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A Study Of The Selective PKC-β Inhibitor MS- 553

Primary Purpose

Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma, Aggressive Lymphoma

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MS-553
MS-553
acalabrutinib
venetoclax
Rituximab
obinutuzumab
Sponsored by
MingSight Pharmaceuticals, Inc
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Lymphocytic Leukemia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

To be eligible for inclusion in the primary escalation and expansion cohort 1 in this study, patients must meet all of the following criteria:

  1. Age 18 years or older
  2. Diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL):

    1. History of histologically documented CLL or SLL that meets IWCLL diagnostic criteria according to the 2008 guidelines, and
    2. Indication for treatment as defined by the 2008 IWCLL guidelines, or the need for disease reduction prior to allogeneic transplantation

Exclusion Criteria:

Patients who meet any of the following criteria are not eligible for the primary escalation and expansion cohorts of this study:

  1. Current or past transformation of CLL/SLL to prolymphocytic leukemia (PLL), non-Hodgkin lymphoma, or Hodgkin lymphoma aggressive lymphoma outlined in the inclusion criteria for the optional cohort.
  2. Active and uncontrolled autoimmune cytopenia(s)
  3. Any of the following prior therapies within 14 days prior to cycle 1, day 1:

    1. Major surgery
    2. Corticosteroids greater than 20 mg / day prednisone (or equivalent), unless used by inhalation or topical route, or unless necessary for premedication before iodinated contrast dye, or for autoimmune hemolytic anemia
    3. Cytotoxic chemotherapy or biologic therapy, excepting BCR pathway kinase inhibitors for which no wash out is required (but must be stopped before cycle 1 day 1)

Sites / Locations

  • University Of Michigan Comprehensive Cancer CenterRecruiting
  • Columbia University, Herbert Irving Comprehensive Cancer CenterRecruiting
  • The Ohio State University, James Comprehensive Cancer CenterRecruiting
  • MD Anderson Cancer Center, Department of LeukemiaRecruiting
  • Huntsman Cancer InstituteRecruiting

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm 4

Arm 5

Arm 6

Arm 7

Arm 8

Arm Type

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Experimental

Arm Label

Phase I Dose Escalation Cohort A1 (MS-553 Monotherapy)

Phase II Expansion Cohort A2 (MS-553 Monotherapy)

Phase II Expansion Cohort A3 (MS-553 Monotherapy)

Phase I Combination Dose Escalation Cohort B1

Phase II Expansion Cohort B2

Phase II Expansion Cohort B3

Phase I Combination Dose Escalation Cohort C1

Experimental: Phase II Expansion Cohort C2

Arm Description

R/R CLL/SLL patients

R/R CLL/SLL patients

patients with aggressive lymphoma

BTK inhibitor naïve CLL/SLL patients

BTK inhibitor naïve CLL/SLL patients

BTK inhibitor naïve CLL/SLL patients with certain gene mutations

Bcl-2 inhibitor naïve CLL/SLL patients

Bcl-2 inhibitor naïve CLL/SLL patients

Outcomes

Primary Outcome Measures

The primary objective of this study is to evaluate the safety of MS-553 in patients with CLL/SLL whose disease relapsed after or was refractory to at least one prior therapy.
The primary endpoint of this study is the incidence rate of dose-limiting toxicities and treatment-emergent adverse events requiring study drug discontinuation

Secondary Outcome Measures

To evaluate the clinical activity (i.e. the overall response rate (ORR) of MS-553 in patients with CLL/SLL whose disease relapsed after or was refractory to at least one prior therapy.
This will be assessed according to the International Workshop on Chronic Lymphocytic Leukemia Response Criteria with modifications for treatment-related lymphocytosis.

Full Information

First Posted
March 24, 2018
Last Updated
March 13, 2023
Sponsor
MingSight Pharmaceuticals, Inc
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1. Study Identification

Unique Protocol Identification Number
NCT03492125
Brief Title
A Study Of The Selective PKC-β Inhibitor MS- 553
Official Title
A Phase I/II Dose-Escalation and Expansion Study of the Selective PKC-β Inhibitor MS-553 in Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
Study Type
Interventional

2. Study Status

Record Verification Date
November 2022
Overall Recruitment Status
Recruiting
Study Start Date
May 25, 2018 (Actual)
Primary Completion Date
April 15, 2024 (Anticipated)
Study Completion Date
June 15, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MingSight Pharmaceuticals, Inc

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No

5. Study Description

Brief Summary
A Phase I/II Dose-Escalation and Expansion Study Of The Selective PKC-Β Inhibitor MS-553 In Patients With Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Lymphocytic Leukemia, Small Lymphocytic Lymphoma, Aggressive Lymphoma

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Single Group Assignment
Model Description
a limited 3+3 phase 1 dose escalation study with expansion cohorts
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
117 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Phase I Dose Escalation Cohort A1 (MS-553 Monotherapy)
Arm Type
Experimental
Arm Description
R/R CLL/SLL patients
Arm Title
Phase II Expansion Cohort A2 (MS-553 Monotherapy)
Arm Type
Experimental
Arm Description
R/R CLL/SLL patients
Arm Title
Phase II Expansion Cohort A3 (MS-553 Monotherapy)
Arm Type
Experimental
Arm Description
patients with aggressive lymphoma
Arm Title
Phase I Combination Dose Escalation Cohort B1
Arm Type
Experimental
Arm Description
BTK inhibitor naïve CLL/SLL patients
Arm Title
Phase II Expansion Cohort B2
Arm Type
Experimental
Arm Description
BTK inhibitor naïve CLL/SLL patients
Arm Title
Phase II Expansion Cohort B3
Arm Type
Experimental
Arm Description
BTK inhibitor naïve CLL/SLL patients with certain gene mutations
Arm Title
Phase I Combination Dose Escalation Cohort C1
Arm Type
Experimental
Arm Description
Bcl-2 inhibitor naïve CLL/SLL patients
Arm Title
Experimental: Phase II Expansion Cohort C2
Arm Type
Experimental
Arm Description
Bcl-2 inhibitor naïve CLL/SLL patients
Intervention Type
Drug
Intervention Name(s)
MS-553
Intervention Description
Oral, multiple dose levels
Intervention Type
Drug
Intervention Name(s)
MS-553
Intervention Description
Oral recommended phase 2 dose of MS-553
Intervention Type
Drug
Intervention Name(s)
acalabrutinib
Intervention Description
Oral
Intervention Type
Drug
Intervention Name(s)
venetoclax
Other Intervention Name(s)
Venclexta, Venclyxto
Intervention Description
Oral
Intervention Type
Drug
Intervention Name(s)
Rituximab
Other Intervention Name(s)
Rituxan, MabThera
Intervention Description
IV
Intervention Type
Drug
Intervention Name(s)
obinutuzumab
Other Intervention Name(s)
Gazyva
Intervention Description
IV
Primary Outcome Measure Information:
Title
The primary objective of this study is to evaluate the safety of MS-553 in patients with CLL/SLL whose disease relapsed after or was refractory to at least one prior therapy.
Description
The primary endpoint of this study is the incidence rate of dose-limiting toxicities and treatment-emergent adverse events requiring study drug discontinuation
Time Frame
Assessments for DLT and TEAE will occur during cycle 1. The primary endpoint will be the rate of DLT and TEAE requiring study drug discontinuation in the first 28 days
Secondary Outcome Measure Information:
Title
To evaluate the clinical activity (i.e. the overall response rate (ORR) of MS-553 in patients with CLL/SLL whose disease relapsed after or was refractory to at least one prior therapy.
Description
This will be assessed according to the International Workshop on Chronic Lymphocytic Leukemia Response Criteria with modifications for treatment-related lymphocytosis.
Time Frame
Screening, post cycle 3 and 6 cycles (each cycle is 28 days)
Other Pre-specified Outcome Measures:
Title
Pharmacokinetic (PK) parameters of MS-553
Description
Evaluate Cmax
Time Frame
Time Frame: Cycle 1 day1, Cycle 1 Day 8, Cycle 2 Day 1(each cycle is 28 days)
Title
Pharmacokinetic (PK) parameters of MS-553
Description
Evaluate Tmax
Time Frame
Cycle 1 day 1, Cycle 1 Day 8 (each cycle is 28 days)
Title
Pharmacokinetic (PK) parameters of MS-553
Description
Evaluate t1/2
Time Frame
Cycle 1 Day 1, Cyle 1 Day 8 (each cycle is 28 days)
Title
Pharmacokinetic (PK) parameters of MS-553
Description
Evaluate AUC (0-24; 0-∞)
Time Frame
Cycle 1 day1, Cycle 1 Day 8, (each cycle is 28 days)
Title
Evaluate pharmacodynamics biomarker,ability of MS-553 to inhibit PKC signaling (phosphorylation of PKC Beta substrate in patients with CLL/SLL treated with MS-553
Time Frame
C1D1 Pre-dose and C1D8 pre dose and 3 hours post dose
Title
Evaluate pharmacogenomic biomarkers in patients with CLL/SLL treated with MS-553 to compare germline DNA with tumor DNA via changes in sequence analysis
Time Frame
C1D1 and the 1st day of each cycle and end of treatment (each cycle is 28 days)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: To be eligible for inclusion in the primary escalation and expansion cohort 1 in this study, patients must meet all of the following criteria: Age 18 years or older Diagnosis of chronic lymphocytic leukemia (CLL) or small lymphocytic lymphoma (SLL): History of histologically documented CLL or SLL that meets IWCLL diagnostic criteria according to the 2008 guidelines, and Indication for treatment as defined by the 2008 IWCLL guidelines, or the need for disease reduction prior to allogeneic transplantation Exclusion Criteria: Patients who meet any of the following criteria are not eligible for the primary escalation and expansion cohorts of this study: Current or past transformation of CLL/SLL to prolymphocytic leukemia (PLL), non-Hodgkin lymphoma, or Hodgkin lymphoma aggressive lymphoma outlined in the inclusion criteria for the optional cohort. Active and uncontrolled autoimmune cytopenia(s) Any of the following prior therapies within 14 days prior to cycle 1, day 1: Major surgery Corticosteroids greater than 20 mg / day prednisone (or equivalent), unless used by inhalation or topical route, or unless necessary for premedication before iodinated contrast dye, or for autoimmune hemolytic anemia Cytotoxic chemotherapy or biologic therapy, excepting BCR pathway kinase inhibitors for which no wash out is required (but must be stopped before cycle 1 day 1)
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Kai Zhang
Phone
858-699-7681
Email
kzhang@mingsight.com
First Name & Middle Initial & Last Name or Official Title & Degree
Gerald Messerschmidt, MD
Phone
610-613-3882
Facility Information:
Facility Name
University Of Michigan Comprehensive Cancer Center
City
Ann Arbor
State/Province
Michigan
ZIP/Postal Code
48109
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Roxana Taralunga
Phone
734-232-0773
Email
roxanat@med.umich.edu
First Name & Middle Initial & Last Name & Degree
Christine Ye, MD
Facility Name
Columbia University, Herbert Irving Comprehensive Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10032
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Emma Bentley-Hicks
Phone
212-304-5558
Email
eb3416@cumc.columbia.edu
First Name & Middle Initial & Last Name & Degree
Nicole Lamanna, MD
Facility Name
The Ohio State University, James Comprehensive Cancer Center
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Lindsey Rike
Phone
614-685-6559
Email
Lindsey.Rike@osumc.edu
First Name & Middle Initial & Last Name & Degree
James Blachly, MD
Facility Name
MD Anderson Cancer Center, Department of Leukemia
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Sheri Allred
Phone
713-792-2882
Email
slallred@mdanderson.org
First Name & Middle Initial & Last Name & Degree
Nitin Jain, MD
Facility Name
Huntsman Cancer Institute
City
Salt Lake City
State/Province
Utah
ZIP/Postal Code
84112
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
McKell Reese
Phone
801-587-4775
Email
McKell.Reese@hsc.utah.edu
First Name & Middle Initial & Last Name & Degree
Deborah Stephens, MD

12. IPD Sharing Statement

Learn more about this trial

A Study Of The Selective PKC-β Inhibitor MS- 553

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