ICP-248: Eligible patients will receive ICP-248 orally as per the protocol,once daily for every 28 days as one treatment cycle
Azacitidine: Eligible patients will receive azacitidine subcutaneously or intravenously as per the protocol,once daily on days 1-7 of each 28-day cycle.
Study summary
Evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of ICP-248 in combination with azacitidine in patients with acute myelogenous leukemia and Myelodysplastic Syndromes.
Eligibility
Sex
ALL
Min age
18 Years
Max age
—
Healthy volunteers
No
Inclusion Criteria:
Eligible subjects must meet all of the following criteria:
1. Subject must have confirmation of diagnosis of AML (except for acute promyelocytic leukemia \[APL\]) or MDS per 2016 World Health Organization (WHO) criteria.
2. For AML (except for APL) cohort:
1. Previously treated relapsed/refractory AML subjects
2. Treatment-naïve AML subjects should be: ≥60 years of age OR ≥18 years and \<60 years will be eligible if the subject has at least one of the following co-morbidities, which make the subject unfit for intensive chemotherapy
3. For MDS cohort: Adult TN MDS and R/R MDS: revised International Prognostic Scoring System (IPSS-R) score \> 3 and bone marrow blasts ≥ 5%.
4. Subject must have a projected life expectancy of at least 12 weeks.
5. Subject must have adequate renal function as demonstrated by a creatinine clearance ≥ 30 mL/min; determined via urine collection for 24-hour creatinine clearance or by the Cockcroft-Gault formula.
6. Subject must have adequate liver function
Exclusion Criteria:
1. R/R AML or R/R MDS with no response or intolerance to post azacitidine or BCL-2i.
2. Subject has acute promyelocytic leukemia (French-American-British Class M3 AML) .
3. Subject has known central nervous system (CNS) leukemia.
4. Suggest patients with active hepatitis B or C virus infection
5. History of immunodeficiency, including a positive human immunodeficiency virus (HIV) antibody test.
6. Subjects have another active malignancy within the past 2 years before study entry, except for curatively treated.
Primary outcome measure(s)
Incidence, type, and severity of dose-limiting toxicity (DLT). — 2.5 years
Recommended phase II dose (RP2D) and/or maximum tolerated dose (MTD). — 2.5 years
The incidence, nature, and severity of adverse events (AEs) as assessed per National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE v5.0) criteria. — 2.5 years
AML cohort:Composite complete remission rate by Investigator per ELN 2017 criteria. — 2.5 years
AML cohort:Composite complete remission rate by completion of cycle 2 by Investigator per ELN 2017 criteria. — 2.5 years
MDS cohort:mOR rate, including CR, mCR, and PR, assessed by Investigator at any time point during the study per revised IWG 2006 MDS Criteria. — 2.5 years
Trial sites (22)
Facility
City
Region
Status
Chao Family Comprehensive Cancer Center, University of California, Irvine
Orange
California
Recruiting
Yale University, Yale Cancer Center
New Haven
Connecticut
Recruiting
H Lee Moffitt Cancer Center & Research Institute
Tampa
Florida
Recruiting
NYU Langone Health
New York
New York
Recruiting
University of North Carolina at Chapel Hill
Chapel Hill
North Carolina
Recruiting
Medical College of Wisconsin
Milwaukee
Wisconsin
Recruiting
St Vincent's Hospital
Sydney
New South Wales
Recruiting
Royal Perth Hospital
Perth
Western Australia
Recruiting
Anhui Provincial Hospita
Hefei
Anhui
Recruiting
Peking University People's Hospital
Beijing
Beijing Municipality
Recruiting
The First Affiliated Hospital of Chongqing Medical University
Chongqing
Chongqing Municipality
Recruiting
Guangdong Provincial People's Hospital
Guangzhou
Guangdong
Recruiting
Nanfang Hospital Southern Medical University
Guangzhou
Guangdong
Recruiting
Henan Cancer Hospital
Zhengzhou
Henan
Recruiting
Union Hospital Tongji Medical College Huazhong University of Science and Technology
Wuhan
Hubei
Recruiting
The First Affiliated Hospital of Soochow University
Suzhou
Jiangsu
Recruiting
The First Affiliated Hospital of Nanchang University
Nanchang
Jiangxi
Recruiting
The First Hospital of Jilin University
Changchun
Jilin
Recruiting
Shengjing Hospital of China Medical University
Shengyang
Liaoning
Recruiting
Sichuan Provincial People's Hospital
Chengdu
Sichuan
Recruiting
Tianjin People's Hospital
Tianjin
Tianjin Municipality
Recruiting
The First Affiliated Hospital, Zhejiang University School of Medicine
Hangzhou
Zhejiang
Recruiting
Official registry record
This page summarises publicly available registry data for informational purposes — not medical advice. Eligibility is determined by each study team; patients should discuss participation with their clinician.
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