Phase 1
N=17
A Study of LAM-003 in Patients With Acute Myeloid Leukemia
Oncology · Acute Myeloid Leukemia
Bottom Line
View on ClinicalTrials.gov: NCT03426605 ↗Enrolled (actual)
17
Serious AEs
65.0%
Results posted
May 2024
Primary outcome: Primary: Maximum Tolerated Dose (MTD) — 0; 0; 0; 0 DLTs
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 1
- Interventions
- Open Label LAM-003 (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- OrphAI Therapeutics
- Primary completion
- Feb 2020
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Maximum Tolerated Dose (MTD) |
0; 0; 0; 0 | — |
| SECONDARY Adverse Event Assessment |
6; 3; 4; 4; 6; 3 | — |
| SECONDARY Maximum Plasma Concentration (Cmax) |
3550; 8360; 9170; 8240; 5000; 8360 | — |
| SECONDARY Time of Maximum Concentration [Tmax] |
3.80; 3.80; 4.10; 1.95; 2.00; 4.00 | — |
| SECONDARY Area Under the Curve [AUC] |
43100; 112000; 131000; 105000; 24400; 53600 | — |
| SECONDARY Objective Response Rate |
0; 0; 0; 0; 0; 0 | — |
| SECONDARY Event-Free Survival (EFS) and Overall Survival (OS) |
0.6; 0.9; 1.8; 1.5; 3; 5.1 | — |
Summary
A Phase 1 Dose-Escalation Study of LAM-003 in Patients with Acute Myeloid Leukemia
Eligibility Criteria
Inclusion Criteria
- Men and women of age ≥18 years.
- Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, or 2.
- Presence of measurable AML that has progressed during or relapsed after prior therapy
- All acute toxic effects of any prior antitumor therapy resolved to Grade 1.
- Adequate hepatic profile.
- Adequate renal function.
- Adequate coagulation profile.
- Negative antiviral serology for human immunodeficiency virus (HIV), hepatitis B, and hepatitis C.
- For female subjects of childbearing potential, a negative serum pregnancy test.
- For both male and female subjects, willingness to use adequate contraception.
- Willingness and ability of the subject to comply with study activities.
- Evidence of a personally signed informed consent document.
Exclusion Criteria
- Leukemic blast cell count >50 × 10^9/L before the start of study therapy and despite the use hydroxyurea, cytarabine, and/or cyclophosphamide.
- Presence of known central nervous system (CNS) leukemia.
- Presence of another major cancer.
- Ongoing Grade >1 proliferative or nonproliferative retinopathy.
- Significant cardiovascular disease or ECG abnormalities.
- Significant gastrointestinal disease
- Uncontrolled ongoing infection.
- Pregnancy or breastfeeding.
- Major surgery within 4 weeks before the start of study therapy.
- Subject was a candidate for hematopoietic stem cell transplantation (HSCT).
- Ongoing severe graft-versus-house disease (GVHD) with Grade ≥2 serum bilirubin, Grade ≥3 skin involvement, or Grade ≥3 diarrhea at the start of study therapy.
- Prior solid organ transplantation.
- Ongoing immunosuppressive therapy other than corticosteroids.
- Use of a strong inhibitor or inducer of cytochrome P450 (CYP) 3A4.
- Use of a drug known to prolong the cardiac QT interval.
- Concurrent participation in another therapeutic or imaging clinical trial.
- Presence of a concomitant medical condition that (in the judgement of the investigator) interferes with the ability of the subject to participate in the study.
Data sourced from ClinicalTrials.gov (NCT03426605). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.