A Phase 1, an Open-label, Multicenter Phase 1 Trial to Evaluate the Safety, Pharmacokinetics and Pharmacodynamics of Splicing Modulator H3B-8800 (RVT-2001) for Subjects With Myelodysplastic Syndromes, Acute Myeloid Leukemia, and Chronic Myelomonocytic Leukemia
This study is a Phase 1, open-label, first-in-human (FIH) study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary antitumor activity of H3B-8800 (RVT-2001) in subset of participants with Myelodysplastic Syndromes (MDS), Acute Myeloid Leukemia (AML), or Chronic Myelomonocytic Leukemia (CMML). The study consists of three parts, the dose escalation part (Part 1) exploring multiple once daily (QD) schedules and MDS Expansion part (Part 2) and Dose Optimization part (Part 3) exploring dosing schedules in lower-risk MDS.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
127
H3B-8800 (RVT-2001) orally at specified doses and schedules.
Number of Participants with Dose-limiting Toxicities (DLTs)
Time frame: Escalation Cycle 1 (28 days)
Number of Participants with Treatment Emergent Adverse Events (TEAEs) and Serious Adverse Events (SAEs)
The type and frequency of AEs and SAEs using CTCAE v4.03, as well as changes in clinical laboratory values, ECG parameters, ophthalmologic examinations, and vital sign measurements.
Time frame: From the first dose of study drug until 30 days after final dose of study drug (up to approximately 50 months)
Area Under the Plasma Concentration-time Curve From Time 0 Through the Last Measurable Point (AUC0-t)
Plasma samples for PK analyses will be collected at predetermined timepoint and analyzed
Time frame: Up to Cycle 6 Day 15 (each cycle length=28 days)
Maximum Observed Plasma Concentration (Cmax)
Plasma samples for PK analyses will be collected at predetermined timepoint and analyzed
Time frame: Up to Cycle 6 Day 15 (each cycle length=28 days)
Time of Maximum Observed Plasma Concentration (Tmax)
Plasma samples for PK analyses will be collected at predetermined timepoint and analyzed
Time frame: Up to Cycle 6 Day 15 (each cycle length=28 days)
Number of Participants who Achieve Red Blood Cell (RBC) Transfusion Independence
Time frame: Up to approximately 50 months
Number of Participants with Hematologic Improvement
Time frame: Up to approximately 50 months
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Arizona Oncology Associates
Tucson, Arizona, United States
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Mayo Clinic Jacksonville
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Massachusetts General Hospital
Boston, Massachusetts, United States
Beth Israel Deaconess Medical Center
Boston, Massachusetts, United States
Dana Farber Cancer Institute
Boston, Massachusetts, United States
Karmanos Cancer Institute
Detroit, Michigan, United States
...and 39 more locations
Objective Response Rate (ORR)
ORR will be defined as the percentage of participants achieving a best overall response of partial remission (PR) or complete remission (CR) (PR + CR), from first dose date until disease progression/recurrence. CR includes CR with incomplete blood count recovery (CRi) in AML participants and marrow CR in MDS participants and optimal marrow response in CMML participants. Response will be assessed by the Investigator and the independent central review based on 2006 International Working Group (IWG) response criteria for MDS, 2003 IWG criteria for AML, and the international consortium proposal of uniform response criteria for CMML published in 2015.
Time frame: Up to approximately 50 months
Duration of Response (DOR)
DOR will be defined as the time from the date of first documented CR/PR until the first documentation of confirmed relapse, or death, whichever comes first.
Time frame: Up to approximately 50 months
Time to Progression
Time frame: Up to approximately 50 months
Overall Survival (OS)
Overall Survival is defined as the time from first dose date to the date of death from any cause.
Time frame: Up to approximately 50 months
Mortality Rate at 3 and 6 Months
Time frame: Months 3 and 6