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A Safety Study of SEA-CD70 in Patients With Myeloid Malignancies
Trial Status: closed to accrual
This trial will look at a drug called SEA-CD70 with and without azacitidine, to find out
if it is safe for participants with myelodysplastic syndrome (MDS) and acute myeloid
leukemia (AML). It will study SEA-CD70 to find out what its side effects are and if it
works for AML and MDS. A side effect is anything the drug does besides treating cancer.
This study will have seven groups or "parts."
- Part A will find out how much SEA-CD70 should be given to participants
- Part B will use the dose found in Part A to find out how safe SEA-CD70 is and if it
works to treat participants with MDS.
- Part C will use the dose found in Part A to find out how safe SEA-CD70 is and if it
works to treat participants with AML.
- Part D will find out how much SEA-CD70 with azacitidine should be given to
participants
- Part E will use the dose found in Part D to find out how safe SEA-CD70 with
azacitidine is compared to azacitidine alone and if it works to treat participants
with MDS or MDS/AML that has not been treated.
- Part F will use the dose found in Part D to find out how safe SEA-CD70 with
azacitidine is and if it works to treat participants with MDS or MDS/AML.
- Part G will find out how much SEA-CD70 with azacitidine and with venetoclax should
be given to participants with AML. Also, to evaluate safety and tolerability of
PF-08046040 in combination with azacitidine and venetoclax in participants with
previously untreated AML who are unfit for standard induction chemotherapy.
Inclusion Criteria
Part A Inclusion Criteria
- Participants with cytologically/histologically confirmed MDS (2016 World Health
Organization (WHO) classification) with
- Measurable disease per WHO MDS with excess blasts criteria
- MDS that is relapsed or refractory and must not have other therapeutic options
- Treatment failure after prior hypomethylating agent (HMA) therapy for MDS
- Eastern Cooperative Oncology Group (ECOG) performance status of 0-1
Part B Inclusion Criteria
- Participants with cytologically/histologically confirmed MDS (WHO classification)
with:
- Measurable disease per WHO MDS with excess blasts (MDS-EB) criteria
- MDS that is relapsed or refractory and must not have other therapeutic options
- Treatment failure after prior HMA therapy for MDS
- ECOG Performance Status of 0-2
Part C Inclusion Criteria
- Participants with relapsed or refractory AML (ICC 2022) (except for acute
promyelocytic leukemia [APL]):
- Who have received either 2 or 3 previous regimens
- Who have received 1 previous regimen to treat active disease and have at least
one of the following:
- Age > 60 and ≤75 years.
- Primary resistant AML or secondary AML
- First CR duration <6 months
- Adverse-risk per European Leukemia Network genetic risk stratification
- Age 18-75 years
- ECOG performance status of 0-2
Parts D and F Inclusion Criteria
- Participants with diagnosis of MDS or MDS/AML (ICC 2022 criteria)
- Disease which has relapsed, failed to respond after minimum of 6 cycles, or
progressed following an HMA in the immediately preceding line of therapy.
- Eligible for continued therapy with azacitidine
- ECOG Performance Status 0-2
Parts D and E Inclusion Criteria
- Participants with diagnosis of MDS or MDS/AML (ICC 2022 criteria), previously
untreated.
- Participants with higher-risk per IPSS-M MDS and MDS/AML
- ECOG Performance Status 0-2
Part G Inclusion Criteria
- Participants with diagnosis of AML (ICC 2022 criteria), previously untreated and
ineligible for standard induction chemotherapy.
- Age ≥18 years.
- ECOG Performance Status of 0-2.
Exclusion Criteria (All Parts)
- Previous exposure to CD70-targeted agents
- Prior allogeneic hematopoietic stem cell transplant, for any condition
- Central nervous system leukemia
- History of clinically significant sickle cell anemia, autoimmune hemolytic anemia,
or idiopathic thrombocytopenic purpura
- Parts D, F and G only: Prior oral HMA or oral HMA-combinations
- Part G: conditions that preclude enteral route of administration; concomitant use of
strong/moderate CYP3A inducers; history of myeloproliferative neoplasm
Study sponsor and potential other locations can be found on ClinicalTrials.gov for NCT04227847.
Locations matching your search criteria
United States
Kansas
Kansas City
University of Kansas Cancer Center
Status: Active
Name Not Available
Massachusetts
Boston
Beth Israel Deaconess Medical Center
Status: Approved
Name Not Available
Massachusetts General Hospital Cancer Center
Status: Approved
Name Not Available
New York
New York
NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
Status: Active
Name Not Available
South Carolina
Charleston
Medical University of South Carolina
Status: Temporarily closed to accrual
Name Not Available
This is a phase 1, open-label, multicenter, dose-finding, and dose expansion study
designed to evaluate the safety, tolerability, pharmacokinetics (PK), and antitumor
activity of SEA-CD70 monotherapy and SEA-CD70 in combination with azacitidine in adults
with myeloid malignancies. The study will be conducted in up to 6 parts.
- Part A is a dose-escalation cohort designed to identify the MTD or recommended
expansion dose of SEA-CD70 monotherapy in participants with relapsed/refractory
(hypomethylating agent [HMA]-failure) MDS.
- Part B is an expansion cohort designed to evaluate the safety and tolerability of
SEA-CD70 monotherapy in participants with relapsed/refractory (HMA-failure) MDS.
- Part C is an expansion cohort designed to evaluate the safety and tolerability of
SEA-CD70 monotherapy in participants with relapsed/refractory AML.
- Part D contains dose-finding/dose optimization cohorts designed to evaluate the
safety/tolerability and identify the recommended expansion dose of SEA-CD70 in
combination with azacitidine in participants with 1) relapsed/refractory
(HMA-failure) MDS or MDS/AML, and 2) previously untreated higher-risk per IPSS-M
(Moderate High, High or Very High) MDS or MDS/AML.
- Part E is an expansion cohort designed to evaluate the safety and tolerability of
SEA-CD70 in combination with azacitidine vs azacitidine in participants with
previously untreated higher-risk per IPSS-M (Moderate High, High, or Very High) MDS
or MDS/AML.
- Part F is an expansion cohort designed to evaluate the safety and tolerability of
SEA-CD70 in combination with azacitidine in participants with relapsed/refractory
(HMA-failure) MDS or MDS/AML.
- Part G will find out how much SEA-CD70 with azacitidine and with venetoclax should
be given to participants with previously untreated AML who are unfit for standard of
care induction chemotherapy
Trial PhasePhase I
Trial Typetreatment
Lead OrganizationSeagen, a wholly owned subsidiary of Pfizer