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A Study to Investigate the Safety and Tolerability of Ziftomenib in Combination With Venetoclax/Azacitidine, Venetoclax, 7+3, or 7+3+Quizartinib in Patients With AML
NCT05735184 · Kura Oncology, Inc.
In plain English
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Official title
Phase 1 Study of Venetoclax/Azacitidine or Venetoclax in Combination With Ziftomenib or Standard Induction Cytarabine/Daunorubicin (7+3) Chemotherapy in Combination With Ziftomenib for the Treatment of Patients With Acute Myeloid Leukemia
About this study
Ziftomenib is an investigational drug in development for the treatment of patients with acute myeloid leukemia (AML) with certain genetic alterations.
This protocol has 3 separate arms that will investigate the benefits and risks of adding ziftomenib to standard-of-care (SOC) drug treatments in patients who have AML with certain genetic mutations. Both newly diagnosed and relapsed refractory patients with AML will be assigned to different cohorts based on specific study criteria and physician discretion.
The purpose of this study is to assess the safety, tolerability, and early signs of efficacy of ziftomenib in combination with SOC drugs to treat AML.
Eligibility criteria
Key Inclusion Criteria:
* Patients must have a documented NPM1 mutation or KMT2A rearrangement and have either newly diagnosed or relapsed/refractory AML
* Those intending treatment with intensive chemotherapy in Arm C should be NPM1-m and FLT3-ITD+ with an allelic ratio ≥0.05 and eligible for FLT3-targeted treatment
* Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2
* Adequate liver, renal, and cardiac function according to protocol defined criteria
* A female of childbearing potential must agree to use adequate contraception as well as a double barrier method from the time of screening through 180 days following the last dose of study intervention. A male of childbearing potential must agree to use abstinence or use a double barrier method of contraception from the time of screening through 180 days following the last dose of study intervention
* Female patients of childbearing potential who receive quizartinib in Arm C should use a highly effective method of contraception during quizartinib treatment and for 7 months after the last dose
Key Exclusion Criteria:
* Diagnosis of either acute promyelocytic leukemia or blast phase chronic myeloid leukemia
* Known history of BCR-ABL alteration
* Advanced malignant hepatic tumor
* Administration of live attenuated vaccines within 14 days prior to, during, or after treatment until B-cell recovery
* Active central nervous system (CNS) involvement by AML.
* Clinical signs/symptoms of leukostasis or WBC \> 25,000 / microliter. Hydroxyurea and/or leukapheresis and/or up to 2 doses of cytarabine if used per institutional SOC for control of leukocytosis are permitted to meet this criterion
* Not recovered to Grade ≤1 (NCI-CTCAE v5.0) from all nonhematological toxicities except for alopecia
* Known clinically active human immunodeficiency virus, active hepatitis B or active hepatitis C infection
* For newly diagnosed cohorts: received prior chemotherapy for leukemia, except hydroxyurea and/or leukapheresis and/or up to 2 doses of cytarabine per institutional standards to control leukocytosis, or prior treatment with all-transretinoic acid for initially suspected acute promyelocytic leukemia
* For relapsed/refractory cohorts: received chemotherapy, immunotherapy, radiotherapy, or any ancillary therapy that is considered to be investigational \< 14 days prior to the first dose of ziftomenib or within 5 drug half-lives prior to the first dose of study drug
* Uncontrolled intercurrent illness including, but not limited to, cardiac illness as defined in the protocol
* Mean QT interval corrected for heart rate by Fredericia's formula (QTcF)
* Arm A and Arm B: \>480 ms on triplicate ECGs
* Arm C: \>450 ms on triplicate ECGs
* Uncontrolled infection
* Women who are pregnant or lactating
* An active malignancy and currently receiving chemotherapy for that malignancy or disease that is uncontrolled/progressing
* Patients who have active GVHD requiring \>0.5 mg/kg prednisone or any new or increase in immunosuppressants in the prior 2 weeks for GVHD treatment
Study design
Enrollment target: 420 participants
Allocation: non_randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2023-07-18
Estimated completion: 2030-04
Last updated: 2026-03-13
Interventions
Drug: ZiftomenibDrug: VenetoclaxDrug: AzacitidineDrug: DaunorubicinDrug: CytarabineDrug: Quizartinib
Primary outcomes
- • Rate of dose limiting toxicities (DLTs) per dose level (Part 1a only) (During the first 28 days of ziftomenib in combination with SOC backbone treatment (1 cycle))
- • Descriptive statistics of adverse events (From Cycle 1 Day 1 up to and including 28 days following the end of 36 months of treatment)
- • Complete remission (CR) rate (Until relapse, new anti-cancer therapy, death, or up to 36 months of treatment, whichever occurs first)
Sponsor
Kura Oncology, Inc. · industry
Contacts & investigators
ContactKura Medical Information · contact · medinfo@kuraoncology.com · 844-KURAONC
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Robert H. Lurie Comprehensive Cancer Center of Northwestern UniversityRecruiting
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University of Iowa Hospitals & ClinicsRecruiting
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University of Kentucky Markey Cancer CenterRecruiting
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Norton Cancer Institute - St. MatthewsRecruiting
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Ochsner MD Anderson Cancer CenterRecruiting
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Boston, Massachusetts, United States
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Worcester, Massachusetts, United States
University of Michigan Comprehensive Cancer CenterRecruiting
Ann Arbor, Michigan, United States
Karmanos Cancer InstituteRecruiting
Detroit, Michigan, United States
University of MinnesotaRecruiting
Minneapolis, Minnesota, United States
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Rochester, Minnesota, United States
Hackensack University Medical CenterRecruiting
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Rutgers Cancer InstituteRecruiting
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Roswell Park Comprehensive Cancer CenterRecruiting
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Mount Sinai - Ruttenberg Treatment CenterRecruiting
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University Hospitals Cleveland Medical CenterRecruiting
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Cleveland Clinic Taussig Cancer InstituteRecruiting
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The James Cancer Hospital and Solove Research InstituteRecruiting
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OU Health Stephenson Cancer CenterRecruiting
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Hospital of the University of PennsylvaniaRecruiting
Philadelphia, Pennsylvania, United States
TriStar Bone Marrow TransplantRecruiting
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Sarah Cannon Research Institute - St. David's South Austin Medical Center / Texas Oncology South AustinRecruiting
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UT Southwestern - Simmons Cancer CenterRecruiting
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MD Anderson Cancer CenterRecruiting
Houston, Texas, United States
University of Wisconsin Hospital and ClinicsRecruiting
Madison, Wisconsin, United States
Medical College of Wisconsin Cancer CenterRecruiting
Milwaukee, Wisconsin, United States