This is a Phase 1 dose-escalation study of PRT2527, a potent and highly selective cyclin-dependent kinase (CDK) 9 inhibitor, in participants with select relapsed or refractory (R/R) hematologic malignancies. The purpose of this study is to evaluate the safety, tolerability, recommended phase 2 dose (PR2D), and preliminary efficacy of PRT2527 as a monotherapy and in combination with zanubrutinib or venetoclax.
This is an open-label, multi-center, dose-escalation, Phase 1 study of PRT2527, a CDK9 inhibitor, as monotherapy for participants with relapsed and refractory lymphoid and myeloid malignancies, in combination with zanubrutinib, a Bruton tyrosine kinase inhibitor (BTKi) for participants with lymphoid malignancies, or in combination with venetoclax, a B-cell lymphoma 2 inhibitor (BCL-2i) in participants with myeloid malignancies. The study will be conducted in two parts, the dose escalation phase and the dose confirmation phase for both monotherapy and combination therapy. The dose escalation phase will evaluate escalating doses of PRT2527 as a monotherapy and in combination with zanubrutinib or venetoclax until MTD is identified or when the RP2D is determined. The dose confirmation phase will evaluate indication-specific cohorts at the RP2D to confirm the dose. Approximately 274 participants will be enrolled in the dose escalation and indication-specific, dose confirmation cohorts.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
86
PRT2527 will be administered by intravenous infusion once weekly.
Zanubrutinib will be provided in capsules for oral administration once or twice daily.
Venetoclax will be provided in tablet for oral administration once daily
City of Hope
Duarte, California, United States
American Oncology Partners of Maryland, PA
Bethesda, Maryland, United States
Dana-Farber Cancer Institute
Boston, Massachusetts, United States
Laura and Isaac Perlmutter Cancer Center at NYU Langone Health
New York, New York, United States
University of Virginia Comprehensive Cancer Center
Charlottesville, Virginia, United States
Austin Health
Heidelberg, Victoria, Australia
Alfred Health
Melbourne, Victoria, Australia
Monash Health
Melbourne, Victoria, Australia
Linear Clinical Research Ltd
Perth, Western Australia, Australia
Jewish General Hospital
Montreal, Quebec, Canada
...and 14 more locations
Dose limiting toxicity (DLT) of PRT2527
Dose limiting toxicities will be evaluated during Cycle 1 depending on the treatment arm and intrapatient ramp-up.
Time frame: Baseline through Day 21, 28, or 35 days.
Safety and tolerability of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax: AEs, CTCAE Assessments
Safety and tolerability will be evaluated by incidence of DLTs, dose interruption, modification, and discontinuation due to adverse events (AEs) according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE)
Time frame: Baseline through approximately 2 years
Maximum tolerated dose (MTD)/Recommended phase 2 dose (RP2D) of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax
The MTD/RP2D will be established for further investigation in participants with relapsed or refractory hematologic malignancies
Time frame: Baseline through approximately 2 years
Anti-tumor activity of PRT2527 as monotherapy and in combination with zanubrutinib or venetoclax: Objective response rate (ORR)
Best overall response as assessed by the investigator in accordance with standard disease-specific criteria for the hematologic malignancies under study
Time frame: Baseline through approximately 2 years
Anti-tumor activity of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax: Duration of response/Complete Response (DOR/DoCR)
Duration from time of first observed response to the earliest date of disease progression, as assessed by the investigator in accordance with standard disease-specific criteria for the hematologic malignancies under study, or death due to any cause, whichever occurs first
Time frame: Baseline through approximately 2 years
Pharmacokinetic profile of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax: Maximum observed plasma concentration
PRT2527 pharmacokinetics will be calculated including the maximum observed plasma concentration (Cmax)
Time frame: Baseline through approximately 2 years
Pharmacokinetic profile of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax: Area under the curve
PRT2527 pharmacokinetics will be calculated including the area under the plasma concentration versus time curve (AUC)
Time frame: Baseline through approximately 2 years
Pharmacokinetic profile of PRT2527 monotherapy and in combination with zanubrutinib or venetoclax: Time of maximum concentration
PRT2527 pharmacokinetics will be calculated including the time of maximum concentration (Tmax)
Time frame: Baseline through approximately 2 years
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