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An Open-Label, Multicenter, Phase 1b/2 Study of the Safety and Efficacy of KRT-232 Combined With a Tyrosine Kinase Inhibitor (TKI) in Patients With Relapsed or Refractory Ph+ Chronic Myeloid Leukemia (CML)


Description

This study evaluates KRT-232, a novel oral small molecule inhibitor of MDM2, for the treatment of patients with Ph+ Chronic Myeloid Leukemia (CML) who have relapsed or are refractory or intolerant to a Tyrosine Kinase Inhibitor (TKI). This study is a global, open label Phase 1b/2 to determine the efficacy and safety of KRT-232 in patients with chronic phase CML (CML-CP) and accelerated phase (CML-AP) who have failed TKI treatments.

Trial Eligibility

Inclusion Criteria: * Phase 1b and Phase 2 Arms A and B: Documented TP53wt, Ph+, BCR-ABL+ CML-CP * Phase 2 Arm C ONLY: Documented TP53wt, Ph+, BCR-ABL+ CML-AP * Subject is resistant (relapsed or refractory) and/or intolerant to at least 1 prior TKI. * Adults ≥ 18 years of age. * ECOG performance status of 0 to 2 * Adequate hematologic, hepatic, and renal functions Exclusion Criteria: * Phase 1b and Phase 2 Arms A and B: Documented Ph+, BCR-ABL+ CML-AP * Documented Ph+, BCR-ABL+ CML-BC * Known T315I mutation. * Prior treatment with MDM2 antagonist therapies. * Intolerance to current TKI therapy.

Study Info

Organization

Kartos Therapeutics, Inc.


Primary Outcome

Part 1: Maximum tolerated dose (MTD)/maximum administered dose (MAD) of KRT-232


Outcome Timeframe 28 Days

NCTID NCT04835584

Phases PHASE1,PHASE2

Primary Purpose TREATMENT

Start Date 2021-05-07

Completion Date 2024-12-31

Enrollment Target 109

Interventions

DRUG KRT-232

DRUG Dasatinib

DRUG Nilotinib

Locations Recruiting

University of Alabama Birmingham

United States, Alabama, Birmingham


Georgia Cancer Center at Augusta University

United States, Georgia, Augusta


University of Pittsburgh Medical Center

United States, Pennsylvania, Pittsburgh


Texas Oncology- Sammons CC at Baylor

United States, Texas, Dallas


Medical College of Wisconsin

United States, Wisconsin, Milwaukee


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