Recent reports have identified a specific oncogenic mutation L265P of the MYD88 gene in approximately 90% of the patients with Waldenström's macroglobulinemia. MYD88 is a key linker protein in the signaling pathway of Toll Like Receptors (TLRs) 7, 8, and 9, and IMO-8400 is an oligonucleotide specifically designed to inhibit TLRs 7,8, and 9. The scientific hypothesis for use of IMO-8400 to treat patients with Waldenström's macroglobulinemia depends on the inhibition of mutant MYD88 signaling in the TLR pathway, thereby interrupting the proliferation of cell populations responsible for the propagation of the disease.
Eligible subjects will be enrolled and assigned to escalating dose cohorts. Treatment will be administered by subcutaneous injection.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
31
IMO-8400 at escalating dose levels by subcutaneous injection
Cancer Centers of Excellence
Fayetteville, Arkansas, United States
UCLA
Los Angeles, California, United States
Mayo Clinic Jacksonville
Jacksonville, Florida, United States
Emory Winship Cancer Institute
Atlanta, Georgia, United States
Horizon BioAdvance
Lafayette, Indiana, United States
Mayo Clinic
Rochester, Minnesota, United States
Hackensack University
Hackensack, New Jersey, United States
Memorial Sloan-Kettering Cancer Center
New York, New York, United States
MD Anderson Cancer Center
Houston, Texas, United States
Seattle Cancer Care Alliance
Seattle, Washington, United States
Safety and Tolerability of IMO-8400 in Patients With Waldenstrom's Macroglobulinemia
Safety and tolerability of IMO-8400 in patients with Waldenstrom's Macroglobulinemia: Assessment of adverse events
Time frame: Up to 24 weeks
Best Overall Response
Best Overall Response using criteria from the VIth International Workshop in Waldenstrom's Macroglobulinemia
Time frame: Up to 24 weeks
Identify the Number of Patients Experiencing DLTs at Each Dose Level
To identify an appropriate dose of IMO-8400 for further clinical evaluation via evaluation of DLT at each dose level
Time frame: 28 days
Pharmacokinetics of Escalating Dose Levels of IMO 8400 Administered by SC Injection - Cmax.
Pharmacokinetics of escalating dose levels of IMO 8400 administered by SC injection - Cmax.
Time frame: Cycle 1 Week 1 Day 1: Samples were obtained pre-dose (within 1 hr prior to injection) and post-dose at 1 hr (+/-5 min), 2 hrs (+/-10 min) and 4 hrs (+/-15 min)
Pharmacokinetics of Escalating Dose Levels of IMO 8400 Administered by SC Injection - AUC0-t (hr*ng/mL)
Pharmacokinetics of escalating dose levels of IMO 8400 administered by SC injection - AUC0-t (hr\*ng/mL) .
Time frame: Cycle 1 Week 1 Day 1: Samples were obtained pre-dose (within 1 hr prior to injection) and post-dose at 1 hr (+/-5 min), 2 hrs (+/-10 min) and 4 hrs (+/-15 min)
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