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SNCTP000002190 | NCT03030612 | BASEC2016-01125

Etude de phase I/II, en ouvert, d’escalade de doses, comprenant une cohorte preuve-de-concept pour évaluer la sécurité, la tolérance et l’efficacité de l’ARGX-110 en combinaison avec l’azacytidine chez des sujets atteints de leucémie aigüe myéloïde (LAM) ou d’un syndrome myélodysplasique (MDS) à haut risque nouvellement diagnostiqués.

Data source: BASEC (Imported from 29.04.2024), WHO (Imported from 25.04.2024)
Changed: Dec 23, 2023, 4:39 PM
Disease category: Leukemia

Brief description of trial (Data source: BASEC)

Il s’agit d’une étude en ouvert d’escalade de doses (phase I) suivi d’une cohorte preuve-de-concept (phase II) menée sur l’ARGX-110. 9 à 18 sujets participeront à la phase I de l’étude. L’ARGX 110 sera administré par voie intraveineuse (dose de charge au jour -14 et les autres doses aux jours 3 et 17 de chaque cycle), en combinaison avec des doses standards d’AZA (Azacytidine, Vidaza®) administrée par voie sous-cutanée aux jours 1 à 7 de chaque cycle afin de déterminer la dose maximum tolérée d’ARGX-110. L’AZA sera. La phase II se déroulera de la même façon chez 18 autres sujets et utilisera la dose recommandée de la phase I. Les sujets pourront recevoir l’ARGX-110 associé à l’AZA dans le cadre de cette étude tant qu’ils en tireront bénéfice. La durée maximale de traitement sera de 1 an.

Health conditions investigated(Data source: BASEC)

L’étude s’adresse à des patients, souffrant de leucémie myéloïde aiguë (LMA) ou de syndrome myélodysplasique à haut risque (SMD), nouvellement diagnostiqués et non candidats à une chimiothérapie intensive.

Health conditions (Data source: WHO)

Leukemia, Myeloid, Acute;Myelodysplastic Syndromes

Rare disease (Data source: BASEC)

No

Intervention investigated (e.g. drug, therapy or campaign) (Data source: BASEC)

C'est une étude interventionelle de phase I visant à déterminer la tolérance et l'efficacité de la combinaison ARGX-110 et Azacytidine. L'évaluation de la maladie sera faite sur le sang total mais aussi sur les prélèvements de moelle osseuse et les biopsies qui seront collectées à la visite de Screening, au Cycle 1 Jour 1 et dans les 7 jours suivant la visite de fin de traitement (EOT)

Interventions (Data source: WHO)

Drug: ARGX-110;Drug: AZA

Criteria for participation in trial (Data source: BASEC)

• LMA ou SMD à haut risque (conformément à la définition de classification 2008 de l’Organisation Mondiale de la Santé (OMS) de ≥ 20 % blastes).
• Age ≥ 18 ans
• Indice de performance ECOG (Eastern Cooperative Oncology Group) de 0, 1 ou 2.

Exclusion criteria (Data source: BASEC)

Tumeur maligne ou antécédent de tumeur maligne, à l’exception de:
• carcinome basocellulaire ou carcinome épidermoïde cutané traité ou
• tout autre cancer dont le sujet est en rémission depuis plus de 2 ans.

Antécédents de chimiothérapie ou radiothérapie (à l’exception de l’hydroxyurée/Litalir® pour le contrôle des leucocytes qui doit être interrompu au plus tard le premier jour d’administration de l’AZA, de la radiothérapie locale, du traitement du carcinome basocellulaire).

Trouble du fonctionnement d’un organe défini comme suit (un paramètre suffit à répondre à la condition) :
• aspartate aminotransférase (AST) et/ou alanine aminotransférase (ALT) > 3 x la limite supérieure normale (LSN);
ou en cas d’infiltration du foie par la LMA, AST et/ou ALT > 5 x LSN
• phosphatase alcaline (PAL) > 2,5 x LSN;
ou en cas d’infiltration du foie par la LMA, PAL > 5 x LSN
• bilirubine sérique totale > 1,5 x LSN ;
ou en cas d’infiltration du foie par la LMA, bilirubine sérique (totale) > 5 x LSN
• créatinine sérique > 2,5 x LSN ou TFG (taux de filtration glomérulaire) (MDRD) < 40 ml/min chez les sujets présentant des taux de créatinine supérieurs à la limite normale.

Inclusion/Exclusion Criteria (Data source: WHO)

Gender: All
Maximum age: N/A
Minimum age: 18 Years

Inclusion Criteria:

- Signed informed consent form (ICF) indicating an understanding of the purposes, risks,
and procedures required for the study and willingness and ability to participate in
the study

- Acute myeloid leukemia (AML) or high risk myelodysplastic syndrome (MDS) (according to
2016 World Health Organization [WHO] classification definition of greater than or
equal to [>=] 20 percent [%] blasts) (bone marrow) unsuitable for intensive treatment
(including stem cell transplantation) with a curative intent, but eligible to receive
azacytidine (AZA) treatment

- Expected life expectancy >= 3 months, at the discretion of the investigator

- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2

- Women of childbearing potential having a negative serum pregnancy test at screening
and within 48 hours before infusion of ARGX-110 on Day -14, and willing to use an
effective contraceptive method (intrauterine devices, hormonal contraceptives,
contraceptive pill, implants, transdermal patches, hormonal vaginal devices, infusions
with prolonged release) during the study and for at least 3 months after the last
study drug administration

Exclusion Criteria:

- Prior or concurrent malignancy, except for the following: (1) adequately treated basal
cell or squamous cell skin cancer; (2) carcinoma in situ of the cervix; (3) carcinoma
in situ of the breast; (4) incidental histological finding of Prostate cancer (Tumour,
Node, Metastasis [TNM] stage T1a or T1b), or; (5) Any other cancer from which the
subject has been disease-free for more than 2 years

- Any previous AML or MDS chemo- or radiotherapy (with the exception of
hydroxyurea/Litalir for leukocyte control which should be discontinued by the first
day of AZA, local radiation therapy, therapy for basal or squamous cell carcinoma of
the skin)

- Treatment with any investigational product within 4 weeks before the first
administration of ARGX-110

- Any known active or chronic infection, including human immunodeficiency virus (HIV)
and hepatitis B or C virus infection

- Any other concurrent disease or medical condition that is likely to interfere with
study procedures or results, or that in the opinion of the investigator would
constitute a hazard for participating in this study

Further information on the trial in WHO primary registry

https://clinicaltrials.gov/ct2/show/NCT03030612

Further information on the trial from WHO database (ICTRP)

https://trialsearch.who.int/Trial2.aspx?TrialID=NCT03030612
Further information on trial

Recruitment status

Completed

Academic title (Data source: WHO)

A Phase I/II, Open-label, Dose-Escalating Study With a Proof of Concept Cohort to Evaluate the Safety, Tolerability and Efficacy of ARGX-110 in Combination With Azacytidine in Subjects With Newly Diagnosed Acute Myeloid Leukemia (AML) or High Risk Myelodysplatic Syndrome (MDS)

Type of trial (Data source: WHO)

Interventional

Design of the trial (Data source: WHO)

Allocation: N/A. Intervention model: Single Group Assignment. Primary purpose: Treatment. Masking: None (Open Label).

Phase (Data source: WHO)

Phase 1/Phase 2

Primary end point (Data source: WHO)

Phase 1: Number of Participants with Dose Limiting Toxicity (DLT);Phase 2: Overall Response Rate (ORR)

Secundary end point (Data source: WHO)

Phase 1 and Phase 2: Number of Participants with Adverse Events;Phase 1 and Phase 2: Maximum Observed Concentration (Cmax) of ARGX-110;Phase 1 and Phase 2: Trough Concentration (Ctrough) of ARGX-110;Phase 1 and Phase 2: Area Under the Serum Concentration-Time Curve from Time Zero to Infinite (AUC[0-infinity]) of ARGX-110;Phase 1 and Phase 2: Area Under the Serum Concentration-Time Curve During the Dosing Interval (AUCtau);Phase 1 and Phase 2: Apparent Volume of Distribution (Vd/F) of ARGX-110;Phase 1 and Phase 2: Total Systemic Clearance (CL) of ARGX-110;Phase 1 and Phase 2: Elimination Half-Life (t1/2) of ARGX-110;Phase 1 and Phase 2: Number of Participants with Minimal Residual Disease (MRD) to ARGX-110;Phase 1 and Phase 2: Number of Participants with Anti-drug Antibodies (ADA) to ARGX-110;Phase 1 and Phase 2: Number of Participants with Complete Remission (CR);Phase 1 and Phase 2: Number of Participants with CR with Incomplete Recovery (CRi);Phase 1 and Phase 2: Number of Participants with Morphologic Leukemia-free State (MLFS);Phase 1 and Phase 2: Number of Participants with Partial remission (PR);Phase 1 and Phase 2: Time to Response;Phase 1 and Phase 2: Duration of Response;Phase 1 and Phase 2: Relapse-Free Survival (RFS);Phase 1 and Phase 2: Overall Survival (OS);Phase 1 and Phase 2: Number of Participants with 30 Day and 60 Day Mortality;Phase 1 and Phase 2: Number of Participants Achieving Transfusion Independence (TI);Phase 1 and Phase 2: Time to Transfusion Independence;Phase 1 and Phase 2: Duration of Transfusion Independence;Phase 1 and Phase 2: Time to Neutrophil Recovery;Phase 1 and Phase 2: Time to Platelet Recovery;Biomarker Assessment of ARGX-110;Phase 1: Levels of T, B and NK Cells;Phase 1: Levels of B Cells;Phase 1: Levels of NK Cells

Contact information (Data source: WHO)

Please refer to primary and secondary sponsors

Trial results (Data source: WHO)

Results summary

no information available yet

Link to the results in the primary register

no information available yet

Information on the availability of individual participant data

no information available yet

Trial sites

Trial sites in Switzerland (Data source: BASEC)

Aarau, Bern, Zurich

Countries (Data source: WHO)

France, Italy, Switzerland

Contact for further information on the trial

Details of contact in Switzerland (Data source: BASEC)

Thomas Pabst
+41 31 632 8442
thomas.pabst@insel.ch

Contact for general information (Data source: WHO)

Janssen Research & Development, LLC Clinical Trial
Janssen Research & Development, LLC

Contact for scientific information (Data source: WHO)

Janssen Research & Development, LLC Clinical Trial
Janssen Research & Development, LLC

Authorisation by the ethics committee (Data source: BASEC)

Name of the authorising ethics committee (for multicentre studies only the lead committee)

Kantonale Ethikkommission Bern

Date of authorisation by the ethics committee

23.11.2016

Further trial identification numbers

Trial identification number of the ethics committee (BASEC-ID) (Data source: BASEC)

2016-01125

Secondary ID (Data source: WHO)

2016-002151-17
ARGX-110-1601
CR108756
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