Trial purpose
Cancer treatment
Tumor type
Haematological
Age
18+
Clinical summary
Summary
SAR443579 is a Natural Killer Cell Engager (NKCE) targeting the CD123 receptor.
This protocol is structured as a master protocol (containing common protocol elements). Individual sub-studies will explore SAR443579 with other treatments.
Experimental sub-studies will be tested through three parts:
- Part 1: dose finding (such as dose escalation/safety run-in)
- Part 2: dose optimisation (when applicable)
- Part 3: dose exapnsion
In each sub-study, a dose escalation will identify the preliminary recommended dose for expansion (pRDE) of SAR443579 and its respective combination partner. Following the determination of the pRDE, additional participants will be enrolled in the dose expansion part, or dose optimisation (if applicable).
In Sub-Study 01, participants with acute myeloid leukaemia will receive SAR443579 (via IV infusion) plus azacitidine (IV or subcutaneous injection) and venetoclax (oral tablet).
Conditions
This trial is treating people with CD123-expressing acute myeloid leukaemia who are ineligible for intensive chemotherapy
Eligibility
Inclusion
- Participants with CD123-expressing hematological neoplasm per the 5th edition of the WHO Classification of Hematolymphoid Tumors.
Substudy 01:
- Participants must be ≥18 years of age
- Confirmed diagnosis of Acute Myeloid Leukemia
- Ineligible for intensive chemotherapy. Ineligible for intensive chemotherapy is defined by the following criteria:
A) ≥ 75 years of age, OR
B) 18 to 74 years of age and meeting one or more of the following:
- Eastern Cooperative Oncology Group (ECOG) performance status 2-3.
- Cardiac history of congestive heart failure (CHF) requiring treatment or left ventricular ejection fraction (LVEF) ≤50% or symptomatic coronary heart disease confirmed by coronarography or cardiac imaging.
- Diffusing capacity of the lungs for carbon monoxide (DLCO) ≤65% or forced expiratory volume (FEV1) ≤65%.
- Creatinine clearance ≥30 to <45 mL/min calculated by modification of diet in renal disease (MDRD) formula.
-
Moderate hepatic impairment with total bilirubin >1.5 to ≤3.0x upper limit of normal (ULN).
- Subject with an Eastern Cooperative Oncology Group (ECOG) performance status as follows:
a) 0 to 2 for participants ≥75 years of age or b) 0 to 3 for participants 18 to 74 years of age.
Exclusion
- Any clinically significant, uncontrolled medical conditions (including any serious active systemic infection that is not controlled)
- Known second malignancy either progressing or requiring active treatment within the last 3 years prior to first IMP administration
-
Known acquired immunodeficiency syndrome (AIDS-related illnesses) or HIV disease requiring antiretroviral treatment, or having active hepatitis B or C infection, or SARS-CoV-2 infection. With exception for:
- HBV as determined by positive test for hepatitis B surface antigen (HBsAg) and/or HBV DNA. Participant who tests positive for anti-hepatitis B core (HBc) antigen IgG (with or without testing positive for anti-HBs), but tests negative for HBsAg and HBV DNA, is eligible.
- A participant who tests positive for anti-HCV antibodies and has undetectable HCV RNA without receiving antiviral treatment for HCV is eligible.
- Active, known, or suspected clinically significant autoimmune disease that has required systemic treatment in the past 2 years prior to first IMP administration, except controlled by replacement therapy (eg, thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency, etc)
- Predicted life expectancy ≤3 months.
- Medical conditions requiring treatment with medications with narrow therapeutic index that are substrates of CYP enzymes and that cannot be closely monitored to allow for dose adjustment.
- Ongoing adverse event of NCI CTCAE [Version 5.0] Grade 2 or greater severity cause by any prior anti-cancer therapy
Substudy 01:
The above information is not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Inclusion
- You are able to swallow medication by mouth.
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.
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.
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
Sanofi
Scientific Title
A Phase 1/Phase 2, Randomized, Open-label, Multi Cohort, Multi Center, Study Assessing the Safety, Tolerability and Preliminary Efficacy of SAR443579 a Natural Killer Cell Engager (NKCE) Targeting CD123, Administered With Different Agents in Participants With CD123 Expressing Hematological Malignancies
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