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Trial Title: IMM01+Azacitidine VS Placebo +Azacitidine in Patients With Newly Diagnosed Chronic Myelomonocytic Leukemia (CMML1-2)

NCT ID: NCT06647862

Condition: Chronic Myelomonocytic Leukemia

Conditions: Official terms:
Leukemia
Leukemia, Myelomonocytic, Acute
Leukemia, Myelomonocytic, Chronic
Leukemia, Myelomonocytic, Juvenile
Azacitidine

Study type: Interventional

Study phase: Phase 3

Overall status: Recruiting

Study design:

Allocation: Randomized

Intervention model: Parallel Assignment

Primary purpose: Treatment

Masking: Double (Participant, Investigator)

Intervention:

Intervention type: Drug
Intervention name: IMM01
Description: IV infusion
Arm group label: IMM01 in combination with azacitidine

Other name: Timdarpacept

Intervention type: Drug
Intervention name: Azacitidine
Description: subcutaneous injection
Arm group label: IMM01 in combination with azacitidine
Arm group label: placebo in combination with azacitidine

Intervention type: Drug
Intervention name: Placebo
Description: IV infusion
Arm group label: placebo in combination with azacitidine

Summary: This study is a randomized, controlled, double-blind, multicenter, phase Ⅲ clinical study to evaluate the efficacy of IMM01(timdarpacept) in combination with azacitidine versus placebo in combination with azacitidine in patients with newly diagnosed chronic leukemia monocytic (CMML1-2).Primary endpoint are Complete remission rate and Overall survival.

Criteria for eligibility:
Criteria:
Inclusion Criteria: - Age ≥ 18 years old, regardless of gender; - Eastern Cooperative Oncology Group (ECOG) performance status score of 0-1. - Life expectancy ≥ 12 weeks; - Patients with CMML diagnosed according to WHO 2016 criteria, including CMML-1 and CMML-2; - White blood cell count ≤ 13×10⁹/L before the first treatment with the study drug (hydroxyurea and leukapheresis are allowed, but not within 3 days prior to the first treatment with the study drug). - Patients must be treatment-naïve to any hypomethylating agents (e.g., azacitidine, decitabine), chemotherapy or allogeneic stem cell transplant for CMML. Immunomodulators (thalidomide, lenalidomide), immunosuppressants (antithymocyte globulin, cyclosporine), targeted agents (ruxolitinib), etc. are also excluded, as these agents are considered disease-modifying therapies. Note: During screening and study participation, subjects may continue oral corticosteroids for diseases other than CMML (e.g. asthma) at a stable daily dose equivalent to ≤ 10 mg prednisone. In addition, supportive care in the form of blood transfusions or growth factors is not considered prior therapy in this case and is permitted prior to and as needed during the study. Exclusion Criteria: - Previous treatment with anti-CD47 monoclonal antibody/SIRPα fusion protein; - History of allogeneic stem cell transplant and other organ transplants; Patients who have undergone autologous haematopoietic stem cell transplant; - No prior diagnosis of: therapy-related myelodysplastic syndrome(t-MDS); MDS evolved from a pre-existing myeloproliferative neoplasm (MPN) ;MDS/MPN including atypical chronic myeloid leukemia (aCML), juvenile myelomonocytic leukemia (JMML) and unclassifiable MDS/MPN. Patients positive for BCR-ABL fusion genes, PDGFRA, PDGFRB, and FGF1 rearrangements need to be excluded; - Current or history of central nervous system (CNS) leukemia, extramedullary leukemia, or myeloid sarcoma; - Diagnosis of other malignant neoplasms within 5 years prior to the first dose. Exceptions: a. Radically treated cervical carcinoma in situ or non-melanoma skin cancer; b. a second primary cancer that has been curatively treated and has no recurrence within five years;

Gender: All

Minimum age: 18 Years

Maximum age: N/A

Healthy volunteers: No

Locations:

Facility:
Name: Zhujiang Hospital of Southern Medical University

Address:
City: Zhujiang
Country: China

Status: Not yet recruiting

Contact:
Last name: chaoyang Song

Facility:
Name: Guangdong Provincial People's Hospital

Address:
City: Guangzhou
Country: China

Status: Not yet recruiting

Contact:
Last name: xin Du

Facility:
Name: The Second Hospital of Hebei Medical University

Address:
City: Shijiazhuang
Country: China

Status: Not yet recruiting

Contact:
Last name: jinhai Ren

Facility:
Name: Harbin First Hospital

Address:
City: Harbin
Country: China

Status: Not yet recruiting

Contact:
Last name: tiejun Gong

Facility:
Name: First Affiliated Hospital of Zhengzhou University

Address:
City: Zhengzhou
Country: China

Status: Not yet recruiting

Contact:
Last name: lijie Han

Investigator:
Last name: xinsheng Xie
Email: Principal Investigator

Facility:
Name: Henan Cancer Hospital

Address:
City: Zhengzhou
Country: China

Status: Not yet recruiting

Contact:
Last name: hu Zhou

Facility:
Name: Henan Provincial People's Hospital

Address:
City: Zhengzhou
Country: China

Status: Not yet recruiting

Contact:
Last name: zunmin Zhu

Facility:
Name: The First Affiliated Hospital of Henan University of Science and Technology

Address:
City: Zhengzhou
Country: China

Status: Not yet recruiting

Contact:
Last name: haiping Yang

Facility:
Name: Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology

Address:
City: Wuhan
Country: China

Status: Not yet recruiting

Contact:
Last name: weiming Li

Facility:
Name: Zhongnan Hospital Affiliated to Wuhan University

Address:
City: Wuhan
Country: China

Status: Not yet recruiting

Contact:
Last name: fuling Zhou

Facility:
Name: Zhongda Hospital affiliated to Southeast University

Address:
City: Nanjing
Country: China

Status: Not yet recruiting

Contact:
Last name: zheng Ge

Facility:
Name: The First Affiliated Hospital of Nanchang University

Address:
City: Nanchang
Country: China

Status: Not yet recruiting

Contact:
Last name: fei Li

Facility:
Name: The First Hospital of Jilin University

Address:
City: Changchun
Country: China

Status: Not yet recruiting

Contact:
Last name: hai Lin

Facility:
Name: Shengjing Hospital of China Medical University

Address:
City: Shenyang
Country: China

Status: Not yet recruiting

Contact:
Last name: wei Yang

Facility:
Name: The First Hospital of China Medical University

Address:
City: Shenyang
Country: China

Status: Not yet recruiting

Contact:
Last name: xiaojing Yan

Facility:
Name: Institute of Hematology and Blood Disease Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College;

Address:
City: Tianjin
Zip: 300020
Country: China

Status: Recruiting

Contact:
Last name: Zhijian Xiao, PHD

Phone: 022-23909184
Email: zjxiao@ihcams.ac.cn

Facility:
Name: The Second Affiliated Hospital of Kunming Medical University

Address:
City: Kunming
Country: China

Status: Not yet recruiting

Contact:
Last name: zeping Zhou

Facility:
Name: The First Affiliated Hospital, Zhejiang University School of Medicine

Address:
City: Hangzhou
Zip: 310003
Country: China

Status: Recruiting

Contact:
Last name: hongyan Tong, PHD

Phone: 0571-87235589
Email: hongyantong@aliyun.com

Facility:
Name: Peking University People's Hospital

Address:
City: Beijing
Country: China

Status: Not yet recruiting

Contact:
Last name: qian Jiang

Facility:
Name: Affiliated Cancer Hospital of Chongqing University

Address:
City: Chongqing
Country: China

Status: Not yet recruiting

Contact:
Last name: jieping Li

Facility:
Name: Shanghai Sixth People's Hospital

Address:
City: Shanghai
Country: China

Status: Not yet recruiting

Contact:
Last name: chunkang Chang

Facility:
Name: Tianjin People's Hospital

Address:
City: Tianjin
Country: China

Status: Not yet recruiting

Contact:
Last name: xingli Zhao

Start date: October 24, 2024

Completion date: October 24, 2029

Lead sponsor:
Agency: ImmuneOnco Biopharmaceuticals (Shanghai) Inc.
Agency class: Other

Source: ImmuneOnco Biopharmaceuticals (Shanghai) Inc.

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

Source: ClinicalTrials.gov page: https://clinicaltrials.gov/ct2/show/NCT06647862

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