A multicenter, open label cohort Phase 1 dose finding study to evaluate tolerability, safety, pharmacokinetics and preliminary efficacy of PF-114 for oral administration in adult patients with Philadelphia chromosome positive (Ph+) chronic myeloid leukemia (CML), which is resistant to the 2-nd generation Bcr-Abl inhibitors or has T315I mutation in the BCR-ABL gene.
PF-114 is a low molecular inhibitor of a Bcr-Abl kinase activity, which is active with respect to native and mutated forms of this enzyme with mutations in Abl kinase domain. Preclinical in vitro and in vivo studies have demonstrated the ability of PF-114 to inhibit wild Bcr-Abl type and with T315I mutation, as well as other kinds of Bcr-Abl with mutations in kinase domain, including combined mutations. In contrast to ponatinib, PF-114 is being developed to increase the action selectivity with respect to Bcr-Abl, which potentially should increase safety of drug application in people. The results of performed preclinical studies confirmed improved selectivity of PF-114 action with respect to Bcr-Abl kinases as compared to ponatinib. Indication: Adult patients with Ph+ CML in chronic phase (CP) or accelerated phase (AP) resistant to previous treatment with at least one 2-nd generation inhibitor of Bcr-Abl (dasatinib, nilotinib, bosutinib) or intolerant of approved Bcr-Abl inhibitors or with T315I mutation in the BCR-ABL gene
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
65
Federal Haematological Scientific Center
Moscow, Russia
Moscow City Centre of Hematology based on City Hospital named by S.Botkin
Moscow, Russia
Federal Almazov North-West Medical Research Centre
Saint Petersburg, Russia
DLTs during the first cycle of therapy
To study the dose-limiting toxicities (DLTs) of PF-114 mesylate in the target patient population during the 1-st cycle of treatment
Time frame: 1-st Cycle of Therapy - 28 days
MTD
Primary Objectives: To determine the maximum tolerated dose (MTD) of PF-114 in the target patient population.
Time frame: 1-st Cycle of Therapy - 28 days
The incidence of AEs
To assess the safety and tolerability of PF-114 in the target patient population
Time frame: through study completion, an average of 1 year
Cmax for oral PF-114 in the target patient population
Time frame: 31 days
Tmax for oral PF-114 in the target patient population
Time frame: 31 days
AUC0-t for oral PF-114 in the target patient population
Time frame: 31 days
AUC0-∞ for oral PF-114 in the target patient population
Time frame: 31 days
T1/2 for oral PF-114 in the target patient population
Time frame: 31 days
CL/F for oral PF-114 in the target patient population
Time frame: 31 days
Vd/F for single and multiple dosing for oral PF-114 in the target patient population
Time frame: 31 days
Ctrough for multiple dosing for oral PF-114 in the target patient population
Time frame: 31 days
Hematological response to the treatment based on European LeukemiaNet criteria, 2013.
Hematological response is evaluated on Day 1 of each therapy cycle Full hematologic response: Leukocytes \< 10 х 109 /L Basophils \< 5 % Thrombocytes \< 450 х 109 /L No myelocytes, promyelocyts, myeloblasts in the differential Absence of splenomegaly - spleen non palpable
Time frame: through study completion, an average of 1 year
Molecular response - the level of BCR-ABL transcripts in the peripheral blood, determined by the method of quantitative polymerase chain reaction (qPCR) using the international scale.
Molecular response is evaluated on Day 1 of Cycles 2, 4, 7, 10. For cycles \> 12, the molecular response will be evaluated once in 3 months, where the procedure is carried out for the first time during Cycle 13.
Time frame: through study completion, an average of 1 year
Cytogenetic response evaluated using the chromosome banding method (in situ (FISH) fluorescence hybridization is allowed only if the chromosome banding method cannot provide enough information).
Cytogenetic response is evaluated on Day 1, Cycles 4, 7, 13. Then if the level of BCR-ABL transcripts exceeds the level of 0.1% using the qPCR method using the international scale, cytogenetic response is evaluated no earlier than in 3 months after the previous cytogenetic analysis. After the complete cytogenetic response has been reached (CCyR), cytogenetic analysis will be carried out every 12 months.
Time frame: through study completion, an average of 1 year
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.