240 Participants Needed

Tuspetinib for Acute Myeloid Leukemia

(TUSCANY Trial)

Recruiting at 33 trial locations
RB
Overseen ByRafael Bejar, MD, PhD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)
Approved in 1 JurisdictionThis treatment is already approved in other countries

What You Need to Know Before You Apply

What is the purpose of this trial?

The main purpose of this study is to identify a safe and potentially effective dose of tuspetinib to be used in future studies in study participants diagnosed with acute myeloid leukemia (AML), myelodysplastic syndromes with increased blasts grade 2 (MDS-IB2), or chronic myelomonocytic leukemia (CMML) that is relapsed or refractory after at least one line of prior therapy, or in study participants with newly diagnosed AML. Tuspetinib will be administered as a single agent or in combination with other drugs (venetoclax or venetoclax plus azacitidine), as specified for each part of the study.

Will I have to stop taking my current medications?

The trial requires a break from certain medications before starting the study drug. You need to wait at least 2 weeks after stopping cytotoxic agents, 4 weeks for biologic or cellular immunotherapies, or at least 5 half-lives for other experimental or noncytotoxic agents. Discuss with the study team for specific guidance on your medications.

What makes the drug Tuspetinib unique for treating acute myeloid leukemia?

Tuspetinib is a novel treatment for acute myeloid leukemia that targets specific molecular pathways, potentially offering a new option for patients who may not respond well to existing therapies. Unlike traditional chemotherapy, it may work by focusing on particular genetic mutations or cellular processes involved in the disease.12345

What data supports the effectiveness of the drug Tuspetinib for treating acute myeloid leukemia?

The research highlights the importance of targeting specific pathways like FLT3 in acute myeloid leukemia (AML), as drugs like midostaurin have shown improved survival rates in patients with FLT3 mutations. This suggests that Tuspetinib, which may target similar pathways, could potentially be effective in treating AML.678910

Who Is on the Research Team?

Naval G. Daver | MD Anderson Cancer Center

Naval Daver, MD

Principal Investigator

M.D. Anderson Cancer Center

Are You a Good Fit for This Trial?

This trial is for adults with Acute Myeloid Leukemia (AML) that has come back or didn't respond to previous treatments. They should be in a condition to take oral medication, have an acceptable level of organ function, and not be pregnant or breastfeeding. Participants must use effective contraception and can't join other studies simultaneously.

Inclusion Criteria

-- Must use highly effective contraception starting at screening and throughout the study period and for 90 days after the final study drug administration.
Patient must meet the following criteria as indicated on the clinical laboratory tests
I am surgically sterile or had a hysterectomy at least one month ago.
See 19 more

Exclusion Criteria

I have had a stem cell transplant.
My leukemia is BCR-ABL positive.
I have significant heart rhythm issues as shown on an ECG.
See 22 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Dose Escalation and Exploration

Participants receive tuspetinib as a single agent or in combination with other drugs to determine the maximum tolerated dose and recommended Phase 2 dose

Cycle 1 (at least 28 days)

Dose Expansion

Participants receive tuspetinib at determined dose levels to further assess safety, tolerability, and preliminary efficacy

Cycle 1 (at least 28 days)

Follow-up

Participants are monitored for safety and effectiveness after treatment

4 years

What Are the Treatments Tested in This Trial?

Interventions

  • Tuspetinib
Trial Overview The study tests Tuspetinib's safety and how the body responds to it at different doses in AML patients. It's given alongside Venetoclax tablets in an open-label format where everyone knows what treatment they're getting.
How Is the Trial Designed?
5Treatment groups
Experimental Treatment
Group I: Part D Dose Exploration (tuspetinib plus venetoclax and azacitidine) [ACTIVE, RECRUITING - US Sites]Experimental Treatment3 Interventions
Group II: Part C Dose Expansion (tuspetinib plus venetoclax) [COMPLETE]Experimental Treatment2 Interventions
Group III: Part C Dose Expansion (tuspetinib as a single agent) [COMPLETE]Experimental Treatment1 Intervention
Group IV: Part B Dose Exploration [ACTIVE, NOT RECRUITING]Experimental Treatment1 Intervention
Group V: Part A Dose Escalation [COMPLETED]Experimental Treatment1 Intervention

Tuspetinib is already approved in United States for the following indications:

🇺🇸
Approved in United States as Tuspetinib for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Hanmi Pharmaceutical Company Limited

Lead Sponsor

Trials
196
Recruited
62,100+
Young Choi profile image

Young Choi

Hanmi Pharmaceutical Company Limited

Chief Medical Officer since 2023

PhD in Pharmacology from Yonsei University

Jae-Hyun Park profile image

Jae-Hyun Park

Hanmi Pharmaceutical Company Limited

Chief Executive Officer since 2024

MD from Seoul National University

Aptose Biosciences Inc.

Lead Sponsor

Trials
8
Recruited
850+

Published Research Related to This Trial

Acute myeloid leukemia (AML) has a low long-term survival rate of about 30% in adults, highlighting the urgent need for new therapeutic strategies to improve patient outcomes.
The review focuses on molecularly targeted therapies for AML, including investigational agents like FLT3 and IDH1 inhibitors, which represent promising advancements in precision medicine aimed at enhancing treatment efficacy.
From Bench to Bedside and Beyond: Therapeutic Scenario in Acute Myeloid Leukemia.Gurnari, C., Voso, MT., Maciejewski, JP., et al.[2020]
Midostaurin (PKC412) combined with standard chemotherapy (daunorubicin) shows a synergistic effect in inhibiting intracellular signaling in FLT3-mutated acute myeloid leukemia (AML) cells, which may enhance treatment efficacy.
In contrast, cytarabine appears to antagonize the effects of PKC412, leading to increased FLT3 receptor expression and potentially complicating treatment outcomes, highlighting the need for further research into optimal combination therapies.
Multiplexed single-cell mass cytometry reveals distinct inhibitory effects on intracellular phosphoproteins by midostaurin in combination with chemotherapy in AML cells.Rörby, E., Adolfsson, J., Hultin, E., et al.[2021]
Recent advancements in genomics and molecular biology have significantly enhanced our understanding of acute myeloid leukemia (AML), a disease known for its clinical and genetic diversity and poor prognosis.
Since 2017, there have been new drug approvals for AML, particularly focusing on epigenetic-targeted therapies that are currently in pre-clinical and clinical development, marking a significant shift in treatment options.
Recent advances in the understanding and treatment of acute myeloid leukemia.Watts, J., Nimer, S.[2023]

Citations

From Bench to Bedside and Beyond: Therapeutic Scenario in Acute Myeloid Leukemia. [2020]
Multiplexed single-cell mass cytometry reveals distinct inhibitory effects on intracellular phosphoproteins by midostaurin in combination with chemotherapy in AML cells. [2021]
Recent advances in the understanding and treatment of acute myeloid leukemia. [2023]
Active oral regimen for elderly adults with newly diagnosed acute myelogenous leukemia: a preclinical and phase 1 trial of the farnesyltransferase inhibitor tipifarnib (R115777, Zarnestra) combined with etoposide. [2021]
From DNA Sequencing to Clinical Trials: Finding New Targeted Drugs for Acute Myeloid Leukemia. [2020]
NUC-7738 regulates β-catenin signalling resulting in reduced proliferation and self-renewal of AML cells. [2023]
New and emerging therapies for acute myeloid leukaemia. [2020]
Gilteritinib: A Novel FLT3 Inhibitor for Relapsed/Refractory Acute Myeloid Leukemia. [2021]
Activity of the oral mitogen-activated protein kinase kinase inhibitor trametinib in RAS-mutant relapsed or refractory myeloid malignancies. [2022]
Therapies for acute myeloid leukemia in patients ineligible for standard induction chemotherapy: a systematic review. [2023]
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