Evaluate the Safety and Efficacy for Oral Mucositis Prevention of MIT-001 in Auto HSCT

Last updated: May 28, 2024
Sponsor: MitoImmune Therapeutics
Overall Status: Active - Not Recruiting

Phase

2

Condition

Lymphoproliferative Disorders

Bone Neoplasm

Canker Sores

Treatment

MIT-001

normal saline

Clinical Study ID

NCT05493800
MIT001-OM-02
  • Ages 19-70
  • All Genders

Study Summary

Evaluate the efficacy and safety for the prevention of oral mucositis and PK of MIT-001 for lymphoma or multiple myeloma patients receiving conditioning chemotherapy for autologous hematopoietic stem cell transplantation(auto-HSCT).

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Men and women aged 19 to 70 years old

  2. Patients with lymphoma or multiple myeloma planned for receiving one of thefollowing conditioning chemotherapy followed by autologous hematopoietic stem celltransplantation

  • BuCyE Regimen: Busulfan (iv) 3.2 mg/kg (Day 1, Day 2, Day 3) + Etoposide (iv) 400 mg/m² (Day 3, Day 4) + Cyclophosphamide (iv) 50 mg/kg/Mesna (iv) 50 mg/kg (Day 5, Day 6), and autologous HSCT after 1 day rest after completion of 6 daysof conditioning chemotherapy

  • BMT Regimen: Busulfan (iv) 2.4 mg/kg (Day 1, Day 2, Day 3) + Melphalan (iv) 40mg/m2 (Day 4, Day 5) + Thiotepa (iv) 200 mg/ m2 (Day 6, Day 7), and autologousHSCT after 1 day rest after completion of 7 days of conditioning chemotherapy

  • Melphalan Regimen: Melphalan (iv) 100 mg/m2 (Day 1, Day 2), and autologous HSCTafter 1 day rest after completion of 2 days of conditioning chemotherapy

  • BuMel Regimen: Busulfan (iv) 3.2 mg/kg (Day 1, Day 2, Day 3) + Melphalan (iv) 140 mg/m2 (Day 4), and autologous HSCT after 1 day rest after completion of 4days of conditioning chemotherapy (In part 2, BUCYE, BMT and MELPHALAN regimensare allowed.)

  1. Patients who have not received a hematopoietic stem cell transplant before

  2. Patients with Body Mass Index (BMI) 35 or less

  3. Patients who have prepared at least 2 x 10^6 CD34+ cell/kg

  4. Patients whose hematologic, kidney and liver functions were confirmed to be properthrough the following laboratory test results last measured within 8 days prior tothe investigational product(IP) administration Laboratory endpoint Required limitfor inclusion Absolute neutrophil count (ANC) ≥ 1,000/mm^3 Hemoglobin (Hb) ≥ 9.0g/dL Platelet count ≥ 100,000/mm^3 Total bilirubin (TB) ≤ 2 mg/Dl AST and ALT ≤ 3.0x ULN(if liver metastasis, ≤ 5 x ULN) Prothrombin time (PT) INR ≤ 1.5 (if takingwarfarin, < 3) Serum creatinine or creatinine clearance (CrCl) < 2 mg/dL or≥ 60mL/min

  5. Patients with Eastern Cooperative Oncology Group performance status (ECOG-PS) of 0or 1

  6. Patients who voluntarily decided to participate in this study after being informedof the study information, and provided written consent to faithfully comply with thestudy requirements

Exclusion

Exclusion Criteria:

  1. Patients who has the following medical history or concomitant diseases at screening
  • Patients with oral mucositis or oral ulcer at screening

  • Patients who have severe infections or other uncontrolled active infectiousdiseases at screening that require administration of antibiotics, antibacterialagents, antifungal agents, antivirals, etc. (e.g., Human Immunodeficiency Viruspositive, active hepatitis B or active hepatitis C, etc.) However, in case ofadministration of antiviral drugs in patients with hepatitis B or C infection,whose disease is controlled, the subjects can be enrolled.

  • Patients who have major cardiovascular disease within 6 months beforescreening, which includes, but not limited to Severe heart disease (heartfailure (NYHA class 3 and 4), acute coronary artery disease (unstable angina,acute myocardial infarction), clinically significant ventricular tachycardia,atrial fibrillation, atrial flutter, or other clinically significant arrhythmiaand peripheral vascular diseases confirmed by the investigator Hypertrophicobstructive cardiomyopathy, clinically significant heart valve disease oraortic disease

  • Patients who are considered inappropriate to participate in the study becausethey have uncontrolled disease and have a comorbid disease that requirestreatment by the investigator's judgement (e.g., blood coagulation disorder,bleeding disorder or bleeding diatheses, pulmonary function decline, decline inrenal function, hypotension, hypertension, hepatitis, liver cirrhosis, etc)

  • Patients who have major mental illness (e.g., depression, bipolar disorder,etc.) or a history of drug/alcohol abuse

  1. If the following therapy has been administered or received, or when the need foradministration is expected
  • The following therapies within 12 weeks before the baseline that may have asignificant effect on the results of the study Palifermin Oral low-level lasertherapy Oral cryotherapy Glutamine (parenteral, IV supplement of protein aminoacids containing glutamic acid, not glutamine supplements, are permitted)

  • Vaccination of yellow fever vaccine or other live attenuated vaccine within 4weeks before the baseline

  • Anti-cancer or radiation therapy* within 3 weeks before the baseline (However,the use of Anti-cancer drugs for hematopoietic stem cell collection ispermitted and subjects who have been irradiated with head and neck within thelast 2 years are excluded.) (*Radio(chemo)therapy, chemotherapy, targetedtherapy (small molecule drugs, monoclonal antibodies), cancer immunotherapy (biological drugs), or hormone therapy, etc.)

  • The following drugs that may affect the metabolism of IP from within 7 daysbefore the baseline to the end of treatment (EOT) period Strong CYP3A4inhibitors: boceprevir, citrus x paradisi, clarithromycin, cobicistat,conivaptan, delavirdine, diltiazem, idelalisib, indinavir, itraconazole,ketoconazole, mibefradil, miconazole, nefazodone, nelfinavir, posaconazole,lopinavir/ritonavir, saquinavir, telaprevir, telithromycin, tipranavir,troleandomycin, voriconazole Strong CYP3A4 inducers: avasimibe, carbamazepine,enzalutamide, fosphenytoin, hypericum perforatum, lumacaftor,methylphenobarbital, mitotane, phenobarbital, phenobarbital quinine, primidone,rifabutin, rifampicin, rifapentine OATP inhibitors: cyclosporin A,cyclosporine, estradiol-17β-glucuronide, estrone-3-sulfate, rifampicin,rifamycin SV, lopinavir/ritonavir

  1. Pregnant and lactating women or women or childbearing potential and men who have apregnancy plan up to 30 days after the end of the IP administration or who do notintend to use appropriate contraception: ① Hormonal contraceptives, ② Implantationof an intrauterine device or intrauterine system, ③ Double blocking method withspermicide (both male condom and closed cap (contraceptive diaphragm or neck cap)are used), ④ Infertility procedures (e.g., vasectomy, bilateral tubal ligation,etc.)

  2. Patients who participated in other clinical trials within 30 days from the start ofIP administration and received other study drug (or medical devices)

  3. Patient who are judged to be difficult to participate in the study according to theopinions of investigators

Study Design

Total Participants: 60
Treatment Group(s): 2
Primary Treatment: MIT-001
Phase: 2
Study Start date:
February 01, 2022
Estimated Completion Date:
December 30, 2024

Study Description

In Part 1, it was to determine Recommended Part 2 Dose(RP2D) the prevention effect of MIT-001 in combination with conditioning regimen in autologous hematopoietic stem cell transplantation(auto-HSCT) and to evaluate the pharmacokinetic characteristics of MIT-001.

In Part 2, it's to determine the optimal dose of MIT-001 in combination with conditioning regimen in auto-HSCT.

This clinical trial consists of a 28-days of screening period, 4 to 9 days of conditioning chemotherapy with MIT-001 treatment, auto-HSCT and a 14-days of follow-up and recovery period.

MIT-001 group consists of 5 mg (group 1), 10 mg (group 2), and 20mg (group 3), and the subject will be assigned to from 5 mg of MIT-001 sequentially.

After completion of MIT-001 administration from all 3 MIT-001 groups, Steering Committee (SC) was convened and reviewed the safety and efficacy to determine one of the followings.

  • Determine whether the next dose (Group 4: 30 mg) in Part 1: It was not proceeded.

  • Determine the RP2D to enter Part 2 phase: 5mg as low dose, 20mg as high dose for Part 2 The investigators will continuously monitor the safety of MIT-001, and can request the steering committee call at any time, and can be carefully reviewed the data such as safety and efficacy.

In Part 2, the subjects are randomly assigned to either one of MIT-001 treatment groups (high-dose, low-dose among RP2D) and placebo at a ratio of 1: 1: 1. If two or more conditioning regimen are determined, conditioning regimen can be considered the stratification factor. Subject will be randomly assigned to either group in blinded method.

Connect with a study center

  • Seoul ST. Mary's Hospital

    Seoul, 06591
    Korea, Republic of

    Site Not Available

  • Yeouido ST. Mary's Hospital

    Seoul,
    Korea, Republic of

    Site Not Available

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