Status:

TERMINATED

An Open-Label, Multicenter, Phase 1b/2 Study of the Safety and Efficacy of KRT-232 When Administered Alone and in Combination With Low-Dose Cytarabine (LDAC) or Decitabine in Patients With Acute Myeloid Leukemia (AML)

Lead Sponsor:

Kartos Therapeutics, Inc.

Conditions:

Relapsed or Refractory Acute Myeloid Leukemia (AML)

Acute Myeloid Leukemia (AML), Secondary to Myeloproliferative Neoplasms (MPN)

Eligibility:

All Genders

18+ years

Phase:

PHASE1

PHASE2

Brief Summary

This study evaluates KRT-232, a novel oral small molecule inhibitor of MDM2, when administered alone and in combination with low-dose cytarabine (LDAC) or Decitabine for the treatment of adults with A...

Eligibility Criteria

Inclusion

  • Key
  • Part A: Patients with relapsed or refractory AML, or newly-diagnosed AML secondary to MPN
  • Part B:Patients with relapsed or refractory AML secondary to MPN (myelofibrosis \[MF\], polycythemia vera \[PV\], or essential thrombocythemia \[ET\]); patients may have been treated with ≥1 prior lines of therapy for their AML secondary to MPN.
  • Adequate hepatic and renal function
  • Appropriate prior treatment with an FLT3 or IDH1/2 inhibitor where applicable
  • Key

Exclusion

  • Patients who are TP53 mutation positive
  • Prior treatment with an MDM2 antagonist therapy
  • Patients treated with ≥ 18 g/m2 of cytarabine within the prior 90 days are not eligible to be treated with cytarabine on this study but may be treated with decitabine (for Part A) .
  • Patients previously treated with decitabine are not eligible to receive decitabine on this study but may be treated with cytarabine (for Part A) .
  • Patients who have received an allogeneic HSCT within 90 days of enrollment or who have active graft-versus-host disease requiring active therapy (for Part A)
  • Allogeneic stem cell transplant within 3 months; autologous stem cell transplant within 3 months or active graft-versus-host disease prior to first dose of study treatment (for Part B)
  • Patients who have received immunosuppressive therapy for graft-versus-host disease within 1 month prior to enrollment into this study
  • Patients who are eligible for an allogeneic HSCT per the opinion of the investigator and have a donor. Patients who are HSCT-eligible in the opinion of the investigator, but who refuse a transplant, are eligible for the study.
  • Patients with known CNS involvement with AML, acute promyelocytic leukemia (APL), or a history of bleeding diathesis
  • Patients who have had major surgery within 28 days prior to the first treatment with KRT-232
  • Women who are pregnant or breastfeeding

Key Trial Info

Start Date :

September 25 2019

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 27 2023

Estimated Enrollment :

70 Patients enrolled

Trial Details

Trial ID

NCT04113616

Start Date

September 25 2019

End Date

September 27 2023

Last Update

March 22 2024

Active Locations (59)

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Page 1 of 15 (59 locations)

1

University of Chicago

Chicago, Illinois, United States, 60637

2

University of Maryland Medical Center

Baltimore, Maryland, United States, 21201

3

Mount Sinai

New York, New York, United States, 10029

4

Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065