TrialPath
← Back to searchRecruiting

Eganelisib as Monotherapy and in Combination With Cytarabine in Relapsed/Refractory AML

NCT06533761 · Stelexis BioSciences
In plain English

Click the button to translate this study into plain language — what it is, who qualifies, and what participation looks like.

Official title
A Phase 1b Open-Label Study to Evaluate the Safety and Tolerability of Eganelisib as Monotherapy and in Combination With Cytarabine in Patients With Relapsed/Refractory Acute Myeloid Leukemia
About this study
This is a Phase 1b open-label, multicenter, dose-escalation and dose-optimization study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and anti-tumor efficacy of eganelisib as monotherapy and in combination with cytarabine in patients with relapsed/refractory (r/r) acute myeloid leukemia (AML) or r/r higher-risk myelodysplastic syndromes (HR-MDS). The study consists of 2 parts: * Part 1: Dose Escalation (DE) in both monotherapy and in combination. * Part 2: Dose Optimization
Eligibility criteria
Inclusion Criteria: * Pathological diagnosis of either: AML according to World Health Organization (WHO) 2022 revised criteria per the local pathology report and with ≥10% bone marrow blasts (acute promyelocytic leukemia is excluded but secondary AML and treatment-related AML can be included); Higher-risk (IPSS-R Intermediate, High or Very High Risk at time of study entry) myelodysplastic syndromes (HR-MDS) according to WHO 2022 revised criteria per the local pathology report and with ≥10% bone marrow blasts. * Eastern Cooperative Oncology Group (ECOG) performance status ≤2. * Adequate hepatic and renal function measured within 7 days prior to the first dose of eganelisib. Exclusion Criteria: * Autologous or allogeneic stem cell transplant within 6 months prior to Cycle 1 Day 1. * Receiving immunosuppressants (eg, cyclosporin) or systemic steroids (except for steroid use as cortisol replacement therapy in documented adrenal insufficiency). * Active fungal disease or uncontrolled infection of any kind; patients receiving antibiotic, antifungal or antiviral treatment must be afebrile and hemodynamically stable for \>72 hours prior to treatment * WBC count \>25 × 10\^9/L measured within 7 days prior to the first dose of eganelisib (hydroxyurea is permitted to decrease the WBC count). * Presence of a clinically significant non-hematologic toxicity of prior therapy that has not resolved to Grade ≤1 or Baseline, whichever is worst, as determined by NCI CTCAE v 5.0, except alopecia or skin pigmentation. Fatigue and neuropathy must have resolved to Grade ≤2.
Study design
Enrollment target: 125 participants
Allocation: randomized
Masking: none
Age groups: adult, older_adult
Timeline
Starts: 2025-04-28
Estimated completion: 2028-03-15
Last updated: 2025-10-22
Interventions
Drug: EganelisibDrug: Eganelisib in combination with cytarabine
Primary outcomes
  • Incidence and severity of adverse events (AEs), graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 5.0 (12 months)
  • Incidence and severity of dose-limiting toxicities (DLTs) in DLT evaluable patients during Cycle 1 (28-35 days)
  • Preliminary clinical activity as evaluated per European LeukemiaNet (ELN) 2022 criteria for AML and International Working Group (IWG) 2023 criteria for HR-MDS (12 months)
Sponsor
Stelexis BioSciences · industry
Contacts & investigators
ContactClinical Trials Office Stelexis · contact · clinicaltrials@stelexis.com · 508-543-6979
All locations (13)
City of HopeRecruiting
Duarte, California, United States
Anshutz Cancer PavilionRecruiting
Aurora, Colorado, United States
Moffitt Cancer CenterRecruiting
Tampa, Florida, United States
Dana-Farber Cancer InstituteRecruiting
Boston, Massachusetts, United States
Washington University in St LouisRecruiting
St Louis, Missouri, United States
Memorial Sloan Kettering Cancer CenterNot Yet Recruiting
New York, New York, United States
Memorial Sloan Kettering Cancer CenterRecruiting
New York, New York, United States
Montefiore Medical CenterRecruiting
New York, New York, United States
Cleveland ClinicRecruiting
Cleveland, Ohio, United States
Ohio State UniversityRecruiting
Columbus, Ohio, United States
MD Anderson Cancer CenterRecruiting
Houston, Texas, United States
Hospital San Pedro de AlcántaraRecruiting
Cáceres, Spain
Hospital Universitari i Politècnic La FeRecruiting
Valencia, Spain