This is a Phase 1, 2-part, open-label, multicenter, first-in-human (FIH) study to assess the safety, pharmacokinetics (PK), pharmacodynamics (PD), and preliminary clinical activity of TAS1553 administered orally to participants ≥18 years of age with relapsed or refractory (R/R) acute myeloid leukemia (AML) or other myeloid neoplasms where approved therapies have failed or for whom known life-prolonging therapies are not available. The AML population includes de novo AML, secondary AML, and myelodysplastic syndrome (MDS)-transformed into AML. Other myeloid neoplasms include accelerated phase myeloproliferative neoplasms (MPN), and chronic or accelerated phase MPN-unclassifiable (MPN-U) and MDS-MPN. Blast crisis phase of MPNs are considered secondary AML and will be included in the AML cohort. Part 1 is a multicenter, sequential group treatment feasibility study with 1 treatment arm and no masking (dose escalation). Part 2 is a multicenter, two-stage, multiple group, dose confirmation study with 1 treatment arm and no masking (exploratory dose expansion).
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
20
Form: tablet; Route of Administration: oral
University of Alabama - Birmingham Comprehensive Cancer Center
Birmingham, Alabama, United States
HonorHealth Research Institute
Scottsdale, Arizona, United States
University of Southern California Keck School of Medicine
Los Angeles, California, United States
Augusta University - Georgia Cancer Center
Augusta, Georgia, United States
Norton Cancer Institute
Louisville, Kentucky, United States
Weill Cornell Medicine and New York - Presbyterian Hospital
New York, New York, United States
Cleveland Clinic Taussig Cancer Institute
Cleveland, Ohio, United States
University of Texas MD Anderson Cancer Center
Houston, Texas, United States
University of Alberta Hospital - Hematology Research
Edmonton, Alberta, Canada
Princess Margaret Hospital
Toronto, Ontario, Canada
Safety: Number of participants with treatment-emergent adverse events in Part 1
Time frame: Up to 12 months
Safety: Number of participants with dose-limiting toxicities in Part 1
Time frame: Up to 12 months
Response rate in Cohort 1 (AML): Number of participants with complete response (CR) + complete response with partial hematological recovery (CRh), and with CR + incomplete blood count recovery (CRi) in Part 2
Time frame: Up to 33 months
Response rate in Cohort 2 (other myeloid neoplasms): Number of participants with overall response rate (ORR) of CR + partial response (PR) in Part 2
Time frame: Up to 33 months
Pharmacokinetic parameter: Area under the curve (AUC)
Time frame: At specific timepoints from predose up to Day 8 of Cycle 6 (28 days per cycle)
Pharmacokinetic parameter: Maximum plasma concentration (Cmax)
Time frame: At specific timepoints from predose up to Day 8 of Cycle 6 (28 days per cycle)
Pharmacokinetic parameter: Minimum plasma concentration (Cmin)
Time frame: At specific timepoints from predose up to Day 8 of Cycle 6 (28 days per cycle)
Pharmacokinetic parameter: Time to reach maximum plasma concentration (Tmax)
Time frame: At specific timepoints from predose up to Day 8 of Cycle 6 (28 days per cycle)
Pharmacokinetic parameter: Half-life (t½)
Time frame: At specific timepoints from predose up to Day 8 of Cycle 6 (28 days per cycle)
Hematological improvement: Number of participants in Cohort 2 (other myeloid neoplasms) with hematological improvement in Part 2
Time frame: Up to 33 months
Time to response (TTR): Number of days from the first dose to the first documented evidence of response
Time frame: Up to 33 months
Duration of response (DOR): Number of days from the start of response until disease progression or relapse
Time frame: Up to 33 months
Overall survival (OS): Number of days from date of first dose until death due to any cause
Time frame: Up to 33 months
Safety: Number of participants with treatment-emergent adverse events in Part 2
Time frame: Up to 33 months
Pharmacodynamic biomarker: Change from baseline in deoxyadenosine triphosphate (dATP) pool levels in peripheral blood mononuclear cells (PBMCs)
Time frame: At specific timepoints from predose up to Day 2 of Cycle 2 (28 days per cycle)
Pharmacodynamic biomarker: Change from baseline in phosphorylated checkpoint kinase 1 (pCHK1) levels in bone marrow
Time frame: At specific timepoints from predose up to Day 2 of Cycle 2 (28 days per cycle)
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.