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A Study of BH-30236 in Relapsed/ Refractory Acute Myelogenous Leukemia and Higher Risk Myelodysplastic Syndrome
NCT06501196 · BlossomHill Therapeutics
In plain English
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Official title
A Phase 1/1b Open-Label, Dose Escalation, First-in- Human Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Preliminary Anti-leukemic Activity of the Orally Available CDC-Like Kinase (CLK) Inhibitor, BH-30236, in Adults With Relapsed or Refractory Acute Myelogenous Leukemia (R/R AML) or Higher-Risk Myelodysplastic Syndrome (HR-MDS)
About this study
This is a Phase 1/1b, multi-center, open-label, dose escalation, first-in-human study to evaluate the safety, tolerability, PK, PD, and preliminary anti-leukemic activity of the CLK inhibitor, BH-30236 as a monotherapy or in combination with venetoclax, in adult participants with R/R AML or HR-MDS.
The study consists of three parts: Phase 1, Part 1 Dose Escalation - Monotherapy, Phase 1, Part 2 Dose Escalation - Combination with Venetoclax, and Phase 1b Dose Expansion.
Phase 1, Part 1 Dose Escalation - Monotherapy is anticipated to enroll approximately 50 participants to evaluate the safety, tolerability, PK, PD, and preliminary anti-leukemic activity of BH-30236, as well as determine the MTD and/or the preliminary recommended dose(s) for expansion (RDEs).
Phase 1, Part 2 Dose Escalation - Combination with Venetoclax is anticipated to enroll approximately 48 participants to evaluate the safety, tolerability, PK, PD, and preliminary anti-leukemic activity of BH-30236, as well as determine the MTD and/or the preliminary recommended dose(s) for expansion (RDEs).
Phase 1 will follow a Bayesian optimal interval (BOIN) design dose escalation, where participants will receive ascending doses of BH-30236 to determine the recommended RDEs.
Phase 1b Dose Expansion will enroll approximately 72 participants to evaluate the safety, tolerability, and preliminary anti-leukemic activity of BH-30236 as a monotherapy or in combination with venetoclax at selected RDEs determined in Phase 1 Dose Escalation.
Eligibility criteria
Inclusion criteria:
* ≥18 years.
* Diagnosis of relapsed/refractory acute myelogenous leukemia (R/R) AML or higher-risk myelodysplastic syndrome (HR-MDS) with ≥5% bone marrow blast at time of inclusion.
* Prior treatment history must include 1-5 prior lines of therapy.
* ECOG performance status ≤2.
* Adequate organ function evidenced by the following laboratory values:
* Hepatic: Transaminase levels aspartate aminotransferase \[AST\]/ alanine transaminase \[ALT\] ≤ 2.5 × upper limit of normal (ULN). In cases of liver involvement by AML or MDS, AST and ALT \< 5.0 × ULN is acceptable. Total bilirubin ≤ 1.5 × ULN in the absence of documented Gilbert's disease.
* Renal: Measured or calculated creatinine clearance ≥ 60 mL/min (Cockcroft-Gault formula)
The above are a summary, other inclusion criteria details may apply.
Exclusion Criteria:
* Diagnosis of acute promyelocytic leukemia or chronic myeloid leukemia with blast crisis.
* Prior allogeneic HSCT within 3 months or donor lymphocyte infusion within 30 days of start of therapy;
* Active and uncontrolled infections.
* Unresolved AEs greater than Grade from prior therapies.
* History of other active malignancy (with certain exceptions)
* Prior treatment with a CLK inhibitor.
* Any acute or chronic graft versus host disease requiring systemic therapy within 4 weeks prior to study drug administration with the exception of topical steroids or the equivalent of 20 mg of prednisone or less.
The above is a summary, other exclusion criteria details may apply.
Study design
Enrollment target: 170 participants
Allocation: non_randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2024-06-19
Estimated completion: 2027-06
Last updated: 2025-09-24
Interventions
Drug: BH-30236Drug: Venetoclax
Primary outcomes
- • Dose Escalation: Frequency of dose limiting toxicities (DLTs) (Dose-limiting toxicities are collected during the first treatment cycle (28 days))
- • Dose Escalation and Expansion: Safety evaluation of BH-30236: Number of participants with treatment-related adverse events as assessed by National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v5.0 (From first dose until 28 days after last dose of BH-30236)
- • Dose Expansion: Composite Complete Remission (CR) Rate (From first dose of BH-30236 until disease progression (up to approximately 1 year))
Sponsor
BlossomHill Therapeutics · industry
Contacts & investigators
ContactSponsor Contact · contact · clinicaltrials@bhtherapeutics.com · (858) 732-3880
InvestigatorSponsor Contact · study_director, BlossomHill Therapeutics, Inc.
All locations (13)
City of Hope Medical CenterRecruiting
Duarte, California, United States
University of California Los AngelesRecruiting
Los Angeles, California, United States
Stanford Cancer CenterRecruiting
Palo Alto, California, United States
Sylvester Comprehensive Cancer CenterRecruiting
Miami, Florida, United States
Moffitt Cancer CenterRecruiting
Tampa, Florida, United States
Northwestern Medicine - Northwestern Memorial Hospital Galter PavilionRecruiting
Chicago, Illinois, United States
Roswell Park Cancer InstituteRecruiting
Buffalo, New York, United States
Memorial Sloan Kettering Cancer CenterRecruiting
New York, New York, United States
The Ohio State University Wexner Medical Center - James Cancer HospRecruiting
Columbus, Ohio, United States
Sarah Cannon Research InstituteRecruiting
Nashville, Tennessee, United States
The University of Texas M.D. Anderson Cancer CenterRecruiting
Houston, Texas, United States
Fred Hutchinson Cancer CenterRecruiting
Seattle, Washington, United States
University of Wisconsin Clinical Science CenterRecruiting
Madison, Wisconsin, United States