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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT05470140
Registration number
NCT05470140
Ethics application status
Date submitted
20/07/2022
Date registered
22/07/2022
Date last updated
15/07/2024
Titles & IDs
Public title
A Phase 1 Study of WU-NK-101 in Patients With Relapsed or Refractory (R/R) Acute Myeloid Leukemia (AML)
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Scientific title
A Phase 1 Study of WU-NK-101 in Patients With Relapsed or Refractory (R/R) Acute Myeloid Leukemia (AML)
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Secondary ID [1]
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WUN101-01
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Myeloid Leukemia
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Condition category
Condition code
Cancer
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Leukaemia - Acute leukaemia
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Cancer
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Leukaemia - Chronic leukaemia
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Cancer
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Children's - Leukaemia & Lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Other - WU-NK-101
Experimental: Experimental: WU-NK-101 - A non-engineered Natural Killer (NK) cell derived from peripheral blood mononuclear cells (PBMC) that is cytokine-reprogrammed, expanded, and cryopreserved to create an allogeneic enhanced Memory-like anti-tumor NK cell therapy product.
Each 28-day cycle of treatment consists of 3 doses of WU-NK-101 administered on Day 1, Day 8, and Day 15.
Treatment: Other: WU-NK-101
WU-NK-101 administered on Day 1, Day 8, and Day 15.
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Intervention code [1]
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Treatment: Other
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Incidence of Adverse Events of WU-NK-101 as assessed by CTCAE v5
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Assessment method [1]
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Safety is based on evaluation of adverse events (AEs) and serious adverse events (SAEs) from the time of consent until End of Study (EOS) visit.
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Timepoint [1]
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24 months
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Primary outcome [2]
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Maximum Tolerated Dose
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Assessment method [2]
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Maximum Tolerated or Administered Dose of WU-NK-101
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Timepoint [2]
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Up to 21 days from first dose
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Secondary outcome [1]
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Overall Survival
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Assessment method [1]
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Time from study drug administration (Day 1) until death on study.
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Timepoint [1]
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3 months
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Secondary outcome [2]
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Duration of Response
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Assessment method [2]
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Time of response to the time of disease relapse, progression, or death due to any cause.
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Timepoint [2]
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24 months
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Secondary outcome [3]
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Overall Response Rate (ORR)
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Assessment method [3]
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ORR is defined as proportion of patients that achieve complete remission (CR) + complete remission with incomplete hematologic recover (CRi).
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Timepoint [3]
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24 months
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Eligibility
Key inclusion criteria
1. Confirmed diagnosis of primary or secondary AML (any subtype except acute promyelocytic leukemia) according to World Health Organization (WHO) 2016 classification
2. Unlikely to benefit from standard of care therapy defined by any one of the following criteria:
1. Primary induction failure (PIF) defined as leukemia refractory to = 1 induction attempts. Induction attempts include 1 high-dose and/or 2 standard-dose cytarabine
* an anthracyclines/anthracenedione ± an anti-metabolite, with or without growth factor or targeted therapy containing regimens.
2. For adults who are age 75 years or older, or who have comorbidities that preclude use of intensive induction chemotherapy; PIF is defined as AML refractory to one of the following less intensive regimens:
* = 2 but = 4 cycles of Bcl-2 inhibitors in combination with azacitidine, decitabine, or low dose cytarabine
* = 2 but = 4 cycles of gemtuzumab ozogamicin monotherapy
* = 6 but = 8 cycles ivosidenib or enasidenib
3. Leukemia in relapse after achieving CR
* Early Relapse: disease recurrent within = 6 month of documented remission
* Late Relapse: disease recurrent within > 6 month of documented remission
* Refractory-Relapse: refractory to = 1 unsuccessful salvage attempts
3. Patients with AML post hematopoietic stem cell transplant (HSCT) [permitted in Cohort Expansion Phase only] must meet the following criteria:
* There must be histological confirmation of AML relapse after HSCT
* Undergone allogeneic HSCT (alloSCT) > 90 days prior to enrollment from a match related donor, matched unrelated donor, cord blood donor, or haplo- identical donor
* Off all immunosuppressive medications for a minimum of 2 weeks with the exception of physiologic doses (<10 mg) of corticosteroids
* No history of Grade = 3 veno-occlusive disease, or active graft versus host disease
4. Patients with known central nervous system (CNS) involvement with AML are eligible if they have been treated and cerebrospinal fluid is clear for at least 2 weeks prior to enrollment into the study. CNS therapy (radiotherapy or chemotherapy) should continue as medically indicated during the study treatment.
5. Patients with extramedullary disease are permitted if bone marrow blast count is >5%
6. Adequate organ function as defined in the protocol
7. Life expectancy >12 weeks
8. Eastern Cooperative Oncology Group (ECOG) Performance Status = 2 at screening
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Circulating blast count >30,000/µL by morphology or flow cytometry (cytoreductive therapies such as leukapheresis or hydroxyurea are allowed)
2. Uncontrolled or untreated bacterial, fungal, or viral infections, including HIV, Hepatitis B or C infection, or uncontrolled infection of any etiology
3. Uncontrolled angina, severe uncontrolled ventricular arrhythmias, or electrocardiogram (ECG) suggestive of acute ischemia or active conduction system abnormalities
4. Severe renal impairment, defined as creatinine clearance <40 mL/min
5. New progressive pulmonary infiltrates on screening chest x-ray or chest CT scan that have not been evaluated with bronchoscopy. Infiltrates attributed to infection must be stable/improving after 1 week of appropriate therapy (4 weeks for presumed or proven fungal infections).
6. Known hypersensitivity to one or more of the study agents
7. Received any investigational drugs within the 14 days prior to the first dose of fludarabine (wash-out period of at least 5 half-lives from the last dose of any investigational therapy prior to screening period or 14 days, whichever is longer)
8. Pregnant or nursing (lactating) women
9. Any condition that, in the opinion of the Investigator, would prevent the participant from consenting to or participating in the study
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/07/2023
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
31/12/2025
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Actual
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Sample size
Target
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Accrual to date
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Final
9
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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Peter MacCallum Cancer Center - Melbourne
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Recruitment hospital [2]
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Royal Perth Hospital - Perth
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Recruitment hospital [3]
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Royal Prince Alfred Hospital - Sydney
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Recruitment postcode(s) [1]
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- Melbourne
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Recruitment postcode(s) [2]
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- Perth
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Recruitment postcode(s) [3]
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- Sydney
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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California
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Country [2]
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United States of America
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State/province [2]
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Kentucky
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Country [3]
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United States of America
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State/province [3]
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Maryland
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Country [4]
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United States of America
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State/province [4]
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Missouri
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Country [5]
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United States of America
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State/province [5]
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Oregon
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Wugen, Inc.
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
This study is a Phase 1, open-label, dose escalation, and cohort expansion study designed to characterize the safety, tolerability, pharmacokinetics, pharmacodynamics, immunogenicity, and preliminary anti-leukemic activity of WU-NK-101 in R/R AML.
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Trial website
https://clinicaltrials.gov/study/NCT05470140
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Jan Davidson, MD, PhD
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Address
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Wugen, Inc.
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Eileen McNulty
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Address
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Country
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Phone
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314-501-1968
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Fax
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Email
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[email protected]
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results not provided in
https://clinicaltrials.gov/study/NCT05470140
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