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A Study of QLF32101 in Patients With Acute Myeloid Leukemia and Myelodysplastic Syndrome

Primary Purpose

Acute Myeloid Leukemia and Myelodysplastic Syndrome

Status
Not yet recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
QLF32101
Sponsored by
Qilu Pharmaceutical Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Myeloid Leukemia and Myelodysplastic Syndrome

Eligibility Criteria

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

Inclusion Criteria: Gender unlimited, age ≥ 18 years old; Volunteer to participate in clinical trials and sign informed consent; AML and medium-high risk MDS patients confirmed by histology and cytology; Estimated survival time is at least 12 weeks; Eastern Cooperative Oncology Group (ECOG) performance status of 0~2; Any adverse event related to previous anti-tumor treatment must have returned to ≤ grade 1(NCI-CTCAE v5.0); Main organ function is basically normal; All female and male patients with reproductive ability must agree to take effective contraceptive methods during the study and within 6 months after the last use of the trial drug,the blood pregnancy test of female patients of childbearing age must be negative within 7 days before the first use of the study drug. Exclusion Criteria: Previously received hematopoietic stem cell transplantation; Previous exposure to any anti-CLL-1 monoclonal antibody or CAR-T cell therapy; Use other intervention study drugs within 4 weeks before the first use of the drug; Any anti-tumor treatment received within 4 weeks before the first use of the drug; Plan to vaccinate live attenuated vaccine within 4 weeks before the first use of the drug or during the study period; Have received systemic glucocorticoid or other immunosuppressive therapy within 14 days before the first use of the drug; With known central nervous system (CNS) leukemia infiltration; ECG examination during screening period showed that QTcF>450 ms for males and 470 ms for females; Major organ surgery within 4 weeks before the first use of the drug; Received radiotherapy within 4 weeks before the first use of the drug; There is an active infectious disease with clinical significance, which needs intravenous antibiotic treatment, and the investigator and sponsor judge that the patient is not suitable to participate in the clinical trial; Chronic or acute active hepatitis B virus or hepatitis C virus infection; Known active tuberculosis or active syphilis; Known history of human immunodeficiency virus (HIV) infection; Have received immunotherapy and have ≥ grade 3 immune related adverse events (irAE); History of serious cardiovascular and cerebrovascular diseases; History of other malignant tumors within 5 years before enrollment; Breastfeeding patients; Patients with known prior hypersensitivity to human or humanized monoclonal antibodies, or hypersensitivity to any of the components of QLF32101; Have uncontrollable concomitant diseases or other diseases judged by the investigator to be unsuitable for participation in this study.

Sites / Locations

  • Institute of Hematology&Blood Diseases Hospital,Chinese Academy of Medical Sciences

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

QLF32101

Arm Description

single arm with QLF32101 treatment

Outcomes

Primary Outcome Measures

Dose-limiting toxicity(DLT)
Maximum tolerated dose(MTD)
Recommended Phase II Dose (RP2D)
R/R AML: cCR rate; Medium and high risk MDS: ORR (CR+complete remission of bone marrow [mCR]+PR+hematological improvement [HI]).

Secondary Outcome Measures

Safety index:TEAEs,TRAEs,SAERs,TRSAEs.
PK parameter
Serum titer of ADAs against QLF32101

Full Information

First Posted
January 11, 2023
Last Updated
January 27, 2023
Sponsor
Qilu Pharmaceutical Co., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT05703204
Brief Title
A Study of QLF32101 in Patients With Acute Myeloid Leukemia and Myelodysplastic Syndrome
Official Title
A Phase 1 Clinical Study on the Safety, Tolerance, Pharmacokinetics and Preliminary Efficacy of QLF32101 in Patients With Acute Myeloid Leukemia and Myelodysplastic Syndrome
Study Type
Interventional

2. Study Status

Record Verification Date
January 2023
Overall Recruitment Status
Not yet recruiting
Study Start Date
February 1, 2023 (Anticipated)
Primary Completion Date
August 21, 2024 (Anticipated)
Study Completion Date
December 21, 2024 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Qilu Pharmaceutical Co., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
This study aimed to evaluate the safety,tolerability and preliminary efficacy of QLF32101 administered intravenously and subcutaneously in patients with R/R, AML.
Detailed Description
This open label, first-in-human study consists of 2 parts. Part 1 consists of dose escalation cohorts and Part 2 is expansion cohort. The study population will include adult AML patients with relapse or refractory disease. In addition, in Part 2 medium and high-risk MDS patients are eligible. In Part 1, dose escalations cohorts are followed until dose-limiting toxicity (DLT) or a maximum tolerated dose (MTD) or RecommendedPart2Dose (RP2D) is defined. Dose escalation decisions will be made by the Data Review Committee and will be primarily guided by safety data observed through the end of Cycle 1, as well as on-going assessment of safety beyond Cycle 1 in later cohorts. Part 2 will begin once the MTD or RP2D is determined in Part 1. Part 2 will further characterize the safety, tolerability, Pharmacokinetic (PK), Pharmacodynamic (PD), immunogenicity and to assess preliminary efficacy of QLF32101.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
QLF32101
Arm Type
Experimental
Arm Description
single arm with QLF32101 treatment
Intervention Type
Drug
Intervention Name(s)
QLF32101
Intervention Description
The dose is given weekly and observed for 28 days(DLT observation period).Single agent treatment.
Primary Outcome Measure Information:
Title
Dose-limiting toxicity(DLT)
Time Frame
28 Days
Title
Maximum tolerated dose(MTD)
Time Frame
28 Days
Title
Recommended Phase II Dose (RP2D)
Time Frame
through study completion, an average of 1 year
Title
R/R AML: cCR rate; Medium and high risk MDS: ORR (CR+complete remission of bone marrow [mCR]+PR+hematological improvement [HI]).
Time Frame
through study completion, an average of 1 year
Secondary Outcome Measure Information:
Title
Safety index:TEAEs,TRAEs,SAERs,TRSAEs.
Time Frame
through study completion, an average of 1 year
Title
PK parameter
Time Frame
through study completion, an average of 1 year
Title
Serum titer of ADAs against QLF32101
Time Frame
through study completion, an average of 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Gender unlimited, age ≥ 18 years old; Volunteer to participate in clinical trials and sign informed consent; AML and medium-high risk MDS patients confirmed by histology and cytology; Estimated survival time is at least 12 weeks; Eastern Cooperative Oncology Group (ECOG) performance status of 0~2; Any adverse event related to previous anti-tumor treatment must have returned to ≤ grade 1(NCI-CTCAE v5.0); Main organ function is basically normal; All female and male patients with reproductive ability must agree to take effective contraceptive methods during the study and within 6 months after the last use of the trial drug,the blood pregnancy test of female patients of childbearing age must be negative within 7 days before the first use of the study drug. Exclusion Criteria: Previously received hematopoietic stem cell transplantation; Previous exposure to any anti-CLL-1 monoclonal antibody or CAR-T cell therapy; Use other intervention study drugs within 4 weeks before the first use of the drug; Any anti-tumor treatment received within 4 weeks before the first use of the drug; Plan to vaccinate live attenuated vaccine within 4 weeks before the first use of the drug or during the study period; Have received systemic glucocorticoid or other immunosuppressive therapy within 14 days before the first use of the drug; With known central nervous system (CNS) leukemia infiltration; ECG examination during screening period showed that QTcF>450 ms for males and 470 ms for females; Major organ surgery within 4 weeks before the first use of the drug; Received radiotherapy within 4 weeks before the first use of the drug; There is an active infectious disease with clinical significance, which needs intravenous antibiotic treatment, and the investigator and sponsor judge that the patient is not suitable to participate in the clinical trial; Chronic or acute active hepatitis B virus or hepatitis C virus infection; Known active tuberculosis or active syphilis; Known history of human immunodeficiency virus (HIV) infection; Have received immunotherapy and have ≥ grade 3 immune related adverse events (irAE); History of serious cardiovascular and cerebrovascular diseases; History of other malignant tumors within 5 years before enrollment; Breastfeeding patients; Patients with known prior hypersensitivity to human or humanized monoclonal antibodies, or hypersensitivity to any of the components of QLF32101; Have uncontrollable concomitant diseases or other diseases judged by the investigator to be unsuitable for participation in this study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Jianxiang Wang
Phone
022 23909120
Email
wangjx@hotmail.com
Facility Information:
Facility Name
Institute of Hematology&Blood Diseases Hospital,Chinese Academy of Medical Sciences
City
Tianjin
State/Province
Tianjin
Country
China
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Jianxiang Wang

12. IPD Sharing Statement

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A Study of QLF32101 in Patients With Acute Myeloid Leukemia and Myelodysplastic Syndrome

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