CC-90011-AML-002 is a Phase 1/2, open-label, multicenter study to assess the safety, tolerability, and preliminary efficacy of CC-90011 given concurrently with Venetoclax and Azacitidine. This study will include 3 parts: a dose escalation part in R/R AML, a dose escalation part in ndAML (treatment-naïve participants with AML who are ≥ 75 years of age or are ≥ 18 to 74 years of age and otherwise not eligible for intensive induction chemotherapy), and a randomized dose expansion part in ndAML of Venetoclax and Azacitidine with or without CC-90011.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
1
CC-90011 will be given PO on Days 1, 8, and 15 of continuous 4-week (28-day) cycle. The dose escalation is designed to explore three dose levels of CC-90011, for example 20, 40, and 60 mg as determined by Bayesian design.
Venetoclax is administered orally QD on Days 1 to 28 of each 28-day cycle with a brief dose ramp-up for Cycle 1 with the dosing of 100 mg on Day 1, 200 mg on Day 2, and 400 mg on Day 3. Venetoclax should be administered at 400 mg on subsequent days.
Azacitidine is administered on Days 1 to 7 of each 28-day cycle as an IV infusion or SC injection at 75 mg/m2
Venetoclax is administered orally QD on Days 1 to 28 of each 28-day cycle
CC-90011 will be given PO on Days 1, 8, and 15 of continuous 4-week (28-day) cycle at the recommended phase to dose of CC-90011 confirmed in dose escalation.
Local Institution - 110
Duarte, California, United States
Local Institution - 103
New Haven, Connecticut, United States
Local Institution - 108
Miami, Florida, United States
Local Institution - 111
Chicago, Illinois, United States
Local Institution - 121
New York, New York, United States
Local Institution - 118
Durham, North Carolina, United States
Local Institution - 116
Cleveland, Ohio, United States
Local Institution - 115
Columbus, Ohio, United States
Local Institution - 104
Dallas, Texas, United States
Local Institution - 101
Houston, Texas, United States
...and 7 more locations
Adverse Events (AEs)
An AE is any noxious, unintended, or untoward medical occurrence that may appear or worsen in a participant during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the participant's health, including laboratory test values, regardless of etiology. Any worsening (ie, any clinically significant adverse change in the frequency or intensity of a preexisting condition) should be considered an AE
Time frame: From ICF signature until 28 days after last dose of CC- 90011 and all combination agents
Recommended Phase 2 dose (RP2D)
The RP2D will include evaluation of DLTs and MTD using NCI CTCAE criteria
Time frame: Up to approximately Cycle 1 (each cycle is 28 days)
Complete remission (CR) Rate
Defined as the rate of achieving CR (as assessed by the Investigator and by programmatic outputs by the Sponsor)
Time frame: Up to approximately 10 months
Complete remission with partial hematologic recovery (CRh) Rate
Defined as the rate of achieving CRh (as assessed by the Investigator and by programmatic outputs by the Sponsor)
Time frame: Up to approximately 2 years
Overall response rate (ORR)
Defined as the rate of achieving CR/CRMRD-/CRi/PR/MLFS
Time frame: Up to approximately 2 years
Duration of response (CR)
Time from the first CR to the date of documented disease relapse or death, whichever is earlier.
Time frame: Up to approximately 2 years
Duration of response (CR/CRh)
Time from the first CR or CRh to the date of documented disease relapse or death, whichever is earlier.
Time frame: Up to approximately 2 years
Duration of response (CR/ CRMRD-/ CRi/ PR/MLFS)
Time from the first CR, CRMRD-, CRi, PR or MLFS to the date of documented disease relapse, progression, or death, whichever is earlier.
Time frame: Up to approximately 2 years
Event-free survival (EFs)_Part III Only
Time from study randomization to the date of treatment failure, relapse from CR or death from any cause, whichever comes first.
Time frame: Up to approximately 2 years
Overall survival (OS)_Part III Only
Time from study randomization to the date of death due to any cause.
Time frame: Up to approximately 2 years
Minimal residual disease (MRD) Response Rate_Part II and III only
The rate of having at least a one log reduction in disease burden or an MRD negative (10-3) test result.
Time frame: Up to approximately 2 years
Minimal residual disease (MRD) Conversion Rate_Part II and III Only
The rate of participants achieving MRD negativity (10-3) at any time on therapy.
Time frame: Up to approximately 2 years
Complete response with incomplete hematologic recovery (CRi) rate
Defined as the rate of achieving CRi (as assessed by the Investigator and by programmatic outputs by the Sponsor)
Time frame: Up to approximately 2 years
Duration of response (CR/CRi)
Time from the first CR or CRi to the date of documented disease relapse or death, whichever is earlier.
Time frame: Up to approximately 2 years
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