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Trial Title: Study of SGR-2921 in Relapsed/Refractory Acute Myeloid Leukemia or Myelodysplastic Syndrome

NCT ID: NCT05961839

Condition: Acute Myeloid Leukemia
High-Risk and Very High-Risk Myelodysplastic Syndromes

Conditions: Official terms:
Leukemia
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Preleukemia
Myelodysplastic Syndromes
Syndrome

Conditions: Keywords:
MDS
Relapsed or Refractory AML

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Sequential Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: SGR-2921
Description: SGR-2921 will be administered orally.
Arm group label: Dose Escalation in the Absence of Specific Azole Antifungal Treatments
Arm group label: Dose Escalation in the Presence of Specific Azole Antifungal Treatments

Summary: The purpose of this study is to evaluate safety and tolerability and to determine the maximum tolerated dose (MTD) and/or recommended dose (RD) of SGR-2921.

Detailed description: This is a study of SGR-2921, an oral, small molecule inhibitor of cell division cycle 7-related protein kinase (CDC7), in subjects with Relapsed/Refractory (R/R) Acute Myeloid Leukemia (AML) or Myelodysplastic Syndrome (MDS) to evaluate the safety, pharmacokinetics (PK), pharmacodynamics (PD), maximum tolerated dose (MTD) and/or recommended dose (RD) of SGR-2921. Exploratory cohorts may evaluate additional PK, PD, preliminary anti-tumor activity, and safety to establish the SGR-2921 RD. A planned amendment will evaluate SGR-2921 in combination with other approved AML/MDS treatments such as hypomethylating agents (HMA), BCL2 inhibitors, IDH inhibitors or FLT3 inhibitors, in patients with AML and/or MDS.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - ≥ 18 years of age. - Life expectancy ≥ 8 weeks. - Confirmed diagnosis of R/R AML or High Risk (HR) and Very High Risk (VHR) MDS. - Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2. Exclusion Criteria: - Active malignancies within two years prior to the first dose, or requiring ongoing treatment, not related to AML or MDS. - Clinical evidence of central nervous system (CNS) or pulmonary leukostasis, ≥ Grade 3 disseminated intravascular coagulation, or active CNS leukemia. - Use of experimental drug, or therapy, or anti-cancer therapy within 14 days or 5 half-lives of the first dose of study drug. - QT interval corrected for heart rate per Fridericia's formula ≥470 msec during screening ECG.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Colorado Blood Cancer Institute

Address:
City: Denver
Zip: 80218
Country: United States

Status: Recruiting

Investigator:
Last name: Marcello Rotta, MD
Email: Principal Investigator

Facility:
Name: The University of Kansas Clinical Research Center

Address:
City: Fairway
Zip: 66205
Country: United States

Status: Recruiting

Investigator:
Last name: Jesus Gonzalez Lugo, MD
Email: Principal Investigator

Facility:
Name: Roswell Park Cancer Institute

Address:
City: Buffalo
Zip: 14263
Country: United States

Status: Recruiting

Investigator:
Last name: Eunice Wang, MD
Email: Principal Investigator

Facility:
Name: Memorial Sloan Kettering Cancer Center

Address:
City: New York
Zip: 10065
Country: United States

Status: Recruiting

Investigator:
Last name: Eytan Stein, MD
Email: Principal Investigator

Facility:
Name: Cleveland Clinic Foundation

Address:
City: Cleveland
Zip: 44195
Country: United States

Status: Recruiting

Investigator:
Last name: Hetty Carraway, MD
Email: Principal Investigator

Facility:
Name: The Ohio State University Wexner Medical Center - James Cancer Hospital

Address:
City: Columbus
Zip: 43210
Country: United States

Status: Recruiting

Investigator:
Last name: Alice Mims, MD
Email: Principal Investigator

Facility:
Name: Oncology Associates of Oregon, P.C.

Address:
City: Eugene
Zip: 97401
Country: United States

Status: Recruiting

Investigator:
Last name: Luke Fletcher, MD
Email: Principal Investigator

Facility:
Name: Oregon Health & Science University - Knight Cancer Institute - Center of Hematologic Malignancies

Address:
City: Portland
Zip: 97239
Country: United States

Status: Recruiting

Investigator:
Last name: Elie Traer, MD
Email: Principal Investigator

Facility:
Name: Thomas Jefferson University, Sidney Kimmel Cancer Center, Clinical Research Organization

Address:
City: Philadelphia
Zip: 19107
Country: United States

Status: Recruiting

Investigator:
Last name: Gina Keiffer, MD
Email: Principal Investigator

Facility:
Name: TriStar Bone Marrow Transplant, LLC

Address:
City: Nashville
Zip: 37203
Country: United States

Status: Recruiting

Investigator:
Last name: Steven Strickland, MD
Email: Principal Investigator

Facility:
Name: St. David's South Austin Medical Center

Address:
City: Austin
Zip: 78745
Country: United States

Status: Recruiting

Investigator:
Last name: Aravind Ramakrishnan, MD
Email: Principal Investigator

Facility:
Name: MD Anderson Cancer Center

Address:
City: Houston
Zip: 77030
Country: United States

Status: Recruiting

Investigator:
Last name: Courtney DiNardo, MD
Email: Principal Investigator

Start date: September 27, 2023

Completion date: December 2025

Lead sponsor:
Agency: Schrödinger, Inc.
Agency class: Industry

Source: Schrödinger, Inc.

Record processing date: ClinicalTrials.gov processed this data on November 12, 2024

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT05961839

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