Une étude du JNJ-75276617 en association avec des thérapies dirigées contre la leucémie myéloïde aiguë (LMA)
Une étude de phase 1b du JNJ-75276617 en association avec des thérapies dirigées contre la LAM pour les participants atteints de leucémie myéloïde aiguë hébergeant des altérations KMT2A ou NPM1
The purpose of this study is to determine the recommended Phase 2 dose (RP2D) candidate(s) of bleximenib in combination with AML directed therapies (dose selection) and further to evaluate safety and tolerability of bleximenib in combination with AML directed therapies at the RP2D(s) (dose expansion).
Aperçu de l'étude
Statut
Les conditions
Type d'étude
Inscription (Réel)
Phase
- La phase 1
Contacts et emplacements
Lieux d'étude
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Berlin, Allemagne, 13353
- Charite Universitaetsmedizin Berlin
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Dresden, Allemagne, 01307
- Universitatsklinikum Carl Gustav Carus Dresden
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Heidelberg, Allemagne, 69120
- Universitaetsklinikum Heidelberg
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Leipzig, Allemagne, 04103
- Universitaetsklinikum Leipzig
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Ulm, Allemagne, 89081
- Universitatsklinikum Ulm
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Clayton, Australie, 3168
- Monash Medical Centre
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Melbourne, Australie, 3000
- Peter MacCallum Cancer Centre
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Westmead, Australie, 2145
- Westmead Hospital
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Ontario
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Toronto, Ontario, Canada, M5G 1Z5
- Princess Margaret Cancer Centre University Health Network
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Barcelona, Espagne, 08041
- Hosp. de La Santa Creu I Sant Pau
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Barcelona, Espagne, 08036
- Hosp Clinic de Barcelona
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Barcelona, Espagne, 8035
- Hosp Univ Vall D Hebron
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Madrid, Espagne, 28040
- Hosp Univ Fund Jimenez Diaz
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Pamplona, Espagne, 31008
- Clinica Univ. de Navarra
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Marseille, France, 13273
- Institut Paoli Calmettes
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Rennes, France, 35033
- Chu Rennes Hopital Pontchaillou
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Toulouse, France, 31100
- Institut Universitaire du Cancer Toulouse Oncopole
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Tours, France, 37044
- CHU de Tours - Hôpital de Bretonneau
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Bologna, Italie, 40138
- Azienda Opedaliero-Universitaria Policlinico Sant'orsola Malpighi di Bologna
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Meldola, Italie, 47014
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
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Milan, Italie, 20162
- ASST Grande Ospedale Metropolitano Niguarda
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Rozzano, Italie, 20089
- IRCCS Istituto Clinico Humanitas
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London, Royaume-Uni, NW1 2PG
- University College London Hospitals NHSFT
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Manchester, Royaume-Uni, M20 4BX
- Christie Hospital NHS Trust
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Oxfordshire, Royaume-Uni, OX3 7LE
- Oxford University Hospitals NHS Trust
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Alabama
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Birmingham, Alabama, États-Unis, 35233
- The University of Alabama at Birmingham
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California
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Duarte, California, États-Unis, 91010
- City of Hope
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Massachusetts
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Boston, Massachusetts, États-Unis, 02114
- Massachusetts General Hospital
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New York
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New York, New York, États-Unis, 10461
- Albert Einstein College Of Medicine
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North Carolina
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Charlotte, North Carolina, États-Unis, 28204
- Novant Health
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Winston-Salem, North Carolina, États-Unis, 27103
- Novant Health Forsyth Medical Center
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Texas
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Houston, Texas, États-Unis, 77030
- MD Anderson
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Critères de participation
Critère d'éligibilité
Âges éligibles pour étudier
Accepte les volontaires sains
Sexes éligibles pour l'étude
La description
Inclusion Criteria:
- Adolescent participants (defined as greater than or equal to [>=] 12 and less than [<] 18 years of age) are only eligible for the relapsed/refractory (R/R) cohort (Arm A, cohort A4)
- Diagnosis of AML according to World Health Organization (WHO) criteria: a) De novo or secondary AML; b) relapsed/refractory (Arm A only); c) harboring KMT2A, NPM1, NUP98, or NUP214 alterations; d) Participants may receive emergency leukapheresis and/or cytarabine as cytoreductive therapy according to local practice guidelines
- Pretreatment clinical laboratory values meeting the following criteria -listed below: White blood cell (WBC) count: less than or equal to (<=) 25*10^9 per liter (/L), adequate liver and renal function
- Eastern Cooperative Oncology Group (ECOG) performance status grade of 0, 1 or 2. Adolescent 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
- Must sign an informed consent form (ICF) indicating participant (or their legally authorized representative) understands the purpose of the study and procedures required for the study and is willing to participate in the study
- Willing and able to adhere to the prohibitions and restrictions specified in this protocol
Exclusion Criteria:
- Acute promyelocytic leukemia, diagnosis of Down syndrome associated leukemia or juvenile myelomonocytic leukemia according to WHO 2016 criteria
- Leukemic involvement of the central nervous system
- Recipient of solid organ transplant
- Cardiovascular disease that is uncontrolled, increases risk for Torsades de Pointes or that was diagnosed within 6 months prior to the first dose of study treatment including, but not limited to: (a) Myocardial infarction; (b) Severe or unstable angina; (c) Clinically significant cardiac arrhythmias, including bradycardia (<50 beats per minute); (d) Uncontrolled (persistent) hypertension: (example, blood pressure greater than [>] 140/90 millimeters of mercury [mm Hg]; (e) Acute neurologic events such as stroke or transient ischemic attack, intracranial or subarachnoid hemorrhage, intracranial trauma; (f) Venous thromboembolic events (example, pulmonary embolism) within 1 month prior to the first dose of study treatment ;(g) Congestive heart failure (NYHA class III to IV); (h) Pericarditis or clinically significant pericardial effusion; (i) Myocarditis; (j) Endocarditis (k) Clinically significant hypokalemia, hypomagnesemia, hypocalcemia (corrected for hypoalbuminemia)
- Any toxicity (except for alopecia, stable peripheral neuropathy, thrombocytopenia, neutropenia, anemia) from previous anticancer therapy that has not resolved to baseline or to grade 1 or less
- Pulmonary compromise that requires the need for supplemental oxygen use to maintain adequate oxygenation
- Participants with diagnosis of Fanconi anemia, Kostmann syndrome, Shwachman diamond syndrome, or any other known bone marrow failure syndrome
Plan d'étude
Comment l'étude est-elle conçue ?
Détails de conception
- Objectif principal: Traitement
- Répartition: Non randomisé
- Modèle interventionnel: Affectation séquentielle
- Masquage: Aucun (étiquette ouverte)
Armes et Interventions
Groupe de participants / Bras |
Intervention / Traitement |
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Expérimental: Arm A: Relapsed/Refractory Setting
Participants with relapsed/refractory AML harboring NPM1, KMT2A, NUP98, or NUP214 alterations will receive bleximenib in combination with either venetoclax (VEN) (Cohort A1: bleximenib+VEN) or azacitidine (AZA) (Cohort A2: bleximenib +AZA) or VEN+AZA (Cohort A3: bleximenib+VEN+AZA) or VEN + AZA (Cohort A4: bleximenib + VEN + AZA) in adolescent participants aged greater than or equal to (>=) 12 years and less than (<) 18 years of age, to select the recommended phase 2 dose (RP2D) of bleximenib in combination with VEN, AZA or VEN+AZA (dose selection). In dose expansion portion of the study, participants will receive bleximenib in combination with AML directed therapies at the RP2D(s). |
Participants will receive bleximenib.
Autres noms:
Participants will receive VEN. Participants will receive AZA. |
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Expérimental: Arm B: Newly Diagnosed Chemotherapy Ineligible Setting
Participants will receive bleximenib in combination with VEN+AZA as frontline chemo therapy for newly diagnosed AML participants harboring KMT2A, NPM1, NUP98, or NUP214 alterations who are >=75 years of age or >=18 years of age to <75 years of age with comorbidities that preclude the use of intensive induction chemotherapy. |
Participants will receive bleximenib.
Autres noms:
Participants will receive VEN. Participants will receive AZA. |
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Expérimental: Arm C: Newly Diagnosed Chemotherapy Eligible Setting
Participants will receive combination of bleximenib with cytarabine+daunorubicin or idarubicin chemotherapy as frontline treatment regimen for participants >= 18 to <75 years of age with AML harboring NPM1, KMT2A, NUP98, or NUP214 alterations and eligible for intensive chemotherapy. |
Participants will receive bleximenib.
Autres noms:
Participants will receive cytarabine. Participants will receive daunorubicin or idarubicin. |
Que mesure l'étude ?
Principaux critères de jugement
Mesure des résultats |
Description de la mesure |
Délai |
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Number of Participants with Adverse Events (AEs)
Délai: Up to 3 Years 3 months
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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 3 Years 3 months
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Number of Participants with Adverse Events (AEs) by Severity
Délai: Up to 3 Years 3 months
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Number of Participants with AEs by severity will be reported. 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 3 Years 3 months
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Number of Participants with Dose-limiting Toxicity (DLT)
Délai: End of Cycle 1 (28 days)
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Number of participants with DLT will be reported according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) version 5.0. |
End of Cycle 1 (28 days)
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Mesures de résultats secondaires
Mesure des résultats |
Description de la mesure |
Délai |
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Plasma Concentration of Bleximenib
Délai: Up to 3 Years 3 months
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Plasma samples will be analyzed to determine concentrations of bleximenib using a validated, specific, and sensitive method. |
Up to 3 Years 3 months
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Number of Participants with Depletion of Leukemic Blasts
Délai: Up to 3 Years 3 months
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Number of participants with depletion of leukemic blasts will be reported. |
Up to 3 Years 3 months
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Percentage of Participants who Achieve Complete Remission (CR)
Délai: Up to 3 Years 3 months
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Percentage of participants who achieve complete Remission (CR) will be reported. CR is defined as Bone marrow blasts less than (<) 5 percent (%); Absence of circulating blasts; Absence of extramedullary disease; Absolute neutrophil count (ANC) greater than or equal to (>=) 1.0*10^9/Liter (L) (1,000/microliter [mcL]); Platelet count >= 100 * 10^9/L (100,000/mcL). |
Up to 3 Years 3 months
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Percentage of Participants who Achieve Complete Remission with Partial Hematologic Recovery (CRh)
Délai: Up to 3 Years 3 months
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Percentage of participants who achieve complete remission with partial hematologic recovery (CRh) will be reported. CRh is defined as All criteria of CR with both ANC >0.5 * 10^9/L (500/mcL) and platelet count >50 * 10^9/L (50,000/mcL). |
Up to 3 Years 3 months
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Percentage of Participants who Achieve Complete Remission with Incomplete Hematologic Recovery (CRi)
Délai: Up to 3 Years 3 months
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Percentage of participants who achieve complete remission with incomplete hematologic recovery (CRi) will be reported. CRi is defined as All CR criteria except for residual neutropenia (<1.0*10^9/L [1,000/mcL]) or thrombocytopenia (<100 * 10^9/L [100,000/mcL]). |
Up to 3 Years 3 months
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Percentage of Participants who Achieved Overall Response
Délai: Up to 3 Years 3 months
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Percentage of participants who achieve overall response will be reported. Overall response rate (ORR) is defined as the percentage of participants achieving CR, CRh, or CRi, morphologic leukemia-free state (MLFS) or partial remission (PR). |
Up to 3 Years 3 months
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Collaborateurs et enquêteurs
Parrainer
Les enquêteurs
- Directeur d'études: Janssen Research & Development, LLC Clinical Trial, Janssen Research & Development, LLC
Publications et liens utiles
Dates d'enregistrement des études
Dates principales de l'étude
Début de l'étude (Réel)
Achèvement primaire (Estimé)
Achèvement de l'étude (Estimé)
Dates d'inscription aux études
Première soumission
Première soumission répondant aux critères de contrôle qualité
Première publication (Réel)
Mises à jour des dossiers d'étude
Dernière mise à jour publiée (Réel)
Dernière mise à jour soumise répondant aux critères de contrôle qualité
Dernière vérification
Plus d'information
Termes liés à cette étude
Termes MeSH pertinents supplémentaires
- Tumeurs
- Tumeurs par type histologique
- Maladies hématologiques
- Leucémie myéloïde
- Leucémie
- Maladies hémiques et lymphatiques
- Leucémie, myéloïde, aiguë
- Produits chimiques organiques
- Composés hétérocycliques, 1 anneau
- Composés hétérocycliques
- Acides nucléiques, nucléotides et nucléosides
- Hydrocarbures
- Hydrocarbures, cyclique
- Glucides
- Hydrocarbures aromatiques polycycliques
- Hydrocarbures, aromatique
- Composés polycycliques
- Glycosides
- Cytidine
- Nucléosides pyrimidine
- Pyrimidines
- Composés Aza
- Nucléosides
- Ribonucléosides
- Arabinonucléosides
- Anthracyclines
- Naphtacènes
- Aminoglycosides
- Cytarabine
- Azacitidine
- Daunorubicine
- Idarubicine
- vénitoclax
Autres numéros d'identification d'étude
- CR109124
- 2021-003999-14 (Numéro EudraCT)
- 75276617ALE1002 (Autre identifiant: Janssen Research & Development, LLC)
- 2023-506582-58-00 (Identificateur de registre: EUCT number)
- 2023 (Subvention/contrat des NIH des États-Unis)
Plan pour les données individuelles des participants (IPD)
Prévoyez-vous de partager les données individuelles des participants (DPI) ?
Description du régime IPD
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
Informations sur les médicaments et les dispositifs, documents d'étude
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