A Study to Investigate the Safety and Tolerability of Ziftomenib in Combination With Venetoclax/Azacitidine, Venetoclax, or 7+3 in Patients With AML
Acute Myeloid Leukemia, Mixed Lineage Acute Leukemia, Mixed Lineage Leukemia Gene Mutation
About this trial
This is an interventional treatment trial for Acute Myeloid Leukemia
Eligibility Criteria
Key Inclusion Criteria: Patients must have a documented NPM1 mutation or KMT2A rearrangement and have either newly diagnosed or relapsed/refractory AML Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2 Adequate liver, renal, and cardiac function according to protocol defined criteria A female of childbearing potential must agree to use adequate contraception from the time of screening through 180 days following the last dose of study intervention. A male of childbearing potential must agree to use abstinence or adequate contraception from the time of screening through 90 days following the last dose of study intervention Key Exclusion Criteria: Diagnosis of either acute promyelocytic leukemia or blast chronic myelomonocytic leukemia Known history of BCR-ABL alteration Advanced malignant hepatic tumor [for patients receiving ven/aza combination] Administration of live attenuated vaccines within 14 days prior to, during, or after treatment until B-cell recovery Active central nervous system (CNS) involvement by AML. Clinical signs/symptoms of leukostasis or WBC > 25,000 / microliter. Hydroxyurea and/or leukapheresis are permitted to meet this criterion Not recovered to Grade ≤1 (NCI-CTCAE v5.0) from all nonhematological toxicities except for alopecia Known clinically active human immunodeficiency virus, active hepatitis B or active hepatitis C infection For newly diagnosed cohorts: received prior chemotherapy for leukemia, except hydroxyurea and/or leukapheresis to control leukocytosis, prior treatment with all-transretinoic acid for initially suspected acute promyelocytic leukemia, or non-HMA therapy for prior myelodysplastic syndrome For relapsed/refractory cohorts: received chemotherapy, immunotherapy, radiotherapy, or any ancillary therapy that is considered to be investigational < 14 days prior to the first dose of ziftomenib or within 5 drug half-lives prior to the first dose of study drug Uncontrolled intercurrent illness including, but not limited to, cardiac illness as defined in the protocol Mean corrected QT interval corrected for heart rate by Fredericia's formula (QTcF) >480 ms on triplicate ECGs Uncontrolled infection Women who are pregnant or lactating An active malignancy and currently receiving chemotherapy for that malignancy or disease that is uncontrolled/progressing
Sites / Locations
- USC University of Southern California / Norris Comprehensive Cancer CenterRecruiting
- Colorado Blood Cancer InstituteRecruiting
- Yale Cancer Center and Smilow Cancer HospitalRecruiting
- The University of Kansas Cancer CenterRecruiting
- Massachusetts General HospitalRecruiting
- Karmanos Cancer InstituteRecruiting
- TriStar Bone Marrow TransplantRecruiting
- MD Anderson Cancer CenterRecruiting
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Arm 5
Arm 6
Arm 7
Arm 8
Arm 9
Arm 10
Arm 11
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Experimental
Dose Escalation: Ziftomenib/Venetoclax/Azacitidine in R/R NPM1-m (A-1)
Dose Escalation: Ziftomenib/7+3 in 1L NPM1-m (A-2)
Dose Escalation: Ziftomenib/Venetoclax/Azacitidine in R/R KMT2A-r (B-1)
Dose Escalation: Ziftomenib/7+3 in 1L KMT2A-r (B-2)
Dose Validation/Expansion: Ziftomenib/Venetoclax/Azacitidine in R/R NPM1-m (A-1)
Dose Validation/Expansion: Ziftomenib/7+3 in 1L NPM1-m (A-2)
Dose Validation/Expansion: Ziftomenib/Venetoclax in R/R NPM1-m (A-3)
Dose Validation/Expansion: Ziftomenib/Venetoclax/Azacitidine in 1L NPM1-m (A-4)
Dose Validation/Expansion: Ziftomenib/Venetoclax/Azacitidine in R/R KMT2A-r (B-1)
Dose Validation/Expansion: Ziftomenib/7+3 in 1L KMT2A-r (B-2)
Dose Validation/Expansion: Ziftomenib/Venetoclax/Azacitidine in 1L KMT2A-r (B-3)
Ziftomenib/Venetoclax/Azacitidine in relapsed/refractory NPM1-m AML patients who have failed at least one prior line of therapy
Ziftomenib/7+3 in newly diagnosed NPM1-m AML patients who are candidates for intensive chemotherapy and meet the protocol definition of high-risk disease
Ziftomenib/Venetoclax/Azacitidine in relapsed/refractory KMT2A-r AML patients who have failed at least one prior line of therapy
Ziftomenib/7+3 in newly diagnosed KMT2A-r AML patients who are candidates for intensive chemotherapy and meet the protocol definition of high-risk disease
Ziftomenib/Venetoclax/Azacitidine in relapsed/refractory NPM1-m AML patients who have failed at least one prior line of therapy
Ziftomenib/7+3 in newly diagnosed NPM1-m AML patients who are candidates for intensive chemotherapy and meet the protocol definition of high-risk disease
Ziftomenib/Venetoclax in relapsed/refractory NPM1-m AML patients who have failed at least one prior line of therapy
Ziftomenib/Venetoclax/Azacitidine in newly diagnosed NPM1-m AML patients
Ziftomenib/Venetoclax/Azacitidine in relapsed/refractory KMT2A-r AML patients who have failed at least one prior line of therapy
Ziftomenib/7+3 in newly diagnosed KMT2A-r AML patients who are candidates for intensive chemotherapy
Ziftomenib/Venetoclax/Azacitidine in newly diagnosed KMT2A-r AML patients