Many tumor cells, in contrast to normal cells, have been shown to require the amino acid glutamine to produce energy for growth and survival. To exploit the dependence of tumors on glutamine, CB-839, a potent and selective inhibitor of the first enzyme in glutamine utilization, glutaminase, will be tested in this Phase 1 study in patients with leukemia. This study is an open-label Phase 1 evaluation of CB-839 in subjects with leukemia. Part 1 is a dose escalation study to identify the recommended Phase 2 dose as a single agent and in combination with azacitidine. Patients enrolled into Part 2 will be treated with the recommended Phase 2 dose. As an extension of Part 2, patients with relapsed/ refractory or newly diagnosed AML will be treated with CB-839 in combination with azacitidine. All patients will be assessed for safety, pharmacokinetics (plasma concentration of drug), pharmacodynamics (inhibition of glutaminase), biomarkers (biochemical markers that may predict responsiveness in later studies), and tumor response.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
43
Colorado Blood Cancer Institute
Denver, Colorado, United States
Northwestern University Feinberg School of Medicine
Chicago, Illinois, United States
Roswell Park Cancer Institute
Buffalo, New York, United States
Tennessee Oncology, PLLC
Nashville, Tennessee, United States
University of Texas MD Anderson Cancer Center
Houston, Texas, United States
Safety and tolerability of CB-839: Incidence of adverse events
Time frame: Every 21 days from study start until disease progression or unacceptable toxicity, assessed an expected average of 6 months
Pharmacokinetics: Area under the Curve (AUC) of CB-839 concentration in blood
Time frame: Study Days 1, 15, and 22
Pharmacodynamics: % inhibition of glutaminase in blood
Time frame: Study Days 1 and 15
Clinical Activity: % of Tumor Cells in Bone Marrow
Time frame: Every 21 days from study start, assessed for an expected average of 6 months
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