Open-label Study of FT-2102 With or Without Azacitidine or Cytarabine in Patients With AML or MDS With an IDH1 Mutation
Acute Myeloid Leukemia, Acute Myelogenous Leukemia, Myelodysplastic Syndrome
About this trial
This is an interventional treatment trial for Acute Myeloid Leukemia focused on measuring AML, MDS, IDH1, IDH
Eligibility Criteria
Inclusion Criteria:
- Pathologically proven acute myeloid leukemia (AML) (except acute promyelocytic leukemia [APL] with the t(15;17) translocation) or intermediate, high-risk, or very high risk Myelodysplastic Syndrome (MDS) as defined by the World Health Organization (WHO) criteria or Revised International Prognostic Scoring System (IPSS-R) which is relapsed or refractory (R/R) to standard therapy and/or for which standard therapy is contraindicated or which has not adequately responded to standard therapy.
- Patients must have documented IDH1-R132 gene-mutated disease as evaluated by the site
- Good performance status
- Good kidney and liver function
Exclusion Criteria:
- Patients with symptomatic central nervous system (CNS) metastases or other tumor location (such as spinal cord compression, other compressive mass, uncontrolled painful lesion, bone fracture, etc.) necessitating an urgent therapeutic intervention, palliative care, surgery or radiation therapy
- Congestive heart failure (New York Heart Association Class III or IV) or unstable angina pectoris. Previous history of myocardial infarction within 1 year prior to study entry, uncontrolled hypertension or uncontrolled arrhythmias
- Active, uncontrolled bacterial, viral, or fungal infections, requiring systemic therapy
Sites / Locations
- UCLA Medical Center
- UC Davis Comprehensive Cancer Center
- Yale University
- University of Miami
- Emory Winship Cancer Institute
- Northwestern University Feinberg School of Medicine
- University of Maryland Greenebaum Cancer Center
- Karmanos Cancer Institute
- Roswell Park Cancer Institute
- New York Medical College
- Columbia University Medical Center
- Cornell University Weill Medical College
- Duke University Medical Center
- The Ohio State University
- Oregon Health & Science University
- Sarah Cannon Research Institute - Tennessee Oncology
- Vanderbilt University Medical Center
- University of Texas Southwestern Medical Center
- MD Anderson Cancer Center
- Royal Adelaide Hospital
- The Alfred Hospital
- Victoria Cancer Care Center
- Sir Charles Gairdner Hospital
- Box Hill Hospital, Monash University and Eastern Health Clinical School
- Princess Margaret Hospital
- Service d'Hématologie Clinique, Hôpital Avicenne-APHP-Université Paris
- Assistance Publique Hopitaux de Marseille (AP-HM) - Hopital Nord
- Centre Hospitalier Universitaire Nantes
- Hôpital Saint-Louis
- Hopitaux Universitaires Est Parisien Hopital Saint-Antoine
- Centre Hospitalier Universitaire (CHU) Bordeaux - Hospitaux du Haut Leveque
- Centre Hospitalier Lyon Sud
- University Hospital of Rennes
- Institut Universitaire du Cancer Toulouse - Oncopole
- Centre Hospitalier Universitaire de Nancy - Hopital Brabois
- Institut de Cancérologie Gustave Roussy
- Staedtisches Klinikum Braunschweig gGmbH
- Universitaetsklinikum Giessen und Marburg GmbH - Klinik fuer Innere Medizin
- Landeszentrum fuer Zell- und Gentherapie
- Universitätsklinikum Münster Medizinische Klinik A, Hämatologie, Hämostaseologi
- AOU S. Luigi Gonzaga - Orbassano
- Ospedale Mazzoni - UOC Ematologia Ascoli Piceno
- Universita di Bologna
- Dipartimento di Oncologia Medica - IRST IRCC
- Università degli Studi di Parma
- U.O. Ematologia Ravenna
- Hospital Rimini Hematology, Department of Oncology and Hematoloy
- Seoul National University Bundang Hospital
- Seoul National University Hospital
- Hospital Vall d'Hebron
- Hospital Clinic de Barcelona
- Institut Català d'Oncologia-Hospital Duran i Reynals
- Hospital Universitario 12 De Octubre
- Hospital Clínico Universitario de Salamanca
- Hospital La Fe
- University College London Hospitals NHS Foundation Trust
- St. George's University Hospital
- Churchill Hospital
- Southampton General Hospital
- Royal Marsden Hospital
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
PH1 Dose Escalation & Expansion FT-2102 (olutasidenib)
PH1 Esc. and Exp. FT-2102 (olutasidenib)+Azacitidine
PH1 Esc. and Exp. FT-2102 (olutasidenib)+Cytarabine
PH2 Cohort 1 FT-2102 (olutasidenib) Single Agent
PH2 Cohort 2 FT-2102 (olutasidenib) Single Agent
PH2 Cohort 3 FT-2102 (olutasidenib) Single Agent
PH2 Cohort 4 FT-2102 (olutasidenib)+Azacitidine
PH2 Cohort 5 FT-2102 (olutasidenib)+Azacitidine
PH2 Cohort 6 FT-2102 (olutasidenib)+Azacitidine
PH2 Cohort 7 FT-2102 (olutasidenib) Single Agent
PH2 Cohort 8 FT-2102 (olutasidenib)+Azacitidine
Relapsed or Refractory (R/R) AML
AML in morphologic complete remission or complete remission with incomplete blood count recovery (CR/CRi) after prior therapy with residual IDH1-R132 mutation
R/R AML/MDS, previously treated with FT-2102
R/R AML/MDS that are naïve to prior hypomethylating therapy and IDH1 inhibitor therapy
R/R AML/MDS that have inadequately responded to or have progressed on prior hypomethylating therapy
R/R AML/MDS that have been previously treated with single-agent FT-2102 as their last therapy prior to study enrollment
Treatment naïve AML for whom standard treatments are contraindicated
Treatment naïve AML who are candidates for azacitidine first line treatment