This is a Phase 1b open-label, multicenter, dose-escalation and dose-optimization study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and anti-tumor efficacy of eganelisib as monotherapy and in combination with cytarabine in patients with relapsed/refractory (r/r) acute myeloid leukemia (AML) or r/r higher-risk myelodysplastic syndromes (HR-MDS). The study consists of 2 parts: * Part 1: Dose Escalation (DE) in both monotherapy and in combination. * Part 2: Dose Optimization
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
125
eganelisib will be administered as monotherapy
eganelisib will be administered in combination with cytarabine
City of Hope
Duarte, California, United States
RECRUITINGAnshutz Cancer Pavilion
Aurora, Colorado, United States
RECRUITINGMoffitt Cancer Center
Tampa, Florida, United States
RECRUITINGDana-Farber Cancer Institute
Boston, Massachusetts, United States
RECRUITINGWashington University in St Louis
St Louis, Missouri, United States
RECRUITINGMemorial Sloan Kettering Cancer Center
New York, New York, United States
NOT_YET_RECRUITINGMemorial Sloan Kettering Cancer Center
New York, New York, United States
RECRUITINGMontefiore Medical Center
New York, New York, United States
RECRUITINGCleveland Clinic
Cleveland, Ohio, United States
RECRUITINGOhio State University
Columbus, Ohio, United States
RECRUITING...and 3 more locations
Incidence and severity of adverse events (AEs), graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE), Version 5.0
Time frame: 12 months
Incidence and severity of dose-limiting toxicities (DLTs) in DLT evaluable patients during Cycle 1
Time frame: 28-35 days
Preliminary clinical activity as evaluated per European LeukemiaNet (ELN) 2022 criteria for AML and International Working Group (IWG) 2023 criteria for HR-MDS
Time frame: 12 months
Area under the plasma concentration time curve extrapolated to the last measurable time point [AUClast] of eganelisib and cytarabine
Time frame: 112 days
Maximum concentration [Cmax] of eganelisib and cytarabine
Time frame: 112 days
Time of maximum concentration [Tmax] of eganelisib and cytarabine
Time frame: 112 days
Plasma half-life [t1/2] of eganelisib and cytarabine
Time frame: 112 days
Measure plasma concentrations of eganelisib and determine model-based PK parameters
Time frame: 112 days
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.