Myelodysplastic Syndrome
Conditions
Brief summary
This is a Phase Ⅰ/II, Open-label Study to Investigate the Pharmacokinetics, Safety, and Efficacyof ATG 016 Monotherapy in IPSS-R Intermediate Risk and above Myelodysplastic Syndrome (MDS) Patients after Failure of Hypomethylating Agent (HMA)-based Therapy.
Detailed description
This is a Phase Ⅰ/II, Open-label Study to Investigate the Pharmacokinetics, Safety, and Efficacyof ATG 016 Monotherapy in IPSS-R Intermediate Risk and above Myelodysplastic Syndrome (MDS) Patients after Failure of Hypomethylating Agent (HMA)-based Therapy. In Phase I: approximately 15 to 21 subjects and Phase II: approximately 44 subjects; approximately 59 to 65 subjects will be enrolled totally in this study.
Interventions
59 patients enrolled will be treated with ATG-016, orally, each 4 week (28-day) a cycle
Sponsors
Study design
Eligibility
Inclusion criteria
1. Understand and voluntarily sign an informed consent document prior to any study related assessments/procedures are conducted. 2. ≥18 years of age, males or females. 3. Eastern Cooperative Oncology Group (ECOG) performance status of ≤2. 4. A life expectancy longer than 3 months in the opinion of the investigator at the screening. 5. Male subjects (Including those who have received vasectomy) must agree to use condoms during sex with a woman of childbearing age and have no plans to impregnate the woman throughout the study and for 3 months following the last dose after the date of signing the ICF.
Exclusion criteria
1. History of central nervous system (CNS) involvement. 2. Toxicity from prior antitumor therapy did not return to Grade 1 or baseline (Except for alopecia, neutropenia, anemia, and thrombocytopenia. For neutrophils, hemoglobin, and platelets, please follow
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| ORR in Phase II | 25 months | Based on 2006 IWG Response Criteria, evaluated by IRC: ORR (CR + PR + mCR) |
| MTD in Phase I | 16 months | MTD will be evaluated using the NCI-CTCAE, Version 5.0 |
| RP2D in Phase I | 16 months | RP2D will be determined under the guidance of the SRC. |
| AEs/SAEs | 25 months | Toxicity will be graded according to the NCI CTCAE, Version 5.0. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Disease Control Rate (DCR) in Phase I/II | 12 months | DCR (CR + PR + mCR + HI + SD) |
| Duration of Response (DOR) in Phase I/II | 12 months | To evaluate duration of response |
| Progression-Free Survival (PFS) in Phase I/II | 12 months | To evaluate progression-free survival |
| Overall Survival (OS) | 12 months | The estimates of Kaplan-Meier |
Countries
China