CYC065 CDK Inhibitor and Venetoclax Study in Relapsed/Refractory AML or MDS

NCT ID: NCT04017546

Last Updated: 2024-09-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Total Enrollment

14 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-08-02

Study Completion Date

2023-04-05

Brief Summary

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A Phase I Combination Study of CYC065 and Venetoclax for Relapsed or Refractory AML or MDS

Detailed Description

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This is an open-label, single arm, dose escalation study in patients with relapsed or refractory AML or MDS. Treatment will be administered on an outpatient basis and all patients will receive CYC065 over 4-hour infusion once every 2 weeks on Day 1 and Day 15 in combination with venetoclax. One treatment cycle is 4 weeks.

Conditions

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AML MDS

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

One to 6 patients will be entered at a given CYC065 dose level. Dose escalation will be 33% after at least one patient has completed the first treatment cycle without ≥ grade 2 toxicity considered by the investigator to be related to CYC065. Upon the first occurrence of grade 2 toxicity related to CYC065, at least 3 patients will be entered at each dose level. If no DLT is observed in any patients, dose escalation will continue to be 33%. If one of 3 patients experienced a DLT at a given dose level, dose escalation will continue at 25% until MTD is reached. If 2 or more patients experienced a DLT at a given dose level, dose escalation will be stopped. At least 6 patients will be treated at MTD.
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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CYC065 and venetoclax

CYC065 will be administered intravenously via 4-hour infusion on Day 1 and Day 15. Venetoclax will be taken daily on Day 1 through Day 15. One cycle will be 28 days or 4 weeks.

Group Type EXPERIMENTAL

CYC065

Intervention Type DRUG

intravenous infusion

Venetoclax

Intervention Type DRUG

oral capsule

Interventions

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CYC065

intravenous infusion

Intervention Type DRUG

Venetoclax

oral capsule

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Previously treated AML or MDS based on WHO classification and having at least 10% blasts in peripheral blood
* ECOG 0-2
* Adequate renal function
* Adequate liver function
* INR \<=1.2 in patients not receiving chronic anticoagulation
* At least 2 weeks from prior cytotoxic chemotherapy, radiation therapy, major surgery or other investigational cancer therapy
* Agree to practice effective contraception

Exclusion Criteria

* AML is of the subtype of APL or extramedullary myeloid tumor without bone marrow involvment
* Known AML involvement in CNS that is symptomatic and active
* Currently receiving radiotherapy, biological therapy, or any other investigational agents
* Uncontrolled intercurrent illness
* Pregnant or lactating
* Known to be HIV-positive
* Known active hepatitis B and/or hepatitis C infection
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cyclacel Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Gautam Borthakur, MD

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

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MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

References

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Frame S, Saladino C, MacKay C, Atrash B, Sheldrake P, McDonald E, Clarke PA, Workman P, Blake D, Zheleva D. Fadraciclib (CYC065), a novel CDK inhibitor, targets key pro-survival and oncogenic pathways in cancer. PLoS One. 2020 Jul 9;15(7):e0234103. doi: 10.1371/journal.pone.0234103. eCollection 2020.

Reference Type DERIVED
PMID: 32645016 (View on PubMed)

Other Identifiers

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CYC065-03

Identifier Type: -

Identifier Source: org_study_id

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