A Study to Evaluate CC-486/Onureg in Participants With Moderate or Severe Hepatic Impairment Compared With Normal Hepatic Function in Participants With Myeloid Malignancies

NCT05209295 — Phase 1, Terminated, 2 participants, Bristol-Myers Squibb

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A Phase 1, Multicenter, Open-label Study to Evaluate the Pharmacokinetics of CC-486 (Onureg®) in Subjects With Moderate or Severe Hepatic Impairment Compared With Normal Hepatic Function in Adult Subjects With Myeloid Malignancies

RegistryNCT05209295
StatusTerminated - Insufficient Enrollment
PhasePhase 1
Study typeInterventional; non randomized, parallel, masking: none, basic science
Enrollment2 (Actual)
SponsorBristol-Myers Squibb (Industry)
ConditionsHepatic Insufficiency, Neoplasms
InterventionsOnureg (Drug)
Datesstart 2024-07-12, primary completion 2025-04-20, completion 2025-04-20, first posted 2022-01-26, last updated 2026-01-12
Locations18 sites in United States, Argentina, Colombia, Germany, Spain

Related Papers Related Patents Related Grants Related Experts
All trials for Hepatic Insufficiency All trials for Neoplasms All trials of Onureg

-Summary

The purpose of this study is to evaluate the effect of moderate or severe liver impairment on the drug levels of oral azacitidine and the safety and tolerability of oral azacitidine in participants with myeloid malignancies.

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+Arms and interventions

ArmTypeInterventionsDescription
Group 1ExperimentalDrug: Onureg
Group 2ExperimentalDrug: Onureg
Group 3OtherDrug: OnuregControl - participants with normal hepatic function
  • Onureg (Drug), also known as CC-486, Oral Azacitidine: Specified dose on specified days

+Outcome measures

Primary outcomes

  • AUC0-t: Estimation of area under the plasma concentration-time curve (AUC) calculated from time zero to the last measured time point [Day 1]
  • AUC0-∞: Estimation of AUC calculated from time zero to infinity [Day 1]
  • Cmax: Observed maximum concentration [Day 1]

Secondary outcomes

  • Incidence of adverse events [Up to 9 Months]
  • Incidence of serious adverse events [Up to 9 Months]
  • Number of participants with clinically significant changes in electrocardiogram parameters [Up to 9 Months]
  • Incidence of clinically significant changes in vital signs: Body temperature [Up to 9 Months]
  • Incidence of clinically significant changes in vital signs: Respiratory rate [Up to 9 Months]
  • Incidence of clinically significant changes in vital signs: Blood pressure [Up to 9 Months]
  • Incidence of clinically significant changes in vital signs: Heart rate [Up to 9 Months]
  • Incidence of clinically significant changes in clinical laboratory results: Hematology tests [Up to 9 Months]
  • Incidence of clinically significant changes in clinical laboratory results: Clinical Chemistry tests [Up to 9 Months]
  • Incidence of clinically significant changes in clinical laboratory results: Urinalysis tests [Up to 9 Months]
  • Number of Participants with clinically significant changes in Eastern Cooperative Oncology Group (ECOG) performance status [Up to 9 Months]
  • Incidence of clinically significant changes in clinical laboratory results: Liver Function tests [Up to 9 Months]
  • Number of clinically significant changes in physical examinations [Up to 9 Months]
  • Number of participants with a recording of concomitant medications [Up to 9 Months]
  • Number of participants with a recording of concomitant procedures [Up to 9 Months]

+Eligibility

Sex: All, ages: 18 Years to any

Inclusion Criteria:

* Documented diagnosis of Myelodysplastic syndrome, Acute myeloid leukemia, Non-acute promyelocytic leukemia, Chronic myelomonocytic leukemia, Philadelphia-negative myeloproliferative neoplasms, Myelodysplastic syndrome Myeloproliferative neoplasms overlap, Accelerated phase and blast phase Myeloproliferative neoplasms, Blastic plasmacytoid dendritic cell neoplasm according to the World Health Organization (WHO) 2016 classification
* Life expectancy of ≥ 3 months
* Stable renal function without dialysis for at least 2 months prior to investigational product administration
* Has moderate or severe hepatic impairment as defined by National Cancer Institute Organ Dysfunction Working Group criteria

Exclusion Criteria:

* Chemotherapy or radiotherapy within 2 weeks or 5 half-lives, whichever is longer, prior to the first day of investigational product administration
* Persistent, clinically significant non-hematologic toxicities from prior therapies which have not recovered to < Grade 2
* Any condition including the presence of laboratory abnormalities, which places the participant at unacceptable risk if he/she were to participate in the study
* History of inflammatory bowel disease, celiac disease, prior gastrectomy, gastric bypass, upper bowel removal, or any other gastrointestinal disorder or defect that would interfere with the absorption of the investigational product and/or predispose the participant to an increased risk of gastrointestinal toxicity

Other protocol-defined inclusion/exclusion criteria apply

+Locations (18)

FacilityCityCountryStatus
Local Institution - 0083Iowa City, IowaUnited States
Local Institution - 0069Detroit, MichiganUnited States
Local InstitutionCleveland, OhioUnited States
Local Institution - 9003Charlottesville, VirginiaUnited States
Local Institution - 0011Pilar, Buenos AiresArgentina
Local Institution - 0010ABB, Buenos Aires F.D.Argentina
Local Institution - 0014Buenos Aires, Buenos Aires F.D.Argentina
Local Institution - 0012Buenos AiresArgentina
Local Institution - 0085Bogotá, Bogota D.C.Colombia
Local Institution - 0084Bogota, CundinamarcaColombia
Local Institution - 0086Piedecuesta, Santander DepartmentColombia
Local Institution - 0076Augsburg, BavariaGermany
Local Institution - 0075Halle, Saxony-AnhaltGermany
Local Institution - 0074HamburgGermany
Local Institution - 0018Badalona, Barcelona [Barcelona]Spain
Local Institution - 0017Barcelona, Barcelona [Barcelona]Spain
Local Institution - 0015Pamplona, NavarreSpain
Local Institution - 0078SalamancaSpain

+Investigators

  • Bristol-Myers Squibb, Study director, Bristol-Myers Squibb