search
Back to results

A Study to Investigate Use of Off-the-shelf Natural Killer (NK) Cells (SAR445419) in Relapsed/Refractory Acute Myeloid Leukemia

Primary Purpose

Acute Myeloid Leukaemia

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SAR445419
fludarabine
cytarabine
Sponsored by
Sanofi
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Myeloid Leukaemia

Eligibility Criteria

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

Inclusion Criteria: Participant must be 18 years of age inclusive Participants with confirmed diagnosis of relapsed or primary refractory acute myeloid leukemia (AML), according to World Health Organization (WHO) classification, including: Participants with relapsed AML after allogeneic stem cells transplantation, including those who have received donor lymphocyte infusions, Isolated central nervous system (CNS) or extramedullary disease, At least 1 prior line of therapy which includes chemotherapy, hypomethylating agents, venetoclax or targeted therapy. Participants with a weight ≥42 kg. Exclusion Criteria: Second primary malignancy that requires active therapy. Adjuvant hormonal therapy is allowed. Known acquired immunodeficiency syndrome (AIDS-related illnesses) or human immunodeficiency virus (HIV) disease requiring antiretroviral treatment, or having active hepatitis B or C infection, or symptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Pregnant or breast-feeding women, female participants of childbearing potential, and male participants with female partners of childbearing potential who are not willing to avoid pregnancy by using a highly effective method of contraception (2 barrier method or 1 barrier method with a spermicide, intrauterine device, or hormonal contraception with inhibition of ovulation, for 2 weeks prior to the first dose of SAR445419, during treatment, and 6 months after the last dose of fludarabine). A woman is considered of childbearing potential, i.e., fertile, following menarche and until becoming postmenopausal unless permanently sterile. History of solid organ transplant, including corneal transplant. Receiving at the time of first SAR445419 administration corticosteroid as a concomitant medication with corticosteroid dose >10 mg/day of oral prednisone or the equivalent, except steroid inhaler, nasal spray, or ophthalmic solution Known contraindication to any of the non-investigational medicinal products (NIMPs) (fludarabine, cytarabine, acetaminophen and diphenhydramine). Concurrent treatment with other investigational drugs The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.

Sites / Locations

  • University of Nebraska Medical Center-Site Number:8400003Recruiting
  • Albert Einstein College of Medicine-Site Number:8400001Recruiting
  • ~MD Anderson Cancer Center-Site Number:8400002Recruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

SAR445419

Arm Description

Treatment consists of chemotherapy with fludarabine 30mg/m2/day and cytarabine 2g/m2/day administered for 5 days (Day -6 to Day -2), followed by 6 doses of SAR445419 given thrice weekly for 2 weeks beginning Day 1.

Outcomes

Primary Outcome Measures

Incidence of dose-limiting (DLT) toxicity
Incidence of DLT from start of chemotherapy

Secondary Outcome Measures

Number of participants with adverse events (AEs)
Median time to neutrophil and platelet count recovery
Median time to neutrophil and platelet count recovery post chemotherapy
Rate of HSCT
Percentage of participants going onto hematopoietic stem cell transplantation (HSCT) following SAR445419 treatment but prior to subsequent therapy for treatment of AML
Number of participants with infection
Number of participants by type of infection
Fungal, bacterial, viral, and particularly cytomegalovirus (CMV) infection or reactivation (opportunistic) infection
Percentage of participants with Composite Complete Remission (CRc) rate
Percentage of participants who have a complete remission (CR) or a complete remission with incomplete hematological recovery (CRi) as defined by international working group (IWG) for AML
Percentage of participants with alternative complete remission rate
Percentage of participants with CR or a complete remission with partial hematological recovery (CRh)
Percentage of participants with overall complete remission rate
Percentage of participants with CR or CRh or CRi or morphological leukemia-free state (MLFS)
Duration of response
Time interval from first documented evidence of CR until progressive disease (PD) as per modified IWG for AML or death due to any cause, whichever comes first
Duration of event-free survival
Time interval from date of first SAR445419 administration to induction failure, relapse or death due to any cause, whichever comes first
Overall survival rate at 6 months
Time from the first SAR445419 administration to death from any cause
Overall survival rate at 1 year
Time from the first SAR445419 administration to death from any cause
Time to treatment failure
Time from first SAR445419 administration to discontinuation for any reason excluding remission

Full Information

First Posted
January 26, 2023
Last Updated
July 12, 2023
Sponsor
Sanofi
search

1. Study Identification

Unique Protocol Identification Number
NCT05712278
Brief Title
A Study to Investigate Use of Off-the-shelf Natural Killer (NK) Cells (SAR445419) in Relapsed/Refractory Acute Myeloid Leukemia
Official Title
A Phase I, Single-arm, Open Label, Dose Escalation, Multicenter Study of Off-the-shelf Natural Killer (NK) Cells (SAR445419) in Participants With Relapsed or Refractory Acute Myeloid Leukemia (R/R AML)
Study Type
Interventional

2. Study Status

Record Verification Date
July 2023
Overall Recruitment Status
Recruiting
Study Start Date
June 16, 2023 (Actual)
Primary Completion Date
October 4, 2023 (Anticipated)
Study Completion Date
February 21, 2025 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Sanofi

4. Oversight

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

5. Study Description

Brief Summary
This is a single group, Phase 1, single-arm, dose escalation study to determine the candidate dose(s), and evaluate safety, tolerability, and preliminary anti-tumor activity of SAR445419 administered after fludarabine and cytarabine conditioning for the treatment of relapsed or refractory acute myeloid leukemia (R/R AML). Adult participants with R/R AML will be eligible for treatment. The study is intended to assess the candidate dose(s) by the occurrence of dose-limiting toxicity (DLT) from start of chemotherapy until 28 days after the first administration of SAR445419. The duration of the study for a participant will include: Screening period up to 21 days prior to initiating chemotherapy, Treatment period of 5 days chemotherapy followed by SAR445419 administered for 2 weeks and end of treatment visit 56 days after first SAR445419 administration, Survival follow-up period up to 1 year after the last participant has started treatment with SAR445419.
Detailed Description
Participants will be followed for 28 days (for DLT evaluations) after administration of the first SAR445419 dose (Day 1) for the primary endpoint and for 1 year after the first SAR445419 dose for selected secondary endpoints.

6. Conditions and Keywords

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

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
SAR445419
Arm Type
Experimental
Arm Description
Treatment consists of chemotherapy with fludarabine 30mg/m2/day and cytarabine 2g/m2/day administered for 5 days (Day -6 to Day -2), followed by 6 doses of SAR445419 given thrice weekly for 2 weeks beginning Day 1.
Intervention Type
Drug
Intervention Name(s)
SAR445419
Intervention Description
Cell suspension, by intraveneous (IV) injection
Intervention Type
Drug
Intervention Name(s)
fludarabine
Other Intervention Name(s)
fludara
Intervention Description
Solution for injection , by IV injection
Intervention Type
Drug
Intervention Name(s)
cytarabine
Other Intervention Name(s)
cytosar-U
Intervention Description
Solution for injection, by IV injection
Primary Outcome Measure Information:
Title
Incidence of dose-limiting (DLT) toxicity
Time Frame
from Day 1 to Day 28
Title
Incidence of DLT from start of chemotherapy
Time Frame
From Day -6 to Day 28
Secondary Outcome Measure Information:
Title
Number of participants with adverse events (AEs)
Time Frame
From baseline up to 1 year
Title
Median time to neutrophil and platelet count recovery
Description
Median time to neutrophil and platelet count recovery post chemotherapy
Time Frame
From Day -6 up to 1 year
Title
Rate of HSCT
Description
Percentage of participants going onto hematopoietic stem cell transplantation (HSCT) following SAR445419 treatment but prior to subsequent therapy for treatment of AML
Time Frame
From baseline up to 1 year
Title
Number of participants with infection
Time Frame
From baseline up to 1 year
Title
Number of participants by type of infection
Description
Fungal, bacterial, viral, and particularly cytomegalovirus (CMV) infection or reactivation (opportunistic) infection
Time Frame
From baseline up to 1 year
Title
Percentage of participants with Composite Complete Remission (CRc) rate
Description
Percentage of participants who have a complete remission (CR) or a complete remission with incomplete hematological recovery (CRi) as defined by international working group (IWG) for AML
Time Frame
From baseline up to Day 56
Title
Percentage of participants with alternative complete remission rate
Description
Percentage of participants with CR or a complete remission with partial hematological recovery (CRh)
Time Frame
From baseline up to Day 56
Title
Percentage of participants with overall complete remission rate
Description
Percentage of participants with CR or CRh or CRi or morphological leukemia-free state (MLFS)
Time Frame
From baseline up to Day 56
Title
Duration of response
Description
Time interval from first documented evidence of CR until progressive disease (PD) as per modified IWG for AML or death due to any cause, whichever comes first
Time Frame
From baseline up to 1 year
Title
Duration of event-free survival
Description
Time interval from date of first SAR445419 administration to induction failure, relapse or death due to any cause, whichever comes first
Time Frame
From baseline up to 1 year
Title
Overall survival rate at 6 months
Description
Time from the first SAR445419 administration to death from any cause
Time Frame
From baseline up to 6 months
Title
Overall survival rate at 1 year
Description
Time from the first SAR445419 administration to death from any cause
Time Frame
From baseline up to 1 year
Title
Time to treatment failure
Description
Time from first SAR445419 administration to discontinuation for any reason excluding remission
Time Frame
From baseline up to 1 year

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Participant must be 18 years of age inclusive Participants with confirmed diagnosis of relapsed or primary refractory acute myeloid leukemia (AML), according to World Health Organization (WHO) classification, including: Participants with relapsed AML after allogeneic stem cells transplantation, including those who have received donor lymphocyte infusions, Isolated central nervous system (CNS) or extramedullary disease, At least 1 prior line of therapy which includes chemotherapy, hypomethylating agents, venetoclax or targeted therapy. Participants with a weight ≥42 kg. Exclusion Criteria: Second primary malignancy that requires active therapy. Adjuvant hormonal therapy is allowed. Known acquired immunodeficiency syndrome (AIDS-related illnesses) or human immunodeficiency virus (HIV) disease requiring antiretroviral treatment, or having active hepatitis B or C infection, or symptomatic severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection. Pregnant or breast-feeding women, female participants of childbearing potential, and male participants with female partners of childbearing potential who are not willing to avoid pregnancy by using a highly effective method of contraception (2 barrier method or 1 barrier method with a spermicide, intrauterine device, or hormonal contraception with inhibition of ovulation, for 2 weeks prior to the first dose of SAR445419, during treatment, and 6 months after the last dose of fludarabine). A woman is considered of childbearing potential, i.e., fertile, following menarche and until becoming postmenopausal unless permanently sterile. History of solid organ transplant, including corneal transplant. Receiving at the time of first SAR445419 administration corticosteroid as a concomitant medication with corticosteroid dose >10 mg/day of oral prednisone or the equivalent, except steroid inhaler, nasal spray, or ophthalmic solution Known contraindication to any of the non-investigational medicinal products (NIMPs) (fludarabine, cytarabine, acetaminophen and diphenhydramine). Concurrent treatment with other investigational drugs The above information is not intended to contain all considerations relevant to a potential participation in a clinical trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Trial Transparency email recommended (Toll free for US & Canada)
Phone
800-633-1610
Ext
option 6
Email
contact-US@sanofi.com
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Clinical Sciences & Operations
Organizational Affiliation
Sanofi
Official's Role
Study Director
Facility Information:
Facility Name
University of Nebraska Medical Center-Site Number:8400003
City
Omaha
State/Province
Nebraska
ZIP/Postal Code
68198-2168
Country
United States
Individual Site Status
Recruiting
Facility Name
Albert Einstein College of Medicine-Site Number:8400001
City
Bronx
State/Province
New York
ZIP/Postal Code
10461
Country
United States
Individual Site Status
Recruiting
Facility Name
~MD Anderson Cancer Center-Site Number:8400002
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting

12. IPD Sharing Statement

Plan to Share IPD
Yes
IPD Sharing Plan Description
Qualified researchers may request access to patient level data and related study documents including the clinical study report, study protocol with any amendments, blank case report form, statistical analysis plan, and dataset specifications. Patient level data will be anonymized and study documents will be redacted to protect the privacy of trial participants. Further details on Sanofi's data sharing criteria, eligible studies, and process for requesting access can be found at: https://vivli.org

Learn more about this trial

A Study to Investigate Use of Off-the-shelf Natural Killer (NK) Cells (SAR445419) in Relapsed/Refractory Acute Myeloid Leukemia

We'll reach out to this number within 24 hrs