Trial Outcomes & Findings for APR-246 in Combination With Acalabrutinib or Venetoclax Based Therapy in Subjects With R/R Non Hodgkin Lymphomas (NHL) (NCT NCT04419389)

NCT ID: NCT04419389

Last Updated: 2025-03-17

Results Overview

The occurrence of DLTs, classified and graded according to the National Cancer Institute's Common Terminology Criteria for Adverse Events .

Recruitment status

TERMINATED

Study phase

PHASE1/PHASE2

Target enrollment

1 participants

Primary outcome timeframe

Through study completion, approximately 1 year

Results posted on

2025-03-17

Participant Flow

No patients were enrolled in Safety Lead-In Cohort 1, Safety Lead-In Cohort 3, and Expansion Phase.

Participant milestones

Participant milestones
Measure
Safety Lead-In Cohort 2
APR-246 + Venetoclax + Rituximab in Subjects with R/R CLL. APR-246 (eprenetapopt) + Venetoclax + Rituximab in CLL: APR-246 D1, 8 and 15 of each cycle Venetoclax + Rituximab will be given at a standard dose and schedule
Overall Study
STARTED
1
Overall Study
COMPLETED
0
Overall Study
NOT COMPLETED
1

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

APR-246 in Combination With Acalabrutinib or Venetoclax Based Therapy in Subjects With R/R Non Hodgkin Lymphomas (NHL)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Safety Lead-In Cohort 2
n=1 Participants
APR-246 + Venetoclax + Rituximab in Subjects with R/R CLL. APR-246 (eprenetapopt) + Venetoclax + Rituximab in CLL: APR-246 D1, 8 and 15 of each cycle Venetoclax + Rituximab will be given at a standard dose and schedule
Age, Continuous
74 years
n=5 Participants
Sex: Female, Male
Female
1 Participants
n=5 Participants
Sex: Female, Male
Male
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
0 Participants
n=5 Participants
Race (NIH/OMB)
White
1 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
Region of Enrollment
United States
1 participants
n=5 Participants

PRIMARY outcome

Timeframe: Through study completion, approximately 1 year

Population: Data was not collected as study was terminated.

The occurrence of DLTs, classified and graded according to the National Cancer Institute's Common Terminology Criteria for Adverse Events .

Outcome measures

Outcome data not reported

PRIMARY outcome

Timeframe: Through study completion, approximately 6 months

Population: Study was terminated.

The frequency of TEAEs and SAEs related to APR-246 in combination with acalabrutinib and with venetoclax + rituximab therapy

Outcome measures

Outcome measures
Measure
Safety Lead-In Cohort 2
n=1 Participants
APR-246 + Venetoclax + Rituximab in Subjects with R/R CLL. APR-246 (eprenetapopt) + Venetoclax + Rituximab in CLL: APR-246 D1, 8 and 15 of each cycle Venetoclax + Rituximab will be given at a standard dose and schedule
To Assess the Frequency of Treatment-emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs) Related to APR-246 in Combination With Acalabrutinib and With Venetoclax + Rituximab Therapy.
1 participants

PRIMARY outcome

Timeframe: Through study completion, approximately 1 year

Population: Data was not collected as study was terminated.

The highest dose of APR-246 with acceptable toxicity (RP2D of APR-246) (the dose producing ≤ 20% of DLT).

Outcome measures

Outcome data not reported

Adverse Events

Safety Lead-In Cohort 1

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Safety Lead-In Cohort 2

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Expansion Cohorts

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Safety Lead-In Cohort 3

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Safety Lead-In Cohort 1
APR-246 + Acalabrutinib in Subjects with R/R CLL. APR-246 (eprenetapopt) + Acalabrutinib in CLL: APR-246 D1, 8 and 15 of each cycle Acalabrutinib will be given at a standard dose and schedule
Safety Lead-In Cohort 2
n=1 participants at risk
APR-246 + Venetoclax + Rituximab in Subjects with R/R CLL. APR-246 (eprenetapopt) + Venetoclax + Rituximab in CLL: APR-246 D1, 8 and 15 of each cycle Venetoclax + Rituximab will be given at a standard dose and schedule
Expansion Cohorts
APR-246 + (Acalabrutinib, OR, (Ven+R)) in Subjects with R/R TP53-mutant CLL, and/or MCL, and/or RT APR-246 (eprenetapopt) + (Acalabrutinib, OR, (Venetoclax +Rituximab)), in CLL and/or MCL and/or RT: APR-246 D1, 8 and 15 of each cycle Acalabrutinib will be given at a standard dose and schedule Venetoclax and Rituxiab will be given at a standard dose and schedule
Safety Lead-In Cohort 3
APR-246 + Venetoclax + Rituximab in Subjects with RT APR-246 (eprenetapopt) + Venetoclax + Rituximab in RT: APR-246 D1, 8 and 15 of each cycle Venetoclax + Rituximab will be given at a standard dose and schedule
Nervous system disorders
Dizziness
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
100.0%
1/1 • Number of events 3 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
Investigations
Blood Bilirubin Increased
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
100.0%
1/1 • Number of events 4 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
Musculoskeletal and connective tissue disorders
Bursitis
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
100.0%
1/1 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
Gastrointestinal disorders
Constipation
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
100.0%
1/1 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
General disorders
Odema Peripheral
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
100.0%
1/1 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
General disorders
Hyperphosphatemia
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
100.0%
1/1 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
Psychiatric disorders
Insomnia
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
100.0%
1/1 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
Musculoskeletal and connective tissue disorders
Muscular Weakness Lower Limb
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
100.0%
1/1 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
Respiratory, thoracic and mediastinal disorders
Nasal Congestion
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
100.0%
1/1 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
General disorders
Pain
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
100.0%
1/1 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
Gastrointestinal disorders
Vomiting
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
100.0%
1/1 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.
0/0 • approximately up to 6 months
Study terminated after 1 patient was enrolled in cohort 2. No patients were enrolled in Cohort 1, Cohort 3 and the expansion Phase.

Additional Information

Senior Medical Advisor

Aprea Therapeutics

Phone: 215-948-4119

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: LTE60