MAX-40279 in Subjects With Acute Myelogenous Leukemia (AML)

Last updated: January 18, 2022
Sponsor: Maxinovel Pty., Ltd.
Overall Status: Active - Recruiting

Phase

1

Condition

Leukemia

Acute Myelogenous Leukemia (Aml)

Treatment

N/A

Clinical Study ID

NCT03412292
Maxinovel
  • Ages > 18
  • All Genders

Study Summary

This is a dose-escalation phase I trial to evaluate the safety and tolerability of MAX-40279 in subjects with acute myelogenous leukemia(AML).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Males and/or females over age 18
  2. Ability to understand the purposes and risks of the trial and signed informed consentforms approved by the investigator's Institutional Review Board (IRB)/IndependentEthics Committee (IEC) of the trial site was obtained before the entering the trial
  3. Subject has morphologically documented primary AML or AML secondary to myelodysplasticsyndrome (MDS) as defined by the World Health Organization (WHO) criteria for which noestablished standard therapy is available
  4. ECOG performance status of 0 to 2
  5. Persistent chronic clinically significant nonhematological toxicities from priortreatment (including chemotherapy, kinase inhibitors, immunotherapy, experimentalagents, radiation, HSCT, or surgery) must be Grade ≤ 1
  6. In the absence of rapidly progressing disease clearly documented by the investigator,the interval from prior treatment to time of MAX-40279 administration will be at least 2 weeks (14 days) for prior cytotoxic agents or at least 5 half-lives for priornoncytotoxic agents, including immunosuppressive therapy post HSCT
  7. Acceptable liver function defined below:
  • Total bilirubin ≤ 1.5 times upper limit of normal range (ULN)
  • Aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 3 timesULN;
  1. Acceptable renal function defined below: • Serum creatinine ≤ 1.5 times ULN or calculated creatinine clearance (by theCockcroft-Gault formula) ≥ 60 mL/min
  2. Acceptable coagulation status defined below:
  • Prothrombin time < 1.3 times ULN
  • Partial thrombin time < 1.3 times ULN
  1. No clinically significant abnormalities in urinalysis
  2. Female participants of child bearing potential agree not to be pregnant or lactatingduring the study and for three months following the last dose of study drug. Both menand women of reproductive potential must agree to use a highly effective method ofbirth control during the study and for three months following the last dose of studydrug. A highly effective method of contraception is defined as one that results in alow failure rate, i.e., less than 1% per year, when used consistently and correctly

Exclusion

Exclusion Criteria:

  1. Disease diagnosis of acute promyelocytic leukemia
  2. Previously treated malignancies other than the current disease, except for adequatelytreated non-melanoma skin cancer, in situ cancer, or other cancer from which thesubject has been disease-free for at least 5 years at the trial entry
  3. Active, uncontrolled bacterial, viral, or fungal infections, requiring systemictherapy
  4. Major surgery, other than diagnostic surgery, within 4 weeks prior to the trial entry,without complete recovery
  5. Percutaneous coronary intervention conducted within 6 months prior to the trial entryfor cardiac infarction or angina pectoris
  6. Seizure disorders requiring anticonvulsant therapy
  7. Taking a medication that prolongs QT interval and has a risk of Torsades de Pointes,ora history of long QT syndrome
  8. Medical history of difficulty swallowing, malabsorption or other chronicgastrointestinal disease, or conditions that may hamper compliance and/or absorptionof the tested product
  9. Participation in an investigational drug or device trial within 4 weeks prior to thetrial entry
  10. Known infection with human immunodeficiency virus (HIV), hepatitis B, or hepatitis C
  11. Recent venous thrombosis (including deep vein thrombosis or pulmonary embolism within 1 year of study)
  12. History of upper gastrointestinal hemorrhage, peptic ulcer disease, or bleedingdiathesis
  13. Subject is pregnant (positive serum beta human chorionic gonadotropin [β-HCG] test atscreening) or is currently breast-feeding, their partner anticipates becomingpregnant/impregnating during the trial or within 6 months after receiving the lastdose of trial treatment
  14. Concomitant disease or condition that could interfere with the conduct of the trial,or that would, in the opinion of the Investigator, pose an unacceptable risk to thesubject in this trial
  15. Unwillingness or inability to comply with the trial protocol for any reason
  16. Legal incapacity or limited legal capacity
  17. Cardiac disease with New York Heart Association (NYHA) Class III or IV, includingcongestive heart failure, myocardial infarction within 6 months prior to the trialentry, unstable arrhythmia, or symptomatic peripheral arterial vascular

Study Design

Total Participants: 30
Study Start date:
August 01, 2018
Estimated Completion Date:
December 01, 2022

Study Description

The class III receptor tyrosine kinase FMS-related tyrosine kinase 3 (FLT3), is mutated and activated in about 30% of adult patients with AML. The mutations involve either an internal tandem duplication (ITD) (in about 25% of AML patients) or a point mutation in the tyrosine kinase domain (TKD) (in about 7% of patients). Patients with mutations in FLT3, particularly those with ITD mutations, have a worse prognosis, with lower rate of complete remission, and lower overall survival . Thus, inhibition of activated FLT3 kinase by a pharmacologic agent is an attractive therapeutic strategy in AML.

The aberrant of fibroblast growth factor receptor (FGFR) might be a major reason fot resistance to targeted therapies, and FGFR inhibitors significantly suppress leukemia development in vivo.

MAX-40279 is a dual inhibitor of FLT3 and FGFR. Our goal is to develpe this uqiue dual inhibitor to be a more effective and wider use for AML treatment than the current known FLT3 inhibitors.

Connect with a study center

  • St Vincent's Hospital Sydney Limited

    Darlinghurst, New South Wales 2010
    Australia

    Active - Recruiting

  • Western NSW Local Health District

    Dubbo, New South Wales 2830
    Australia

    Active - Recruiting

  • Monash Health

    Clayton, Victoria 3168
    Australia

    Active - Recruiting

  • Austin Health

    Heidelberg, Victoria 3084
    Australia

    Active - Recruiting

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