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Phase 1 N=17 Treatment

A Study of LAM-003 in Patients With Acute Myeloid Leukemia

Oncology · Acute Myeloid Leukemia

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

OutcomeResultp-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.
View full record on ClinicalTrials.gov →

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.

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