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A Phase 1, Study of BMF-500 in Adults With Acute Leukemia

Primary Purpose

Acute Myeloid Leukemia, Acute Lymphoblastic Leukemia, Acute Mixed-Phenotype Leukemia

Status
Recruiting
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
BMF-500
Sponsored by
Biomea Fusion Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Myeloid Leukemia focused on measuring FLT3, FLT3-ITD, FLT-TKD, AML, ALL, AMPL, FLT3 Wild-Type, MLL-R, NPM1

Eligibility Criteria

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

Key Inclusion Criteria: Age ≥ 18 years. Individuals with histologically or pathologically confirmed diagnosis of relapsed or refractory AML, ALL, or MPAL with documented FLT3 mutation, and/or Individuals with histologically or pathologically confirmed diagnosis of their malignancy with wild-type FLT3 (including those with MLL1-R and NPM1 mutations). ECOG performance status of 0-2. Adequate liver and renal function Adhere to the CYP3A4 inhibitor concomitant therapy use requirements, as follows: Arm A: Participants must not have received a moderate or strong CYP3A4 inhibitor for at least 7 days prior to enrollment and are not anticipated to require such agents in the near term (for at least 4 weeks). Arm B: Participants must have received a necessary azole antifungal(s) that is a moderate or strong CYP3A4 inhibitor (excluding other moderate or strong CYP3A4 inhibitor[s]) for at least 7 days prior to enrollment and be able to continue such azole antifungal(s) while on BMF-500 treatment for at least 4 weeks. Key Exclusion Criteria: Significant cardiovascular disease including unstable angina pectoris, uncontrolled hypertension or arrhythmia, history of cerebrovascular accident including transient ischemic attack within 6 months prior to the first dose of the trial intervention. WBC count >50,000/µL (uncontrollable with cytoreductive therapy). Women who are pregnant or lactating or plan to become pregnant.

Sites / Locations

  • Mayo Clinic
  • City of Hope National Medical Center
  • UCLA Department of Medicine
  • University of California, Davis
  • University of California, San Francisco
  • Colorado Blood Cancer InstituteRecruiting
  • Mayo Clinic
  • Winship Cancer Institute, Emory University
  • Northwestern Memorial Hospital
  • University of Chicago Duchossois Center for Advanced Medicine (DCAM)
  • University of Kentucky - Markey Cancer Center
  • Mayo Clinic
  • John Theurer Cancer Center
  • Montefiore Hospital - Moses Campus - BRANY - PPDs
  • Roswell Park Comprehensive Cancer CenterRecruiting
  • Northwell Health Cancer Institute
  • Memorial Sloan Kettering Cancer Center
  • East Carolina University
  • Cleveland Clinic Hospital
  • University of Oklahoma - Stephenson Cancer Center
  • Texas Oncology
  • MD Anderson Cancer CenterRecruiting
  • Virginia Cancer Specialists
  • Fred Hutchinson Cancer Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Escalation Phase

Expansion Phase

Arm Description

BMF-500 taken twice daily by participants who are not receiving drugs that inhibit CYP3A4 activity or who are receiving necessary azole antifungals that are moderate or strong CYP3A4 inhibitors excluding other moderate or strong CYP3A4 inhibitors.

BMF-500 taken twice daily by participants who are not receiving drugs that inhibit CYP3A4 activity or who are receiving necessary azole antifungals that are moderate or strong CYP3A4 inhibitors excluding other moderate or strong CYP3A4 inhibitors.

Outcomes

Primary Outcome Measures

Evaluate the safety and tolerability of BMF-500 monotherapy by incidence of Treatment Emerging Adverse Events (TEAEs).
Assessed by the NCI CTCAE version 5.0.
Evaluate the safety and tolerability of BMF-500 monotherapy by incidence of Serious Adverse Events (SAEs).
Assessed by the NCI CTCAE version 5.0.
Determine the recommended Phase 2 Dose (RP2D) of BMF-500.
Safety, as determined by Dose-Limiting Toxicities (clinically significant Adverse Event) within each dose level assessed NCI CTCAE version 5.0.
Determine the recommended Phase 2 Dose (RP2D) of BMF-500.
Efficacy within each dose level as determined by composite complete remission (CRc).
Determine the recommended Phase 2 Dose (RP2D) of BMF-500.
Pharmacovigilance (PK) at each dose level as determined by the maximum plasma concentration (Cmax).
Determine the recommended Phase 2 Dose (RP2D) of BMF-500.
Pharmacovigilance (PK) at each dose level as determined by area under the plasma concentration from time 0 to last quantifiable concentration (AUClast).

Secondary Outcome Measures

Determine the pharmacokinetics of BMF-500.
Maximum plasma concentration (Cmax).
Determine the pharmacokinetics of BMF-500.
Area under the plasma concentration from time 0 to last quantifiable concentration (AUClast).
Assess the effect of food on the PK exposure of BMF-500 in participants receiving BMF-500 (for escalation only).
Maximum plasma concentration (Cmax).
Assess the effect of food on the PK exposure of BMF-500 in participants receiving BMF-500 (for escalation only).
Area under the plasma concentration from time 0 to last quantifiable concentration (AUClast).
Evaluate the efficacy of BMF-500
Composite Complete Remission (CRc).
Assess additional evidence of antitumor activity per investigator assessment as per corresponding response criteria.
Duration of Response (DOR).
Evaluate the efficacy of BMF-500
Overall Reasons Rate (ORR).
Assess additional evidence of antitumor activity per investigator assessment as per corresponding response criteria.
Relapse free survival (RFS).
Assess additional evidence of antitumor activity per investigator assessment as per corresponding response criteria.
Overall Survival (OS).

Full Information

First Posted
May 18, 2023
Last Updated
October 4, 2023
Sponsor
Biomea Fusion Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT05918692
Brief Title
A Phase 1, Study of BMF-500 in Adults With Acute Leukemia
Official Title
A Phase 1, Open-label, Dose-escalation, and Dose-expansion Study of BMF-500, an Oral Covalent FLT3 Inhibitor, in Adults With Acute Leukemia
Study Type
Interventional

2. Study Status

Record Verification Date
October 2023
Overall Recruitment Status
Recruiting
Study Start Date
July 26, 2023 (Actual)
Primary Completion Date
July 31, 2025 (Anticipated)
Study Completion Date
July 31, 2026 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Biomea Fusion Inc.

4. Oversight

Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
Product Manufactured in and Exported from the U.S.
No
Data Monitoring Committee
Yes

5. Study Description

Brief Summary
A Phase 1 first-in-human dose-escalation and dose-expansion study of BMF-500, an oral FLT3 inhibitor, in adult patients with acute leukemia.
Detailed Description
A Phase 1 first-in-human dose-escalation and dose-expansion study of BMF-500, an oral covalent FLT3 inhibitor, in adult patients with acute myeloid leukemia (AML), acute lymphocytic leukemia (ALL) and Acute Mixed-Phenotype Leukemia (MPAL) who may or may not be on Antifungals.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Myeloid Leukemia, Acute Lymphoblastic Leukemia, Acute Mixed-Phenotype Leukemia
Keywords
FLT3, FLT3-ITD, FLT-TKD, AML, ALL, AMPL, FLT3 Wild-Type, MLL-R, NPM1

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Model Description
Accelerated Titration Design, Followed by Modified 3+3
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
110 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Escalation Phase
Arm Type
Experimental
Arm Description
BMF-500 taken twice daily by participants who are not receiving drugs that inhibit CYP3A4 activity or who are receiving necessary azole antifungals that are moderate or strong CYP3A4 inhibitors excluding other moderate or strong CYP3A4 inhibitors.
Arm Title
Expansion Phase
Arm Type
Experimental
Arm Description
BMF-500 taken twice daily by participants who are not receiving drugs that inhibit CYP3A4 activity or who are receiving necessary azole antifungals that are moderate or strong CYP3A4 inhibitors excluding other moderate or strong CYP3A4 inhibitors.
Intervention Type
Drug
Intervention Name(s)
BMF-500
Intervention Description
Investigational Product
Primary Outcome Measure Information:
Title
Evaluate the safety and tolerability of BMF-500 monotherapy by incidence of Treatment Emerging Adverse Events (TEAEs).
Description
Assessed by the NCI CTCAE version 5.0.
Time Frame
At the end of each 28 Day cycle for a maximum of 32 cycles
Title
Evaluate the safety and tolerability of BMF-500 monotherapy by incidence of Serious Adverse Events (SAEs).
Description
Assessed by the NCI CTCAE version 5.0.
Time Frame
At the end of each 28 Day cycle for a maximum of 32 cycles
Title
Determine the recommended Phase 2 Dose (RP2D) of BMF-500.
Description
Safety, as determined by Dose-Limiting Toxicities (clinically significant Adverse Event) within each dose level assessed NCI CTCAE version 5.0.
Time Frame
At the end of 28 day Dose-Limiting Toxicities (DLT) observation Period
Title
Determine the recommended Phase 2 Dose (RP2D) of BMF-500.
Description
Efficacy within each dose level as determined by composite complete remission (CRc).
Time Frame
At the end of 28 day Dose-Limiting Toxicities (DLT) observation Period
Title
Determine the recommended Phase 2 Dose (RP2D) of BMF-500.
Description
Pharmacovigilance (PK) at each dose level as determined by the maximum plasma concentration (Cmax).
Time Frame
At the end of 28 day Dose-Limiting Toxicities (DLT) observation Period
Title
Determine the recommended Phase 2 Dose (RP2D) of BMF-500.
Description
Pharmacovigilance (PK) at each dose level as determined by area under the plasma concentration from time 0 to last quantifiable concentration (AUClast).
Time Frame
At the end of 28 day Dose-Limiting Toxicities (DLT) observation Period
Secondary Outcome Measure Information:
Title
Determine the pharmacokinetics of BMF-500.
Description
Maximum plasma concentration (Cmax).
Time Frame
At the end of each cycle (each cycle is 28 days in duration) for 7 cycles
Title
Determine the pharmacokinetics of BMF-500.
Description
Area under the plasma concentration from time 0 to last quantifiable concentration (AUClast).
Time Frame
At the end of each cycle (each cycle is 28 days in duration) for 7 cycles
Title
Assess the effect of food on the PK exposure of BMF-500 in participants receiving BMF-500 (for escalation only).
Description
Maximum plasma concentration (Cmax).
Time Frame
At the end of cycle 1 and 2 (each cycle is 28 days in duration)
Title
Assess the effect of food on the PK exposure of BMF-500 in participants receiving BMF-500 (for escalation only).
Description
Area under the plasma concentration from time 0 to last quantifiable concentration (AUClast).
Time Frame
At the end of cycle 1 and 2 (each cycle is 28 days in duration)
Title
Evaluate the efficacy of BMF-500
Description
Composite Complete Remission (CRc).
Time Frame
At the end of each cycle (each cycle is 28 days in duration) for a maximum of 32 cycles
Title
Assess additional evidence of antitumor activity per investigator assessment as per corresponding response criteria.
Description
Duration of Response (DOR).
Time Frame
At the end of each cycle (each cycle is 28 days in duration) for a maximum of 32 cycles
Title
Evaluate the efficacy of BMF-500
Description
Overall Reasons Rate (ORR).
Time Frame
At the end of each cycle (each cycle is 28 days in duration) for a maximum of 32 cycles
Title
Assess additional evidence of antitumor activity per investigator assessment as per corresponding response criteria.
Description
Relapse free survival (RFS).
Time Frame
At the end of each cycle (each cycle is 28 days in duration) for a maximum of 32 cycles
Title
Assess additional evidence of antitumor activity per investigator assessment as per corresponding response criteria.
Description
Overall Survival (OS).
Time Frame
At the end of each cycle (each cycle is 28 days in duration) for a maximum of 32 cycles

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Age ≥ 18 years. Individuals with histologically or pathologically confirmed diagnosis of relapsed or refractory AML, ALL, or MPAL with documented FLT3 mutation, and/or Individuals with histologically or pathologically confirmed diagnosis of their malignancy with wild-type FLT3 (including those with MLL1-R and NPM1 mutations). ECOG performance status of 0-2. Adequate liver and renal function Adhere to the CYP3A4 inhibitor concomitant therapy use requirements, as follows: Arm A: Participants must not have received a moderate or strong CYP3A4 inhibitor for at least 7 days prior to enrollment and are not anticipated to require such agents in the near term (for at least 4 weeks). Arm B: Participants must have received a necessary azole antifungal(s) that is a moderate or strong CYP3A4 inhibitor (excluding other moderate or strong CYP3A4 inhibitor[s]) for at least 7 days prior to enrollment and be able to continue such azole antifungal(s) while on BMF-500 treatment for at least 4 weeks. Key Exclusion Criteria: Significant cardiovascular disease including unstable angina pectoris, uncontrolled hypertension or arrhythmia, history of cerebrovascular accident including transient ischemic attack within 6 months prior to the first dose of the trial intervention. WBC count >50,000/µL (uncontrollable with cytoreductive therapy). Women who are pregnant or lactating or plan to become pregnant.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Mona Vimal
Phone
1-844-245-0490
Email
clinicaltrials@biomeafusion.com
First Name & Middle Initial & Last Name or Official Title & Degree
Sanchita Mourya, MD
Phone
1-844-245-0490
Email
clinicaltrials@biomeafusion.com
Facility Information:
Facility Name
Mayo Clinic
City
Phoenix
State/Province
Arizona
ZIP/Postal Code
85054
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
City of Hope National Medical Center
City
Duarte
State/Province
California
ZIP/Postal Code
91010
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
UCLA Department of Medicine
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
University of California, Davis
City
Sacramento
State/Province
California
ZIP/Postal Code
95817
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
University of California, San Francisco
City
San Francisco
State/Province
California
ZIP/Postal Code
94143
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Colorado Blood Cancer Institute
City
Denver
State/Province
Colorado
ZIP/Postal Code
80218
Country
United States
Individual Site Status
Recruiting
Facility Name
Mayo Clinic
City
Jacksonville
State/Province
Florida
ZIP/Postal Code
32224
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Winship Cancer Institute, Emory University
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30322
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Northwestern Memorial Hospital
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
University of Chicago Duchossois Center for Advanced Medicine (DCAM)
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60637
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
University of Kentucky - Markey Cancer Center
City
Lexington
State/Province
Kentucky
ZIP/Postal Code
40536
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Mayo Clinic
City
Rochester
State/Province
Minnesota
ZIP/Postal Code
55902
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
John Theurer Cancer Center
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Montefiore Hospital - Moses Campus - BRANY - PPDs
City
Bronx
State/Province
New York
ZIP/Postal Code
10467
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Roswell Park Comprehensive Cancer Center
City
Buffalo
State/Province
New York
ZIP/Postal Code
14203
Country
United States
Individual Site Status
Recruiting
Facility Name
Northwell Health Cancer Institute
City
New Hyde Park
State/Province
New York
ZIP/Postal Code
11042
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Memorial Sloan Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10065
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
East Carolina University
City
Greenville
State/Province
North Carolina
ZIP/Postal Code
27858
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Cleveland Clinic Hospital
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
University of Oklahoma - Stephenson Cancer Center
City
Oklahoma City
State/Province
Oklahoma
ZIP/Postal Code
73104
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Texas Oncology
City
Dallas
State/Province
Texas
ZIP/Postal Code
75251
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States
Individual Site Status
Recruiting
Facility Name
Virginia Cancer Specialists
City
Gainesville
State/Province
Virginia
ZIP/Postal Code
20155
Country
United States
Individual Site Status
Not yet recruiting
Facility Name
Fred Hutchinson Cancer Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Individual Site Status
Not yet recruiting

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Phase 1, Study of BMF-500 in Adults With Acute Leukemia

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