RecruitingPhase 1NCT05829226

A Phase 1 Study With LYT-200 in Patients With Relapsed/Refractory Acute Myeloid Leukemia (AML), or With Relapsed/Refractory, High-risk Myelodysplastic Syndrome (MDS)

A Phase 1 Open-label, Multi-center Study of the Safety, Pharmacokinetics (PK), and Anti-tumor Activity of LYT- 200 in Patients With Relapsed/Refractory Acute Myeloid Leukemia (AML), or With Relapsed/Refractory, High-risk Myelodysplastic Syndrome (MDS)


Sponsor

PureTech

Enrollment

90 participants

Start Date

Dec 12, 2022

Study Type

INTERVENTIONAL

Conditions

Summary

A Phase 1 Open-label, Multi-center Study of the Safety, Pharmacokinetics (PK), and Anti-tumor Activity of LYT- 200 in Patients with Relapsed/Refractory Acute Myeloid Leukemia (AML), or with Relapsed/refractory, High-risk Myelodysplastic Syndrome (MDS)


Eligibility

Min Age: 18 Years

Inclusion Criteria7

  • Patients ≥ 18 years of age at the time of obtaining informed consent.
  • Patients with morphologically documented primary or secondary AML by the World Health Organization(WHO) criteria, whose disease is relapsed/refractory to at least one line of prior therapy, with or without an allogeneic stem cell transplant and for whom no standard therapy that may provide clinical benefit is available or for patients who decline available standard of care.
  • Patients with a documented diagnosis of high-risk myelodysplastic syndrome (MDS), whose disease is relapsed/refractory, post at least one line of treatment based on the revised International Prognostic Scoring System (IPSS-R) and for whom no standard therapy that may provide clinical benefit is available
  • Patients are able and willing to comply with study procedures as per protocol, including bone marrowbiopsies.
  • Patient has an Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.
  • Patient must meet the following criteria as indicated on the clinical laboratory tests:
  • oWhite blood cell (WBC) count at the time of the first dose of \< 25,000/uL. oAspartate aminotransferase or alanine aminotransferase ≤ 3 × upper limit of normal (ULN; ≤ 5.0× ULN if considered to be due to leukemic involvement). oTotal bilirubin ≤ 2 × ULN (≤ 3 × ULN if considered to be due to leukemic involvement orGilbert's syndrome). oCreatinine clearance of ≥ 60 mL/min.

Exclusion Criteria8

  • Patient diagnosed with acute promyelocytic leukemia (APL).
  • Patient has active malignant tumors other than AML/MDS
  • Patient has had HSCT and meets any of the following: has undergone HSCT within the 6- month period prior to the first study dose; has ≥ Grade 2 persistent non-hematological toxicity related to the transplant donor lymphocytes infusion.
  • Patient has active graft versus host disease (GVHD) and patients receiving immunosuppressive treatment for GVHD.
  • Patient with symptomatic central nervous system (CNS) involvement of leukemia or other CNS diseases related to underlying and secondary effects of malignancy
  • Patient has had major surgery within 4 weeks prior to the first study dose.
  • Patient has congestive heart failure New York Heart Association (NYHA) class 3 or 4, or patient with a history of congestive heart failure NYHA class 3 or 4 in the past, unless a screening echocardiogram or multigated acquisition (MUGA) scan performed within 3 months prior to study entry results in a left ventricular ejection fraction (LVEF) that is ≥ 45%.
  • Patient has any condition which, in the Investigator's opinion, makes the patient unsuitable for study participation.

Interventions

DRUGLYT-200

monoclonal antibody (mAb), targeting galectin-9 protein

DRUGVenetoclax

Bcl-2 inhibitor

DRUGAzacitidine

Hypomethylating agent

DRUGDecitabine

Hypomethylating agent


Locations(9)

Cedars-Sinai Medical Center

Los Angeles, California, United States

University of California Irvine Medical Center

Orange, California, United States

Baptist Health South Florida-Miami Cancer Institute

Miami, Florida, United States

Norton Healthcare-Norton Cancer Institute

Louisville, Kentucky, United States

Mass. General Hospital-Harvard

Boston, Massachusetts, United States

Karmanos Cancer Institute

Detroit, Michigan, United States

Rutgers Cancer Institute of New Jersey

New Brunswick, New Jersey, United States

Rhode Island Hospital

Providence, Rhode Island, United States

Virginia Commonwealth University Medical Center

Richmond, Virginia, United States

View Full Details on ClinicalTrials.gov

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NCT05829226


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