BTK Inhibitor in B Cell Malignancies



Status:Recruiting
Conditions:Lymphoma
Therapuetic Areas:Oncology
Healthy:No
Age Range:18 - Any
Updated:11/24/2016
Start Date:August 2016
End Date:June 2019
Contact:US Medical Information
Phone:888-275-7376

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Phase I/II, First in Human, Dose Escalation Trial of the Bruton's Tyrosine Kinase Inhibitor M7583 in Patients With Relapsed/Refractory B Cell Malignancies and Expansion Cohorts in Patients With Mantle Cell Lymphoma and Diffuse Large B Cell Lymphoma (ABC Subtype) That Have Progressed After at Least 1 But Not More Than 3 Prior Lines of Therapy

M7583 is an investigational drug that is being evaluated for the treatment of patients with
B-cell malignancies, which are cancers that form in B cells (cells that are part of the
immune system). This study has been designed to assess the use of the study drug in patients
with B-cell lymphomas who have tried and did not respond well (or the B-cell lymphoma came
back) to at least one but not more than three types of treatment for cancer. This is a Phase
I/II study, which means that it is looking at several dose levels of an investigational
medication in terms of its safety and how well it is tolerated in multiple doses. The final
selected dose will be tested for activity against the tumor in specific populations of
lymphoma (Mantle cell lymphoma and Diffuse Large B Cell Lymphoma)


Inclusion Criteria:

- Patient population In the dose escalation cohorts: Patients with pathologically
confirmed B cell malignancy (i.e. DLBCL, CLL, small lymphocytic lymphoma [SLL],
follicular lymphoma [FL], mantle cell lymphoma (MCL), Morbus Waldenström), with at
least 1, but not more than 3 prior lines of therapy.

In the dose expansion cohort: Patients with relapsed/refractory DLBCL (ABC subtype)
histo-pathologically confirmed by gene expression profiling (GEP) tested at a central
laboratory or MCL with documented overexpression of either cyclin D1 or t(11;14), with at
least 1, but not more than 3 prior lines of therapy, and measurable disease according to
the Cheson criteria.

- Life expectancy of greater than 4 months from the first dose of M7583 and Eastern
Cooperative Oncology Group (ECOG) performance status of less than equal to (<=) 2 at
Screening

- Adequate hematological function in the absence of transfusions defined (within 6
weeks prior to first dose of study medication) defined by white blood cell (WBC)
count greater than equal to (>=) 3 x 109/liter (L) with absolute neutrophil count
(ANC) >= 1.0 x 109/L, platelet count >= 50 x 109/L, and haemoglobin >=9 gram per
decilitre (g/dL).

- Adequate hepatic function defined by a total bilirubin level <= 1.5 x upper limit of
normal (ULN), aspartate aminotransferase (AST) <= 2.5 x ULN, and alanine
aminotransferase (ALT) <= 2.5 x ULN.

- Adequate renal function defined by an estimated glomerular filtration rate (GFR)
greater than (>) 45 milliliter per minute (mL/min) according to the 4-component
Modification of Diet in Renal Disease (MDRD) equation. (GFR [mL/min/1.73 m2] = 175 x
serum creatinine (Scr)-1.154 x age-0.203 x 1.212 [if African American] x 0.742 [if
female]).

- Documented disease progression (based on Cheson and Halleck criteria) after the most
recent treatment regimen.

- The patient must also agree to pretreatment and on-treatment tumor biopsies of an
affected lymph node or bone marrow aspirates if bone marrow is involved.

- Adult male and female patients aged ≥ 18 years.

Exclusion Criteria:

Previous exposure to any BTK inhibitor.

- Known central nervous system lymphoma or leukemia.

- History of Richter's transformation or prolymphocytic leukemia.

- Prior therapy with:

Anticancer treatment with chemotherapy, immunotherapy, hormonal therapy, biologic therapy,
or with any other anticancer therapy within 28 days prior to Cycle 1 Day 1 (C1D1) of trial
drug treatment; (6 weeks for nitrosurea or mitomycin C).

Any investigational agent within 28 days prior to C1D1 of trial drug treatment.

- Not recovered from toxicity due to prior therapy, to pretherapy status or Grade 1 or
less (except alopecia).

- Received surgical intervention within 21 days prior to C1D1 of M7583 treatment or
received prior allogeneic stem cell transplant or autologous bone marrow
transplantation within 6 months prior to first dose of M7583.

- Current significant cardiac conduction abnormalities, including corrected QT duration
(QTc) prolongation of > 480 msec or a history of past or paroxysmal atrial
fibrillation or significant cardiac arrhythmia.

- A history of cardiovascular/cerebrovascular disease as follows: not fully recovered
cerebral vascular accident/stroke (< 6 months prior to enrolment), myocardial
infarction (less than (<) 6 months prior to enrolment), unstable angina or congestive
heart failure (New York Heart Association Classification Class >= II).

- Current hypertension uncontrolled by medication.

- Concomitant treatment with non-permitted drugs, including but not limited, to
warfarin or other Vitamin K antagonists.

Patients receiving medications, herbal supplements, or food known to be moderate or strong
inhibitors of CYP3A within 7 days prior to the first dose of M7583, or moderate or strong
inducers of CYP3A within 21 days prior to the first dose of M7583, or drugs mainly
metabolized by CYP3A with a narrow therapeutic index that cannot be stopped before the
first dose of trial treatment.
We found this trial at
2
sites
Rockland, Massachusetts 02370
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Rockland, MA
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Darmstadt,
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