This is a Phase 1 dose-escalation study of PRT1419, a myeloid cell leukemia 1 (MCL1) inhibitor, in patients with relapsed/refractory hematologic malignancies. The purpose of this study is to define the dosing schedule, maximally tolerated dose and/or estimate the optimal biological dose to be used in subsequent development of PRT1419.
This is a multicenter, open-label, dose-escalation Phase 1 study of PRT1419, a MCL1 inhibitor, evaluating patients in two cohorts as part of a 28-day treatment cycle in adult patients with multiple myeloma (MM), non-Hodgkin's lymphoma (NHL), acute myeloid leukemia (AML), chronic myelomonocytic leukemia (CMML), high-risk myelodysplastic syndrome (MDS) or MDS/myeloproliferative neoplasm (MPN) overlap syndrome. Cohort A will evaluate PRT1419 administered as monotherapy in patients with either AML, CMML and/or high-risk MDS or MDS/MPN overlap. Cohort B will evaluate PRT1419 administered as monotherapy in patients with NHL or MM. The study will employ a "3+3" dose escalation design. The dose may be escalated until a dose limiting toxicity is identified.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
16
PRT1419 will be administered orally
Colorado Blood Cancer Institute
Denver, Colorado, United States
Florida Cancer Specialists
Lake Mary, Florida, United States
Florida Cancer Specialists
Sarasota, Florida, United States
Memorial Sloan Kettering Cancer Center
New York, New York, United States
To describe dose limiting toxicities (DLT) of PRT1419
Dose limiting toxicities will be evaluated through the first cycle
Time frame: Baseline through Day 28
To determine the maximally tolerated dose (MTD) and/or optimal biological dose (OBD)
The MTD and/or OBD will be established for further investigation in participants with multiple myeloma, Non-Hodgkin's Lymphoma, acute myeloid leukemia and myelodysplastic syndrome
Time frame: Baseline through approximately 2 years
To determine the recommended phase 2 dose (RP2D) and schedule of PRT1419
The RP2D will be established for further investigation in participants with multiple myeloma, Non-Hodgkin's Lymphoma, acute myeloid leukemia and myelodysplastic syndrome
Time frame: Baseline through approximately 2 years
To describe the adverse event profile and tolerability of PRT1419
Adverse events as characterized by type, frequency, severity, timing, seriousness and relationship to study therapy
Time frame: Baseline through approximately 2 years
To describe the pharmacokinetic profile of PRT1419
PRT1419 pharmacokinetics will be calculated including the maximum observed plasma concentration
Time frame: Baseline through approximately 2 years
To describe any anti-tumor activity of PRT1419
Anti-tumor activity of PRT1419 will be based on the measurement of objective responses
Time frame: Baseline through approximately 2 years
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The University of Texas MD Anderson Cancer Center
Houston, Texas, United States