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No longer recruiting (closed or complete)Last updated: 23 January 2024

CT859: This phase I trial is evaluating an oral drug (IMG-7289) alone and in combination with a non-chemotherapy drug (ATRA) for the treatment of Acute Myeloid Leukaemia (AML) and Myelodysplastic SyndromeA Multi-Center, Open Label Study to Assess the Safety, Steady-State Pharmacokinetics and Pharmacodynamics of IMG-7289 With and Without ATRA (Tretinoin) in Patients With Advanced Myeloid Malignancies

Trial purpose

Medical clipboardCancer treatment

Tumor type

Blood Cancers Haematological

Age

People18+

Trial acronym

CT859

Clinical summary

Summary

This is a Phase 1 open label study of the dose and duration of an orally administered LSD1 inhibitor, IMG-7289, in patients with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS). Some participants may also receive all-trans retinoic acid (ATRA; also known as tretinoin and Vesanoid®) in combination with IMG-7289.

Conditions

This trial is treating people with Acute Myeloid Leukaemia, Myelodysplasia

Eligibility

Inclusion

High-risk Acute Myeloid Leukemia (AML)

  • Have a diagnosis of AML according to the World Health Organization (WHO) criteria
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status score ≤2
  • Have AML that is classified as high risk as defined by one of the following: ≥ 60 years of age who were not candidates for or have refused standard chemotherapy; ≥18 years of age with de novo or secondary AML who were not expected to benefit from standard remission-induction chemotherapy; or had relapsed/refractory AML after no more than 3 previous lines of chemotherapy.

High-risk Myelodysplastic Syndromes (MDS)

  • Have a diagnosis of myelodysplastic syndromes according to the World Health Organization (WHO) criteria
  • Have either an International Prognostic Scoring System (IPSS) score equivalent to intermediate-2 risk or higher, or a Revised International Prognostic Scoring System (IPSS-R) score equivalent to intermediate risk or higher.
  • Have MDS that is classified as high risk as defined by one of the following: participants who have failed first-line therapy; or treatment-related MDS, except if it is associated with favorable cytogenetics, and not a candidate for stem cell transplantation
  • Prior autologous stem cell transplant is allowed if a minimum of 3 months has elapsed from the time of transplant and the patient has recovered from transplant-associated toxicities
  • Prior allogeneic stem cell transplant is allowed, provided all of the following criteria are met: transplant was >120 days prior to study enrollment; no immunosuppressive medications have been taken for at least 1 month; and no active graft versus host disease (GVHD), excluding Grade 1 skin GVHD
  • Has a life expectancy >12 weeks

Exclusion

  • Is receiving other treatments for the condition (with exceptions and time limits)
  • Has had major surgery in last 4 weeks or minor surgery in the last 2 weeks
  • Has a scheduled hematopoietic stem-cell transplant
  • Is currently using prohibited medications
  • Has clinical evidence of central nervous system (CNS) or pulmonary leukostasis, disseminated intravascular coagulation, or CNS leukemia
  • Has a concurrent second active and non-stable malignancy
  • Has an uncontrolled active infection
  • Has known Human Immunodeficiency Virus (HIV) infection or active Hepatitis B or Hepatitis C virus infection
  • Has used an investigational agent within last 14 days
  • Is a pregnant or lactating females

Inclusion

  • You are able to swallow medication by mouth.
  • You have been diagnosed with cancer, but have not received any treatment.

Exclusion

  • You have been diagnosed with a prior or secondary type of cancer.
  • You have certain types of non-cancer medical conditions.
  • You have had certain treatments, surgical procedures or drugs.
  • You are currently being treated on a clinical trial.
Message

Clinical trials have complex eligibility criteria, and other criteria may apply for this trial. Ask your doctor about whether this trial could be right for you.

Participating hospitals

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More information

Trial Identifiers

Information on this page is partially produced from ClinicalTrials.gov *. View further details about this trial on the registry via the links below:

Trial sponsor

Imago BioSciences,Inc.

Scientific Title

A Multi-Center, Open Label Study to Assess the Safety, Steady-State Pharmacokinetics and Pharmacodynamics of IMG-7289 With and Without ATRA (Tretinoin) in Patients With Advanced Myeloid Malignancies

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