Recruiting
Phase 1
Phase 1 Open-label Study of AMX-883 Alone in Participants With AML and High-risk MDS and in Combination in Participants With AML
Condition(s) studied
Acute Myeloid LeukaemiaHigh Risk Myelodysplastic Syndrome
Investigational drug(s) / intervention(s)
AMX-883: AMX-883 will be administered orally.
Posaconazole: Posaconazole tablets will be administered orally.
Study summary
The purpose of the study is to assess the safety, pharmacokinetics, and preliminary efficacy of AMX-883 monotherapy in participants with acute myeloid leukaemia (AML) and high-risk myelodysplastic syndrome (MDS) and in combination with anticancer agents in participants with AML.
Eligibility
Inclusion Criteria:
* Participants with relapsed or refractory AML who have failed all available standard therapies or relapsed or refractory high-risk MDS with BM blasts 10-19%
* Eastern Cooperative Oncology Group (ECOG) performance status of 0-2
* Adequate washout from prior therapies
* Adequate kidney and liver function
* Female participants of childbearing potential must use highly effective contraception for at least 120 days, or 27 weeks (applicable to the United Kingdom \[UK\] only), after last dose, and male participants must agree to use barrier contraception and avoid sperm donation for at least 120 days after last dose
* If enrolled in M1B: Participant must have no documented contraindication to treatment with posaconazole before start of treatment
Exclusion Criteria:
* Diagnosis of acute promyelocytic leukaemia or chronic myelogenous leukaemia in blast crisis
* Clinically active central nervous system (CNS) leukaemia
* Receiving immunosuppressive therapy post HSCT
* History of another malignancy that is active, progressing, or has required systemic treatment within the past 2 years
* Presence of \>Grade 1 active graft versus host disease within 4 weeks prior to C1D1
* Significant cardiovascular disease
* Family history of sudden cardiac death before 40 years of age or a family history of long QT syndrome
* Clinically significant electrolyte imbalances (e.g., hypokalaemia, hypomagnesaemia, hypocalcaemia) that may contribute to QT interval prolongation
* Clinically significant bradycardia (\<50 beats per minute) that is symptomatic or causes haemodynamic instability
* Major surgery within 4 weeks prior to C1D1 or inadequate recovery from prior surgery
* Uncontrolled intercurrent illness
* Inability to fast, swallow, ingest, or absorb oral medication due to a pre-existing condition
* History of interstitial lung disease or pneumonitis requiring systemic corticosteroid treatment
* Requirement for medications with a known risk of Torsades de Pointes that cannot be discontinued prior to study treatment
* Detectable human immunodeficiency virus (HIV) viral load (applicable to rest of the world)
* Known history of human immunodeficiency virus (HIV)-1/2 antibodies with an HIV ribonucleic acid (RNA) viral load ≥50 copies/mL, cluster of differentiation (CD)4+ lymphocyte count \<350 cells/µL, a history of an acquired immunodeficiency syndrome-defining opportunistic infection within the past 12 months, on the same anti-HIV medications for \<12 weeks or further changes in the number or type of antiretroviral drugs in the regimen could be anticipated in the next 12 weeks (applicable to UK only)
* Known serologic status reflecting active hepatitis B or C infection
* Active uncontrolled systemic fungal, bacterial, viral, or other infection or a condition predisposing to severe infection
Primary outcome measure(s)
- Number of participants with adverse events (AEs), treatment-emergent adverse events (TEAEs), adverse events of special interests (AESIs) and serious adverse events (SAEs) — Until 30 days after last dose (Approximately 2 years 8 months)
To determine the safety and tolerability of AMX-883 in participants with relapsed or refractory AML and high-risk MDS when administered as monotherapy and in combination with posaconazole.
- Number of participants with dose limiting toxicities (DLTs) — During Cycle 1 (each cycle will be 28 days)
To determine the maximum tolerated dose (MTD)/optimal biological dose (OBD) and the recommended dose for expansion (RDE) of AMX-883 in participants with relapsed or refractory AML and high-risk MDS when administered as monotherapy and in combination with posaconazole.
Trial sites (1)
| Facility | City | Region | Status |
| NEXT Oncology Virginia |
Fairfax |
Virginia |
Recruiting |
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