Study of Orally Administered AG-120 in Subjects With Advanced Hematologic Malignancies With an IDH1 Mutation

Last updated: September 3, 2024
Sponsor: Institut de Recherches Internationales Servier
Overall Status: Active - Recruiting

Phase

1

Condition

Neoplasms

Myelodysplastic Syndromes (Mds)

Hematologic Neoplasms

Treatment

AG-120

Clinical Study ID

NCT02074839
AG120-C-001
  • Ages > 18
  • All Genders

Study Summary

The purpose of this Phase I, multicenter study is to evaluate the safety, pharmacokinetics, pharmacodynamics and clinical activity of AG-120 in advanced hematologic malignancies that harbor an IDH1 mutation. The first portion of the study is a dose escalation phase where cohorts of patients will receive ascending oral doses of AG-120 to determine maximum tolerated dose (MTD) and/or the recommended Phase II dose. The second portion of the study is a dose expansion phase where four cohorts of patients will receive AG-120 to further evaluate the safety, tolerability, and clinical activity of the recommended Phase II dose. Additionally, the study includes a substudy evaluating the safety and tolerability, clinical activity, pharmacokinetics, and pharmacodynamics of AG-120 in subjects with relapsed or refractory myelodysplastic syndrome with an IDH1 mutation. Anticipated time on study treatment is until disease progression or unacceptable toxicity occurs.

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  • Subject must be ≥18 years of age.

  • Subjects must have documented IDH1 R132 gene-mutated advanced hematologic malignancybased on local or central evaluation.

  • Subjects must be amenable to serial bone marrow biopsies, peripheral blood sampling,and urine sampling during the study.

  • Subjects must have ECOG PS of 0 to 2.

  • Platelet count ≥20,000/µL (Transfusions to achieve this level are allowed).

  • Subjects must have adequate hepatic function as evidenced by: Aspartateaminotransferase (AST), alanine aminotransferase (ALT), and alkaline phosphatase (ALP) ≤3.0 × ULN, unless considered due to leukemic disease and serum totalbilirubin ≤1.5 x upper limit of normal (ULN), unless considered due to Gilbert'sdisease or leukemic disease

  • Subjects must have adequate renal function as evidenced by a serum creatinine ≤2.0 ×ULN or creatinine clearance >40mL/min based on Cockroft-Gault glomerular filtrationrate (GFR)

  • Subjects must be recovered from any clinically relevant toxic effects of any priorsurgery, radiotherapy, or other therapy intended for the treatment of cancer.

  • Female subjects with reproductive potential must have a negative serum pregnancytest within 7 days prior to the start of therapy and on the first day of study drugadministration.

Exclusion

Key Exclusion Criteria:

  • Subjects who have undergone hematopoietic stem cell transplant (HSCT) within 60 daysof the first dose of AG-120, or subjects on immunosuppressive therapy post HSCT atthe time of screening, or with clinically significant graft-versus-host disease (GVHD). (The use of a stable dose of oral steroids post HSCT and/or topical forongoing skin GVHD is permitted.)

  • Subjects who received systemic anticancer therapy or radiotherapy <14 days prior totheir first day of study drug administration. (Hydroxyurea is allowed prior toenrollment and after the start of AG-120).

  • Subjects who received an investigational agent <14 days prior to their first day ofstudy drug administration.

  • Subjects who are pregnant or breastfeeding.

  • Subjects with an active severe infection or with an unexplained fever >38.5°C duringscreening visits or on their first day of study drug administration (at thediscretion of the Investigator, subjects with tumor fever may be enrolled).

  • Subjects with New York Heart Association (NYHA) Class III or IV congestive heartfailure or LVEF <40% by echocardiogram (ECHO) or multi-gated acquisition (MUGA) scanwithin approximately 28 days of C1D1.

  • Subjects with a history of myocardial infarction within the last 6 months ofscreening.

  • Subjects with a known unstable or uncontrolled angina pectoris.

  • Subjects with a known history of severe and/or uncontrolled ventricular arrhythmias.

  • Subjects with known unstable or uncontrolled angina pectoris.

  • Subjects with heart-rate corrected QT (QTc) interval ≥450 ms or other factors thatincrease the risk of QT prolongation or arrhythmic events.

  • Patients taking medications that are known to prolong the QT interval

  • Subjects with known infection with human immunodeficiency virus (HIV) or activehepatitis B or C.

  • Subjects with clinical symptoms suggesting active central nervous system (CNS)leukemia or known CNS leukemia. Evaluation of cerebrospinal fluid is only requiredif there is a clinical suspicion of CNS involvement by leukemia during screening.

  • Subjects with immediately life-threatening, severe complications of leukemia such asuncontrolled bleeding, pneumonia with hypoxia or shock, and/or disseminatedintravascular coagulation.

Study Design

Total Participants: 291
Treatment Group(s): 1
Primary Treatment: AG-120
Phase: 1
Study Start date:
March 01, 2014
Estimated Completion Date:
August 31, 2025

Connect with a study center

  • Hopital La Timone

    Marseille,
    France

    Site Not Available

  • Hopital Haut-Leveque

    Pessac, 33600
    France

    Site Not Available

  • Central Lyon Sud

    Pierre-Bénite, 69310
    France

    Site Not Available

  • Institute Gustave Roussly (IGR)

    Villejuif, 94800
    France

    Site Not Available

  • University of Alabama at Birmingham

    Birmingham, Alabama 35294
    United States

    Site Not Available

  • Mayo Clinic-AZ

    Phoenix, Arizona 85259
    United States

    Site Not Available

  • City of Hope

    Duarte, California 91010
    United States

    Site Not Available

  • University of California-Los Angeles

    Los Angeles, California 90095
    United States

    Site Not Available

  • University of California-San Francisco

    San Francisco, California 94143
    United States

    Site Not Available

  • empty

    Stanford, California 94305
    United States

    Site Not Available

  • University of Colorado Denver

    Aurora, Colorado 80045
    United States

    Site Not Available

  • Mayo Clinic-Jacksonville

    Jacksonville, Florida 32224
    United States

    Site Not Available

  • University of Miami

    Miami, Florida 33136
    United States

    Site Not Available

  • Moffit Cancer Center

    Tampa, Florida 33612
    United States

    Site Not Available

  • Emory University

    Atlanta, Georgia 30322
    United States

    Site Not Available

  • Northwestern University Medical Hospital

    Chicago, Illinois 60611
    United States

    Site Not Available

  • John Hopkins Cancer Center

    Baltimore, Maryland 21287
    United States

    Site Not Available

  • Dana Farber Cancer Institute

    Boston, Massachusetts 02215
    United States

    Terminated

  • Massachusetts General Hospital

    Boston, Massachusetts 02214
    United States

    Site Not Available

  • Karmanos Cancer Center

    Detroit, Michigan 48201
    United States

    Site Not Available

  • Washington University

    Saint Louis, Missouri 63110
    United States

    Site Not Available

  • Cornell Cancer Center

    New York, New York 10065
    United States

    Terminated

  • Memorial Sloan Kettering Cancer Center

    New York, New York 10021
    United States

    Site Not Available

  • Duke Cancer Center

    Durham, North Carolina 27705
    United States

    Site Not Available

  • Cleveland Clinic

    Cleveland, Ohio 44124
    United States

    Site Not Available

  • Ohio State University

    Columbus, Ohio 43210
    United States

    Site Not Available

  • Oregon Health and Science University

    Portland, Oregon 97239
    United States

    Site Not Available

  • Medical University of South Carolina

    Charleston, South Carolina 29425
    United States

    Site Not Available

  • Sarah Cannon Research Institute

    Nashville, Tennessee 37203
    United States

    Site Not Available

  • UT Southwestern Medical Center

    Dallas, Texas 75390
    United States

    Site Not Available

  • MD Anderson Cancer Center

    Houston, Texas 77030
    United States

    Site Not Available

Not the study for you?

Let us help you find the best match. Sign up as a volunteer and receive email notifications when clinical trials are posted in the medical category of interest to you.