A Phase I, Multicenter, Open-Label, Dose-Escalation and Expansion, Safety, Pharmacokinetic, Pharmacodynamic, and Clinical Activity Study of Orally Administered AG-120 in Subjects With Advanced Hematologic Malignancies With an IDH1 Mutation
Summary
The purpose of this Phase I, multicenter study is to evaluate the safety, pharmacokinetics, pharmacodynamics and clinical activity of AG-120 in advanced hematologic malignancies that harbor an IDH1 mutation. The first portion of the study is a dose escalation phase where cohorts of patients will receive ascending oral doses of AG-120 to determine maximum tolerated dose (MTD) and/or the recommended Phase II dose. The second portion of the study is a dose expansion phase where four cohorts of patients will receive AG-120 to further evaluate the safety, tolerability, and clinical activity of the recommended Phase II dose. Additionally, the study includes a substudy evaluating the safety and tolerability, clinical activity, pharmacokinetics, and pharmacodynamics of AG-120 in subjects with relapsed or refractory myelodysplastic syndrome with an IDH1 mutation. Anticipated time on study treatment is until disease progression or unacceptable toxicity occurs.
Arms & interventions
- DrugAG-120
AG-120 administered continuously as a single agent dosed orally every day of a 28-day cycle. Subjects may continue treatment with AG-120 until disease progression, development of other unacceptable toxicity or hematopoietic stem cell transplant.
Outcome measures
Primary
Safety/tolerability: incidence of adverse events.
Time frame: up to 26 weeks, on average
Maximum Tolerated Dose and/or the recommended Phase II dose of AG-120 in subjects with advanced hematologic malignancies.
Time frame: up to 26 weeks, on average
Assess clinical activity of AG-120 in subjects with relapsed or refractory AML who are enrolled in the Expansion Phase.
Time frame: up to 26 weeks, on average
Safety/tolerability of treatment with AG-120 in subjects with relapsed or refractory myelodysplastic syndrome.
Time frame: up to 26 weeks, on average
Assess clinical activity of AG-120 in subjects with relapsed or refractory myelodysplastic syndrome.
Time frame: up to 26 weeks, on average
Secondary
Dose Limiting Toxicities of AG-120 in subjects with advanced hematologic malignancies.
Time frame: up to 26 weeks, on average
Pharmacokinetics of AG-120 in subjects with advanced hematologic malignancies.
Time frame: up to 26 weeks, on average
Pharmacodynamic relationship of AG-120 and 2-HG.
Time frame: up to 26 weeks, on average
Clinical Activity of AG-120 in advanced hematologic malignancies according to the 2003 revised IWG criteria for AML or the 2006 modified IWG criteria for MDS or MDS/myeloproliferative neoplasms (MPN).
Time frame: up to 26 weeks, on average
Serial blood sampling at specified time points for determination of plasma concentration-time profiles and PK parameters (Cmax) of AG-120 in subjects with R/R MDS.
Time frame: up to 26 weeks, on average
Serial blood sampling at specified time points for determination of plasma concentration-time profiles and PK parameters (Tmax) of AG-120 in subjects with R/R MDS.
Time frame: up to 26 weeks, on average
Serial blood sampling at specified time points for determination of plasma concentration-time profiles and PK parameters (AUC) of AG-120 in subjects with R/R MDS.
Time frame: up to 26 weeks, on average
Blood and bone marrow sampling at specified time points for determination of 2-HG levels to characterize the percent of 2-HG inhibition of AG-120 in plasma and bone marrow.
Time frame: up to 26 weeks, on average
Eligibility criteria
Study locations (26)
University of Alabama at Birmingham
Birmingham, Alabama, 35294
Mayo Clinic-AZ
Phoenix, Arizona, 85259
City of Hope
Duarte, California, 91010
University of California-Los Angeles
Los Angeles, California, 90095
University of California-San Francisco
San Francisco, California, 94143
University of Colorado Denver
Aurora, Colorado, 80045
Mayo Clinic-Jacksonville
Jacksonville, Florida, 32224
University of Miami
Miami, Florida, 33136
Moffit Cancer Center
Tampa, Florida, 33612
Emory University
Atlanta, Georgia, 30322
Northwestern University Medical Hospital
Chicago, Illinois, 60611
John Hopkins Cancer Center
Baltimore, Maryland, 21287
Massachusetts General Hospital
Boston, Massachusetts, 02214
Dana Farber Cancer Institute
Boston, Massachusetts, 02215
Karmanos Cancer Center
Detroit, Michigan, 48201
Washington University
St Louis, Missouri, 63110
Memorial Sloan Kettering Cancer Center
New York, New York, 10021
Cornell Cancer Center
New York, New York, 10065
Duke Cancer Center
Durham, North Carolina, 27705
Cleveland Clinic
Cleveland, Ohio, 44124
Ohio State University
Columbus, Ohio, 43210
Oregon Health and Science University
Portland, Oregon, 97239
Medical University of South Carolina
Charleston, South Carolina, 29425
Sarah Cannon Research Institute
Nashville, Tennessee, 37203
UT Southwestern Medical Center
Dallas, Texas, 75390
MD Anderson Cancer Center
Houston, Texas, 77030
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