A Phase 2 Clinical Study of Ziftomenib in Patients With Relapsed or Refractory NPM1-Mutated Acute Myeloid Leukemia
A Phase 2, Multicenter, Open-Label Study of Ziftomenib Monotherapy in Japanese Patients With Relapsed or Refractory Acute Myeloid Leukemia With NPM1 Mutation
Przegląd badań
Status
Status
Warunki
Warunki
Interwencja / Leczenie
Interwencja / Leczenie
Typ studiów
Typ studiów
Zapisy (Szacowany)
Zapisy
Faza
Faza
- Faza 2
Kontakty i lokalizacje
Kontakt w sprawie studiów
Kontakt w sprawie studiów
- Nazwa: Kyowa Kirin Co., Ltd.
- E-mail: clinical.info.jp@kyowakirin.com
Kopia zapasowa kontaktu do badania
- Nazwa: Kyowa Kirin, Inc.
- Numer telefonu: 1-609-919-1100
- E-mail: kkd.clintrial.82@kyowakirin.com
Lokalizacje studiów
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-
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Chiba, Japonia
- Rekrutacyjny
- Chiba Aoba Municipal Hospital
-
Gifu, Japonia
- Rekrutacyjny
- Gifu Municipal Hospital
-
Hyōgo, Japonia
- Jeszcze nie rekrutacja
- Hyogo Medical University Hospital
-
Ibaraki, Japonia
- Rekrutacyjny
- Mito Medical Center
-
Kagoshima, Japonia
- Rekrutacyjny
- Imamura General Hospital
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Kanagawa, Japonia
- Rekrutacyjny
- Kanagawa Cancer Center
-
Kyoto, Japonia
- Jeszcze nie rekrutacja
- Kyoto University Hospital
-
Miyagi, Japonia
- Rekrutacyjny
- Tohoku University Hospital
-
Nagano, Japonia
- Rekrutacyjny
- Matsumoto National Hospital
-
Nagasaki, Japonia
- Rekrutacyjny
- Nagasaki University Hospital
-
Okayama, Japonia
- Rekrutacyjny
- Okayama University Hospital
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Okayama, Japonia
- Rekrutacyjny
- Kurashiki Central Hospital
-
Osaka, Japonia
- Rekrutacyjny
- Osaka Metropolitan university Hospital
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Osaka, Japonia
- Rekrutacyjny
- Kansai Medical University Hospital
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Saitama, Japonia
- Jeszcze nie rekrutacja
- Jichi Medical University Saitama Medical Center
-
Tochigi, Japonia
- Rekrutacyjny
- Dokkyo Medical University Hospital
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Tochigi, Japonia
- Rekrutacyjny
- Jichi Medical University Hospital
-
Tokyo, Japonia
- Rekrutacyjny
- Tokyo Metropolitan Cancer and Infectious diseases Center Komagome Hospital
-
Tokyo, Japonia
- Jeszcze nie rekrutacja
- Keio University Hospital
-
Tokyo, Japonia
- Jeszcze nie rekrutacja
- Nippon Medical School Hospital
-
-
Kryteria uczestnictwa
Kryteria kwalifikacji
Kryteria kwalifikacji
Wiek uprawniający do nauki
- Dorosły
- Starszy dorosły
Akceptuje zdrowych ochotników
Opis
Inclusion Criteria:
- Voluntary written informed consent and willingness to comply with all study procedures
- Age ≥ 18 years
- Confirmed diagnosis of acute myeloid leukemia (AML)
- Patients with R/R AML with NPM1-m
- No available standard of care expected to provide clinical benefit, ineligible for or declined standard therapy.
- ECOG performance status 0-2.
- White blood cell count ≤ 30,000/mm³ at screening (hydroxyurea permitted for cytoreduction).
- Adequate organ function according to protocol requirements.
- Women of childbearing potential must be willing to use a highly effective method of contraception throughout the study and for at least 187 days after the last dose of study treatment.
- Males with female partners of childbearing potential must agree to use a highly effective method of contraception throughout the study and for at least 97 days after the last dose of study treatment.
Exclusion Criteria:
- Diagnosis of acute promyelocytic leukemia.
- Donor lymphocyte infusion < 30 days prior to study entry.
- Clinically active central nervous system (CNS) leukemia.
- Prior hematopoietic stem cell transplantation (HSCT) without adequate hematologic recovery.
- Active Grade ≥ 2 acute graft-versus-host disease or moderate/severe chronic graft-versus-host disease.
- Prior treatment with a menin inhibitor.
- Receipt of chemotherapy, immunotherapy, radiotherapy, or investigational therapy within 14 days or 5 half-lives prior to first dose.
- Unresolved toxicities from prior therapy > Grade 1.
- Requirement for strong CYP3A4 inducers.
- Active or uncontrolled infection, including hepatitis B, hepatitis C, or HIV.
- Conditions predisposing to serious or life-threatening infection or significant immunodeficiency.
- Cardiovascular disease or QTcF > 480 ms.
- Interstitial lung disease.
- Major surgery within 4 weeks prior to first dose.
- Women who are pregnant or lactating
- Any medical, psychiatric, or social condition that may interfere with study participation or safety, or that makes the patient unsuitable in the investigator's judgment.
Plan studiów
Jak projektuje się badanie?
Szczegóły projektu
- Główny cel: Leczenie
- Przydział: Nie dotyczy
- Model interwencyjny: Zadanie dla jednej grupy
- Maskowanie: Brak (otwarta etykieta)
Liczba ramion
Broń i interwencje
Grupa uczestników / ArmGrupa uczestników / Arm |
Interwencja / LeczenieInterwencja / Leczenie |
|---|---|
|
Eksperymentalny: ziftomenib
Oral adminitration once daily
|
Oral adminitration once daily
|
Co mierzy badanie?
Podstawowe miary wyniku
Podstawowe miary wyniku
Miara wyniku |
Ramy czasowe |
|---|---|
|
CR+CRh rate
Ramy czasowe: Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Miary wyników drugorzędnych
Miary wyników drugorzędnych
Miara wyniku |
Opis środka |
Ramy czasowe |
|---|---|---|
|
MRD-negative CR+CRh (CR+CRhMRD-) rate
Ramy czasowe: Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
CR rate
Ramy czasowe: Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
MRD-negative CR rate
Ramy czasowe: Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
CRc (CR+ CRh + CRi) rate
Ramy czasowe: Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
MRD-negative CRc (CRcMRD-) rate
Ramy czasowe: Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
ORR (CR + CRh + CRi + MLFS + PR)
Ramy czasowe: Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Best overall response assessed every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
Transfusion independence rate
Ramy czasowe: From the day after first dose through the last dose before initiation of subsequent therapy (including hematopoietic stem cell transplantation)l, an average of 16weeks
|
From the day after first dose through the last dose before initiation of subsequent therapy (including hematopoietic stem cell transplantation)l, an average of 16weeks
|
|
|
Duration of CR+CRh
Ramy czasowe: Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
Time to CR+CRh
Ramy czasowe: Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
Time to CR
Ramy czasowe: Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
Time to CRc
Ramy czasowe: Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
Time to CR, CRh, Cri, MLFS or PR
Ramy czasowe: Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
EFS
Ramy czasowe: Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
Every 28 days from first dose until disease progression or withdrawall, an average of 16weeks
|
|
|
OS
Ramy czasowe: During the treatment and every 90 days after study treatment completion (approximately up to 1 year after study treatment completion)
|
During the treatment and every 90 days after study treatment completion (approximately up to 1 year after study treatment completion)
|
|
|
Incidence and severity of adverse events
Ramy czasowe: During treatment and up to approximately 28 days after treatment discontinuation
|
During treatment and up to approximately 28 days after treatment discontinuation
|
|
|
Incidence of serious adverse events
Ramy czasowe: During treatment and up to approximately 28 days after treatment discontinuation
|
During treatment and up to approximately 28 days after treatment discontinuation
|
|
|
Death during treatment with ziftomenib
Ramy czasowe: During the treatment
|
During the treatment
|
|
|
Discontinuation of ziftomenib due to adverse events
Ramy czasowe: During the treatment
|
During the treatment
|
|
|
Clinically significant changes in clinical laboratory values, vital signs, and ECG parameters
Ramy czasowe: During treatment and up to end of the treatment assessment
|
During treatment and up to end of the treatment assessment
|
|
|
Clinically significant decrease in ECOG PS
Ramy czasowe: During treatment and up to end of the treatment assessment
|
During treatment and up to end of the treatment assessment
|
|
|
Area under the plasma drug concentration time curve over a dosing interval (AUC0-τ)
Ramy czasowe: Cycle 1 Day 1, and Cycle 2 Day 1 (each cycle is 28 days)
|
AUC0-τ of ziftomenib and its metabolites
|
Cycle 1 Day 1, and Cycle 2 Day 1 (each cycle is 28 days)
|
|
Maximum plasma concentration (Cmax)
Ramy czasowe: Cycle 1 Day 1, and Cycle 2 Day 1 (each cycle is 28 days)
|
Cmax of ziftomenib and its metabolites
|
Cycle 1 Day 1, and Cycle 2 Day 1 (each cycle is 28 days)
|
|
Time to observed maximum plasma concentration (Tmax)
Ramy czasowe: Cycle 1 Day 1, and Cycle 2 Day 1 (each cycle is 28 days)
|
Tmax of ziftomenib and its metabolites
|
Cycle 1 Day 1, and Cycle 2 Day 1 (each cycle is 28 days)
|
Współpracownicy i badacze
Sponsor
Sponsor
Daty zapisu na studia
Główne daty studiów
Rozpoczęcie studiów (Rzeczywisty)
Rozpoczęcie studiów
Zakończenie podstawowe (Szacowany)
Zakończenie podstawowe
Ukończenie studiów (Szacowany)
Ukończenie studiów
Daty rejestracji na studia
Pierwszy przesłany
Pierwszy przesłany
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy przesłany, który spełnia kryteria kontroli jakości
Pierwszy wysłany (Rzeczywisty)
Pierwszy wysłany
Aktualizacje rekordów badań
Ostatnia wysłana aktualizacja (Rzeczywisty)
Ostatnia wysłana aktualizacja
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia przesłana aktualizacja, która spełniała kryteria kontroli jakości
Ostatnia weryfikacja
Ostatnia weryfikacja
Więcej informacji
Terminy związane z tym badaniem
Dodatkowe istotne warunki MeSH
Inne numery identyfikacyjne badania
Inne numery identyfikacyjne badania
- KO-MEN-J001
- jRCT2031250550 (Identyfikator rejestru: jRCT)
Plan dla danych uczestnika indywidualnego (IPD)
Planujesz udostępniać dane poszczególnych uczestników (IPD)?
Opis planu IPD
Informacje o lekach i urządzeniach, dokumenty badawcze
Bada produkt leczniczy regulowany przez amerykańską FDA
Bada produkt urządzenia regulowany przez amerykańską FDA
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