RecruitingPhase 1NCT05546580

Study of Iadademstat and Gilteritinib in Patients With R/R AML With FMS-like Tyrosine Kinase Mutation (FLT3 Mut+)

An Escalation/Expansion, Open Label, Multicenter Study of Iadademstat and Gilteritinib in Patients With Relapsed or Refractory Acute Myeloid Leukemia (R/R AML) With FMS-like Tyrosine Kinase Mutation (FLT3 Mut+): The FRIDA Study


Sponsor

Oryzon Genomics S.A.

Enrollment

50 participants

Start Date

Nov 14, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

Iadademstat is being studied as a treatment for subjects with Relapsed or Refractory Acute Myeloid Leukemia (R/R AML) with FMS-like tyrosine kinase mutation (FLT3 mut+). During the trial, iadademstat will be given in combination with gilteritinib, a drug that is already approved to treat patients with FLT3-mutated R/R AML.


Eligibility

Min Age: 18 Years

Inclusion Criteria9

  • Diagnosis of primary AML or AML with myelodysplasia-related changes (AML-MRC)
  • Patient is in first or second relapse or has refractory disease. Patients must have had histologic verification of AML at the original diagnosis.
  • Patient must be positive for the following FLT3 mutations in bone marrow or PB: FLT3 internal tandem duplication (ITD), FLT3 tyrosine kinase domain (TKD) D835 or I836 or FLT3-ITD and specified FLT3-TKD.
  • ECOG performance status 0-2
  • Life expectancy of at least 3 months in the opinion of the investigator.
  • Normal hepatic and renal function.
  • Patient is able to swallow oral medications.
  • Female patients are postmenopausal, documented as surgically sterile, use two methods of contraception or practice true abstinence and have a negative urine pregnancy test at screening.
  • Male patients even if surgically sterilized agree to practice true abstinence or use highly effective barrier contraception.

Exclusion Criteria13

  • Diagnosis of acute promyelocytic leukemia.
  • Known BCR-ABL-positive leukemia.
  • AML secondary to prior chemotherapy for other neoplasms (except for MDS).
  • AML that has relapsed after or is refractory to more than 2 lines of therapy.
  • Clinically active central nervous system leukemia or prior history of NCI CTCAE Grade ≥ 3 drug-related CNS toxicity.
  • Major surgery or radiation therapy within 4 weeks prior to the first study dose.
  • Prior treatment with iadademstat is not allowed. Treatment with any other agents with KDM1A/LSD1 inhibitory activity is only allowed if treatment finalized at least 3 weeks prior to first dose on study. Previous treatment with FLT3 inhibitors is allowed in the following cases: midostaurin and sorafenib are allowed when used in first-line therapy regimen as part of induction, consolidation and/or maintenance: quizartinib and gilteritinib are allowed when used in first-line therapy regimen, as part of induction, consolidation and/or maintenance, ONLY if patients were not refractory to the drugs or if responding, relapse did not occur while on these drugs.
  • Patients not eligible to receive gilteritinib per label.
  • Prior treatment with 3 or more lines of AML therapy.
  • Treatment with any investigational products within 3 weeks prior to first dose of study treatment.
  • Uncontrolled hypertension or poorly controlled diabetes.
  • Evidence of active uncontrolled viral, bacterial, or systemic fungal infection.
  • Pregnant or lactating women.

Interventions

DRUGIadademstat

iadademstat oral solution

DRUGGilteritinib Oral Tablet

120 mg Gilteritinib


Locations(13)

Banner MD Anderson Cancer Center

Gilbert, Arizona, United States

The University of Arizona Cancer Center - North Campus

Tucson, Arizona, United States

Sylvester Comprehensive Cancer Center

Miami, Florida, United States

Miami Cancer Institute

Miami, Florida, United States

The John Hopkins University School of Medicine

Baltimore, Maryland, United States

Massachusetts General Hospital (MGH)

Boston, Massachusetts, United States

Rutgers, The State University

Piscataway, New Jersey, United States

Icahn School of Medicine at Mount Sinai and Mount Sinai Hospital

New York, New York, United States

Duke University Medical Center

Durham, North Carolina, United States

Oregon Health & Science University

Portland, Oregon, United States

Sarah Cannon Research Institute, LLC

Nashville, Tennessee, United States

West Virginia University

Morgantown, West Virginia, United States

Froedtert Hospital & The Medical College of Wisconsin

Milwaukee, Wisconsin, United States

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NCT05546580


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