APG-2575 Study of Safety, Tolerability ,PK/PD in Patients With Hematologic Malignancies

Last updated: August 16, 2024
Sponsor: Ascentage Pharma Group Inc.
Overall Status: Active - Recruiting

Phase

1

Condition

Neoplasms

Hematologic Neoplasms

Treatment

APG-2575

Clinical Study ID

NCT03537482
APG2575-001
  • Ages > 18
  • All Genders

Study Summary

This is a multi-center, single-agent, open-label, Phase I study of APG-2575. The study consists of the dose escalation stage and the dose expansion stage.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Age ≥18 years old.

  2. Histologically confirmed diagnosis of either one of the B-cell hematologicmalignancies including multiple myeloma, chronic lymphocytic leukemia,lymphoplasmacytic lymphoma, and non-Hodgkin's lymphoma such as mantle cell lymphoma,diffuse large B cell lymphoma, Waldenstrom macroglobulinemia (WM) and acute myeloidleukemia

  3. Patient must have relapsed or refractory to, intolerant to, or are consideredineligible for therapies known to provide clinical benefit. In addition, a. AML Patients will be eligible if they have failed standard induction regimen, arenot considered candidate for further chemotherapy or stem cell transplantation orhave primary refractory AML.

  4. Life expectancy ≥ 3 months.

  5. Eastern Cooperative Oncology Group (ECOG) Performance Status (PS): 0 -1 in doseescalation ; 0-2 in dose expansion.

  6. QTc interval ≤450ms in males, and ≤470ms in females.

  7. Adequate bone marrow function independent of growth factor:

  8. Absolute neutrophil count (ANC) ≥1.0 X 109/L.

  9. Hemoglobin ≥ 8.0 g/dL.

  10. Platelets count ≥ 30 X 109/L (entry platelet count must be independent oftransfusion within 7 days of first dose).

  11. Adequate renal and liver function as indicated by:

Exclusion

Exclusion Criteria:

Patients who meet any of the following exclusion criteria are not to be enrolled in this study:

  1. Prior history of allogeneic cell transplant.

  2. Subjects have been diagnosed with Burkitt's lymphoma, Burkitt-like lymphoma, orlymphoblastic lymphoma/leukemia.

  3. Received chemotherapy within 14 days (42 days for nitrosoureas or mitomycin C) priorto entering the study.

  4. Received biologic (< 28 days), small molecule targeted therapies (< 5 half-life) orother anti-cancer therapy within 21 days of study entry.

  5. Radiation within 14 days of study entry, thoracic radiation within 28 days of studyentry.

  6. Has gastrointestinal conditions that could affect the absorption of APG-2575 in theopinion of the Investigator.

  7. Has known active central nervous system (CNS) involvement.

  8. Continuance of toxicities due to prior radiotherapy or chemotherapy agents that donot recover to ≤ Grade 1 except alopecia or neuropathy.

  9. Concurrent treatment with an investigational agent, 14 days for small molecularagents and/or 28 days for biologics treatment prior to the first dose of therapy.

  10. Failure to recover adequately, as judged by the investigator, from prior surgicalprocedures. Patients with active wound healing, patients who have had major surgerywithin 28 days from study entry, and patients who have had minor surgery within 14days of study entry.

  11. Unstable angina, myocardial infarction, or a coronary revascularization procedurewithin 180 days of study entry.

  12. Active rheumatoid arthritis (RA), active inflammatory bowel disease, chronicinfections, or any other disease or condition associated with chronic inflammation.

  13. Active infection requiring systemic antibiotic/ antifungal medication, knownclinically active hepatitis B or C infection, or on antiretroviral therapy for HIVdisease.

Study Design

Total Participants: 90
Treatment Group(s): 1
Primary Treatment: APG-2575
Phase: 1
Study Start date:
August 07, 2018
Estimated Completion Date:
February 15, 2025

Study Description

APG-2575 will be administered orally, once daily for consecutive 4 weeks as one cycles. Initially, the start dose is 20mg. Single patient cohorts will be evaluated, the dose of APG-2575 will be increased in subsequent cohorts, to 50 mg, 100 mg, 200 mg, 400 mg, 600mg and 800mg accordingly. If there is any one of the following event is observed, a DLT, two drug related Grade 2 toxicities or one drug related ≥ Grade 3 toxicity, or laboratory or clinical TLS, or suspected hypersensitivity reaction occur in Cycle 1, or dose level of 400 mg is reached, the dose escalation will convert to the standard 3+3 design, If ≥ 2/6 patients develop DLT at any dose level dose escalation will cease and the dose level immediately below will be expanded to 6 patients. If ≤ 1/6 patients develop a DLT at the highest dose reached this will be declared the MTD. After the MTD is defined, a maximum of 20 patients will be treated at that dose level.

Connect with a study center

  • St. Vincent Hospital

    Fitzroy, Victoria 3065
    Australia

    Active - Recruiting

  • Epworth Healthcare

    Richmond, Victoria 3121
    Australia

    Active - Recruiting

  • Linear Clinical Research

    Nedlands, Western Australia 6009
    Australia

    Site Not Available

  • St. Vincent Hospital

    Melbourne,
    Australia

    Site Not Available

  • Mayo Clinic

    Scottsdale, Arizona 85259
    United States

    Site Not Available

  • Mayo Clinic

    Jacksonville, Florida 32224
    United States

    Active - Recruiting

  • Mayo Clinic

    Rochester, Minnesota 55905
    United States

    Site Not Available

  • Duke Unviersity

    Durham, North Carolina 27701
    United States

    Completed

  • MDACC

    Houston, Texas 77030
    United States

    Active - Recruiting

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