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Study of MAX-40279 in Patients With Relapsed or Refractory Acute Myelogenous Leukemia (AML)

Primary Purpose

AML

Status
Recruiting
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
MAX-40279-01
Sponsored by
Maxinovel Pty., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for AML

Eligibility Criteria

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

Inclusion Criteria:

  • Males and/or females over age 18.
  • Subject has morphologically documented relapsed or refractoryprimary AML as defined by the World Health Organization (WHO) 2016 criteria for which no established standard therapy is available.
  • ECOG performance status of 0 to 2.
  • Persistent chronic clinically significant non-hematological toxicities from prior treatment (including chemotherapy, kinase inhibitors, immunotherapy, experimental agents, radiation, HSCT, or surgery) must be Grade ≤ 1.
  • Any anti-tumor treatment with radiation therapy, surgery, or immunotherapy wihtin 2 weeks prior to trial entry.
  • Life expectancy of at least 3 months.
  • Both men and women of reproductive potential must agree to use a highly effective method of birth control during the study and for six months following the last dose of study drug.

Exclusion Criteria:

  • Disease diagnosis of acute promyelocytic leukemia.
  • Medical history of difficulty swallowing, malabsorption or other chronic gastrointestinal disease, or conditions that may hamper compliance and/or absorption of the tested product.
  • Previously treated malignancies other than the current disease, except for adequately treated non-melanoma skin cancer, in situ cancer, or other cancer from which the subject has been disease-free for at least 5 years at the trial entry.
  • Laboratory values not within the Protocol-defined range.
  • Concomitant disease or condition that could interfere with the conduct of the trial, or that would, in the opinion of the Investigator, pose an unacceptable risk to the subject in this trial.

Sites / Locations

  • The First Affiliated Hospital, Zhejiang UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

MAX-40279-01

Arm Description

Outcomes

Primary Outcome Measures

Adverse events (AEs)
Incidence of treatment-related AEs
Maximum tolerated dose (MTD)
MTD will be defined as the maximum dose level at which no more than 1 of 3 participants experience a dose-limiting toxicity (DLT) within the first 4 weeks of multiple dosing.
Phase II dose (RP2D)
The number and proportion of patients experiencing at least 1 dose-limiting toxicity (DLT) will be used as the primary measure to evaluate the RP2D of MAX-40279-01.

Secondary Outcome Measures

Tmax
Time to maximum plasma concentration
Cmax
Maximum plasma drug concentration
AUC
Area under the time-concentration curve
t1/2
Observed terminal half-life
Objective response rate (ORR)
The ORR is defined as the proportion of subjects with confirmed CR or confirmed PR, based on IRWG.

Full Information

First Posted
December 3, 2019
Last Updated
January 18, 2022
Sponsor
Maxinovel Pty., Ltd.
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1. Study Identification

Unique Protocol Identification Number
NCT04187495
Brief Title
Study of MAX-40279 in Patients With Relapsed or Refractory Acute Myelogenous Leukemia (AML)
Official Title
A Phase I Study for Tolerance and Pharmacokinetic Characteristic of MAX-40279 in Patients With Relapsed or Refractory Acute Myelogenous Leukemia
Study Type
Interventional

2. Study Status

Record Verification Date
January 2022
Overall Recruitment Status
Recruiting
Study Start Date
April 16, 2019 (Actual)
Primary Completion Date
December 1, 2022 (Anticipated)
Study Completion Date
December 1, 2022 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Maxinovel Pty., Ltd.

4. Oversight

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

5. Study Description

Brief Summary
This is a non-randomized, open-label, single-arm, dose-escalation Phase I study to evaluate the safety and tolerability of MAX-40279-01 in patients with Relapsed or Refractory AML.
Detailed Description
This is a two-part study comprised of a dose escalation part and a dose expansion part.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
AML

7. Study Design

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

8. Arms, Groups, and Interventions

Arm Title
MAX-40279-01
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
MAX-40279-01
Intervention Description
Part 1: Dose escalation, MAX-40279-01 twice daily with dose modifications based on tolerability criteria. Part 2: Dose expansion, Recommended doses from Part 1. For each dose level, a single dose of MAX-40279-01 will be first administered orally followed by 1 day observation, then continuous treatment will start 4 weeks treatment (per cycle).
Primary Outcome Measure Information:
Title
Adverse events (AEs)
Description
Incidence of treatment-related AEs
Time Frame
8 weeks
Title
Maximum tolerated dose (MTD)
Description
MTD will be defined as the maximum dose level at which no more than 1 of 3 participants experience a dose-limiting toxicity (DLT) within the first 4 weeks of multiple dosing.
Time Frame
4 weeks
Title
Phase II dose (RP2D)
Description
The number and proportion of patients experiencing at least 1 dose-limiting toxicity (DLT) will be used as the primary measure to evaluate the RP2D of MAX-40279-01.
Time Frame
4 weeks
Secondary Outcome Measure Information:
Title
Tmax
Description
Time to maximum plasma concentration
Time Frame
Approximately 4 weeks
Title
Cmax
Description
Maximum plasma drug concentration
Time Frame
Approximately 4 weeks
Title
AUC
Description
Area under the time-concentration curve
Time Frame
Approximately 4 weeks
Title
t1/2
Description
Observed terminal half-life
Time Frame
Approximately 4 weeks
Title
Objective response rate (ORR)
Description
The ORR is defined as the proportion of subjects with confirmed CR or confirmed PR, based on IRWG.
Time Frame
1 months (anticipated)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Males and/or females over age 18. Subject has morphologically documented relapsed or refractoryprimary AML as defined by the World Health Organization (WHO) 2016 criteria for which no established standard therapy is available. ECOG performance status of 0 to 2. Persistent chronic clinically significant non-hematological toxicities from prior treatment (including chemotherapy, kinase inhibitors, immunotherapy, experimental agents, radiation, HSCT, or surgery) must be Grade ≤ 1. Any anti-tumor treatment with radiation therapy, surgery, or immunotherapy wihtin 2 weeks prior to trial entry. Life expectancy of at least 3 months. Both men and women of reproductive potential must agree to use a highly effective method of birth control during the study and for six months following the last dose of study drug. Exclusion Criteria: Disease diagnosis of acute promyelocytic leukemia. Medical history of difficulty swallowing, malabsorption or other chronic gastrointestinal disease, or conditions that may hamper compliance and/or absorption of the tested product. Previously treated malignancies other than the current disease, except for adequately treated non-melanoma skin cancer, in situ cancer, or other cancer from which the subject has been disease-free for at least 5 years at the trial entry. Laboratory values not within the Protocol-defined range. Concomitant disease or condition that could interfere with the conduct of the trial, or that would, in the opinion of the Investigator, pose an unacceptable risk to the subject in this trial.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Hanying Bao, MD,Ph.D
Phone
+86-21-51370693
Email
hybao@maxinovel.com
Facility Information:
Facility Name
The First Affiliated Hospital, Zhejiang University
City
Hangzhou
State/Province
Zhejiang
ZIP/Postal Code
310003
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Zhen Cai, MD,PhD
Email
caiz@zju.edu.cn

12. IPD Sharing Statement

Learn more about this trial

Study of MAX-40279 in Patients With Relapsed or Refractory Acute Myelogenous Leukemia (AML)

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