CC-91633 for Leukemia

Recruiting at33 trial locations

Age: 18+

Sex: Any

Travel: May Be Covered

Time Reimbursement: Varies

Trial Phase: Phase 1

Recruiting

Sponsor: Celgene

Must not be taking: Anticoagulants

Disqualifiers: CNS leukemia, Cardiac diseases, HIV, others

No Placebo Group

Trial Summary

What is the purpose of this trial?

This trial tests a new drug, CC-91633, for patients with certain blood cancers that haven't responded to other treatments. Researchers will find the safest dose by increasing it over time and checking for side effects and effectiveness.

Will I have to stop taking my current medications?

The trial does not specify if you need to stop taking your current medications, but it excludes participants who are on ongoing treatment with certain anticoagulants (blood thinners). It's best to discuss your specific medications with the trial team.

What makes the drug CC-91633 unique for treating leukemia?

The drug CC-91633 (BMS-986397) is unique because it represents a novel approach to treating leukemia, potentially offering a new mechanism of action or targeting specific pathways not addressed by existing treatments. While the research does not provide specific details about CC-91633, it highlights the rapid advancements in leukemia treatments, suggesting that CC-91633 may contribute to these innovative therapies. ^{1 2 3 4 5}

Research Team

Bristol-Myers Squibb

Principal Investigator

Bristol-Myers Squibb

Eligibility Criteria

Adults with relapsed or refractory acute myeloid leukemia (R/R AML) or higher-risk myelodysplastic syndromes (R/R HR-MDS), who have not responded to available treatments. They should be in a stable condition, without severe complications like uncontrolled infection/bleeding, and meet specific health criteria such as adequate liver function and no active hepatitis B/C.

Inclusion Criteria

Participant must understand and voluntarily sign an ICF prior to any study-related assessments/procedures being conducted

My leukemia or myelodysplastic syndrome has not improved with treatment.

Participants must satisfy the criteria below to be enrolled in the Dose Escalation (Part A) or the Dose Expansion (Part B) of this study

Exclusion Criteria

Participants with known human immunodeficiency virus infection

I am currently receiving treatment for another cancer besides the one being studied.

I have heart problems that affect my daily activities.

Trial Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive escalating doses of CC-91633 to determine the maximum tolerated dose and evaluate safety and tolerability

Up to 42 days for dose-limiting toxicity assessment

Follow-up

Participants are monitored for safety and effectiveness after treatment

Up to 4 years

Expansion

Confirm tolerability of selected doses and evaluate efficacy for further clinical development

Ongoing

Treatment Details

Interventions

• CC-91633 (Other)

Trial Overview The trial is testing CC-91633 (BMS-986397), an oral medication for R/R AML and R/R HR-MDS. It's a Phase 1 study with two parts: dose escalation to find the maximum tolerated dose, followed by expansion to confirm tolerability and assess preliminary efficacy.

Participant Groups

Group I: Participants with Relapsed or Refractory Higher-Risk Myelodysplastic Syndromes (HR-MDS) Experimental Treatment 1 Intervention

Part B (expansion part) will confirm tolerability of the selected doses and schedules and evaluate whether efficacy is in a range that warrants further clinical development for R/R HR-MDS participants.

Group II: Participants with Relapsed or Refractory Acute Myeloid Leukemia (R/R AML) Experimental Treatment 1 Intervention

Part B (expansion part) will confirm tolerability of the selected doses and schedules and evaluate whether efficacy is in a range that warrants further clinical development for R/R AML participants.

Group III: Participants with R/R AML and R/R HR-MDS - Part A Experimental Treatment 1 Intervention

Part A (Dose Escalation) of the study will enroll R/R AML (Relapsed or Refractory Acute Myeloid Leukemia) and R/R HR-MDS (Relapsed or Refractory Higher-Risk Myelodysplastic Syndromes) participants and will evaluate the safety and tolerability of escalating doses of CC-91633, administered orally, and determine the maximum tolerated dose (MTD) or preliminary recommended Phase 2 doses (RP2D) and schedule.

Who Is Running the Clinical Trial?

Celgene

Lead Sponsor

Trials

649

Recruited

130,000+

Top Products

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Jay Backstrom

Celgene

Chief Medical Officer since 2016

MD

Mark Alles

Celgene

Chief Executive Officer since 2016

Bachelor's degree from Lock Haven University of Pennsylvania

Findings from Research

In a study of 43 patients with advanced chronic myelogenous leukemia (CML), the type of chemotherapy used for mobilizing peripheral blood stem cells (PBSC) significantly affected the success of harvesting Ph-negative cells, with 'mini-ICE/ICE' yielding better results than '5+2/7+3'.

All 25 patients who underwent PBSC transplantation after successful mobilization engrafted without any transplantation-related mortality, indicating a safe and effective approach for patients not responsive to conventional therapies.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Outcome of peripheral blood stem cell mobilization in advanced phases of CML is dependent on the type of chemotherapy applied. Fischer, T., Neubauer, A., Mohm, J., et al.[2019]

Infant leukemias, particularly acute lymphoblastic leukemia (ALL), are aggressive and often difficult to treat, with specific genetic abnormalities like the KMT2A-AFF1 fusion indicating a poor prognosis.

Some neonatal leukemias can show spontaneous remission, especially those with the t(8;16) translocation, highlighting the need for international studies to better understand and improve treatment options for these rare conditions.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Acute leukemia of infants and neonates]. Eguchi, M.[2021]

In a study of 83 patients with chronic myelogenous leukemia (CML) undergoing bone marrow transplantation (BMT), durable engraftment was achieved in 97% of cases, indicating a high success rate for the procedure.

The overall survival rates were 64% for patients in chronic phase, 53% for those in accelerated phase, and 30% for patients in blast crisis, demonstrating that earlier stages of CML have better outcomes after transplantation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Long term follow up after allogeneic stem cell transplantation for chronic myelogenous leukemia. Reiter, E., Greinix, HT., Brugger, S., et al.[2007]

Recent advancements in leukemia treatments have led to high cure rates, such as over 90% for hairy cell leukemia with cladribine and rituximab, and 80-90% for acute promyelocytic leukemia using all-trans retinoic acid and arsenic trioxide.

Chronic lymphocytic leukemia, once considered incurable, may now be potentially curable with targeted therapies like Bruton tyrosine kinase inhibitors and venetoclax, showcasing the significant progress in leukemia treatment options.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

The cure of leukemia through the optimist's prism. Kantarjian, HM., Jain, N., Garcia-Manero, G., et al.[2023]

The Philadelphia chromosome, resulting from a specific genetic translocation (t(9;22)), is a key marker for chronic myeloid leukemia (CML) and is linked to a poor prognosis in other leukemias, such as acute lymphoblastic leukemia.

In 80% of CML cases, the disease progresses through clonal evolution, and the emergence of an isochromosome 17q indicates a transition to a more aggressive myeloid blast crisis, highlighting the need for effective treatment strategies beyond palliative care.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

[Cytogenetic and clinical features of Philadelphia chromosome positive leukemias]. Becher, R., Kloke, O.[2007]

References

1. Germany pubmed.ncbi.nlm.nih.gov

Outcome of peripheral blood stem cell mobilization in advanced phases of CML is dependent on the type of chemotherapy applied. [2019]

2. Japan pubmed.ncbi.nlm.nih.gov

[Acute leukemia of infants and neonates]. [2021]

3. England pubmed.ncbi.nlm.nih.gov

Long term follow up after allogeneic stem cell transplantation for chronic myelogenous leukemia. [2007]

4. United States pubmed.ncbi.nlm.nih.gov

The cure of leukemia through the optimist's prism. [2023]

5. Germany pubmed.ncbi.nlm.nih.gov

[Cytogenetic and clinical features of Philadelphia chromosome positive leukemias]. [2007]