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- Klinische proef NCT07929740
Bioavailability and Bioequivalence Study of Ziftomenib in Participants With Relapsed/Refractory AML or MDS
Relative Bioavailability and Bioequivalence Study of Ziftomenib Drug Products in Participants With Relapsed/Refractory AML With NPM1 Mutation, or With Relapsed/Refractory AML or MDS With Mutations Associated With MEIS1 Overexpression
This study will evaluate the pharmacokinetics (PK) of ziftomenib drug products to inform relative bioavailability (rBA) and bioequivalence (BE) assessments.
Studie Overzicht
Toestand
Interventie / Behandeling
Gedetailleerde beschrijving
The purpose of this study is to measure rBA or BE of various ziftomenib drug products in participants with R/R NPM1-m AML, or with R/R AML or MDS with a mutation associated with MEIS1 overexpression.
Study details include:
- The study is composed of two parts.
- Participant study duration will be a minimum of approximately 4 months including screening, 2 cycles of treatment, and safety follow-up.
- The visit frequency will be weekly in Part 1.
- The required treatment duration will be approximately 2 cycles of treatment (56 days) in Part 1 with the option for participants deriving clinical benefit to continue treatment in Part 2.
- The visit frequency will be monthly in Part 2.
Studietype
Inschrijving (Geschat)
Fase
- Fase 1
Uitgebreide toegang
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
Inclusion Criteria:
- Age ≥18 years.
- Relapsed/refractory NPM1-mutated AML, or relapsed/refractory AML or MDS with a mutation associated with MEIS1 overexpression; disease confirmed in blood and/or bone marrow, as applicable, and not a candidate for currently approved standard-of-care regimens or hematopoietic stem cell transplantation (HSCT).
- Female participants must not be pregnant or breastfeeding.
- Male participants with partners of childbearing potential must agree to abstinence or highly effective contraception and refrain from sperm donation during treatment and for at least 90 days after the last dose.
- Signed informed consent.
- Eastern Cooperative Oncology Group (ECOG) performance status ≤2 and life expectancy ≥2 months.
- Adequate organ function: estimated glomerular filtration rate ≥30 mL/min/1.73 m²; bilirubin ≤1.5 × the upper limit of normal (ULN), unless attributable to Gilbert's syndrome or leukemic disease; and AST and ALT ≤3 × ULN.
- Peripheral white blood cell count ≤25,000/µL before Day 1 of Part 1; hydroxyurea or cytarabine may be used to control the count.
Exclusion Criteria:
- Clinically active central nervous system (CNS) leukemia; participants with controlled CNS leukemia receiving intrathecal therapy at study entry may be eligible.
- Grade ≥2 acute graft-versus-host disease (GVHD), moderate/severe limited chronic GVHD, or extensive chronic GVHD.
- Active HIV, hepatitis C, or hepatitis B infection, as defined in the protocol; participants with controlled disease are not excluded.
- Active, uncontrolled systemic fungal, bacterial, viral, or other infection.
- Significant cardiovascular disease, including unstable angina, uncontrolled hypertension or arrhythmia, qualifying heart failure, ischemic or severe valvular heart disease, or stroke, transient ischemic attack, or myocardial infarction within the preceding 6 months.
- Mean QT interval corrected using Fridericia's formula (QTcF) >480 ms on triplicate electrocardiograms obtained within 5 minutes of each other.
The full inclusion and exclusion criteria, including applicable definitions are presented in the study protocol.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Crossover-opdracht
- Masker: Geen (open label)
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
|
Experimenteel: Cohort A
Sequential administration of oral formulations (Part 1) followed by optional treatment continuation (Part 2) |
Oral Formulation 1 Oral Formulation 2 Oral Formulation 3 Oral Formulation 4 |
|
Experimenteel: Cohort B
Sequential administration of oral formulations (Part 1) followed by optional treatment continuation (Part 2) |
Oral Formulation 1 Oral Formulation 2 Oral Formulation 3 Oral Formulation 4 |
|
Experimenteel: Cohort C
Sequential administration of oral formulations (Part 1) followed by optional treatment continuation (Part 2) |
Oral Formulation 1 Oral Formulation 2 Oral Formulation 3 Oral Formulation 4 |
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
To determine the plasma PK parameters of ziftomenib following oral (PO) administration (Part 1: Cohorts A, B and C)
Tijdsspanne: During the first 56 days of ziftomenib
|
Maximum plasma concentration at steady state (Cmax,ss) |
During the first 56 days of ziftomenib
|
|
To determine the plasma PK parameters of ziftomenib following oral (PO) administration (Part 1: Cohorts A and B)
Tijdsspanne: During the first 56 days of ziftomenib
|
Plasma concentration observed at end of dosing interval at steady state (Cτ) |
During the first 56 days of ziftomenib
|
|
To determine the plasma PK parameters of ziftomenib following oral (PO) administration (Part 1: Cohorts A, B and C)
Tijdsspanne: During the first 56 days of ziftomenib
|
Area under the concentration-time curve from time 0 to dosing interval at steady state (AUC0-τ,ss) |
During the first 56 days of ziftomenib
|
|
To determine the plasma PK parameters of ziftomenib following oral (PO) administration (Part 1: Cohorts A and B)
Tijdsspanne: During the first 56 days of ziftomenib
|
Time to Cmax,ss (Tmax,ss) |
During the first 56 days of ziftomenib
|
|
To determine the plasma PK parameters of ziftomenib following oral (PO) administration (Part 1: Cohorts A and B)
Tijdsspanne: During the first 56 days of ziftomenib
|
Cavg,ss |
During the first 56 days of ziftomenib
|
Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
|
To determine the plasma PK parameters of ziftomenib following oral (PO) administration (Part 1: Cohort C)
Tijdsspanne: During the first 56 days of ziftomenib
|
Cτ |
During the first 56 days of ziftomenib
|
|
To determine the plasma PK parameters of ziftomenib following oral (PO) administration (Part 1: Cohort C)
Tijdsspanne: During the first 56 days of ziftomenib
|
Tmax,ss |
During the first 56 days of ziftomenib
|
|
To determine the plasma PK parameters of ziftomenib following oral (PO) administration (Part 1: Cohort C)
Tijdsspanne: During the first 56 days of ziftomenib
|
Cavg,ss |
During the first 56 days of ziftomenib
|
|
To assess safety and tolerability of ziftomenib (Parts 1 and 2)
Tijdsspanne: Day 1 of study intervention through 28 days after the last dose
|
|
Day 1 of study intervention through 28 days after the last dose
|
|
To assess discontinuation of study treatment due to Adverse Events (Parts 1 and 2)
Tijdsspanne: Day 1 of study intervention through 28 days after the last dose
|
Discontinuation of study treatment due to AEs |
Day 1 of study intervention through 28 days after the last dose
|
|
To assess deaths while receiving treatment (Parts 1 and 2)
Tijdsspanne: Day 1 of study intervention through 28 days after the last dose
|
Deaths on treatment |
Day 1 of study intervention through 28 days after the last dose
|
Medewerkers en onderzoekers
Sponsor
Studie record data
Bestudeer belangrijke data
Studie start (Geschat)
Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Werkelijk)
Updates van studierecords
Laatste update geplaatst (Werkelijk)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
- Pathologische processen
- Neoplasmata
- Ziekte attributen
- Neoplasmata per histologisch type
- Hematologische ziekten
- Leukemie, myeloïde
- Beenmergziekten
- Leukemie
- Pathologische aandoeningen, tekenen en symptomen
- Hemische en lymfatische ziekten
- Herhaling
- Leukemie, myeloïde, acuut
- Myelodysplastische syndromen
Andere studie-ID-nummers
- KO-MEN-018
- 2025 (Subsidie/contract van de Amerikaanse NIH)
- 2025-524332-19-00 (Ctis)
Plan Individuele Deelnemersgegevens (IPD)
Bent u van plan om gegevens van individuele deelnemers (IPD) te delen?
Informatie over medicijnen en apparaten, studiedocumenten
Bestudeert een door de Amerikaanse FDA gereguleerd geneesmiddel
Bestudeert een door de Amerikaanse FDA gereguleerd apparaatproduct
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