The purpose of the study is to identify the maximum tolerated dose (MTD) of JNJ-64619178 in participants with relapsed/refractory B cell non-Hodgkin lymphoma (NHL) or advanced solid tumors and also to identify the recommended Phase 2 dose(s) (RP2Ds) of JNJ-64619178 for NHL and advanced solid tumors (Part 1) and to confirm the tolerability of JNJ-64619178 in participants with lower risk myelodysplastic syndromes (MDS) (Part 2).
The study is designed to determine the maximum tolerated dose (MTD) of JNJ-64619178, and to select a dose(s) and regimen(s) that may be used in future clinical development. Study evaluations will include safety, pharmacokinetics, biomarkers and efficacy evaluations (Disease Assessments). Adverse events will be evaluated throughout the study. The study is divided into 4 periods: a screening phase, a pharmacokinetic run-in phase, a treatment phase, and a post treatment follow-up phase. An end-of-treatment visit will be completed less than or equal (\<=) 30 days (+7 days) after the last dose of study drug or prior to the start of a new anticancer therapy, whichever comes first.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
114
JNJ-64619178 capsules to be administered orally.
Florida Specialist and Cancer Institute
Sarasota, Florida, United States
Massachusetts General Hospital
Boston, Massachusetts, United States
Ohio State University
Columbus, Ohio, United States
University of Texas, MD Anderson Cancer Center
Houston, Texas, United States
St. Paul's Hospital
Vancouver, British Columbia, Canada
Princess Margaret Cancer Centre University Health Network
Toronto, Ontario, Canada
Universitaetsklinikum Duesseldorf
Düsseldorf, Germany
Goethe Universität Frankfurt
Frankfurt am Main, Germany
Universitaetsklinikum Leipzig
Leipzig, Germany
Carmel Medical Center
Haifa, Israel
...and 8 more locations
Part 1 and Part 2: Number of Participants with Dose-limiting Toxicities (DLTs)
DLTs are defined as certain non-hematologic and hematologic toxicities of Grade 3 or higher.
Time frame: Approximately 3 years
Part 1 and Part 2: Number of Participants with Adverse Events (AE)
AE is any untoward medical occurrence in participant who received study drug without regard to possibility of causal relationship.
Time frame: Approximately 3 years
Part 1 and Part 2: Number of Participants with AE by Severity
Severity will be graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE). Severity scale ranges from Grade 1 (Mild) to Grade 4 (Life-threatening). Grade 1= Mild, Grade 2= Moderate, Grade 3= Severe, Grade 4= Life-threatening and Grade 5= Death related to adverse event.
Time frame: Approximately 3 years
Part 1 and Part 2: Number of Participants with Abnormal Vital Signs
Number of participants with abnormality in vital signs (temperature, pulse/heart rate, and blood pressure) will be reported.
Time frame: Approximately 3 years
Part 1 and Part 2: Number of Participants with Laboratory Abnormalities
Number of participants with laboratory abnormalities (serum chemistry, hematology, and coagulation, and disease-related laboratory abnormalities) will be reported.
Time frame: Approximately 3 years
Part 1 and Part 2: Number of Participants with Electrocardiogram (ECG) Abnormalities
Number of participants with electrocardiogram(ECG) abnormalities will be reported.
Time frame: Approximately 3 years
Part 1 and Part 2: Maximum Plasma Concentration (Cmax) of JNJ-64619178
Cmax is the maximum observed plasma concentration.
Time frame: Approximately 3 years
Part 1 and Part 2: Area Under the Plasma Concentration Versus Time Curve From Time Zero to End of Dosing Interval (AUCtau)
AUCtau is the measure of the plasma drug concentration from time zero to end of dosing interval.
Time frame: Approximately 3 years
Part 1 and Part 2: Minimum Plasma Concentration (Cmin)
Cmin is the minimum observed plasma concentration.
Time frame: Approximately 3 years
Part 1 and Part 2: Plasma Decay Half-Life (t1/2)
Plasma decay half-life is the time measured for the plasma concentration to decrease by one half.
Time frame: Approximately 3 years
Part 1 and Part 2: Volume of Distribution at Steady-State Influenced by the Fraction Absorbed (Vss/F)
Volume of distribution is defined as the theoretical volume in which the total amount of drug would need to be uniformly distributed to produce the desired blood concentration of a drug. Steady state volume of distribution (Vss) is the apparent volume of distribution at steady state which is estimated by (D/AUC\[0-infinity\])\* (AUMC\[0-infinity\])/(AUC\[0-infinity\]) where D is the dose of study drug, AUMC(0-infinity) is the area under the first moment curve extrapolated to infinity and AUC (0-infinity) is the area under the plasma concentration-time curve from time zero to infinite time. All these parameters will be assessed as influenced by the fraction absorbed.
Time frame: Approximately 3 years
Part 1 and Part 2: Apparent Total Systemic Clearance of Drug (CL/F) after Extravascular Administration
Drug clearance is a quantitative measure of the rate at which a drug substance is removed from the blood.
Time frame: Approximately 3 years
Part 1 and Part 2: Accumulation Index (RA)
Accumulation Index (RA) is calculated as AUC (0-24) value at steady state divided by AUC (0-24) value after first dose.
Time frame: Approximately 3 years
Part 1 and Part 2: Plasma Concentration of Symmetric Dimethyl-Arginine (SDMA)
Plasma concentration of symmetric dimethyl-arginine (SDMA) will be evaluated.
Time frame: Approximately 3 years
Part 1: Percentage of Participants with B cell non-Hodgkin lymphoma (NHL) Showing Overall Response of Partial Response (PR) or Better
Overall response rate (ORR) is defined as the percentage of participants who have a PR or better. Per Lugano classification, PR is defined as greater than or equal (\>=) 50 percent (%) decrease in size of target lesions.
Time frame: Approximately 3 years
Part 1: Percentage of Participants with Solid Tumors Showing Overall Response of PR or Better
Overall response rate (ORR) is defined as the percentage of participants who have a PR or better. PR criteria in solid tumors (RECIST) is \>= 30 percent (%) decrease in the sum of the diameters of all index lesions compared with baseline in 2 observations at least 4 weeks apart, in absence of new lesions or unequivocal progression of non-index lesions.
Time frame: Approximately 3 years
Part 1: Duration of Response
Duration of response (DOR) will be calculated from the date of initial documentation of a response (PR or better) to the date of first documented evidence of progressive disease (PD), as defined in the disease-specific response criteria, or death due to any cause, whichever occurs first. PD (per RECIST 1.1) defined as at least 20% increase in the sum of the longest diameters of index lesions or unequivocal progression of non-index lesions. Per Lugano classification, PD: target lesions larger; clear progression of non-target lesions; or new tumor lesions; new or recurrent bone marrow involvement; splenomegaly + 2 centimeter (cm) or +50%.
Time frame: Approximately 3 years
Part 1: Clinical Benefit Rate
Clinical benefit rate is defined as percentage of participants who have a complete response (CR), PR and sustained stable disease of 12 weeks or more. Sustained stable disease of 12 weeks or more is defined as participants with stable disease assessment maintained for about 12 weeks or longer from baseline. Per Lugano classification CR is defined as no detectable disease by computed tomography (CT) or positron emission tomography (PET)/CT scan. Evaluation criteria as per RECIST 1.1 for CR is defined as disappearance of all lesions in 2 consecutive observations not less than 4 weeks apart.
Time frame: Approximately 3 years
Part 2: Red Blood Cell (RBC) Transfusion Independence (TI) Rate
Percentage of participants with TI, defined as being without any transfusion during any consecutive 8 weeks (56 days) between the first dose of study drug and treatment discontinuation.
Time frame: Approximately 3 years
Part 2: Overall Improvement Rate
Overall improvement rate is defined as the percentage of participants achieving complete remission (bone marrow: less than or equal to (\<=)5% myeloblasts with normal maturation of all cell lines; Peripheral blood: hemoglobin \>=11 gram per deciliter (g/dL); platelets \>=100\*109/liter(L); neutrophils \>=1.0\*109/L; blasts, 0%), partial remission (All complete remission criteria if abnormal before treatment except: Bone marrow blasts decreased by \>=50% over pretreatment but still \>5% Cellularity and morphology not relevant), or hematologic improvement (HI) (Erythroid response \[pretreatment, \<11 g/dL\]; Platelet response (pretreatment, \<100\*10\^9/L); Neutrophil response (pretreatment, \<1\*10\^9/L); Progression or relapse after HI) according to modified International Working Group (IWG) criteria.
Time frame: Approximately 3 years
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.