CD123+ Acute Myeloid Leukemia
Conditions
Keywords
Antibody Drug Conjugate, Protein-Degradation, GSPT1, CD123, AML, Hematologic Malignancies
Brief summary
The goal of this Phase 1 clinical trial is to understand whether a new experimental treatment, called ORM-1153, will be a safe and possibly effective treatment option for participants with blood cancers such as Acute Myeloid Leukemia (AML) which have a particular protein (called Cluster of Differentiation 123 or CD123) on the cancer cell's surface. Phase 1 studies are designed to find a safe and effective dose. Participants will be receiving ORM-1153 at the defined study frequency as an infusion into the vein. They will need to visit the clinic frequently during the first few months of treatment.
Interventions
Intravenous Infusion
Sponsors
Study design
Eligibility
Inclusion criteria
* Adults ≥18 years of age (or ≥19 years of age according to local regulatory guidelines) at the time of signature of the informed consent form. * Documented diagnosis of relapsed or refractory AML with any detectable level of CD123 as evaluated by local assessment. * Eastern Cooperative Oncology Group (ECOG) performance status ≤2 * Adequate organ and coagulation function.
Exclusion criteria
* Diagnosed with Acute Promyelocytic Leukemia. * Systemic antineoplastic agent therapy given within 14 days or 5 half-lives prior to the first dose of ORM-1153 (whichever is shorter). * Hematopoietic Stem Cell Transplantation within 3 months of the first dose of ORM-1153. * Total White Blood Cell count \>25,000/µL.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Optimal Biological Dose(s) of ORM-1153 | Approximately 24 months | Identify the Dose-limiting Toxicities for each dose level tested and determine the OBD(s) of ORM-1153 |
| Incidence of Dose Limiting Toxicities (DLTs) | Approximately 24 months | Evaluate the safety and tolerability of ORM-1153 by identifying the DLTs |
| Incidence of Treatment Emergent Adverse Events (TEAEs) | Approximately 24 months | Evaluate the safety and tolerability of ORM-1153 by identifying TEAEs |
Secondary
| Measure | Time frame |
|---|---|
| Relapse Free Survival (RFS) of ORM-1153 at various dose levels including OBD(s) | Approximately 36 months |
| Overall Survival (OS) of ORM-1153 at various dose levels including OBD(s) | Approximately 36 months |
| Transition Rate to Allogeneic Hematopoietic Stem Cell Transplantation of ORM-1153 at various dose levels including OBD(s) | Approximately 36 months |
| GSPT1 Protein Degradation and CD123 Receptor Occupancy of ORM-1153 at various dose levels including OBD(s) | Approximately 36 months |
| Study the anti-drug antibodies against ORM-1153 | Approximately 36 months |
| Overall Response Rate (ORR) of ORM-1153 at various dose levels including OBD(s) | Approximately 36 months |
| Duration of Response (DoR) of ORM-1153 at various dose levels including OBD(s) | Approximately 36 months |
| Maximum Observed Serum Concentration (Cmax) of ORM-1153, total antibody and the payload | Approximately 36 months |
| Time to Maximum Observed Serum Concentration (Tmax) of ORM-1153, total antibody and the payload | Approximately 36 months |
| Best Overall Response (BOR) of ORM-1153 at various dose levels including OBD(s) | Approximately 36 months |
| Area Under the Serum Concentration-Time Curve from Time 0 to Last Quantifiable Concentration (AUC0-last) of ORM-1153, total antibody and the payload | Approximately 36 months |
| CR with Partial (CRh) and Incomplete (CRi) Recovery of ORM-1153 at various dose levels including OBD(s) | Approximately 36 months |
| Event Free Survival (EFS) of ORM-1153 at various dose levels including OBD(s) | Approximately 36 months |
Countries
United States