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TerminatedPhase 1

PRT1419 as Monotherapy or in Combination With Azacitidine or Venetoclax in R/R Myeloid or B-cell Malignancies

Key facts

Who runs it
Prelude Therapeutics Incorporated
Where
Bethesda, Brick, Canton, Houston, New York, Orange City, Orlando, Philadelphia, and Port Jefferson Station, United StatesSee the 9 sites
Trial code
Status
Terminated
Phase
Phase 1
People taking part
21 people enrolled
Started
22 Mar 2022
Ended
19 Jan 2024
Type of study
Interventional, 3 groups
Treatments tested
  • PRT1419
  • Azacitidine
  • Venetoclax
Record updated
31 January 2024
Why it stopped
Company Decision

Who can take part

Age
18 years and older
Sex
Women and men
Healthy volunteers
Cannot take part

The registry criteria, word for word

Show all 13 criteriaShow less

Who can take part

  • Willing and able to comply with all scheduled visits, treatment plan, laboratory tests, lifestyle considerations (including contraception requirements), and other study procedures
  • Refractory/relapsed disease, having progressed on prior treatment, and without access to further approved therapies or ineligible for approved therapies, in one of the following disease categories: AML, CMML, MDS, MDS/MPN Overlap Syndrome, CLL/SLL, and B-cell NHLs
  • Eastern Cooperative Oncology Group (ECOG) Performance Score of 0 to 2
  • Adequate organ function (hematology, hepatic, renal, and coagulation)

Who cannot take part

  • Treatment with either OATP1B1, OATP1B3 substrates or strong inhibitors of CYP2C8, CYP3A4, and any medication contraindicated in combination with AZA or VEN
  • Prior exposure to an MCL-1 inhibitor
  • Active inflammatory disorders of the gastrointestinal tract, a history of bariatric surgery or other disorders with the potential for GI malabsorption
  • Cardiac function compromise, as assessed by echocardiogram or protocol-specified biochemical markers of cardiac damage, or protocol-defined clinically significant heart disease
  • History of cerebrovascular accident or transient ischemic attack, within 6 months of screening. Participants with a history of pulmonary embolism must not be symptomatic at enrollment
  • Undergone hematopoietic stem-cell transplantation (HSCT) within the last 90 days or have graft-versus-host disease (GVHD) Grade > 1 at study entry
  • Uncontrolled intercurrent illnesses, poorly controlled hypertension or dyslipidemias, Unstable central nervous system (CNS) metastases
  • Within 5 half-lives or 14 days (whichever is longer) following the last systemic anti-cancer therapy
  • History of another malignancy except for:; Adequately treated non-melanoma skin cancer or lentigo maligna without evidence of disease; Adequately treated cervical or breast carcinoma in situ without evidence of disease; Asymptomatic prostate cancer without known metastatic disease and no requirement for therapy or requiring only hormonal therapy and with normal prostate specific antigen for >1 year prior to enrollment; Other malignancy treated with curative intent with no known active disease for > 2 years prior to enrollment

Where in United States

  • American Oncology Partners of Maryland, PABethesda, United States
  • New Jersey Center for Cancer ResearchBrick, United States
  • Gabrail Cancer Center ResearchCanton, United States
  • The University of Texas MD Anderson Cancer CenterHouston, United States
  • Memorial Sloan Kettering Cancer Center - Main CampusNew York, United States
  • Mid Florida Hematology and oncology CenterOrange City, United States
  • AdventHealth Bone and Marrow Transplant CenterOrlando, United States
  • Thomas Jefferson University, Sidney Kimmel Cancer CenterPhiladelphia, United States
  • North Shore Hematology Oncology Associates Dba New York Cancer and Blood SpecialistsPort Jefferson Station, United States

About the trial

What the trial wants to find out

This is a Phase 1 dose-escalation study of PRT1419, a myeloid cell leukemia-1 (MCL-1) inhibitor, in participants with selected relapsed/refractory myeloid or B-cell malignancies. The purpose of this study is to evaluate the safety and tolerability of PRT1419 monotherapy and in combination with either azacitidine or venetoclax, describe any dose limiting toxicities (DLTs), define the dosing schedule, and to determine the maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D).

The 3 groups in the trial

  • PRT1419 MonotherapyTreatment being tested

    PRT1419 will be administered by intravenous infusion once weekly on a 28-day treatment cycle at the dose level assigned.

    Treatment: PRT1419

  • PRT1419/Azacitidine CombinationTreatment being tested

    PRT1419 will be administered by intravenous infusion once weekly on a 28-day treatment cycle at the dose level assigned and Azacitidine will be administered by intravenous or subcutaneous on Days 1 through 7 (or alternatively on Days 1 through 5, 8 and 9) of each 28-day treatment cycle.

    Treatment: PRT1419 and Azacitidine

  • PRT1419/Venetoclax CombinationTreatment being tested

    PRT1419 will be administered by intravenous infusion once weekly on a 28-day treatment cycle at the dose level assigned and Venetoclax will be administered orally after either a 3-day or 5-week ramp-up period to reach 400 mg daily administration, prior to commencing PRT1419 administration.

    Treatment: PRT1419 and Venetoclax

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
A Phase 1, Open-Label, Multicenter, Dose Escalation Study of PRT1419 Injection as Monotherapy or in Combination With Azacitidine or Venetoclax in Patients With Relapsed/Refractory Myeloid or B-cell Malignancies
Record updated
31 January 2024