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Study to Find a Safe and Effective Dose of SKI-G-801 in the Treatment of Patients With Acute Myeloid Leukemia (AML)

Primary Purpose

Acute Myeloid Leukemia

Status
Unknown status
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SKI-G-801
Sponsored by
Oscotec Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Myeloid Leukemia

Eligibility Criteria

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

Inclusion Criteria:

  • Willing and able to provide written informed consent for participation, prior to completing any study-related procedures.
  • Diagnosis of Acute Myeloid Leukemia (AML)
  • Patients must have been off previous antileukemia therapy for at least 2 weeks or 5 half-lives, whichever is longer if the immediate prior regimen included only weekly chemotherapy; or 4 weeks or 5 half-lives, whichever is longer, from any therapy with therapeutic biologics and from any type of investigational therapy. Daily hydroxyurea for up to 2 weeks to keep the absolute blast count below 50 x 10⁹/L will be allowed, but must be discontinued 24 hours prior to administration of study drug. Hydroxyurea will be permitted during the first cycle of treatment if necessary.
  • At least one prior induction regimen (with or without consolidation) which may have included hematopoietic stem cell transplantation (HSCT).
  • Have adequate liver function.
  • Have adequate renal (kidney) function.
  • Female patients must either be of non-childbearing potential, or, if of childbearing potential, have a negative urine pregnancy test at screening and agree not to try to become pregnant during the study and for 45 days after the final study drug administration. Women of childbearing potential, if heterosexually active, must agree to use 2 forms of highly effective birth control as determined by the protocol, starting at screening, throughout the study period and for 45 days after the final study drug administration.
  • Female patients must agree not to breastfeed at screening, throughout the study period and for 45 days after the final study drug administration.
  • Male patients with female spouse/partner of childbearing potential, must agree to use 2 forms of highly effective birth control as determined by the protocol, starting at screening, throughout the study period and for 45 days after the final study drug administration.

Exclusion Criteria:

  • Patient has a diagnosis of Acute Promyelocytic Leukemia (APL) or chronic myelogenous leukemia in blast crisis.
  • If patient is post allogenic transplant and requires therapy for graft vs host disease (GVHD) within 14 days prior to date of screening.
  • Requires treatment with concomitant drugs that prolong QT/QTc interval.
  • Recent history of cardiac ischemic disease (acute myocardial infarction within 6 months; uncontrolled angina); severe uncontrolled ventricular arrhythmia; recent transient ischemic attack or stroke within 6 months of screening; poorly controlled hypertension (systolic blood pressure >140 mm Hg or diastolic blood pressure >90 mm Hg).
  • Patient has active, untreated central nervous system (CNS) disease.

Other protocol defined inclusion/exclusion criteria could apply.

Sites / Locations

  • USC Norris Comprehensive Cancer Center, Clinical Investigations Support Office (CISO), 1441 Eastlake Ave., Rm. 7327Recruiting
  • Innovative Clinical Research InstituteRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Dose Escalation Cohort

Arm Description

To identify the recommended phase 2 dose (RP2D) of SKI-G-801 in patients with relapsed or refractory AML (Acute Myeloid Leukemia)

Outcomes

Primary Outcome Measures

Recommended phase 2 dose (RP2D)
RP2D of SKI-G-801 determined using Neuenschwander's continual reassessment method (N-CRM)
Patients in complete remission or showing partial response (overall response rate [ORR])
Number of patients showing composite complete remission (complete remission [CR], complete remission with incomplete platelet recovery [CRp], and complete remission with incomplete hematologic recovery [CRi]) of SKI-G-801 according to the Response Criteria in AML
Patients in complete remission
Number of patients showing complete remission (CR)
Duration of remission
Number of days between a patient's first reported status of complete remission (CR) and the earlier of disease relapse or death from any cause
Duration of event free survival
Number of days between start of treatment to date of event
Time to treatment response (TTR)
Number of days between the start of treatment to the date of first subsequent disease status of complete remission (CR)
Dose limiting toxicity (DLT) Adverse Events (AEs)
Number of any DLT AEs within the first cycle of each patient's treatment with SKI-G-801

Secondary Outcome Measures

Incidence of Adverse Events (AEs)
Number, severity (as graded by National Cancer Institute Common Terminology Criteria for Adverse Events [NCI-CTCAE] v4.03), seriousness and relatedness to treatment of treatment-emergent AEs
Number of participants with clinical laboratory abnormalities
Number of participants with overall safety profiles
Number of participants with electrocardiogram (ECG) abnormalities

Full Information

First Posted
May 3, 2018
Last Updated
October 25, 2019
Sponsor
Oscotec Inc.
Collaborators
PPD
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1. Study Identification

Unique Protocol Identification Number
NCT03564288
Brief Title
Study to Find a Safe and Effective Dose of SKI-G-801 in the Treatment of Patients With Acute Myeloid Leukemia (AML)
Official Title
A Phase 1 Dose Escalation Trial of SKI-G-801 in Patients With Relapsed or Refractory Acute Myeloid Leukemia (AML)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2019
Overall Recruitment Status
Unknown status
Study Start Date
February 23, 2018 (Actual)
Primary Completion Date
January 2021 (Anticipated)
Study Completion Date
January 2021 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Oscotec Inc.
Collaborators
PPD

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
This Phase I study is designed to assess the safety, tolerability, pharmacokinetics and anti-tumor effect of increasing doses of study drug SKI-G-801 in patients with relapsed or refractory Acute Myeloid Leukemia (AML) who are unresponsive to currently available therapies. Eligible participants will receive cycles of treatment involving IV infusion of SKI-G-801 daily for 14 days followed by 14 days off. Treatment cycles will be repeated until progressive disease or unacceptable toxicity.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Myeloid Leukemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
40 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dose Escalation Cohort
Arm Type
Experimental
Arm Description
To identify the recommended phase 2 dose (RP2D) of SKI-G-801 in patients with relapsed or refractory AML (Acute Myeloid Leukemia)
Intervention Type
Drug
Intervention Name(s)
SKI-G-801
Intervention Description
SKI-G-801 is administered as an IV infusion over 10 minutes
Primary Outcome Measure Information:
Title
Recommended phase 2 dose (RP2D)
Description
RP2D of SKI-G-801 determined using Neuenschwander's continual reassessment method (N-CRM)
Time Frame
From Cycle 1, Day 1 until disease progression, unacceptable toxicity, patient withdrawal from study, or judged not to be in patient's interest to continue in study, assessed up to 36 months
Title
Patients in complete remission or showing partial response (overall response rate [ORR])
Description
Number of patients showing composite complete remission (complete remission [CR], complete remission with incomplete platelet recovery [CRp], and complete remission with incomplete hematologic recovery [CRi]) of SKI-G-801 according to the Response Criteria in AML
Time Frame
Up to 30 days following last dose of study drug
Title
Patients in complete remission
Description
Number of patients showing complete remission (CR)
Time Frame
Day 84 (± 3 days)
Title
Duration of remission
Description
Number of days between a patient's first reported status of complete remission (CR) and the earlier of disease relapse or death from any cause
Time Frame
From date of first reported status of CR to the date of disease relapse or death (+ 1 day); or to date of last available disease status report for patients who do not relapse, assessed up to 36 months
Title
Duration of event free survival
Description
Number of days between start of treatment to date of event
Time Frame
Day 1 to date of event (first documented treatment failure, relapse from CR or Cri [CR with incomplete hematologic recovery], or death due to any cause), assessed up to 36 months
Title
Time to treatment response (TTR)
Description
Number of days between the start of treatment to the date of first subsequent disease status of complete remission (CR)
Time Frame
Day 1 to date of first subsequent disease status of CR (+ 1 day), assessed up to 36 months
Title
Dose limiting toxicity (DLT) Adverse Events (AEs)
Description
Number of any DLT AEs within the first cycle of each patient's treatment with SKI-G-801
Time Frame
Up to Day 28
Secondary Outcome Measure Information:
Title
Incidence of Adverse Events (AEs)
Description
Number, severity (as graded by National Cancer Institute Common Terminology Criteria for Adverse Events [NCI-CTCAE] v4.03), seriousness and relatedness to treatment of treatment-emergent AEs
Time Frame
Up to 30 days following last dose of study drug
Title
Number of participants with clinical laboratory abnormalities
Time Frame
Up to 30 days following last dose of study drug
Title
Number of participants with overall safety profiles
Time Frame
Up to 30 days following last dose of study drug
Title
Number of participants with electrocardiogram (ECG) abnormalities
Time Frame
Up to 30 days following last dose of study drug

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Willing and able to provide written informed consent for participation, prior to completing any study-related procedures. Diagnosis of Acute Myeloid Leukemia (AML) Patients must have been off previous antileukemia therapy for at least 2 weeks or 5 half-lives, whichever is longer if the immediate prior regimen included only weekly chemotherapy; or 4 weeks or 5 half-lives, whichever is longer, from any therapy with therapeutic biologics and from any type of investigational therapy. Daily hydroxyurea for up to 2 weeks to keep the absolute blast count below 50 x 10⁹/L will be allowed, but must be discontinued 24 hours prior to administration of study drug. Hydroxyurea will be permitted during the first cycle of treatment if necessary. At least one prior induction regimen (with or without consolidation) which may have included hematopoietic stem cell transplantation (HSCT). Have adequate liver function. Have adequate renal (kidney) function. Female patients must either be of non-childbearing potential, or, if of childbearing potential, have a negative urine pregnancy test at screening and agree not to try to become pregnant during the study and for 45 days after the final study drug administration. Women of childbearing potential, if heterosexually active, must agree to use 2 forms of highly effective birth control as determined by the protocol, starting at screening, throughout the study period and for 45 days after the final study drug administration. Female patients must agree not to breastfeed at screening, throughout the study period and for 45 days after the final study drug administration. Male patients with female spouse/partner of childbearing potential, must agree to use 2 forms of highly effective birth control as determined by the protocol, starting at screening, throughout the study period and for 45 days after the final study drug administration. Exclusion Criteria: Patient has a diagnosis of Acute Promyelocytic Leukemia (APL) or chronic myelogenous leukemia in blast crisis. If patient is post allogenic transplant and requires therapy for graft vs host disease (GVHD) within 14 days prior to date of screening. Requires treatment with concomitant drugs that prolong QT/QTc interval. Recent history of cardiac ischemic disease (acute myocardial infarction within 6 months; uncontrolled angina); severe uncontrolled ventricular arrhythmia; recent transient ischemic attack or stroke within 6 months of screening; poorly controlled hypertension (systolic blood pressure >140 mm Hg or diastolic blood pressure >90 mm Hg). Patient has active, untreated central nervous system (CNS) disease. Other protocol defined inclusion/exclusion criteria could apply.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Eunice Wang, MD
Phone
716-275-1124
Email
suman.sarker@roswellpark.org
First Name & Middle Initial & Last Name or Official Title & Degree
Suman Sarker
Phone
716-845-4886
Email
suman.sarker@roswellpark.org
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Eunice Wang, MD
Organizational Affiliation
Roswell Park Cancer Institute
Official's Role
Principal Investigator
Facility Information:
Facility Name
USC Norris Comprehensive Cancer Center, Clinical Investigations Support Office (CISO), 1441 Eastlake Ave., Rm. 7327
City
Los Angeles
State/Province
California
ZIP/Postal Code
90033
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Christine Duran
Phone
323-865-0371
Email
duran_c@med.usc.edu
First Name & Middle Initial & Last Name & Degree
Sanjna Mani
Phone
323 865 3081
Email
Sanjna.Mani@med.usc.edu
Facility Name
Innovative Clinical Research Institute
City
Whittier
State/Province
California
ZIP/Postal Code
90603
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Arati Chand, MD
Phone
562-693-4477
Email
achand@AIResearch.us
First Name & Middle Initial & Last Name & Degree
Kirsten Bettino, CCRP
Phone
562-693-4477
Email
kbettino@AIResearch.us

12. IPD Sharing Statement

Links:
URL
http://www.fda.gov/Safety/Recalls/
Description
FDA Safety Alerts and Recalls

Learn more about this trial

Study to Find a Safe and Effective Dose of SKI-G-801 in the Treatment of Patients With Acute Myeloid Leukemia (AML)

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