Study of SGR-2921 in Relapsed/Refractory Acute Myeloid Leukemia or Myelodysplastic Syndrome

NCT ID: NCT05961839

Last Updated: 2025-09-22

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

TERMINATED

Clinical Phase

PHASE1

Total Enrollment

66 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-09-27

Study Completion Date

2025-09-09

Brief Summary

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The purpose of this study is to evaluate safety and tolerability and to determine the maximum tolerated dose (MTD) and/or recommended dose (RD) of SGR-2921.

Detailed Description

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This is a study of SGR-2921, an oral, small molecule inhibitor of cell division cycle 7-related protein kinase (CDC7), in subjects with Relapsed/Refractory (R/R) Acute Myeloid Leukemia (AML) or Myelodysplastic Syndrome (MDS) to evaluate the safety, pharmacokinetics (PK), pharmacodynamics (PD), maximum tolerated dose (MTD) and/or recommended dose (RD) of SGR-2921.

Exploratory cohorts may evaluate additional PK, PD, preliminary anti-tumor activity, and safety to establish the SGR-2921 RD. A planned amendment will evaluate SGR-2921 in combination with other approved AML/MDS treatments such as hypomethylating agents (HMA), BCL2 inhibitors, IDH inhibitors or FLT3 inhibitors, in patients with AML and/or MDS.

Conditions

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Acute Myeloid Leukemia High-Risk and Very High-Risk Myelodysplastic Syndromes

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SEQUENTIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Dose Escalation in the Absence of Specific Azole Antifungal Treatments

Up to 9 dose levels will be evaluated in subjects not receiving specific azole antifungal treatment.

Group Type EXPERIMENTAL

SGR-2921

Intervention Type DRUG

SGR-2921 will be administered orally.

Dose Escalation in the Presence of Specific Azole Antifungal Treatments

Up to 9 dose levels will be evaluated in subjects receiving specific azole antifungal treatment.

Group Type EXPERIMENTAL

SGR-2921

Intervention Type DRUG

SGR-2921 will be administered orally.

Interventions

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SGR-2921

SGR-2921 will be administered orally.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* ≥ 18 years of age.
* Life expectancy ≥ 8 weeks.
* Confirmed diagnosis of R/R AML or High Risk (HR) and Very High Risk (VHR) MDS.
* Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.

Exclusion Criteria

* Active malignancies within two years prior to the first dose, or requiring ongoing treatment, not related to AML or MDS.
* Clinical evidence of central nervous system (CNS) or pulmonary leukostasis, ≥ Grade 3 disseminated intravascular coagulation, or active CNS leukemia.
* Use of experimental drug, or therapy, or anti-cancer therapy within 14 days or 5 half-lives of the first dose of study drug.
* QT interval corrected for heart rate per Fridericia's formula ≥470 msec during screening ECG.
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Schrödinger, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Daniel Weiss, M.D.

Role: STUDY_DIRECTOR

Schrödinger, Inc.

Locations

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Colorado Blood Cancer Institute

Denver, Colorado, United States

Site Status

The University of Kansas Clinical Research Center

Fairway, Kansas, United States

Site Status

Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Memorial Sloan Kettering Cancer Center

New York, New York, United States

Site Status

Cleveland Clinic Foundation

Cleveland, Ohio, United States

Site Status

The Ohio State University Wexner Medical Center - James Cancer Hospital

Columbus, Ohio, United States

Site Status

Oncology Associates of Oregon, P.C.

Eugene, Oregon, United States

Site Status

Oregon Health & Science University - Knight Cancer Institute - Center of Hematologic Malignancies

Portland, Oregon, United States

Site Status

Thomas Jefferson University, Sidney Kimmel Cancer Center, Clinical Research Organization

Philadelphia, Pennsylvania, United States

Site Status

TriStar Bone Marrow Transplant, LLC

Nashville, Tennessee, United States

Site Status

St. David's South Austin Medical Center

Austin, Texas, United States

Site Status

MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

Other Identifiers

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SGR-2921-101

Identifier Type: -

Identifier Source: org_study_id

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