A Three-Arm Study of ME-401 in Subjects with Relapsed/Refractory CLL/SLL or FL, of ME-401 in Combination with Rituximab in Subjects with Relapsed/Refractory CLL/SLL or B-cell NHL, and of ME-401 in Combination with Zanubrutinib in Subjects with Relapsed/Refractory CLL/SLL or B-cell NHL
This is a three-arm study of ME-401 alone, of ME-401 in combination with rituximab, and of ME-401 in combination with zanubrutinib in subjects with relapsed/refractory CLL/SLL or B cell NHL. The 3 arms of the study will be conducted in parallel, with subject allocation to ME-401 alone, ME-401 plus rituximab, or ME-401 plus zanubrutinib based on disease type and availability of an open enrollment slot.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
97
University of Arizona
Tucson, Arizona, United States
Compassionate Care
Corona, California, United States
Sylvester Comprehensive Cancer Center (Univ of Miami School of Med)
Miami, Florida, United States
Massachusetts General Hospital Cancer Center
Boston, Massachusetts, United States
Dana Farber
Boston, Massachusetts, United States
Memorial Sloan Kettering
Basking Ridge, New Jersey, United States
Memorial Sloan Kettering
Middletown, New Jersey, United States
Memorial Sloan Kettering
Montvale, New Jersey, United States
Memorial Sloan Kettering
Commack, New York, United States
Memorial Sloan Kettering
Harrison, New York, United States
...and 14 more locations
Minimum Biologically Effective Dose (mBED) of ME-401 alone
The mBED will be defined as the dose that is safe and that achieves an objective response rate that is not less than 30%.
Time frame: 1 year
Maximally Tolerated Dose (MTD) of ME-401 alone
The MTD will be determined as the maximum dose that is safe. DLT rate closest to .25 and not to exceed 2 DLTs in 6 subjects
Time frame: 1 year
Dose Limiting Toxicities (DLTs) of ME-401 alone
DLTs will be measured by the number of treatment related AEs that occur within the first 56 days of ME-401 administration, is considered clinically significant by the P.I. and occurs in the presence of supportive care
Time frame: within the first 56 days
Evaluate the safety and tolerability of ME-401 plus rituximab
Safety and tolerability will be measured by the number of treatment related AEs
Time frame: 1 year
Determine the MTD of ME-401 plus zanubrutinib
The MTD of ME-401 is defined as the dose level with a DLT rate closest to 0.25.
Time frame: 1 year
Determine the DLTs of ME-401 plus zanubrutinib
DLTs will be measured by the number of treatment related AEs that occur within the first 56 days of ME-401 plus zanubrutinib
Time frame: within the first 56 days
Evaluate the safety and tolerability of ME-401 plus zanubrutinib
Safety and tolerability will be measured by the number of treatment related AEs
Time frame: 1 year
Safety profile of ME-401 alone
Safety profile will be measured by number of participants with treatment-related adverse events as assessed by CTCAE v4.0
Time frame: 1 year
Efficacy of ME-401 alone as assessed by (OR)
The efficacy of ME-401 alone will be assessed by the overall response (OR) of subjects which is calculated as the percent of subjects achieving complete response (CR), minimal disease negativity (MRD), duration of response (DOR) and progression free survival (PFS).
Time frame: 2 years
Evaluate the (AUC) PK of ME-401 alone
Determined by the Area Under the Concentration time curve (AUC)
Time frame: 2 years
Evaluate the PK (Cmax) of ME-401 alone
Determined by Peak Plasma Concentration (Cmax)
Time frame: 2 years
Efficacy of ME-401 with rituximab
The efficacy of ME-401 with Rituximab will be determined by the overall response (OR) of subjects calculated as the percent of subjects achieving a complete remission (CR), duration of response (DOR) or Progression Free survival (PFS) according to the International Workshop on Chronic Lymphocytic Leukemia (iwCLL)
Time frame: 2 years
Evaluate the PK (AUC) of ME-401 with rituximab
Determined by the Area Under the Concentration time curve (AUC)
Time frame: 2 years
Evaluate the PK (Cmax) of ME-401 with rituximab
Determined by Peak Plasma Concentration (Cmax)
Time frame: 2 years
Efficacy of ME-401 with zanubrutinib
The efficacy of ME-401 with zanubrutinib will be assessed by the overall response (OR) of subjects calculated as the percent of subjects achieving a complete remission (CR), Duration of response (DOR) and progression free survival (PFS)
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Time frame: 2 years
Evaluate the PK (AUC) of ME-401 in combination with zanubrutinib
Determined by the Area Under the Concentration time curve (AUC)
Time frame: 2 years
Evaluate the PK (Cmax) of ME-401 in combination with zanubrutinib
Determined by Peak Plasma Concentration (Cmax)
Time frame: 2 years