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A Safety Study of SEA-CD70 in Patients With Myeloid Malignancies
NCT04227847 · Seagen Inc.
In plain English
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Official title
A Phase 1 Study of SEA-CD70 in Myeloid Malignancies
About this study
This is a phase 1, open-label, multicenter, dose-finding, and dose expansion study designed to evaluate the safety, tolerability, pharmacokinetics (PK), and antitumor activity of SEA-CD70 monotherapy and SEA-CD70 in combination with azacitidine in adults with myeloid malignancies. The study will be conducted in up to 6 parts.
* Part A is a dose-escalation cohort designed to identify the MTD or recommended expansion dose of SEA-CD70 monotherapy in participants with relapsed/refractory (hypomethylating agent \[HMA\]-failure) MDS.
* Part B is an expansion cohort designed to evaluate the safety and tolerability of SEA-CD70 monotherapy in participants with relapsed/refractory (HMA-failure) MDS.
* Part C is an expansion cohort designed to evaluate the safety and tolerability of SEA-CD70 monotherapy in participants with relapsed/refractory AML.
* Part D contains dose-finding/dose optimization cohorts designed to evaluate the safety/tolerability and identify the recommended expansion dose of SEA-CD70 in combination with azacitidine in participants with 1) relapsed/refractory (HMA-failure) MDS or MDS/AML, and 2) previously untreated higher-risk per IPSS-M (Moderate High, High or Very High) MDS or MDS/AML.
* Part E is an expansion cohort designed to evaluate the safety and tolerability of SEA-CD70 in combination with azacitidine vs azacitidine in participants with previously untreated higher-risk per IPSS-M (Moderate High, High, or Very High) MDS or MDS/AML.
* Part F is an expansion cohort designed to evaluate the safety and tolerability of SEA-CD70 in combination with azacitidine in participants with relapsed/refractory (HMA-failure) MDS or MDS/AML.
* Part G will find out how much SEA-CD70 with azacitidine and with venetoclax should be given to participants with previously untreated AML who are unfit for standard of care induction chemotherapy
Eligibility criteria
Part A Inclusion Criteria
* Participants with cytologically/histologically confirmed MDS (2016 World Health Organization (WHO) classification) with
* Measurable disease per WHO MDS with excess blasts criteria
* MDS that is relapsed or refractory and must not have other therapeutic options
* Treatment failure after prior hypomethylating agent (HMA) therapy for MDS
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
Part B Inclusion Criteria
* Participants with cytologically/histologically confirmed MDS (WHO classification) with:
* Measurable disease per WHO MDS with excess blasts (MDS-EB) criteria
* MDS that is relapsed or refractory and must not have other therapeutic options
* Treatment failure after prior HMA therapy for MDS
* ECOG Performance Status of 0-2
Part C Inclusion Criteria
* Participants with relapsed or refractory AML (ICC 2022) (except for acute promyelocytic leukemia \[APL\]):
* Who have received either 2 or 3 previous regimens
* Who have received 1 previous regimen to treat active disease and have at least one of the following:
* Age \> 60 and ≤75 years.
* Primary resistant AML or secondary AML
* First CR duration \<6 months
* Adverse-risk per European Leukemia Network genetic risk stratification
* Age 18-75 years
* ECOG performance status of 0-2
Parts D and F Inclusion Criteria
* Participants with diagnosis of MDS or MDS/AML (ICC 2022 criteria)
* Disease which has relapsed, failed to respond after minimum of 6 cycles, or progressed following an HMA in the immediately preceding line of therapy.
* Eligible for continued therapy with azacitidine
* ECOG Performance Status 0-2
Parts D and E Inclusion Criteria
* Participants with diagnosis of MDS or MDS/AML (ICC 2022 criteria), previously untreated.
* Participants with higher-risk per IPSS-M MDS and MDS/AML
* ECOG Performance Status 0-2
Part G Inclusion Criteria
* Participants with diagnosis of AML (ICC 2022 criteria), previously untreated and ineligible for standard induction chemotherapy.
* Age ≥18 years.
* ECOG Performance Status of 0-2.
Exclusion Criteria (All Parts)
* Previous exposure to CD70-targeted agents
* Prior allogeneic hematopoietic stem cell transplant, for any condition
* Central nervous system leukemia
* History of clinically significant sickle cell anemia, autoimmune hemolytic anemia, or idiopathic thrombocytopenic purpura
* Parts D, F and G only: Prior oral HMA or oral HMA-combinations
* Part G: conditions that preclude enteral route of administration; concomitant use of strong/moderate CYP3A inducers; history of myeloproliferative neoplasm
Study design
Enrollment target: 170 participants
Allocation: non_randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2020-08-07
Estimated completion: 2028-07-03
Last updated: 2026-09-09
Interventions
Drug: SEA-CD70Drug: azacitidineDrug: Venetoclax
Primary outcomes
- • Number of participants with adverse events (AEs) (Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years)
- • Number of participants with laboratory abnormalities (Through 30-37 days following last dose of SEA-CD70; up to approximately 2 years)
- • Number of participants with a dose-limiting toxicity (DLT) at each dose level (Parts A and D only) (Though end of DLT evaluation period; up to approximately 4 weeks)
Sponsor
Seagen, a wholly owned subsidiary of Pfizer · industry
Contacts & investigators
InvestigatorPfizer CT.gov Call Center · study_director, Pfizer
All locations (52)
University of Alabama at Birmingham
Birmingham, Alabama, United States
University of Alabama at Birmingham
Birmingham, Alabama, United States
Dept. of Medicine, UAB ONeal Comprehensive Cancer Center
Birmingham, Alabama, United States
City of Hope (City of Hope National Medical Center, City of Hope Medical Center)
Duarte, California, United States
IP Address: City of Hope Investigational Drug Services(IDS)
Duarte, California, United States
Ronald Reagan UCLA Medical Center
Los Angeles, California, United States
UCLA Hematology-Oncology Clinic
Los Angeles, California, United States
Colorado Blood Cancer Institute, Lab
Denver, Colorado, United States
Colorado Blood Cancer Institute
Denver, Colorado, United States
Presbyterian/St. Luke's Medical Center
Denver, Colorado, United States
The University of Kansas Cancer Center ,Investigational Drug Services
Fairway, Kansas, United States
The University of Kansas Clinical Research Center
Fairway, Kansas, United States
The University of Kansas Hospital
Kansas City, Kansas, United States
University of Kansas Hospital Cambridge North Tower A
Kansas City, Kansas, United States
University of Kansas Medical center Medical office building
Kansas City, Kansas, United States
University of Kansas Medical Center Research Institute
Kansas City, Kansas, United States
The University of Kansas Cancer Center - Overland Park
Overland Park, Kansas, United States
The University of Kansas Cancer Center - Indian Creek Campus
Overland Park, Kansas, United States
The University of Kansas Cancer Center
Westwood, Kansas, United States
Norton Hospitals, Inc
Louisville, Kentucky, United States
Norton Cancer Institute, St. Matthews Campus, Attn. Becky Champion, PharmD
Louisville, Kentucky, United States
Norton Cancer Institute, St. Matthews Campus
Louisville, Kentucky, United States
Norton Women & Children's Hospital
Louisville, Kentucky, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Dana Farber/Mass General Brigham Cancer Care, Inc
Boston, Massachusetts, United States
Karmanos Cancer Institute
Detroit, Michigan, United States
Karmanos Cancer Institute Weisberg Cancer Treatment Center
Farmington Hills, Michigan, United States
The University of Kansas Cancer Center - Medical Oncology Clinic
Kansas City, Missouri, United States
The University of Kansas Cancer Center -North
Kansas City, Missouri, United States
The University of Kansas Cancer Center - Lee's Summit
Lee's Summit, Missouri, United States
Columbia University Irving Medical Center
New York, New York, United States
CUIMC Research Pharmacy
New York, New York, United States
The New York and Presbyterian Hospital
New York, New York, United States
University Hospitals Cleveland Medical Center
Cleveland, Ohio, United States
Cleveland Clinic
Cleveland, Ohio, United States
The Ohio State University Wexner Medical Center/James Cancer Hospital
Columbus, Ohio, United States
Hollings Cancer Center
Charleston, South Carolina, United States
Medical University of South Carolina- Ashley River Tower
Charleston, South Carolina, United States
Medical University of South Carolina- Investigational Drug Services
Charleston, South Carolina, United States
Medical University of South Carolina- University Hospital
Charleston, South Carolina, United States
Baylor Research Institute
Dallas, Texas, United States
Baylor University Medical Center, Investigational Drug Services, Department of Pharmacy
Dallas, Texas, United States
Baylor University Medical Center
Dallas, Texas, United States
The University of Texas MD Anderson Cancer Center
Houston, Texas, United States
Swedish Cancer Institute
Seattle, Washington, United States
Swedish Medical Center
Seattle, Washington, United States
National Cancer Center Hospital East
Kashiwa, Chiba, Japan
Nippon Medical School Hospital
Bunkyo-ku, Tokyo, Japan
Yamagata University Hospital
Yamagata, Japan
Pharmacy - UMC Utrecht t.a.v. Apotheek KGO
Utrecht, Netherlands
University Medical Center (UMC) Utrecht
Utrecht, Netherlands