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Study of MP0533 in Patients With Relapsed or Refractory Acute Myeloid Leukemia or Myelodysplastic Syndrome

Primary Purpose

Leukemia, Relapsed, Myeloid

Status
Recruiting
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
MP0533 (multispecific DARPin CD3 Engager Targeting CD33, CD123 and CD70)
Sponsored by
Molecular Partners AG
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leukemia focused on measuring DARPin, CD33, CD123, CD70, T-cell/CD3 engager, multispecific

Eligibility Criteria

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

Inclusion Criteria: Has signed and dated written informed consent prior to performing any study procedure, including screening Diagnosis of AML or MDS/AML according to the ELN, refractory or relapsed to pretreatment with hypomethylating agents (HMA) (with or without venetoclax), induction chemotherapy or allogeneic hematopoietic cell transplantation (HCT) Age ≥18 years old on the day of signing informed consent Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 to 2 Anticipated life expectancy ≥ 12 weeks by investigator judgement Adequate renal and hepatic function: Is using highly effective contraception, for females of childbearing potential and for men Exclusion Criteria: Allogeneic HCT within the last 3 months Active GvHD requiring immune-suppressive therapy Use of immunosuppressive drugs Symptoms of leukostasis (prior hydroxyurea allowed) Clinical signs of AML in the central nervous system Major surgery within 28 days prior to start of study medication Other malignancy requiring active therapy, but adjuvant endocrine therapy is allowed Any active infection requiring the use of parenteral antimicrobial agents or that is grade >2 Treatment with investigational agents and/or agents targeting CD33, CD123 or CD70 within 4 weeks prior to start of trial medication Left ventricular ejection fraction of < 50% on echocardiographic exam at screening History or evidence of clinically significant cardiovascular disease Pulmonary disease with clinically relevant hypoxia Concurrent enrolment in another clinical trial, unless it is an observational (non-interventional) study or it is the follow-up period of an interventional study Known hypersensitivity to any of the excipients of the investigational medicinal product (IMP), i.e. finished MP0533 drug

Sites / Locations

  • IUCT OncopoleRecruiting
  • Vilnius University Hospital Santaros KlinikosRecruiting
  • Amsterdam UMC - Locatie VUmcRecruiting
  • Groningen UMCRecruiting
  • Erasmus MCRecruiting
  • Inselspital, Universitaetsspital BernRecruiting
  • Universitaetsspital ZuerichRecruiting

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Dose escalation

Dose expansion

Arm Description

Outcomes

Primary Outcome Measures

Phase 1 dose escalation: Recommended Phase 2 Dose Regimen and/or Maximum Tolerated Dose Regimen
Incidence of dose limiting toxicities, assessment of toxicity/safety, pharmacokinetic and efficacy parameters
Phase 2 dose extension: Overall Response Rate
Best overall response of complete remission (CR), complete remission with partial hematological recovery (CRh), complete remission with incomplete hematological recovery (CRi), morphologic leukemia-free state (MLFS) and partial remission (PR) according to the European LeukemiaNet (ELN) response criteria 2022

Secondary Outcome Measures

Serum Concentration-time profiles
Determination of PK parameters including (but not limited to) maximum serum concentration (Cmax)
Serum Concentration-time profiles
Determination of PK parameters including (but not limited to) time at Cmax (Tmax)
Serum Concentration-time profiles
Determination of PK parameters including (but not limited to) minimal serum concentration (Cmin)
Area under the concentration-time curve (AUC)
Pharmacokinetic (PK) analysis of MP0533
Total Clearance (CL)
PK analysis of MP0533
Volume of distribution (Vd)
PK analysis of MP0533
Half-life (t1/2)
PK analysis of MP0533
Incidence of adverse events (AEs) as a measure of safety
Type, incidence and severity of AEs according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0
Event free survival (EFS)
time from the date of first study treatment administration to the date of treatment failure, hematologic relapse from CR/CRh/CRi or death from any cause
Duration of response (DoR)
time from the start date of CR, CRh, CRi, MLFS or PR to relapse or death
Overall survival (OS)
time from the date of first study treatment administration to the date of death

Full Information

First Posted
December 14, 2022
Last Updated
August 2, 2023
Sponsor
Molecular Partners AG
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1. Study Identification

Unique Protocol Identification Number
NCT05673057
Brief Title
Study of MP0533 in Patients With Relapsed or Refractory Acute Myeloid Leukemia or Myelodysplastic Syndrome
Official Title
A Phase 1/2a, First-in-human, Open-label, Multicenter, Dose Escalation Study of MP0533 in Patients With Relapsed/Refractory (R/R) Acute Myeloid Leukemia (AML) or Myelodysplastic Syndrome (MDS)
Study Type
Interventional

2. Study Status

Record Verification Date
August 2023
Overall Recruitment Status
Recruiting
Study Start Date
December 29, 2022 (Actual)
Primary Completion Date
December 2025 (Anticipated)
Study Completion Date
December 2027 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Molecular Partners AG

4. Oversight

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

5. Study Description

Brief Summary
The purpose of this study is to evaluate the safety, tolerability, and preliminary activity of MP0533 in patients with relapsed/refractory acute myeloid leukemia (AML) or myelodysplastic syndrome (MDS)

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leukemia, Relapsed, Myeloid, Acute
Keywords
DARPin, CD33, CD123, CD70, T-cell/CD3 engager, multispecific

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Sequential Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
70 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Dose escalation
Arm Type
Experimental
Arm Title
Dose expansion
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
MP0533 (multispecific DARPin CD3 Engager Targeting CD33, CD123 and CD70)
Other Intervention Name(s)
DARPin
Intervention Description
Phase 1 comprises the dose-escalation part of the study and is designed to determine the recommended phase 2a dose regimen (RP2D-R) and/or the maximum tolerated dose-regimen (MTD-R) for MP0533 monotherapy. Once the RP2D-R or MTD-R has been selected based on the dose escalation part, the study will proceed into the phase 2 expansion part and up to 30 additional patients will be treated.
Primary Outcome Measure Information:
Title
Phase 1 dose escalation: Recommended Phase 2 Dose Regimen and/or Maximum Tolerated Dose Regimen
Description
Incidence of dose limiting toxicities, assessment of toxicity/safety, pharmacokinetic and efficacy parameters
Time Frame
from start of treatment to end of first cycle (day 1 - 28)
Title
Phase 2 dose extension: Overall Response Rate
Description
Best overall response of complete remission (CR), complete remission with partial hematological recovery (CRh), complete remission with incomplete hematological recovery (CRi), morphologic leukemia-free state (MLFS) and partial remission (PR) according to the European LeukemiaNet (ELN) response criteria 2022
Time Frame
throughout the study (on average 3 months)
Secondary Outcome Measure Information:
Title
Serum Concentration-time profiles
Description
Determination of PK parameters including (but not limited to) maximum serum concentration (Cmax)
Time Frame
throughout the study (on average 1 year)
Title
Serum Concentration-time profiles
Description
Determination of PK parameters including (but not limited to) time at Cmax (Tmax)
Time Frame
throughout the study (on average 1 year)
Title
Serum Concentration-time profiles
Description
Determination of PK parameters including (but not limited to) minimal serum concentration (Cmin)
Time Frame
throughout the study (on average 1 year)
Title
Area under the concentration-time curve (AUC)
Description
Pharmacokinetic (PK) analysis of MP0533
Time Frame
throughout the study (on average 1 year)
Title
Total Clearance (CL)
Description
PK analysis of MP0533
Time Frame
throughout the study (on average 1 year)
Title
Volume of distribution (Vd)
Description
PK analysis of MP0533
Time Frame
throughout the study (on average 1 year)
Title
Half-life (t1/2)
Description
PK analysis of MP0533
Time Frame
throughout the study (on average 1 year)
Title
Incidence of adverse events (AEs) as a measure of safety
Description
Type, incidence and severity of AEs according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v5.0
Time Frame
throughout the study (on average 1 year)
Title
Event free survival (EFS)
Description
time from the date of first study treatment administration to the date of treatment failure, hematologic relapse from CR/CRh/CRi or death from any cause
Time Frame
throughout the study (on average 1 year)
Title
Duration of response (DoR)
Description
time from the start date of CR, CRh, CRi, MLFS or PR to relapse or death
Time Frame
throughout the study (on average 1 year)
Title
Overall survival (OS)
Description
time from the date of first study treatment administration to the date of death
Time Frame
throughout the study (up to 3 years)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Has signed and dated written informed consent prior to performing any study procedure, including screening Diagnosis of AML or MDS/AML according to the ELN, refractory or relapsed to pretreatment with hypomethylating agents (HMA) (with or without venetoclax), induction chemotherapy or allogeneic hematopoietic cell transplantation (HCT) Age ≥18 years old on the day of signing informed consent Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0 to 2 Anticipated life expectancy ≥ 12 weeks by investigator judgement Adequate renal and hepatic function: Is using highly effective contraception, for females of childbearing potential and for men Exclusion Criteria: Allogeneic HCT within the last 3 months Active GvHD requiring immune-suppressive therapy Use of immunosuppressive drugs Symptoms of leukostasis (prior hydroxyurea allowed) Clinical signs of AML in the central nervous system Major surgery within 28 days prior to start of study medication Other malignancy requiring active therapy, but adjuvant endocrine therapy is allowed Any active infection requiring the use of parenteral antimicrobial agents or that is grade >2 Treatment with investigational agents and/or agents targeting CD33, CD123 or CD70 within 4 weeks prior to start of trial medication Left ventricular ejection fraction of < 50% on echocardiographic exam at screening History or evidence of clinically significant cardiovascular disease Pulmonary disease with clinically relevant hypoxia Concurrent enrolment in another clinical trial, unless it is an observational (non-interventional) study or it is the follow-up period of an interventional study Known hypersensitivity to any of the excipients of the investigational medicinal product (IMP), i.e. finished MP0533 drug
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Medical DirectorG MPAG
Phone
+41 44 755 77 00
Email
info@molecularpartners.com
Facility Information:
Facility Name
IUCT Oncopole
City
Toulouse
Country
France
Individual Site Status
Recruiting
Facility Name
Vilnius University Hospital Santaros Klinikos
City
Vilnius
Country
Lithuania
Individual Site Status
Recruiting
Facility Name
Amsterdam UMC - Locatie VUmc
City
Amsterdam
Country
Netherlands
Individual Site Status
Recruiting
Facility Name
Groningen UMC
City
Groningen
Country
Netherlands
Individual Site Status
Recruiting
Facility Name
Erasmus MC
City
Rotterdam
Country
Netherlands
Individual Site Status
Recruiting
Facility Name
Inselspital, Universitaetsspital Bern
City
Bern
ZIP/Postal Code
3010
Country
Switzerland
Individual Site Status
Recruiting
Facility Name
Universitaetsspital Zuerich
City
Zuerich
ZIP/Postal Code
8006
Country
Switzerland
Individual Site Status
Recruiting

12. IPD Sharing Statement

Learn more about this trial

Study of MP0533 in Patients With Relapsed or Refractory Acute Myeloid Leukemia or Myelodysplastic Syndrome

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