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A Phase 1/2 Dose Escalation Study of the BCL-2 Inhibitor ZN-d5 and the WEE1 Inhibitor ZN-c3 in Subjects With Acute Myeloid Leukemia


Description

A Phase 1/2 dose escalation study of BCL-2 Inhibitor ZN-d5 and the Wee1 Inhibitor ZN-c3 in Subjects with Acute Myeloid Leukemia (AML).This is an open-label multicenter Phase 1/2 dose escalation study, evaluating the safety, tolerability, clinical activity, pharmacokinetics and pharmacodynamics of the novel BCL-2 inhibitor ZN-d5 and Wee1 inhibitor ZN-c3 in subjects with AML.

Trial Eligibility

Inclusion Criteria: * Adults with AML (including secondary or therapy-related), relapsed from or refractory to one or more prior lines of therapy, which may include venetoclax except in Expansion Cohort A * ECOG performance status score ≤2. * Projected life expectancy of at least 12 weeks. * Estimated glomerular filtration rate ≥60 mL/min * Women of childbearing potential must not be pregnant and must use effective birth control during the study and for 6 months after the last dose of study drugs. * Men must agree to use a condom when having intercourse during the study and for 3 months after the last dose of study drugs. Exclusion Criteria: * Known active CNS involvement * Diagnosis of acute promyelocytic leukemia. * Peripheral blast count of \>25 × 109/L (cytoreduction permitted). * Adequate washout from prior therapy including hematopoietic stem cell transplant and recovery from prior treatment-related toxicities to Grade 2 or lower * Significant cardiovascular disease * Corrected QT interval (QTc) of \>480 msec * Active hepatitis B or hepatitis C infection * Concurrent treatment with strong CYP3A inhibitors or strong or moderate CYP3A inducers

Study Info

Organization

K-Group Alpha, Inc., a wholly owned subsidiary of Zentalis Pharmaceuticals, Inc.


Primary Outcome

Observed dose limiting toxicities


Outcome Timeframe At the end of Cycle 1 (each cycle is 28 days)

NCTID NCT05682170

Phases PHASE1,PHASE2

Primary Purpose TREATMENT

Start Date 2022-12-01

Completion Date 2025-03-01

Enrollment Target 95

Interventions

DRUG ZN-d5 ZN-c3

DRUG ZN-c3

Locations Recruiting

University of Alabama at Birmingham

United States, Alabama, Birmingham


University of California San Francisco

United States, California, San Francisco


Dana Farber Cancer Institute

United States, Massachusetts, Boston


University of Minnesota

United States, Minnesota, Minneapolis


Albert Einstein College of Medicine - Montefiore Medical Center

United States, New York, Bronx


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