differentiaatiosta 123 (CD123) + HR-MDS, jossa on IPSS-R (Revised International Prognostic Scoring System) riskiluokka keskitasoa tai korkeampi ja rajoittuu niihin, joilla ei ole saatavilla (tai eivät kelpaa) hoitoa tunnetulla kliinisellä hyötyä.
- Ei kelpaa induktiohoitoon ja on suorittanut ≥ 2 sykliä jollakin seuraavista: hypometyloiva aine (esim. 5 atsasitidiini tai desitabiini) ja/tai venetoklaksi, kemoterapia tai kohdennetut aineet.
Ei kelpaa autologiseen kantasolusiirtoon (ASCT) ja hän on suorittanut ≥ 1 induktiohoitokuurin.
- Vahvistettu CD123 + B-ALL -diagnoosi ilman ekstramedullaarisia leesioita, joilla ei ole saatavilla (tai eivät ole tukikelpoisia) hoitoa, josta tiedetään kliinistä hyötyä.
Vain laajennusosaan osallistuville:
- Kohortin A osallistujat: Osallistujat, jotka täyttävät AML-potilaiden mukaanottokriteerit, jotka ovat olleet primäärisesti refraktaarisia (PIF) aikaisemmalle induktiohoidolle tai joilla on ollut ER:tä 6 kuukautta tai vähemmän aiemman induktiohoidon alkuperäisen remission jälkeen.
- Kohortin B osallistujat: Osallistujat, jotka täyttävät AML-potilaiden mukaanottokriteerit, joilla on ollut myöhäinen relapsi (LR), joka ilmaantui yli 6 kuukautta aiemman induktiohoidon alkuperäisen remission jälkeen.
- Kehon paino > 40 kg. -- Kehon paino > 40 kg. ---
Poissulkemiskriteerit:
- Eastern Cooperative Oncology Groupin (ECOG) suorituskykytila >2 (≥18-vuotias). Karnovsky-asteikko (16-17-vuotiaat)
- Aiempi aktiivinen tai krooninen autoimmuunisairaus, joka on vaatinut tai vaatii hoitoa.
- Toinen primaarinen pahanlaatuisuus, joka vaatii aktiivista hoitoa. Adjuvanttihormonihoito on sallittu.
- Todisteet aktiivisesta keskushermoston leukemiasta ilmoittautumishetkellä sytologian tai patologian osoittamana.
- Tunnettu hankittu immuunikato-oireyhtymä (aidsiin liittyvät sairaudet) tai ihmisen immuunikatovirus (HIV) -sairaus, joka vaatii antiretroviraalista hoitoa tai joilla on aktiivinen hepatiitti B- tai C -infektio tai vakava akuutti hengitystieoireyhtymä koronavirus 2 (SARS-CoV-2) -infektio. Osallistujien, joilla on ollut SARS-CoV-2-infektio, on oltava kliininen toipuminen vähintään 1 kuukausi ennen ilmoittautumista. - Aiempi hoito anti-CD123-ohjatulla aineella.
- Aiempi HSCT, jonka uusiutuminen on kestänyt yli 3 kuukautta, voidaan sisällyttää vain, jos immunosuppressio on ollut poissa vähintään 4 viikon ajan eikä käänteishyljintätaudista (GVHD) ole todisteita.
- jotka saavat ensimmäisen tutkimuslääkkeen (IMP) annon yhteydessä kortikosteroidia samanaikaisena lääkityksenä kortikosteroidiannoksella > 10 mg/vrk oraalista prednisonia tai vastaavaa,
- Aikaisempi hoito soluterapialla, esim. kimeerinen antigeenireseptori T-solu (CAR-T) tai kimeerinen antigeenireseptori NK-solu (CAR-NK).
- Samanaikainen hoito muiden tutkimuslääkkeiden kanssa.
- Sädehoitoa ei saa antaa tutkimuksen aikana, vaikka se olisi lievittävää.
- Hematopoieettisten kasvutekijöiden (esim. granulosyyttipesäkkeitä stimuloiva tekijä (G-CSF), granulosyytti-makrofagipesäkkeitä stimuloiva tekijä (GM-CSF), erytropoietiini) profylaktinen käyttö DLT-havaintojakson aikana vain annoksen suurennusosassa. - Henkilöt, jotka on majoitettu laitokseen sääntelyn tai oikeusjärjestyksen vuoksi; vankeja tai osallistujia, jotka ovat laillisesti laitoshoidossa.
- Raskaana olevat ja imettävät naiset.
- Kiinteiden elinsiirtojen historia, mukaan lukien sarveiskalvon siirto.
- Keskimääräinen QTc (käyttämällä Fridericia-korjauslaskelmaa) >470 millisekuntia (msek) seulonnassa.
Yllä olevien tietojen ei ole tarkoitus sisältää kaikkia näkökohtia, jotka liittyvät mahdolliseen kliiniseen tutkimukseen osallistumiseen.
Opintosuunnitelma
Miten tutkimus on suunniteltu?
Suunnittelun yksityiskohdat
- Ensisijainen käyttötarkoitus: Hoito
- Jako: Ei käytössä
- Inventiomalli: Yksittäinen ryhmätehtävä
- Naamiointi: Ei mitään (avoin tarra)
Aseet ja interventiot
Osallistujaryhmä / Arm |
Interventio / Hoito |
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Kokeellinen: SAR443579
Annoksen nostaminen: SAR443579 annetaan suonensisäisesti kasvavilla annostasoilla. Annoksen laajennus: SAR443579 annetaan suonensisäisesti suositellulla annoksella ja aikataululla, joka määräytyy annoksen nostamisesta. |
Infuusiokuiva-aine, liuosta varten; IV-infuusiolla
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Mitä tutkimuksessa mitataan?
Ensisijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Dose Escalation: Number of Participants With Dose Limiting Toxicities (DLTs)
Aikaikkuna: Cycle 1 Day 1 up to Cycle 1 Day 28. Each cycle duration in induction period was 28 days.
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The DLT was defined as any of the following events during Cycle 1 (first 28 days) using NCI CTCAE v5.0 or ASTCT criteria, whether related or not to the study treatment in the absence of clear evidence to the contrary, and if not related to disease progression.
Hematologic DLTs included hematologic toxicities, bone marrow hypocellularity, decreased neutrophils lasting, febrile neutropenia, decreased platelet count lasting, anemia (all Grade 4), and Grade 3 thrombocytopenia.
Non-hematologic DLTs included any Grade >=3 toxicities except alopecia, Grade 3 fatigue, asthenia, fever, anorexia, constipation, nausea, vomiting, diarrhea, total parenteral nutrition, hospitalization related events, infection, bleeding, Grade 3 infusion related reaction and laboratory abnormalities, Grade 3 or 4 tumor lysis syndrome and isolated electrolyte abnormalities.
Also, DLTs were any treatment related toxicity causing >2 week delay in recovery to baseline/Grade <=1 or requiring dose reduction.
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Cycle 1 Day 1 up to Cycle 1 Day 28. Each cycle duration in induction period was 28 days.
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Dose Escalation (Cohort C): Number of Participants With Dose Limiting Toxicities
Aikaikkuna: Cycle 1 Day 1 to Cycle 1 Day 28. Each cycle duration in induction period was 28 days.
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The DLT was defined as any of the following events during Cycle 1 (first 28 days) using NCI CTCAE v5.0 or ASTCT criteria, whether related or not to the study treatment in the absence of clear evidence to the contrary, and if not related to disease progression.
Hematologic DLTs included hematologic toxicities, bone marrow hypocellularity, decreased neutrophils lasting, febrile neutropenia, decreased platelet count lasting, anemia (all Grade 4), and Grade 3 thrombocytopenia.
Non-hematologic DLTs included any Grade >=3 toxicities except alopecia, Grade 3 fatigue, asthenia, fever, anorexia, constipation, nausea, vomiting, diarrhea, total parenteral nutrition, hospitalization related events, infection, bleeding, Grade 3 infusion related reaction and laboratory abnormalities, Grade 3 or 4 tumor lysis syndrome and isolated electrolyte abnormalities.
Also, DLTs were any treatment related toxicity causing >2 week delay in recovery to baseline/Grade <=1 or requiring dose reduction.
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Cycle 1 Day 1 to Cycle 1 Day 28. Each cycle duration in induction period was 28 days.
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Dose Expansion (Cohorts A1, A2 and D): Composite Complete Remission (CRc) Rate
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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The CRc rate was defined as the percentage of participants who had a response of complete remission (CR), CR with partial hematologic recovery (CRh) or CR with incomplete hematologic recovery (CRi) according to modified AML International Working Group (IWG) 2003 response criteria.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Dose Expansion (Cohort B): Overall Response Rate (ORR)
Aikaikkuna: Tumors were planned to assess on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first.
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The ORR was defined as the percentage of participants who had a response of CR, CR equivalent, partial remission (PR), CR with limited count recovery (CRL), CRh or hematologic improvement (HI) according to IWG 2023 myelodysplastic syndrome (MDS) response criteria.
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Tumors were planned to assess on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first.
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Toissijaiset tulostoimenpiteet
Tulosmittaus |
Toimenpiteen kuvaus |
Aikaikkuna |
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Dose Expansion (Cohorts A1, A2, B and D): Recommended Dose for Expansion (RDE)
Aikaikkuna: Cycle 1 Day 1 up to Cycle 1 Day 28. Each cycle duration in induction period was 28 days.
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The RDE of SAR443579 was determined based on the occurrence of DLTs in Cycle 1.
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Cycle 1 Day 1 up to Cycle 1 Day 28. Each cycle duration in induction period was 28 days.
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Dose Escalation and Dose Expansion (Cohort A1): Number of Participants With Treatment-Emergent Adverse Events (TEAEs) and Treatment-Emergent Serious Adverse Events (SAEs)
Aikaikkuna: From the first dose of study drug administration (Day 1) up to early termination of the study, maximum treatment duration was 117.3 weeks for dose escalation (adult), 12 weeks for dose escalation (pediatric) and 20.9 for dose expansion (Cohort A1).
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An adverse event (AE) was any untoward medical occurrence in a clinical study participant, temporally associated with the use of study treatment, whether or not considered related to the study treatment.
An SAE was defined as any AE that: resulted in death; or was life-threatening; or required inpatient hospitalization or prolongation of existing hospitalization; or resulted in persistent or significant disability/incapacity; or was a congenital anomaly/birth defect; or was an important medical event.
The TEAEs were defined as events that were newly reported or reported to worsen in severity after the first administration of study treatment up to 30 days after the last administration of study treatment.
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From the first dose of study drug administration (Day 1) up to early termination of the study, maximum treatment duration was 117.3 weeks for dose escalation (adult), 12 weeks for dose escalation (pediatric) and 20.9 for dose expansion (Cohort A1).
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Dose Escalation and Dose Expansion (Cohort A1): Minimum Plasma Concentration (Ctrough) of SAR443579
Aikaikkuna: At Days 1, 4, 8, 11, 15, 22, and 28 of Cycle 1
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Blood samples are collected just before treatment administration during repeated dosing to determine the Ctrough of SAR443579.
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At Days 1, 4, 8, 11, 15, 22, and 28 of Cycle 1
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Dose Escalation and Dose Expansion (Cohort A1): Percentage of Participants With Anti-drug Antibodies (ADA) Against SAR443579
Aikaikkuna: From the first dose of study drug administration (Day 1) up to early termination of the study, maximum treatment duration was 117.3 weeks for dose escalation (adult), 12 weeks for dose escalation (pediatric) and 20.9 for dose expansion (Cohort A1).
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Plasma samples were collected to assess the antibodies to SAR443579.
Treatment-emergent ADA was defined as a participant with at least 1 treatment-induced or treatment-boosted ADA-positive sample at any time during the treatment or follow-up observation period.
Non-treatment emergent ADA was defined as participant without any treatment-induced, treatment-boosted ADA-positive or ADA-inconclusive sample during the treatment or follow-up observation period.
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From the first dose of study drug administration (Day 1) up to early termination of the study, maximum treatment duration was 117.3 weeks for dose escalation (adult), 12 weeks for dose escalation (pediatric) and 20.9 for dose expansion (Cohort A1).
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Dose Escalation and Dose Expansion (Cohort C): Composite Complete Remission Rate Assessed by Acute Myeloid Leukemia 2003 Modified International Working Group Response Criteria and National Comprehensive Cancer Network (NCCN)
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until relapse, unacceptable AE, discontinuation or death. Maximum treatment duration: 117.3 weeks (adults) and 12 weeks (pediatrics) in dose escalation phase.
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The CRc rate was defined as the percentage of participants who had a response of CR, CRh or CRi according to modified AML IWG 2003 response criteria.
For Dose Expansion (Cohort C), the CRc rate was planned to be assessed according to NCCN.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until relapse, unacceptable AE, discontinuation or death. Maximum treatment duration: 117.3 weeks (adults) and 12 weeks (pediatrics) in dose escalation phase.
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Dose Escalation and Dose Expansion (Cohort C): Alternative Complete Remission Rate
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until relapse, unacceptable AE, discontinuation or death. Maximum treatment duration: 117.3 weeks (adults) and 12 weeks (pediatrics) in dose escalation phase.
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Alternative CR rate was defined as percentage of participants with CR and CRh according to modified AML IWG 2003 response criteria.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until relapse, unacceptable AE, discontinuation or death. Maximum treatment duration: 117.3 weeks (adults) and 12 weeks (pediatrics) in dose escalation phase.
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Dose Escalation and Dose Expansion (Cohort C): Overall Response Rate
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until relapse, unacceptable AE, discontinuation or death. Maximum treatment duration: 117.3 weeks (adults) and 12 weeks (pediatrics) in dose escalation phase.
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Overall response rate was defined as percentage of participants who had a CR or CRi or CRh or PR or morphological leukemia-free state (MLFS) according to modified AML IWG 2003 response criteria.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until relapse, unacceptable AE, discontinuation or death. Maximum treatment duration: 117.3 weeks (adults) and 12 weeks (pediatrics) in dose escalation phase.
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Dose Expansion (Cohorts A1, A2 and D): Overall Response Rate
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Overall response rate was defined as percentage of participants who had a CR or CRi or CRh or PR or MLFS according to modified AML IWG 2003 response criteria.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Dose Expansion (Cohorts A1, A2 and D): Duration of Composite Complete Remission Rate
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Duration of CRc was defined as the time interval from first documented evidence of CRc (CR, CRh or CRi) until disease relapse (DR) or death due to any cause, whichever comes first.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Dose Expansion (Cohorts A1, A2, B and D): Duration of Overall Response Rate
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Duration of overall response rate was defined as the time from the first documented evidence of CR or CRi or CRh or PR or MLFS until DR or death due to any cause, whichever comes first.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Dose Expansion (Cohorts A1, A2, B and D): Alternative Complete Remission Rate
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Alternative CR rate was defined as percentage of participants with CR and CRh according to modified AML IWG 2003 response criteria.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Dose Expansion (Cohorts A1, A2, B and D): Duration of Alternative Complete Remission Rate
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Duration of alternative CR was defined as the time from the first documented evidence of CR or CRh until DR or death due to any cause, whichever comes first.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Dose Expansion (Cohorts A1, A2, B and D): Event-Free Survival (EFS)
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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The EFS was defined as the time interval from the first day of treatment assignment to the date of earliest evidence of relapse, treatment failure, or death.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Dose Expansion (Cohorts A1, A2, B and D): Overall Survival (OS)
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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The OS was defined as time interval from the first day of treatment assignment to death from any cause.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Dose Expansion (Cohorts A1, A2, B and D): Rate of Hematopoietic Stem Cell Transplantation (HSCT)
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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The HSCT rate was defined as the percentage of participants who had received HSCT immediately following study treatment administration but prior to subsequent therapy for treatment of AML.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Dose Expansion (Cohorts A1, A2, B and D): Time to Treatment Failure (TTF)
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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The TTF was defined as the time from first day of treatment assignment to discontinuation for any reason excluding remission, example, relapsed disease, refractory disease, unacceptable AE, participant preference or death.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Dose Expansion (Cohorts A1, A2 and D): Transfusion Independence (TI) Rate
Aikaikkuna: Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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The TI rate was defined differently for participants who were transfusion dependency (TD) at baseline and participants who were transfusion independency (TI) at baseline.
For subgroup of participants with TD at baseline, the TI rate was defined as the percentage of participants who convert from baseline TD to TI during on treatment period; For subgroup of participants with TI at baseline, the TI rate was defined as the percentage of participants who remain TI during 56-day post baseline period during treatment.
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Tumors were assessed on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first. Maximum treatment duration was 20.9 weeks.
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Dose Expansion (Cohort B): Progression Free Survival (PFS)
Aikaikkuna: Tumors were planned to assess on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first.
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The PFS was defined as the time interval from the first day of treatment assignment to the date of disease progression, relapse from CR (or CR equivalent), PR, CRL, CRh, or HI, death due to any cause, whichever comes first.
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Tumors were planned to assess on Day 28 of each induction cycle and Day 56 of each maintenance cycle until disease relapse, unacceptable AE, discontinuation, or death, whichever occurred first.
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Yhteistyökumppanit ja tutkijat
Sponsori
Tutkijat
- Opintojohtaja: Clinical Sciences & Operations, Sanofi
Julkaisuja ja hyödyllisiä linkkejä
Hyödyllisiä linkkejä
Opintojen ennätyspäivät
Opi tärkeimmät päivämäärät
Opiskelun aloitus (Todellinen)
Ensisijainen valmistuminen (Todellinen)
Opintojen valmistuminen (Todellinen)
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
Muita asiaankuuluvia MeSH-ehtoja
- Neoplasmat
- Immuunijärjestelmän sairaudet
- Neoplasmat histologisen tyypin mukaan
- Hematologiset sairaudet
- Lymfaattiset sairaudet
- Lymfoproliferatiiviset häiriöt
- Immunoproliferatiiviset häiriöt
- Luuydinsairaudet
- Leukemia, imusolmukkeet
- Leukemia
- Hemic- ja imusuutteet
- Prekursorisolulymfoblastinen leukemia-lymfooma
- Myelodysplastiset oireyhtymät
Muut tutkimustunnusnumerot
- TCD17197
- U1111-1266-7399 (Rekisterin tunniste: ICTRP)
- 2021-004287-98 (EudraCT-numero)
- 2023-508357-58 (Rekisterin tunniste: CTIS)
Yksittäisten osallistujien tietojen suunnitelma (IPD)
Aiotko jakaa yksittäisten osallistujien tietoja (IPD)?
IPD-suunnitelman kuvaus
Lääke- ja laitetiedot, tutkimusasiakirjat
Tutkii yhdysvaltalaista FDA sääntelemää lääkevalmistetta
Tutkii yhdysvaltalaista FDA sääntelemää laitetuotetta
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