- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT02629692
Säkerhet och antileukemisk aktivitet av Vodobatinib (K0706) för behandling av refraktär/intolerant KML misslyckad ≥3 tidigare KML-terapier
En tvådelad fas 1/2-studie för att fastställa säkerhet, tolerabilitet, farmakokinetik och aktivitet hos K0706, en ny tyrosinkinashämmare (TKI), hos friska försökspersoner och hos patienter med kronisk myeloisk leukemi (KML) eller Philadelphia-kromosompositiv akut lymfatisk Leukemi (Ph+ ALL)
Studieöversikt
Status
Intervention / Behandling
Detaljerad beskrivning
Del A (för friska frivilliga) av studien är klar
Del B dosökningsstudie är avslutad. Rekrytering inom dosexpansion pågår i Indien och Korea
Del C-studie i försökspersoner med behandlingsrefraktära/intoleranta registreras globalt.
Studietyp
Inskrivning (Faktisk)
Fas
- Fas 2
- Fas 1
Utökad åtkomst
Kontakter och platser
Studieorter
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Brussels, Belgien, 1200
- Cliniques universitaires Saint-Luc
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Bouches-du-Rhône
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Marseille, Bouches-du-Rhône, Frankrike, 13273
- Institut Paoli Calmettes
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Rhone
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Lyon, Rhone, Frankrike, 69373
- Centre Léon Bérard
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Pierre-Bénite, Rhone, Frankrike, 69495
- Centre Hospitalier LYON SUD
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California
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Downey, California, Förenta staterna, 90241
- The Oncology Institute of Hope and Innovation, Innovative Clinical Research Institute
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Los Angeles, California, Förenta staterna, 90024
- UCLA Hematologic Malignancy Program
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Florida
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Jacksonville, Florida, Förenta staterna, 32224
- Mayo Clinic
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Georgia
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Augusta, Georgia, Förenta staterna, 30912
- Board of Regents of the University System of Georgia
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New York
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New York, New York, Förenta staterna, 10065
- Memorial Sloan Kettering Cancer Center - MAIN
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Texas
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Dallas, Texas, Förenta staterna, 75226
- Baylor University Medical Center
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Houston, Texas, Förenta staterna, 77030
- MD Anderson Cancer Center
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Utah
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Salt Lake City, Utah, Förenta staterna, 84112
- Huntsman Cancer Institute University of Utah
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Maharashtra
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Mumbai, Maharashtra, Indien, 400012
- Tata Memorial Hospital
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Mumbai, Maharashtra, Indien, 400010
- Prince Aly Khan Hospital
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Pune, Maharashtra, Indien, 411004
- Sahyadri Specialty Hospital
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Tamil Nadu
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Madurai, Tamil Nadu, Indien, 625107
- Meenakshi Mission Hospital & Research Centre
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West Bengal
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Kolkata, West Bengal, Indien, 700156
- TATA Medical Centre
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Milan, Italien, 20122
- Fondazione IRCCS CA' Granda Ospedale Maggiore Policlinico
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Roma, Italien, 00161
- Azienda Ospedaliera Universitaria Policlinico Umberto I - Università di Roma La Sapienza
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Roma, Italien, 00144
- Ospedale Sant'Eugenio
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Forli - Cesena
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Meldola, Forli - Cesena, Italien, 47014
- Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori
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Milano
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Monza, Milano, Italien, 20900
- Azienda Socio Sanitaria Territoriale Di Monza (Presidio San Gerardo)
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Bucharest, Rumänien, 020125
- Spitalul Clinic Colentina
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Cluj-Napoca, Rumänien, 400124
- Institutul Oncologic "Prof. Dr. Ion Chiricuta" Cluj-Napoca
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Craiova, Rumänien, 200143
- Spitalul Clinic Municipal Filantropia Craiova
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Barcelona, Spanien, 08035
- Hospital Universitari Vall d'Hebron
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Madrid, Spanien, 28034
- Hospital Universitario Ramon y Cajal
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Madrid, Spanien, 28041
- Hospital Universitario 12 de Octubre
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Madrid, Spanien, 28046
- Hospital Universitario La Paz
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Barcelona
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Badalona, Barcelona, Spanien, 08916
- ICO Badalona - Hospital Universitari Germans Trias i Pujol
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Greater London
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London, Greater London, Storbritannien, SE5 9NU
- King's College Hospital
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London, Greater London, Storbritannien, W120HS
- Hammersmith Hospital
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Gyeonggi-do, Sydkorea, 11759
- Uijeongbu Eulji Medical Center, Eulji University
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Gyeonggi-do
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Seoul, Gyeonggi-do, Sydkorea, 6591
- The Catholic University of Korea, Seoul St. Mary's Hospital
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Debrecen, Ungern, 4032
- Debreceni Egyetem
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Beskrivning
Inklusionskriterier:
- Vill och kan ge skriftligt och daterat informerat samtycke
- Man eller kvinna i åldern ≥ 18 år
- Vill och kan följa de schemalagda besöken
- Eastern Cooperative Oncology Group (ECOG) prestationsstatus på 0, 1 eller 2
- Patienter diagnostiserade med Ph+ CML-CP, Ph+ CML-AP, Ph+ CML-BP, som är resistenta och/eller intoleranta mot ≥ 3 tidigare TKI, varav en inkluderar ponatinib (del C).
Exklusions kriterier:
- Närvaro av T315I (DEL C)
- Alla större operationer, som fastställts av utredaren, inom 4 veckor efter administrering av IMP
- Oförmåga att genomgå venpunktion och/eller tolerera venös åtkomst
- Positiva uteslutningstester: uringraviditetstest (om tillämpligt), HIV, hepatit B-ytantigen eller hepatit C-virus
- Känd eller misstänkt historia av betydande drogmissbruk enligt bedömningen av utredaren
- Fick något annat prövningsmedel inom 30 dagar eller en tvättning på minst 5 halveringstider, beroende på vilket som är längst av IMP-administrering
- Försökspersoner som är berättigade till potentiellt botande terapi som är tillgänglig, inklusive hematopoetisk stamcellstransplantation
- En annan primär malignitet under de senaste 3 åren eller tidigare (förutom adekvat behandlad icke-melanom hudcancer eller livmoderhalscancer in situ
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Behandling
- Tilldelning: N/A
- Interventionsmodell: Enskild gruppuppgift
- Maskning: Ingen (Open Label)
Vapen och interventioner
Deltagargrupp / Arm |
Intervention / Behandling |
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Experimentell: Vodobatinib (K0706) kapslar
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Part A: Oral Vodobatinib (K0706) capsules in single ascending doses. Part B: Oral Vodobatinib (K0706) capsules in multiple ascending doses, once daily. Part C: Oral Vodobatinib (K0706) capsules at recommended phase 2 dose of 174 mg, once daily. |
Vad mäter studien?
Primära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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Examination of the Safety and Tolerability of Single Oral Doses of K0706
Tidsram: Approximately 56 ± 2 days
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Number of Participants with Adverse Events in Part A
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Approximately 56 ± 2 days
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To Determine the Maximum Tolerated Dose (MTD) as Determined by Frequency of Dose Limiting Toxicities
Tidsram: Dose Limiting toxicities observed over a 4 week period
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PART B
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Dose Limiting toxicities observed over a 4 week period
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Incidence and Severity of Treatment Emergent AEs (PART B)
Tidsram: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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Number of Participants with treatment emergent Adverse Events in Part B
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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For CML Subjects in CP at Study Entry
Tidsram: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C: Proportion of subjects achieving Major Cytogenetic Response [ defined as complete cytogenetic response (CCyR; 0% Ph+metaphases) or partial cytogenetic response (PCyR; 1-35% Ph+ metaphases)] as assessed by conventional Karyotyping of Bone marrow aspirate
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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For CML Subjects in AP at Study Entry
Tidsram: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C: Proportion of subjects achieving Major Hematologic Response [ defined as complete hematologic response (CHR) or no evidence of leukemia (NEL)] as assessed by complete blood count of peripheral blood sample
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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For CML Subjects in BP at Study Entry
Tidsram: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C: Proportion of subjects achieving Major Hematologic Response [defined as complete hematologic response (CHR) or no evidence of leukemia (NEL)] as assessed by complete blood count of peripheral blood sample
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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Sekundära resultatmått
Resultatmått |
Åtgärdsbeskrivning |
Tidsram |
|---|---|---|
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To Characterize the Pharmacokinetics (Cmax) of K0706 After Single Oral Doses in Healthy Male Subjects
Tidsram: Approximately 28 ± 2 days
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Part A
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Approximately 28 ± 2 days
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To Characterize the Pharmacokinetics of K0706 (Cmax) After Single Oral Doses in Fasted and Fed State in Healthy Male Subjects
Tidsram: Approximately 28 ± 2 days
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Part A
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Approximately 28 ± 2 days
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Pharmacokinetic Profile of K0706 - Cmax [The Maximum (Peak) Observed Drug Concentration After Dose Administration]
Tidsram: All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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PART B
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All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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Pharmacokinetic Profile of Vodobatinib (K0706) - Tmax [The Time to Reach Maximum (Peak) Drug Concentration After Dose Administration]
Tidsram: All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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PART B
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All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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Pharmacokinetic Profile of Vodobatinib (K0706) - AUC[0-tau] (AUC Over the Dosing Interval of 0-24 Hours).
Tidsram: All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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PART B
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All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
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In Subjects With CML- CP:Proportion of Subjects Achieving Complete Hematological Response as Assessed by Complete Blood Count of Peripheral Blood Sample
Tidsram: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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In Subjects With CML- CP:Proportion of Subjects Achieving Complete Cytogenetic Response as Assessed by Conventional Karyotyping of Bone Marrow Aspirate
Tidsram: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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In Subjects With CML- CP:Proportion of Subjects Achieving Major Molecular Response as Assessed by BCR-ABL Transcript Levels (BCR-ABL1 Ratio of ≤ 0.1%) in Peripheral Blood Using PCR (Polymerase Chain Reaction)
Tidsram: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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In Subjects With CML-AP & BP: Proportion of Subjects Achieving Complete Cytogenetic Response as Assessed by Conventional Karyotyping of Bone Marrow Aspirate
Tidsram: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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In Subjects With CML-AP & BP: Proportion of Subjects Achieving Partial Cytogenetic Response (PCyR) as Assessed by Conventional Karyotyping of Bone Marrow Aspirate
Tidsram: All subjects will be followed up for 60 months from the first dose of K0706
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Part C
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All subjects will be followed up for 60 months from the first dose of K0706
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In Subjects With CML-AP & BP: Proportion of Subjects Achieving Major Molecular Response as Assessed by BCR-ABL Transcript Levels (BCR-ABL1 Ratio of ≤ 0.1%) in Peripheral Blood Using PCR (Polymerase Chain Reaction)
Tidsram: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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Time to Major Cytogenetic Response (MCyR): Time to MCyR is the Time From First Dose to First MCyR (0-35% Ph+ Metaphases); Computed Only for CML-CP Subjects Who Achieved MCyR
Tidsram: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C; Time to response was calculated as time from date of first dose to date of first occurrence of best response
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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Time to Major Molecular Response : Time to MMR is the Time From First Dose to First MMR (BCR-ABL1 Ratio of ≤ 0.1%) Computed Only for CML-CP Subjects Who Achieved MMR
Tidsram: All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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PART C; Time to response was calculated as time from date of first dose to date of first occurrence of best response
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All subjects will be followed up for 60 months from the first dose of Vodobatinib (K0706)
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In All Subjects Progression Free Survival (PFS)
Tidsram: All subjects will be followed up at 12, 24, 36 months from the first dose of K0706 and beyond, until intolerance, disease progression or subject withdrawal from the study.
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PART C
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All subjects will be followed up at 12, 24, 36 months from the first dose of K0706 and beyond, until intolerance, disease progression or subject withdrawal from the study.
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In All Subjects Overall Survival (OS)
Tidsram: All subjects will be followed up at 12, 24, 36 months from the first dose of K0706 and beyond, until intolerance, disease progression or subject withdrawal from the study.
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PART C
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All subjects will be followed up at 12, 24, 36 months from the first dose of K0706 and beyond, until intolerance, disease progression or subject withdrawal from the study.
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Incidence and Severity of Treatment Emergent AEs (PART C)
Tidsram: All subjects will be followed up for up to 60 months from the first dose of Vodobatinib (K0706), unless subject discontinues due to intolerance or progression of disease.
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Number of Participants with treatment emergent Adverse Events in Part C
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All subjects will be followed up for up to 60 months from the first dose of Vodobatinib (K0706), unless subject discontinues due to intolerance or progression of disease.
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Pharmacokinetic Profile of K0706 - Cmax [The Maximum (Peak) Observed Drug Concentration After Dose Administration]
Tidsram: All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
|
PART C
|
All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
|
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Pharmacokinetic Profile of Vodobatinib (K0706) - Tmax [The Time to Reach Maximum (Peak) Drug Concentration After Dose Administration]
Tidsram: All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
|
PART C
|
All subjects will be followed for up to approximately 60 months after the first dose of Vodobatinib (K0706)
|
|
To Characterize the Pharmacokinetics (AUC(0-inf)) of K0706 After Single Oral Doses in Healthy Male Subjects
Tidsram: Approximately 28 ± 2 days
|
Part A
|
Approximately 28 ± 2 days
|
|
To Characterize the Pharmacokinetics of K0706 (AUC(0-inf)) After Single Oral Doses in Fasted and Fed State in Healthy Male Subjects
Tidsram: Approximately 28 ± 2 days
|
Part A
|
Approximately 28 ± 2 days
|
Samarbetspartners och utredare
Publikationer och användbara länkar
Studieavstämningsdatum
Studera stora datum
Studiestart (Faktisk)
Primärt slutförande (Faktisk)
Avslutad studie (Faktisk)
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Beräknad)
Uppdateringar av studier
Senaste uppdatering publicerad (Faktisk)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
- Patologiska processer
- Neoplasmer
- Kronisk sjukdom
- Sjukdomsegenskaper
- Neoplasmer efter histologisk typ
- Hematologiska sjukdomar
- Leukemi, myeloid
- Benmärgssjukdomar
- Leukemi
- Myeloproliferativa störningar
- Patologiska tillstånd, tecken och symtom
- Hemiska och lymfsjukdomar
- Leukemi, Myelogen, Kronisk, BCR-ABL positiv
- Farmaceutiska förberedelser
- Doseringsformer
- Kapslar
Andra studie-ID-nummer
- CLR_15_03 V 12 Amendment 12
Plan för individuella deltagardata (IPD)
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