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Trial Title: Safety and Tolerability of Ziftomenib Combinations in Patients With Relapsed/Refractory Acute Myeloid Leukemia

NCT ID: NCT06001788

Condition: AML
AML With Mutated NPM1
Hematologic Malignancy
KMT2Ar
NPM1 Mutation
MLL Rearrangement
Leukemia
Acute Myeloid Leukemia
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Acute Leukemia
Neoplasms by Histologic Type

Conditions: Official terms:
Leukemia
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Hematologic Neoplasms
Neoplasms by Histologic Type
Cytarabine
Fludarabine
Idarubicin
Lenograstim
Gilteritinib

Study type: Interventional

Study phase: Phase 1

Overall status: Recruiting

Study design:

Allocation: Non-Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: None (Open Label)

Intervention:

Intervention type: Drug
Intervention name: Ziftomenib
Description: Oral administration
Arm group label: Phase 1a
Arm group label: Phase 1b

Other name: KO-539

Intervention type: Drug
Intervention name: Fludarabine
Description: Intravenous infusion
Arm group label: Phase 1a
Arm group label: Phase 1b

Intervention type: Drug
Intervention name: Idarubicin
Description: Intravenous infusion
Arm group label: Phase 1a
Arm group label: Phase 1b

Intervention type: Drug
Intervention name: Cytarabine
Description: Intravenous Infusion
Arm group label: Phase 1a
Arm group label: Phase 1b

Intervention type: Drug
Intervention name: Gilteritinib
Description: Oral administration
Arm group label: Phase 1a
Arm group label: Phase 1b

Other name: Xospata

Intervention type: Biological
Intervention name: Granulocyte colony-stimulating factor
Description: Subcutaneous injection
Arm group label: Phase 1a
Arm group label: Phase 1b

Summary: The safety, tolerability, and antileukemic response of ziftomenib in combination with standard of care treatments for patients with relapsed/refractory acute myeloid leukemia will be examined with the following agents: FLAG-IDA, low-dose cytarabine, and gilteritinib.

Criteria for eligibility:
Criteria:
Key Inclusion Criteria: - Has been diagnosed with relapsed/refractory AML. - Has a documented NPM1 mutation or KMT2A rearrangement. - Has a documented FLT3 mutation (cohort A-3 only). - Has an Eastern Cooperative Oncology Group (ECOG) Performance status ≤ 2. - Has adequate hepatic and renal function as defined per protocol. - Has an ejection fraction above a protocol defined limit. - Participant, or legally authorized representative, must be able to understand and provide written informed consent prior to the first screening procedure. - Has agreed to use contraception as defined per protocol. Key Exclusion Criteria: - Has a diagnosis of acute promyelocytic leukemia or blast chronic myeloid leukemia. - Has clinically active central nervous system leukemia. - Has an active and uncontrolled infection. - Has a mean corrected QT interval (QTcF) > 480ms. - Has uncontrolled intercurrent illness, including, but not limited to protocol defined cardiac disease. - Has received radiation, chemotherapy, immunotherapy, or any other anticancer therapy including investigational therapy <14 days or within 5 drug half-lives prior to the first dose of study intervention. - Has had major surgery within 4 weeks prior to the first dose of study intervention. - Has received a hematopoietic stem cell transplant (HSCT) and has not previously had adequate recovery per protocol defined criteria. - Has active graft-versus-host disease (GvHD) and or on immunosuppressive drugs for the treatment of GvHD. - Participant is pregnant or lactating.

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Banner MD Anderson Cancer Center

Address:
City: Gilbert
Zip: 85234
Country: United States

Status: Recruiting

Contact:
Last name: Matthew Ulrickson, MD

Facility:
Name: UCLA Health - Bowyer Oncology Center

Address:
City: Los Angeles
Zip: 90095
Country: United States

Status: Recruiting

Contact:
Last name: Bruck Habtemariam
Email: bhabtemariam@mednet.ucla.edu

Facility:
Name: UCI Health Chao Family Comprehensive Cancer Center

Address:
City: Orange
Zip: 92868
Country: United States

Status: Recruiting

Contact:

Phone: 949-824-8170
Email: irb@uci.edu

Facility:
Name: Smilow Cancer Hospital at Yale New Haven

Address:
City: New Haven
Zip: 06511
Country: United States

Status: Recruiting

Contact:
Last name: Farah Fasihuddin
Email: farah.fasihuddin@yale.edu

Facility:
Name: The University of Kansas

Address:
City: Kansas City
Zip: 66160
Country: United States

Status: Recruiting

Contact:
Last name: KUCC Navigation Team

Phone: 913-588-3671
Email: kucc_navigation@kumc.edu

Facility:
Name: Karmanos Cancer Institute

Address:
City: Detroit
Zip: 48201
Country: United States

Status: Recruiting

Contact:
Last name: Cathy Galasso
Email: galassoc@karmanos.org

Facility:
Name: Henry Ford Cancer Institute

Address:
City: Detroit
Zip: 48202
Country: United States

Status: Recruiting

Contact:
Last name: Kristyn Dailey
Email: KDailey6@hfhs.org

Facility:
Name: University of Nebraska Medical Center

Address:
City: Omaha
Zip: 68198
Country: United States

Status: Recruiting

Investigator:
Last name: Michael Haddadin, MBBS
Email: Principal Investigator

Facility:
Name: Memorial Sloan Kettering Cancer Center

Address:
City: New York
Zip: 10021
Country: United States

Status: Recruiting

Contact:
Last name: Aaron Goldberg, MD, PhD

Phone: 646-608-3752
Email: goldbera@mskcc.org

Facility:
Name: Stony Brook Cancer Center

Address:
City: Stony Brook
Zip: 11794
Country: United States

Status: Recruiting

Contact:
Last name: Zita Makselyte
Email: zita.makselyte@stonybrookmedicine.edu

Facility:
Name: Atrium Health Levine Cancer Center

Address:
City: Charlotte
Zip: 60201
Country: United States

Status: Recruiting

Contact:
Last name: Chari Granger
Email: Chari.Granger@atriumhealth.org

Facility:
Name: OU Health Stephenson Cancer Center

Address:
City: Oklahoma City
Zip: 73104
Country: United States

Status: Recruiting

Contact:
Last name: Cynthia J Lowery
Email: Cynthia-Lowery@ouhsc.edu

Facility:
Name: Prisma Health

Address:
City: Greenville
Zip: 29615
Country: United States

Status: Recruiting

Contact:
Last name: Lisa Johnson

Phone: 864-455-3735
Email: lisa.johnson@prismahealth.org

Contact backup:
Last name: Fiona Davidson

Phone: 864-455-3737
Email: fiona.davidson@prismahealth.org

Facility:
Name: MD Anderson Cancer Center

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

Status: Recruiting

Contact:
Last name: Allison Pike

Phone: 713-745-6756
Email: apike@mdanderson.org

Contact backup:
Last name: Ghayas C Issa, MD

Phone: 713-745-6798
Email: gcissa@mdanderson.org

Start date: February 22, 2024

Completion date: August 2027

Lead sponsor:
Agency: Kura Oncology, Inc.
Agency class: Industry

Source: Kura Oncology, Inc.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06001788

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