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Phase 1 Study to Determine the Safety and Tolerability of Ziftomenib Combinations for the Treatment of KMT2A-rearranged or NPM1-mutant Relapsed/Refractory Acute Myeloid Leukemia


Description

The safety, tolerability, and antileukemic response of ziftomenib in combination with standard of care treatments for patients with relapsed/refractory acute myeloid leukemia will be examined with the following agents: FLAG-IDA, low-dose cytarabine, and gilteritinib.

Trial Eligibility

Key Inclusion Criteria: * Has been diagnosed with relapsed/refractory AML. * Has a documented NPM1 mutation or KMT2A rearrangement. * Has a documented FLT3 mutation (cohort A-3 only). * Has an Eastern Cooperative Oncology Group (ECOG) Performance status ≤ 2. * Has adequate hepatic and renal function as defined per protocol. * Has an ejection fraction above a protocol defined limit. * Participant, or legally authorized representative, must be able to understand and provide written informed consent prior to the first screening procedure. * Has agreed to use contraception as defined per protocol. Key Exclusion Criteria: * Has a diagnosis of acute promyelocytic leukemia or blast chronic myeloid leukemia. * Has clinically active central nervous system leukemia. * Has an active and uncontrolled infection. * Has a mean corrected QT interval (QTcF) \> 480ms. * Has uncontrolled intercurrent illness, including, but not limited to protocol defined cardiac disease. * Has received radiation, chemotherapy, immunotherapy, or any other anticancer therapy including investigational therapy \<14 days or within 5 drug half-lives prior to the first dose of study intervention. * Has had major surgery within 4 weeks prior to the first dose of study intervention. * Has received a hematopoietic stem cell transplant (HSCT) and has not previously had adequate recovery per protocol defined criteria. * Has active graft-versus-host disease (GvHD) and or on immunosuppressive drugs for the treatment of GvHD. * Participant is pregnant or lactating.

Study Info

Organization

Kura Oncology, Inc.


Primary Outcome

Rate of dose limiting toxicities (DLTs) per dose level


Outcome Timeframe During the first 28 days of ziftomenib in combination with SOC treatment (1 cycle)

NCTID NCT06001788

Phases PHASE1

Primary Purpose TREATMENT

Start Date 2024-02-22

Completion Date 2026-08

Enrollment Target 171

Interventions

DRUG Ziftomenib

DRUG Fludarabine

DRUG Idarubicin

DRUG Cytarabine

DRUG Gilteritinib

BIOLOGICAL Granulocyte colony-stimulating factor

Locations Recruiting

Banner MD Anderson Cancer Center

United States, Arizona, Gilbert


UCLA Health - Bowyer Oncology Center

United States, California, Los Angeles


UCI Health Chao Family Comprehensive Cancer Center

United States, California, Orange


Smilow Cancer Hospital at Yale New Haven

United States, Connecticut, New Haven


The University of Kansas

United States, Kansas, Kansas City


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