2000 Participants Needed

Targeted Therapies for Acute Myeloid Leukemia

Recruiting at 12 trial locations
SK
AY
Overseen ByAshley Yocum, PhD
No Placebo GroupAll trial participants will receive the active study treatment (no placebo)

What You Need to Know Before You Apply

What is the purpose of this trial?

This trial aims to find better treatments for acute myeloid leukemia (AML) by testing new drugs and drug combinations tailored to specific genetic profiles of the disease. Researchers place participants in different study groups based on their leukemia's genetic makeup to determine which treatments work best. Ideal participants are adults with newly diagnosed or relapsed AML who have not received significant prior treatment for the disease. As a Phase 1 trial, this research focuses on understanding how the treatment works in people, offering participants the opportunity to be among the first to receive potentially groundbreaking therapies.

Will I have to stop taking my current medications?

The trial information does not specify if you need to stop taking your current medications. However, it mentions that prior treatment with certain medications is allowed, so it's best to discuss your specific medications with the trial team.

Is there any evidence suggesting that this trial's treatments are likely to be safe?

Research has shown that many treatments for acute myeloid leukemia (AML) have been tested with varying levels of safety and tolerance. Here is a summary of key findings:

1. **AG-120 (Ivosidenib)**: FDA-approved for some AML patients, this drug is generally well-tolerated. Common side effects include nausea and fatigue, which are often manageable.

2. **AG-221 (Enasidenib)**: Past studies have shown this drug to be well-tolerated, with common side effects like nausea and diarrhea. It is not approved for children but shows promise in adults.

3. **Azacitidine**: Used for several blood disorders, this treatment has a known safety profile. Common side effects include low blood counts and fatigue, with no unexpected safety concerns.

4. **AZD5153**: In early testing stages, this drug's safety is still being evaluated. More information will become available as studies continue.

5. **AZD5991**: Initial studies suggest this drug is well-tolerated alone or with other treatments. Reported side effects include nausea and fatigue.

6. **BI 836858**: Studied in combination with other treatments, this drug has shown to be safe. Side effects can include low blood counts, common in many cancer treatments.

7. **Cytarabine and Daunorubicin**: These standard chemotherapy drugs for AML are known for their safety and side effects, which often include low blood counts and infection risk.

8. **Entospletinib**: Generally well-tolerated in studies, with mild side effects like nausea.

9. **Gilteritinib**: Approved for certain AML cases, this drug has a well-established safety profile, though side effects like fever and fatigue are common.

10. **Pevonedistat**: Early studies show it is safe, with side effects similar to other cancer treatments.

11. **SNDX-5613**: FDA-approved for certain types of leukemia, indicating a favorable safety profile.

12. **TP-0903**: Early data suggest it is a feasible treatment with a manageable safety profile.

13. **Venetoclax**: FDA-approved for certain leukemia types, it is generally well-tolerated, though side effects like low blood cell counts and infection can occur.

Overall, these treatments show promise in terms of safety, with mostly known and manageable side effects. Each drug has a unique profile, so discussing options with a healthcare provider will help determine the best fit for individual needs.12345

Why are researchers excited about this trial's treatments?

Researchers are excited about these treatments for acute myeloid leukemia (AML) because they target specific genetic mutations and pathways that are not addressed by traditional chemotherapies like daunorubicin and cytarabine. For instance, AG-120 targets the IDH1 mutation, which is a new approach compared to the standard treatments. Gilteritinib is designed to block the FLT3 mutation, which is often associated with aggressive forms of AML. Additionally, combinations like AZD5153 with venetoclax offer a novel mechanism by inhibiting proteins involved in cancer cell survival, potentially providing more effective treatment options for patients with relapsed or refractory AML. These innovations offer hope for better-targeted therapies with the potential for improved outcomes.

What evidence suggests that this trial's treatments could be effective for acute myeloid leukemia?

Research has shown that several new treatments hold promise for acute myeloid leukemia (AML). In this trial, participants with an IDH1 mutation may receive a combination of AG-120 and azacitidine, which led to complete remission in 51% of cases and improved survival rates in previous studies. For those with IDH2 mutations, AG-221 is another treatment option, and studies have suggested it offers better survival compared to standard treatments, with an average survival time of 9.26 months. Participants with FLT3 mutations may receive Gilteritinib, which significantly improved survival rates compared to chemotherapy, with 54% of patients responding well in past research. Pevonedistat, when used with azacitidine, is being tested for its positive results in patients whose AML has returned. Venetoclax, often combined with azacitidine, is approved for AML and effectively improves response rates. These treatments target specific genetic changes in AML, providing personalized options for patients in this trial.678910

Who Is on the Research Team?

JC

John C Byrd, MD

Principal Investigator

Beat AML

Are You a Good Fit for This Trial?

This trial is for adults with acute myeloid leukemia (AML). Group A includes those who haven't been treated before, except possibly with hydroxyurea. People over 60 or certain younger adults with specific genetic markers can join. Group B is for those whose AML has returned or didn't respond to treatment. You can't join if you have brain involvement by AML, active bleeding disorders, isolated myeloid sarcoma without blood/marrow involvement, a type of leukemia called acute promyelocytic leukemia, or other serious medical conditions.

Inclusion Criteria

I am 60 or older, or I am 18 or older with specific genetic factors.
Subjects must be able to understand and provide written informed consent
My AML has come back or didn't respond to treatment, and I am 18 or older.
See 1 more

Exclusion Criteria

I have a blood clotting disorder with active bleeding or signs of clotting.
Patients with psychological, familial, social, or geographic factors that otherwise preclude them from giving informed consent, following the protocol, or potentially hamper compliance with study treatment and follow-up
I have been diagnosed with acute promyelocytic leukemia.
See 4 more

Timeline for a Trial Participant

Screening

Participants are screened for eligibility to participate in the trial

1-2 weeks
1 visit (in-person)

Treatment

Participants are assigned to sub-studies based on genomic screening to evaluate investigational therapies or combinations

Up to 12 months
Monthly visits (in-person)

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 5 years
Periodic visits (in-person)

What Are the Treatments Tested in This Trial?

Interventions

  • AG-120
  • AG-221
  • Azacitidine
  • AZD5153
  • AZD5991
  • BI 836858
  • Cytarabine
  • Daunorubicin
  • Entospletinib
  • Gilteritinib
  • Laboratory Biomarker Analysis
  • Pevonedistat
  • SNDX-5613
  • TP-0903
  • Venetoclax
Trial Overview The study tests different treatments based on patients' specific genetic types of AML. It's part of a larger 'Master Protocol' that assigns people to sub-studies testing various drugs and combinations like SNDX-5613, Gilteritinib, Venetoclax and others alongside standard therapies such as Azacitidine and Cytarabine.
How Is the Trial Designed?
16Treatment groups
Experimental Treatment
Active Control
Group I: BAML-16-001-S9 (Closed)Experimental Treatment3 Interventions
Group II: BAML-16-001-S8 (Closed)Experimental Treatment6 Interventions
Group III: BAML-16-001-S6 (Closed)Experimental Treatment4 Interventions
Group IV: BAML-16-001-S5 (Closed)Experimental Treatment3 Interventions
Group V: BAML-16-001-S4 (Closed)Experimental Treatment3 Interventions
Group VI: BAML-16-001-S3 (Closed)Experimental Treatment3 Interventions
Group VII: BAML-16-001-S21Experimental Treatment1 Intervention
Group VIII: BAML-16-001-S2 (Closed)Experimental Treatment3 Interventions
Group IX: BAML-16-001-S18 (Closed)Experimental Treatment3 Interventions
Group X: BAML-16-001-S17Experimental Treatment4 Interventions
Group XI: BAML-16-001-S16 (Closed)Experimental Treatment3 Interventions
Group XII: BAML-16-001-S14 (Closed)Experimental Treatment3 Interventions
Group XIII: BAML-16-001-S12 (Arm B)Experimental Treatment2 Interventions
Group XIV: BAML-16-001-S10 (Closed)Experimental Treatment3 Interventions
Group XV: BAML-16-001-S1 (Closed)Experimental Treatment4 Interventions
Group XVI: BAML-16-001-S12 (Arm A)Active Control2 Interventions

AG-120 is already approved in United States for the following indications:

🇺🇸
Approved in United States as Tibsovo for:

Find a Clinic Near You

Who Is Running the Clinical Trial?

Beat AML, LLC

Lead Sponsor

Trials
1
Recruited
2,000+

Published Research Related to This Trial

In a study of 16 patients with FLT3-ITD mutated relapsed/refractory acute myeloid leukemia (AML), the combination of venetoclax (VEN) and azacitidine (AZA) showed some efficacy, with 14.3% of FLT3-ITDmut patients achieving complete remission, similar to the 22.2% in the FLT3-ITD wild-type group.
Patients with FLT3-ITD mutations had a significantly shorter median overall survival (130 days) compared to those without the mutation (300 days), suggesting that additional treatments, like transplantation, may be necessary for better outcomes.
[Efficacy of Venetoclax Plus Azacitidine in Relapsed/Refractory Acute Myeloid Leukemia Patients with FLT3-ITD Mutation].Weng, GY., You, WW., Liu, HX., et al.[2023]
In a study of 26 adult patients with relapsed/refractory acute myeloid leukemia (R/R AML), the combination of venetoclax (VEN) with demethylating agents (azacitidine or decitabine) resulted in a 57.7% overall response rate, including 13 complete responses, indicating its efficacy as a salvage therapy.
Patients who achieved minimal residual disease negativity had significantly better overall survival and event-free survival, highlighting the importance of this outcome in improving long-term prognosis for R/R AML patients.
[Clinical Observation of Venetoclax Combined with Demethylating Agents on the Treatment of Relapsed/Refractory Acute Myeloid Leukemia].Wang, Y., Huang, SL., Zhang, XX., et al.[2023]
Venetoclax (VEN) is FDA approved for treating newly diagnosed elderly or unfit patients with acute myeloid leukemia (AML) when combined with hypomethylating agents, showing complete remission rates of 28.3% and overall survival improvements in a phase-3 study.
While VEN has demonstrated effectiveness in various myeloid malignancies, including relapsed AML and high-risk myelodysplastic syndromes, remissions are often short-lived, typically lasting less than a year, but can facilitate transitions to allogeneic stem cell transplants.
Venetoclax-based chemotherapy in acute and chronic myeloid neoplasms: literature survey and practice points.Gangat, N., Tefferi, A.[2023]

Citations

1.pubmed.ncbi.nlm.nih.govpubmed.ncbi.nlm.nih.gov/40706052/
Long-term results from the AGILE study of azacitidine plus ...Hematologic recovery was faster, more durable, and conversion to transfusion independence (53.8% vs 17.1%; P = .0004) was more common with ivosidenib than with ...
Long-term results from the AGILE study of azacitidine plus ...In long-term follow-up, ivosidenib-azacitidine, with a median OS of 29.3 months, sustained survival and hematologic benefits in mutant IDH1 AML.
AML Clinical Trial Results | TIBSOVO® (ivosidenib tablets)In the clinical study, 51% of people (37 out of 72) on TIBSOVO + azacitidine achieved complete remission (CR) or complete remission with partial hematologic ...
Ivosidenib and Azacitidine in IDH1-Mutated Acute Myeloid ...Ivosidenib and azacitidine showed significant clinical benefit as compared with placebo and azacitidine in this difficult-to-treat population.
NCT03173248 | Study of AG-120 (Ivosidenib) vs. Placebo ...Study AG120-C-009 is a global, Phase 3, multicenter, double-blind, randomized, placebo-controlled clinical trial to evaluate the efficacy and safety of ...
TIBSOVO® safety profile in acute myeloid leukemia (AML)Review common adverse reactions to TIBSOVO® and other important safety information for patients with AML. See Full Prescribing Information & Boxed Warning.
TIBSOVO (ivosidenib tablets - accessdata.fda.govTIBSOVO is indicated for the treatment of adult patients with relapsed or refractory acute myeloid leukemia (AML) with a susceptible isocitrate dehydrogenase-1 ...
Updated efficacy and safety data from the AGILE study in ...Updated efficacy and safety data ... Changes in health-related quality of life in patients with newly diagnosed acute myeloid leukemia receiving ...
Press Release DetailsSingle Agent Ivosidenib Demonstrated CR+CRh Rate of 42.4% and Overall Response Rate (ORR) of 57.6% in Newly Diagnosed AML Patients ...
10.tibsovo.comtibsovo.com/
TIBSOVO® (ivosidenib tablets)#1 Prescribed FDA-Approved · Acute myeloid leukemia (AML) · MYELODYSPLASTIC SYNDROMES (MDS) · Cholangiocarcinoma (bile duct cancer) · IMPORTANT SAFETY INFORMATION.
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