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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT02719574
Registration number
NCT02719574
Ethics application status
Date submitted
21/03/2016
Date registered
25/03/2016
Date last updated
10/04/2024
Titles & IDs
Public title
Open-label Study of FT-2102 With or Without Azacitidine or Cytarabine in Patients With AML or MDS With an IDH1 Mutation
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Scientific title
A Phase 1/2, Multicenter, Open-label Study of FT-2102 as a Single Agent and in Combination With Azacitidine or Cytarabine in Patients With Acute Myeloid Leukemia or Myelodysplastic Syndrome With an IDH1 Mutation
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Secondary ID [1]
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2102-HEM-101
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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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Acute Myelogenous Leukemia
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Myelodysplastic Syndrome
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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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Blood
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Haematological diseases
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Blood
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Other blood disorders
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - FT-2102 (olutasidenib)
Treatment: Drugs - Azacitidine
Treatment: Drugs - Cytarabine
Experimental: PH1 Dose Escalation & Expansion FT-2102 (olutasidenib) -
Experimental: PH1 Esc. and Exp. FT-2102 (olutasidenib)+Azacitidine -
Experimental: PH1 Esc. and Exp. FT-2102 (olutasidenib)+Cytarabine -
Experimental: PH2 Cohort 1 FT-2102 (olutasidenib) Single Agent - Relapsed or Refractory (R/R) AML
Experimental: PH2 Cohort 2 FT-2102 (olutasidenib) Single Agent - AML in morphologic complete remission or complete remission with incomplete blood count recovery (CR/CRi) after prior therapy with residual IDH1-R132 mutation
Experimental: PH2 Cohort 3 FT-2102 (olutasidenib) Single Agent - R/R AML/MDS, previously treated with FT-2102
Experimental: PH2 Cohort 4 FT-2102 (olutasidenib)+Azacitidine - R/R AML/MDS that are naïve to prior hypomethylating therapy and IDH1 inhibitor therapy
Experimental: PH2 Cohort 5 FT-2102 (olutasidenib)+Azacitidine - R/R AML/MDS that have inadequately responded to or have progressed on prior hypomethylating therapy
Experimental: PH2 Cohort 6 FT-2102 (olutasidenib)+Azacitidine - R/R AML/MDS that have been previously treated with single-agent FT-2102 as their last therapy prior to study enrollment
Experimental: PH2 Cohort 7 FT-2102 (olutasidenib) Single Agent - Treatment naïve AML for whom standard treatments are contraindicated
Experimental: PH2 Cohort 8 FT-2102 (olutasidenib)+Azacitidine - Treatment naïve AML who are candidates for azacitidine first line treatment
Treatment: Drugs: FT-2102 (olutasidenib)
FT-2102 (olutasidenib) will be supplied as 50 mg or 150 mg capsules and will be administered per the protocol defined frequency and dose level
Treatment: Drugs: Azacitidine
azacitidine will be administered per site's standard of care
Treatment: Drugs: Cytarabine
low-dose cytarabine will be administered per site's standard of care
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Intervention code [1]
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Treatment: Drugs
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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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Maximum Tolerated Doses (MTDs) or Maximum Evaluated Doses (MEDs) [Phase 1]
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Assessment method [1]
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Timepoint [1]
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Within first 4 weeks of treatment
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Primary outcome [2]
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Number of Participants with a Dose Limiting Toxicity (DLT) [Phase 1]
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Assessment method [2]
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Timepoint [2]
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Within first 4 weeks of treatment
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Primary outcome [3]
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Doses recommended for future studies [Phase 1]
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Assessment method [3]
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Timepoint [3]
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Within first 4 weeks of treatment
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Primary outcome [4]
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Complete Response (CR and CRh) Rate of FT-2102 (olutasidenib) single-agent or in combination with Azacitidine in patients with AML/MDS [Phase 2 Cohorts 1, 3-8]
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Assessment method [4]
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Timepoint [4]
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As per modified IWG Response Assessment Guidelines for AML and MDS based on investigator's assessment on day 1 of each cycle through study completion
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Primary outcome [5]
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4-Month Relapse Free Survival (RFS) of FT-2102 (olutasidenib) single-agent [Phase 2 Cohort 2]
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Assessment method [5]
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Timepoint [5]
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From time of entry on study through progression, up to 30 weeks, on average
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Secondary outcome [1]
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Area under the plasma concentration versus time curve (AUC) [Phase 1 and Phase 2]
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Assessment method [1]
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Timepoint [1]
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Blood samples for PK analysis collected at multiple visits during the first 60 days of treatment and on day 1 of all cycles following the first 30 days
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Secondary outcome [2]
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Peak Plasma Concentration (Cmax) [Phase 1 and Phase 2]
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Assessment method [2]
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Timepoint [2]
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Blood samples for PK analysis collected at multiple visits during the first 60 days of treatment and on day 1 of all cycles following the first 30 days
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Secondary outcome [3]
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Time of peak plasma concentration Tmax [Phase 1 and Phase 2]
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Assessment method [3]
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Timepoint [3]
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Blood samples for PK analysis collected at multiple visits during the first 60 days of treatment and on day 1 of all cycles following the first 30 days
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Secondary outcome [4]
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Time for half of the drug to be absent in blood stream following dose (T 1/2) [Phase 1 and Phase 2]
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Assessment method [4]
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Timepoint [4]
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Blood samples for PK analysis collected at multiple visits during the first 60 days of treatment and on day 1 of all cycles following the first 30 days
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Secondary outcome [5]
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Rate at which drug is removed from blood stream (CL/F) [Phase 1 and Phase 2]
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Assessment method [5]
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Timepoint [5]
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Blood samples for PK analysis collected at multiple visits during the first 60 days of treatment and on day 1 of all cycles following the first 30 days
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Secondary outcome [6]
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Rate of drug distribution within the blood stream (Vd/F) [Phase 1 and Phase 2]
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Assessment method [6]
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Timepoint [6]
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Blood samples for PK analysis collected at multiple visits during the first 60 days of treatment and on day 1 of all cycles following the first 30 days
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Secondary outcome [7]
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Evidence of antileukemic or antimyelodysplastic activity of FT-2102 (olutasidenib) as determined by CR, CRh, CRi, MLFS, Marrow CR, PR, and SD as a single-agent or in combination with azacitidine or cytarabine [Phase 1]
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Assessment method [7]
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Timepoint [7]
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As per modified IWG Response Assessment Guidelines for AML and MDS based on investigator's assessment on day 1 of each cycle through study completion
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Secondary outcome [8]
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Incidence and severity of adverse events, clinical laboratory abnormalities, and changes in ECG parameters as assessed by CTCAE v4.0 as a single-agent or in combination with azacitidine [Phase 2]
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Assessment method [8]
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Timepoint [8]
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Safety will be assessed from time of first dose through 28 days post last dose.
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Secondary outcome [9]
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Additional measures of antileukemic or antimyelodysplastic activity as determined by CRi, MLFS, Marrow CR, PR, Overall Response (OR), and Stable Disease (SD) of FT-2102 (olutasidenib) alone or in combination with azacitidine [Phase 2]
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Assessment method [9]
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Timepoint [9]
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As per modified IWG Response Assessment Guidelines for AML and MDS based on investigator's assessment on day 1 of each cycle through study completion
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Secondary outcome [10]
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Time to Response (TTR) [Phase 2]
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Assessment method [10]
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Timepoint [10]
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From first dose of study drug through time of first response by blood recovery count, up to 30 weeks, on average
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Secondary outcome [11]
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Duration of Response (DOR) [Phase 2]
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Assessment method [11]
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Timepoint [11]
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From time of first response by blood recovery count through relapse, up to 30 weeks, on average
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Secondary outcome [12]
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Event-Free Survival (EFS) [Phase 2]
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Assessment method [12]
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Timepoint [12]
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From time of entry on study through progression, up to 30 weeks, on average
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Secondary outcome [13]
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Overall Survival (OS) [Phase 2]
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Assessment method [13]
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Timepoint [13]
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From time of entry on study through death or date last known alive at end of follow-up, up to 30 weeks, on average
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Secondary outcome [14]
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Relapse Free Survival (RFS) [Phase 2]
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Assessment method [14]
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Timepoint [14]
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From time of entry on study through progression, up to 30 weeks, on average
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Eligibility
Key inclusion criteria
* Pathologically proven acute myeloid leukemia (AML) (except acute promyelocytic leukemia [APL] with the t(15;17) translocation) or intermediate, high-risk, or very high risk Myelodysplastic Syndrome (MDS) as defined by the World Health Organization (WHO) criteria or Revised International Prognostic Scoring System (IPSS-R) which is relapsed or refractory (R/R) to standard therapy and/or for which standard therapy is contraindicated or which has not adequately responded to standard therapy.
* Patients must have documented IDH1-R132 gene-mutated disease as evaluated by the site
* Good performance status
* Good kidney and liver function
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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
* Patients with symptomatic central nervous system (CNS) metastases or other tumor location (such as spinal cord compression, other compressive mass, uncontrolled painful lesion, bone fracture, etc.) necessitating an urgent therapeutic intervention, palliative care, surgery or radiation therapy
* Congestive heart failure (New York Heart Association Class III or IV) or unstable angina pectoris. Previous history of myocardial infarction within 1 year prior to study entry, uncontrolled hypertension or uncontrolled arrhythmias
* Active, uncontrolled bacterial, viral, or fungal infections, requiring systemic therapy
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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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
Parallel
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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
Completed
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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
1/04/2016
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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
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Actual
24/01/2024
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Sample size
Target
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Accrual to date
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Final
336
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Recruitment in Australia
Recruitment state(s)
SA,VIC,WA
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Recruitment hospital [1]
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Royal Adelaide Hospital - Adelaide
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Recruitment hospital [2]
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The Alfred Hospital - Melbourne
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Recruitment hospital [3]
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Victoria Cancer Care Center - Parkville
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Recruitment hospital [4]
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Sir Charles Gairdner Hospital - Nedlands
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Recruitment hospital [5]
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Box Hill Hospital, Monash University and Eastern Health Clinical School - Box Hill
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Recruitment postcode(s) [1]
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5000 - Adelaide
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Recruitment postcode(s) [2]
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3004 - Melbourne
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Recruitment postcode(s) [3]
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3000 - Parkville
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Recruitment postcode(s) [4]
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6009 - Nedlands
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Recruitment postcode(s) [5]
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3128 - Box Hill
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Recruitment outside Australia
Country [1]
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United States of America
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California
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United States of America
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Connecticut
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United States of America
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Florida
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United States of America
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Georgia
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United States of America
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Illinois
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United States of America
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Maryland
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United States of America
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Michigan
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United States of America
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New York
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United States of America
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North Carolina
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United States of America
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Ohio
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United States of America
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Oregon
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United States of America
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Tennessee
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United States of America
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Texas
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Canada
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Ontario
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France
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Bobigny
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France
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Marseille
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France
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Nantes
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France
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Paris
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France
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Pessac
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France
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Pierre-Bénite
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France
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Rennes
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France
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Toulouse
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France
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VandÅ“uvre-lès-Nancy
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France
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Villejuif
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Germany
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Braunschweig
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Germany
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Gießen
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Germany
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Halle (Saale)
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Germany
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Münster
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Italy
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Turin
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Italy
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Ascoli Piceno
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Italy
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Bologna
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Italy
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Meldola
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Italy
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Parma
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Italy
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Ravenna
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Italy
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Rimini
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Korea, Republic of
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Gumi
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Korea, Republic of
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Seoul
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Spain
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Barcelona
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Spain
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Madrid
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Spain
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Salamanca
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Spain
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Valencia
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United Kingdom
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London
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United Kingdom
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Oxford
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United Kingdom
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Southampton
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United Kingdom
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State/province [45]
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Sutton
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Forma Therapeutics, 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 Phase 1/2 study will evaluate the safety, efficacy, PK, and PD of FT-2102 (olutasidenib) as a single agent or in combination with azacitidine or cytarabine. The Phase 1 stage of the study is split into 2 distinct parts: a dose escalation part, which will utilize an open-label design of FT-2102 (olutasidenib) (single agent) and FT-2102 (olutasidenib) + azacitidine (combination agent) administered via one or more intermittent dosing schedules followed by a dose expansion part. The dose expansion part will enroll patients in up to 5 expansion cohorts, exploring single-agent FT-2102 (olutasidenib) activity as well as combination activity with azacitidine or cytarabine. Following the completion of the relevant Phase 1 cohorts, Phase 2 will begin enrollment. Patients will be enrolled across 8 different cohorts, examining the effect of FT-2102 (olutasidenib) (as a single agent) and FT-2102 (olutasidenib) + azacitidine (combination) on various AML/MDS disease states.
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Trial website
https://clinicaltrials.gov/study/NCT02719574
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Trial related presentations / publications
Watts JM, Baer MR, Yang J, Prebet T, Lee S, Schiller GJ, Dinner SN, Pigneux A, Montesinos P, Wang ES, Seiter KP, Wei AH, De Botton S, Arnan M, Donnellan W, Schwarer AP, Recher C, Jonas BA, Ferrell PB Jr, Marzac C, Kelly P, Sweeney J, Forsyth S, Guichard SM, Brevard J, Henrick P, Mohamed H, Cortes JE. Olutasidenib alone or with azacitidine in IDH1-mutated acute myeloid leukaemia and myelodysplastic syndrome: phase 1 results of a phase 1/2 trial. Lancet Haematol. 2023 Jan;10(1):e46-e58. doi: 10.1016/S2352-3026(22)00292-7. Epub 2022 Nov 10. Erratum In: Lancet Haematol. 2023 Jan;10(1):e9. doi: 10.1016/S2352-3026(22)00381-7.
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Public notes
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Contacts
Principal investigator
Name
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Clinical Transparency (dept. 2834)
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Address
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Novo Nordisk A/S
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0
0
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Phone
0
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Fax
0
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Email
0
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Contact person for public queries
Name
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Address
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Email
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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/NCT02719574
Download to PDF