To hear about similar clinical trials, please enter your email below
Trial Title:
A Phase II Open-label Study of Olutasidenib Post-transplant Maintenance Therapy for Patients with IDH1-mutated Myeloid Malignancies
NCT ID:
NCT06668584
Condition:
Myeloid Malignancies
Conditions: Official terms:
Neoplasms
Study type:
Interventional
Study phase:
Phase 1/Phase 2
Overall status:
Not yet recruiting
Study design:
Allocation:
N/A
Intervention model:
Single Group Assignment
Primary purpose:
Treatment
Masking:
None (Open Label)
Intervention:
Intervention type:
Drug
Intervention name:
Olutasidenib
Description:
Given by mouth
Arm group label:
Olutasidenib Maintenance Therapy
Summary:
The goal of this clinical research study is to learn about the safety and tolerability of
giving olutasidenib to patients with IDH1-mutated myeloid malignancies as maintenance
therapy after they receive a stem cell transplant.
Detailed description:
Primary Objective:
The goal of this clinical research study is to learn about the safety and tolerability of
giving olutasidenib to patients with IDH1-mutated myeloid malignancies as maintenance
therapy after they receive a stem cell transplant.
Secondary Objectives:
The goal of this clinical research study is to learn about the safety and tolerability of
giving olutasidenib to patients with IDH1-mutated myeloid malignancies as maintenance
therapy after they receive a stem cell transplant.
Criteria for eligibility:
Criteria:
Inclusion Criteria:
1. Diagnosis of AML, MDS, MPN, CMML according to World Health Organization (WHO)
classification that underwent first or second alloSCT with either peripheral blood
or bone marrow hematopoietic stem cell source, regardless of donor type/match,
conditioning regimen, or GVHD prophylaxis and is at least 30 days post stem cell
transplant until day 120.
2. Evdence of an IDH1 mutation presence by next generation sequencing panel at original
diagnosis.
3. Evidence of engraftment by Absolute neutrophil count (ANC) >/= 1.0x 109/L without
daily use of myeloid growth factor (G-CSF) for at least 7 days; and Platelet >/= 30
x 109/L with out platelet transfusion within 1 week.
4. Patient in morphologic remission with Day +30 bone marrow <5% blast. Will include
MRD positive or negative.
5. Age 18 to 75 years old.
6. ECOG performance status of 0, 1, 2. Or KPS above 70.
7. Creatinine clearance greater or equal to 40cc/min as defined by the Cockcroft-Gault
Equation.
Males (mL/min): (140-age) *IBW (kg) / 72*(serum creatinine(mg/dl)) Females (mL/min):
0.85*(140-age) *IBW (kg) / 72*(serum creatinine(mg/dl)).
8. Serum bilirubin = 1.5 x upper limit of normal (ULN) except in subjects with
Gilbert's Syndrome in whom total bilirubin must be = 3.0 mg/dl. Aspartate
transaminase (AST) or alanine transaminase (ALT) = 2.5 x ULN. Alkaline phoshatase
=2.5 x ULN.
9. No active bleeding.
10. No clinical evidence of life-threatening infection.
11. Capable of understanding the investigational nature, potential risks, and benefits
of the study, and able to provide valid informed consent.
12. Negative serum or urine pregancy test for wome with reproductive potential at
screening.
13. Female participants of non-childbearing potential must meet at least one of the
following criteria:
1. Postmenopausal (no menses in greater than or equal to 12 consecutive months).
2. History of hysterectomy or bilateral salpingo-oophorectomey.
3. Ovarian failure (follicle-stimulating hormone and Estradiolin menopausal range,
who have received Whole Pelvic Radiation Therapy).
4. History of bilateral tubal ligation or another surgical sterilization procedure
14. Subjects who are of childbearing potential, sexually active, and at risk of
pregnancy must agree to use a highly effective method of contraception for the
duration of the active treatment and at least 3 months post-completion of the study
therapy. See Appendix B.
Approved methods of birth control are as follows: Hormonal contraception (i.e., birth
control pills, injection, implant, transdermal patch, vaginal ring), Intrauterine device
(IUD), Tubal Ligation or hysterectomy, Subject/Partner post vasectomy, Implantable or
injectable contraceptives, and condoms plus spermicide. Not engaging in sexual activity
for the total duration of the trial and the drug washout period is an acceptable practice
however periodic abstinence, the rhythm method, and the withdrawal method are not
acceptable methods of birth control. Should a woman become pregnant or suspect she is
pregnant while she or her partner is participating in this study, she should inform her
treating physician immediately. See Appendix B.
Men treated or enrolled in this protocol must also agree to use adequate contraception
prior to the study, for the duration of study participation, and 4 months after
completion of Olutasidenib administration.
Exclusion Criteria:
1. Use of any of the following after transplantation and prior to starting study
therapy. Anti-leukemic agents given as post-transplant maintenance therapy (e.g.,
subcutaneous, or oral 5-azacitidine or FL T3 inhibitors for maintenance)
2. Overall grade II-IV aGVHD. However, upon complete resolution of aGVHD-related
symptoms with grade 1 or 0 overall clinical grade would be appropriate to enroll at
that time. Patients may be eligible for enrollment if they are on prednisone 0.5
mg/kg daily dose or lower, tacrolimus, sirolimus, and/or ruxolitinib.
3. cGVHD, moderate or servere by NIH criteria.
4. Active uncontrolled systemic fungal, bacterial, or viral infection. However,
patients receiving anti-micobial agents including antibiotics, antiviral and
antifungal therapies are allowed if the infection is controlled, and the patient is
hemodynamically stable.
5. Known active viral infection with Human Immunodeficiency Virus (HIV), Hepatitis B
Virus (HBV), or Hepatitis C Virus (HCV).
- Patients with known active hepatitis B virus (HBV) infection will be excluded
because of potential effects on immune function and/or drug interactions.
However, if a patient has HBV history with an undetectable HBV load by
polymerase chain reaction (PCR), no liver-related complications, and is on
definitive HBV therapy that is not contraindicated in this study, then they
would be eligible for study.
- Patients with known active hepatitis C virus (HCV) infection will be excluded
because of potential effects on immune function and/or drug interactions.
However, if a patient with a history of HCV infection has received definitive
therapy (and is now HCV viral load negative), or if a patient has a reactive
HCV antibody test but has an undetectable viral load by PCR, then they would be
eligible.
- Patients with known active HIV infection will be excluded out of concern for
the drug-drug interaction with venetoclax and highly active antiretroviral
therapy (HART)
6. QT prolongation of QTc >480 milliseconds.
7. Any other condition that would, in the Investigator's judgment, contraindicate the
patient's participation in the clinical study due to safety concerns with clinical
study procedures.
8. Patients with cognitive impairments or psychiatric disorders that can interfere with
safety or with obtaining informed consent of compliance with study procedures.
Gender:
All
Minimum age:
18 Years
Maximum age:
75 Years
Healthy volunteers:
No
Locations:
Facility:
Name:
The University of Texas M. D. Anderson Cancer Center
Address:
City:
Houston
Zip:
77030
Country:
United States
Contact:
Last name:
Jeremy Ramdial, MD
Phone:
(713) 745-0146
Email:
jlramdial@mdanderson.org
Contact backup:
Last name:
Jeremy Ramdial, MD
Start date:
December 31, 2024
Completion date:
December 31, 2029
Lead sponsor:
Agency:
M.D. Anderson Cancer Center
Agency class:
Other
Source:
M.D. Anderson Cancer Center
Record processing date:
ClinicalTrials.gov processed this data on November 12, 2024
Source: ClinicalTrials.gov page:
https://clinicaltrials.gov/ct2/show/NCT06668584
http://www.mdanderson.org