This was a phase 1b, multi-arm, open-label study of HDM201 in combination with MBG453 or venetoclax in subjects with AML or high-risk MDS. For all subjects, TP53wt status had to be characterized by, at a minimum, no mutations noted in exons 5, 6, 7 and 8. Two treatment arms enrolled subjects in parallel to characterize the safety, tolerability, PK, PD and preliminary antitumor activity of HDM201+MBG453 (treatment arm 1) and HDM201+venetoclax (treatment arm 2). * In the treatment arm 1, subjects received HDM201 in combination with MBG453. * In the treatment arm 2, subjects received HDM201 in combination with venetoclax. Venetoclax dose was gradually increased (ramp-up) over a period of 4 to 5 days to achieve the daily target dose tested that was subsequently continued. Upon the completion of the escalation part, MTD(s) and/or RD(s) of HDM201 in combination with MBG453 or venetoclax in AML and high-risk MDS subjects was planned to be determined for each treatment arm.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
52
Capsule
LIVI (Liquid in vial) Concentrate for Solution for infusion
Tablet
Duke University Medical Center .
Durham, North Carolina, United States
Novartis Investigative Site
Melbourne, Victoria, Australia
Novartis Investigative Site
Helsinki, Finland
Novartis Investigative Site
Heidelberg, Germany
Novartis Investigative Site
Würzburg, Germany
Novartis Investigative Site
Milan, MI, Italy
Novartis Investigative Site
Roma, RM, Italy
Novartis Investigative Site
Singapore, Singapore
Novartis Investigative Site
Madrid, Spain
Incidence of Adverse Events (AEs) and Serious Adverse Events (SAEs) as a measure of safety
Month 24 is assumed to be study end
Time frame: at month 24
Severity of Adverse Events (AEs) and Serious Adverse Events (SAEs) as a measure of safety
Month 24 is assumed to be study end
Time frame: at month 24
Incidence of dose limiting toxicities (DLTs) of treatment
end of first cycle
Time frame: at day 28
Frequency of dose interuptions
Month 24 is assumed to be study end
Time frame: at month 24
Frequency of dose reductions
Month 24 is assumed to be study end
Time frame: at month 24
Dose intensities
measured in mg/ day Month 24 is assumed to be study end
Time frame: at month 24
Overall Response Rate (ORR)
Month 24 is assumed to be study end
Time frame: at month 24
Best Overall Response (BOR)
Month 24 is assumed to be study end
Time frame: at month 24
Event Free Survival (EFS) for AML (Cheson 2003) or Progression Free Survival (PFS) for MDS (Cheson 2006)
Month 24 is assumed to be study end
Time frame: at month 24
Relapse Free Survival (RFS) for AML (Cheson 2003) or Time To Response (TTR) for MDS (Cheson 2006)
Month 24 is assumed to be study end
Time frame: at month 24
Duration Of Response (DOR) for AML (Cheson 2003) and MDS (Cheson 2006)
Month 24 is assumed to be study end
Time frame: at month 24
Presence of anti-MBG453 antibodies (treatment arm 1 HD201+MBG453)
Time frame: at Day 1, Day 29 and at month 24
Concentration of HDM201 (Treatment arm 1 HDM201+MBG453 and treatment arm 2 HDM201+venetoclax)
Time frame: at Day 1, Day 2, Day 5, Day 6 and Day 29
Concentration of MBG453 (treatment arm 1 HDM201+MBG453)
Time frame: at Day 1, Day 2, Day 8, Day 11, Day 15, Day 29 and at month 24
Concentration of venetoclax (treatment arm 2 HDM201+venetoclax)
Time frame: at Day 1, Day 2, Day 3, Day 5, Day 6, Day 8, Day 9, Day 14, Day 15 and Day 29
PK parameter (AUC) of HDM201 (Treatment arm 1 HDM201+MBG453 and treatment arm 2 HDM201+venetoclax)
Cycle 6
Time frame: at month 6
PK parameter (Cmax) of HDM201 (Treatment arm 1 HDM201+MBG453 and treatment arm 2 HDM201+venetoclax)
Cycle 6
Time frame: at month 6
PK parameter (Tmax) of HDM201 (Treatment arm 1 HDM201+MBG453 and treatment arm 2 HDM201+venetoclax)
Cycle 6
Time frame: at month 6
PK parameter (AUC) of MBG453 (treatment arm 1 HDM201+MBG453)
Cycle 6
Time frame: at month 6
PK parameter (Cmax) of MBG453 (treatment arm 1 HDM201+MBG453)
Cycle 6
Time frame: at month 6
PK parameter (Tmax) of MBG453 (treatment arm 1 HDM201+MBG453)
Cycle 6
Time frame: at month 6
PK parameter (AUC) of venetoclax (treatment arm 2 HDM201+venetoclax)
Cycle 6
Time frame: at month 6
PK parameter (Cmax) of venetoclax (treatment arm 2 HDM201+venetoclax)
Cycle 6
Time frame: at month 6
PK parameter (Tmax) of venetoclax (treatment arm 2 HDM201+venetoclax)
Cycle 6
Time frame: at month 6
Changes from baseline in GDF-15 (Treatment arm 1 HDM201+MBG453 and treatment arm 2 HDM201+venetoclax)
Time frame: at Day 1 and Day 2
Changes from baseline in soluble TIM-3 (Treatment arm 1 HDM201+MBG453)
Cycle 6
Time frame: at month 6
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