AB8939 in Patients With Relapsed/Refractory Acute Myeloid Leukemia

NCT05211570 — Phase 1 / Phase 2, Recruiting, 78 participants, AB Science

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A Phase 1/2 Study to Assess the Safety, Pharmacokinetics, and Efficacy of Daily Intravenous AB8939 in Patients With Relapsed/Refractory Acute Myeloid Leukemia

RegistryNCT05211570
StatusRecruiting
PhasePhase 1 / Phase 2
Study typeInterventional; non randomized, sequential, masking: none, treatment
Enrollment78 (Estimated)
SponsorAB Science (Industry)
ConditionsAcute Myeloid Leukemia Refractory, Acute Myeloid Leukemia, in Relapse, Myelodysplastic Syndrome Acute Myeloid Leukemia
InterventionsAB8939, Venetoclax (Drug)
Datesstart 2022-06-01, primary completion 2026-08-01 (estimated), completion 2026-12-01 (estimated), first posted 2022-01-27, last updated 2025-10-02
Locations10 sites in United States, France, Greece, Spain

Related Papers Related Patents Related Grants Related Experts
All trials for Acute Myeloid Leukemia Refractory All trials for Acute Myeloid Leukemia, in Relapse All trials of AB8939 All trials of Venetoclax

-Summary

The primary objective is to define the safety and tolerability of AB8939 in patients with AML by determining the dose-limiting toxicities, the maximum tolerated dose, and the recommended dose for dose expansion study.

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+Detailed description

This is a Phase 1/2, open-label, multi-center, non-randomized, 2-part study in patients with refractory and relapsed AML and refractory myelodysplastic syndrome.

Study AB18001 has a multi-stage design. The first part is a dose escalation study that aims to determine the safety, tolerability and pharmacokinetic profiles of consecutive daily intravenous administration of AB8939 in patients with refractory or relapsed AML or patients with refractory myelodysplastic syndrome, and to determine the recommended dose for the second-stage dose expansion study. This dose expansion study aims to determine the schedule for a Phase 2 trial in patients with relapsed/refractory AML and to also provide an early efficacy assessment of AB8939.

+Arms and interventions

ArmTypeInterventionsDescription
AB8939ExperimentalDrug: AB8939AB8939 administered as a single agent
AB8939 plus VenetoclaxExperimentalDrug: AB8939; Drug: VenetoclaxAB8939 administered in combination with venetoclax
  • AB8939 (Drug): Intravenous injection (from an initial dose of 0.9 mg/m²)
  • Venetoclax (Drug): the recommended starting dose for AML indication is 100 mg. Dose escalating regimen as per SmPC.

+Outcome measures

Primary outcomes

  • Rate of dose limiting toxicity (DLT) [Up to 56 days]: Identification of the Maximal Tolerated Dose for different dosing schedules

Secondary outcomes

  • Objective Response Rate [Up to 56 days]: The proportion of patients who have a partial or complete response to therapy

+Eligibility

Sex: All, ages: 18 Years to any

DOSE ESCALATION STUDY

Key Inclusion Criteria:

* Patients with documented diagnosis of acute myeloid leukemia (AML) based on the last version of the World Health Organization classification and eligible to second or third line of treatment.
* Patients with documented diagnosis of refractory melyodisplastic syndrome in second or third line of treatment, and with high risk at prognosis based on the IPSS-R scoring system.
* ECOG performance status ≤ 1
* Patients are able to understand, sign, and date the written informed consent form at screening visit prior to any protocol-specific procedures
* Patients are able and willing to comply with study procedures as per protocol, including bone marrow biopsies

Key Exclusion Criteria:

* Patients eligible to a standard of care
* Patients eligible to hematopoietic stem cell transplantation (HSCT) at the time of inclusion
* Patients diagnosed with acute promyelocytic leukemia (M3)
* Patients with clinically active CNS leukemia
* Patients with HSCT within 100 days prior to the first administration of AB8939
* Women who are lactating/breastfeeding or who plan to breastfeed while on study
* Women with a positive pregnancy test

Other protocol-defined inclusion/exclusion criteria may apply

EXPANSION COHORT STUDY

Key Inclusion Criteria:

* Patients with documented diagnosis of acute myeloid leukemia (AML) based on the last version of the World Health Organization classification and eligible to second or third line of treatment.
* ECOG performance status ≤ 2
* Patients are able to understand, sign, and date the written informed consent form at screening visit prior to any protocol-specific procedures
* Patients are able and willing to comply with study procedures as per protocol, including bone marrow biopsies

Key Exclusion Criteria:

* Patients eligible to a standard of care
* Patients eligible to hematopoietic stem cell transplantation (HSCT) at the time of inclusion
* Patients diagnosed with acute promyelocytic leukemia (M3)
* Patients with clinically active CNS leukemia
* Patients with HSCT within 100 days prior to the first administration of AB8939
* Women who are lactating/breastfeeding or who plan to breastfeed while on study
* Women with a positive pregnancy test

Other protocol-defined inclusion/exclusion criteria may apply

+Locations (10)

FacilityCityCountryStatus
MD Anderson Cancer CenterHouston, TexasUnited StatesNot yet recruiting
Institut Paoli CalmettesMarseilleFranceNot yet recruiting
National and Kapodistrian University of Athens NKUA · Department of Hematology and Bone marrow Transplantation UnitAthensGreeceRecruiting
General University Hospital of Alicantet (Hospital General Universitario Dr. Balmis de Alicante)AlicanteSpainRecruiting
Hospital San Pedro de AlcantaraCáceresSpainRecruiting
Hospital Universitario 12 de OctubreMadridSpainRecruiting
Hospital Universitario QuirónsaludMadridSpainRecruiting
MD Anderson Cancer Center MadridMadridSpainRecruiting
Clínica Universidad de NavarraPamplonaSpainRecruiting
Virgen del Rocío University Hospital (Hospital Universitario Virgen del Rocío)SevilleSpainRecruiting

+Publications

  • Goubard A, Humbert M, Mansfield C, Hermine O, Dubreuil P, et al. In Vivo Assessment of the Next Generation Microtubule-Destabilizing Agent AB8939 in Patient-derived Xenograft Models of Acute Myeloid Leukemia. Blood (2019) 134 (Supplement_1): 5142. doi.org/10.1182/blood-2019-127143
  • Goubard A, Humbert M, Mansfield C, Hermine O, Dubreuil P, et al. AB8939, a Microtubule-Destabilizing Agent with Potential to Overcome Multidrug Resistance, is Active Across the Range (M0-M7) of Acute Myeloid Leukemia Subtypes. Blood (2019) 134 (Supplement_1): 5154. doi.org/10.1182/blood-2019-127021
  • Humbert M, Goubard A, Mansfield C, Hermine O, Dubreuil P, et al. Anticancer Activity of a Highly Potent Small Molecule Tubulin Polymerization Inhibitor, AB8939. Blood (2019) 134 (Supplement_1): 2075. doi.org/10.1182/blood-2019-122540

+Investigators

  • Norbert Vey, MD, Principal investigator, Institut Paoli Calmettes, Marseille, France
  • Nicholas Short, MD, Principal investigator, MD Anderson Cancer Center, Houston, Texas