A Study of IMM01 Combined With Azacitidine in Patients With Acute Myeloid Leukemia and Myelodysplastic Syndrome

NCT ID: NCT05140811

Last Updated: 2023-05-24

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

UNKNOWN

Clinical Phase

PHASE1/PHASE2

Total Enrollment

126 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-01-05

Study Completion Date

2024-03-01

Brief Summary

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This trial is an open-lable , multi-center, Phase 1/Phase 2 study that will evaluate the safety, tolerability, Pharmacokinetics, Pharmacodynamics and and immunogenicity of IMM01 combined with Azacitidine in patients with Acute Myeloid Leukemia (AML) and Myelodysplastic Syndrome (MDS).

Detailed Description

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Main study purpose:

* To evaluate the safety and tolerability of IMM01 combined with Azacitidine in patients with AML and MDS.
* To explore the Maximum Tolerated Dose (MTD) of IMM01 combined with Azacitidine, and determine the phase 2 clinical recommended dose (RP2D) of IMM01 combined with Azacitidine.

Secondary study purpose:

* To evaluate the efficacy of IMM01 combined with Azacitidine in patients with AML and MDS.
* To evaluate the Pharmacokinetics and Pharmacodynamics of IMM01 combined with Azacitidine, in patients with AML and MDS.

Exploratory study purpose:

• To evaluate the immunogenicity of IMM01 combined with Azacitidine in patients with AML and MDS.

Conditions

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Acute Myeloid Leukemia Myelodysplastic Syndromes

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Relapse/Refractory AML

IMM01 and Azacitidine in Relapse/Refractory AML

Interventions:

Drug: IMM01 Drug: Azacitidine

Group Type EXPERIMENTAL

IMM01

Intervention Type DRUG

IMM01 is intravenously once a week, every 28 days for a treatment cycle;

Azacitidine

Intervention Type DRUG

Azacitidine 75 mg/m/ day is administered subcutaneously for 7 consecutive days, with each 28-day treatment cycle planned for 6 treatment cycles

Relapsed or Refractory MDS

IMM01 and Azacitidine in Relapse/Refractory MDS

Interventions:

Drug: IMM01 Drug: Azacitidine

Group Type EXPERIMENTAL

IMM01

Intervention Type DRUG

IMM01 is intravenously once a week, every 28 days for a treatment cycle;

Azacitidine

Intervention Type DRUG

Azacitidine 75 mg/m/ day is administered subcutaneously for 7 consecutive days, with each 28-day treatment cycle planned for 6 treatment cycles

Treatment naive AML

IMM01 and Azacitidine in treatment naive AML

Interventions:

Drug: IMM01 Drug: Azacitidine

Group Type EXPERIMENTAL

IMM01

Intervention Type DRUG

IMM01 is intravenously once a week, every 28 days for a treatment cycle;

Azacitidine

Intervention Type DRUG

Azacitidine 75 mg/m/ day is administered subcutaneously for 7 consecutive days, with each 28-day treatment cycle planned for 6 treatment cycles

Treatment naive MDS and naive CMML

IMM01 and Azacitidine in treatment naive MDS and naive CMML

Interventions:

Drug: IMM01 Drug: Azacitidine

Group Type EXPERIMENTAL

IMM01

Intervention Type DRUG

IMM01 is intravenously once a week, every 28 days for a treatment cycle;

Azacitidine

Intervention Type DRUG

Azacitidine 75 mg/m/ day is administered subcutaneously for 7 consecutive days, with each 28-day treatment cycle planned for 6 treatment cycles

Interventions

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IMM01

IMM01 is intravenously once a week, every 28 days for a treatment cycle;

Intervention Type DRUG

Azacitidine

Azacitidine 75 mg/m/ day is administered subcutaneously for 7 consecutive days, with each 28-day treatment cycle planned for 6 treatment cycles

Intervention Type DRUG

Other Intervention Names

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IMM01 Ingection Vidaza

Eligibility Criteria

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Inclusion Criteria

1. Voluntary participation and written informed consent.
2. Males and females ≥18 years of age
3. The Eastern Oncology Collaboration (ECOG) Status of ≤2
4. Life expectancy of at least 3 months.
5. Women and men of reproductive age must agree and use effective contraception during the study period and for three months after the last administration of IMM01, and women of reproductive age must have negative pregnancy test results within seven days prior to administration.
6. White blood cell count ≤ 20×10⁹/L before the first treatment of the study drug (treatment with hydroxyurea is permitted, but not within 3 days before the first treatment of the study drug).
7. Bone marrow aspiration and bone marrow biopsy were agreed during screening and treatment.
8. For those who have received previous chemotherapy or targeted drug therapy, the interval between the first drug administration should be more than 2 weeks;Prior treatment with chimeric antigen receptor T cells (CAR T cells) should be discontinued for at least 12 weeks after initial dosing(for Cohort 1 and 2).
9. Non-hematological adverse reactions have been restored to grade 1 and below (NCI-CTC AE v5.0, except residual hair loss effect),in patients with previous chemotherapy and targeted drug therapy. Hematologic adverse reactions recovered to investigatory-determined acceptance of study drug administration (for cohort 1 and 2).
10. Appropriate organ functions.

Exclusion Criteria

1. Received anti-CD47 antibody or SIRPα fusion protein research drugs.
2. Who has received allogeneic hematopoietic stem cell transplantation and other organ transplants; Autologous hematopoietic stem cell transplantation less than six months.
3. Central nervous system leukemia orcentral nervous system invasion.
4. Developed other malignant tumors within 5 years prior to enrollment.Except:

Cured carcinoma in situ and non-melanoma skin cancer of the cervix; Complete remission of disease at least 2 years prior to initial administration and no need for antineoplastic therapy.
5. Patients with a history of active autoimmune diseases;
6. Major surgery within 4 weeks prior to initial treatment;
7. Subjects requiring systemic corticosteroids (equivalent to \>10 mg prednisone/day) or other immunosuppressive agents within 14 days prior to initial treatment or during the study period;
8. Hypertension (systolic blood pressure ≥ 140mmHg and/or diastolic blood pressure ≥ 90mmHg) or pulmonary hypertension or unstable angina that is also not controlled by medication;
9. Patients with a history of arterial or deep vein thrombosis within the 6 months prior to enrollment, or evidence or history of bleeding tendency within the 2 months prior to enrollment, regardless of severity.
10. Severe gastrointestinal diseases;
11. With acute lung disease, pulmonary fibrosis, Severe dyspnea, lung insufficiency or continuous oxygen inhalation.
12. Patients who have been severely infected within 4 weeks prior to initial administration;
13. Active hepatitis B or hepatitis C ; human immunodeficiency virus (HIV) antibody is positive.
14. Live attenuated vaccine should be administered within 4 weeks prior to initial administration.
15. Patients with a history of severe allergy to protein drugs (CTCAE V5.0 grade \> 3); Or the patient is allergic to azacytidine.
16. Participate in clinical trials of other drugs 28 days prior to initial dosing.
17. A history of prior neurological or mental disorders, such as epilepsy, dementia, or alcohol, drug or substance abuse, affects compliance.
18. Other conditions that the investigator considers inappropriate for participation in this clinical trial.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Institute of Hematology & Blood Diseases Hospital, China

OTHER

Sponsor Role collaborator

ImmuneOnco Biopharmaceuticals (Shanghai) Inc.

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Beijing gobroad boren hospital

Beijing, , China

Site Status RECRUITING

Peking university third hospital

Beijing, , China

Site Status NOT_YET_RECRUITING

Xuanwu Hospital, Capital Medical University

Beijing, , China

Site Status RECRUITING

Chongqing university cancer hospital

Chongqing, , China

Site Status RECRUITING

Second Affliated Hospital of Army Medical University

Chongqing, , China

Site Status RECRUITING

Fujian medical university union hospital

Fuzhou, , China

Site Status RECRUITING

Ganzhou People's Hospital

Ganzhou, , China

Site Status RECRUITING

Guangdong provincial people hospital

Guangzhou, , China

Site Status RECRUITING

Nanfang Hospital, Southern Medical University

Guangzhou, , China

Site Status RECRUITING

Zhujiang Hospital, Southern Medical University/The Second School of Clinical Medicine, Southern Medical University

Guangzhou, , China

Site Status RECRUITING

The first affiliated hospital zhejiang university school of medicine

Hangzhou, , China

Site Status RECRUITING

The first affiliated hospital of nanchang University

Nanchang, , China

Site Status RECRUITING

Ruijin Hospital, Shanghai Jiaotong University School of Medicine

Shanghai, , China

Site Status RECRUITING

Shanghai sixth's hospital

Shanghai, , China

Site Status RECRUITING

Tongren hospital shanghai jiaotong university school of medicine

Shanghai, , China

Site Status RECRUITING

Shengjing Hospital Affiliated to China Medical University

Shenyang, , China

Site Status RECRUITING

The First Hospital of China Medical University

Shenyang, , China

Site Status RECRUITING

Tianjin Blood Disease Hospital

Tianjin, , China

Site Status RECRUITING

Union Hospital Tongji Medical College Huazhong University of Science and Technology

Wuhan, , China

Site Status RECRUITING

The affiliated hospital of Xuzhou medical university

Xuzhou, , China

Site Status RECRUITING

Henan Cancer Hospital

Zhengzhou, , China

Site Status RECRUITING

The first affiliated hospital of Zhengzhou University

Zhengzhou, , China

Site Status RECRUITING

Countries

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China

Central Contacts

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jinhua zhou

Role: CONTACT

02138016387

Facility Contacts

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yujuan Ma

Role: primary

yujuan Ma

Role: primary

Ronghua Hu

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

yujuan Ma

Role: primary

Other Identifiers

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IMM01-02

Identifier Type: -

Identifier Source: org_study_id

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