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First in Human Testing of Dose-escalation of SAR440234 in Patients With Acute Myeloid Leukemia, Acute Lymphoid Leukemia and Myelodysplastic Syndrome
First in Human Testing of Dose-escalation of SAR440234 in Patients With Acute Myeloid Leukemia, Acute Lymphoid Leukemia and Myelodysplastic Syndrome

NCT03594955

TerminatedPhase 1, Phase 2

Sponsor: Sanofi

Conditions: Leukaemia

Interventions: SAR440234

Countries: United States, France

Primary Objective: * Dose escalation: To determine the maximum tolerated dose (MTD) of SAR440234 administered as a single agent in participants with relapsed or refractory acute myeloid leukemia (R/R AML), high risk myelodysplastic syndrome (HR-MDS), or B-cell acute lymphoblastic leukemia (B-ALL), and determine the recommended phase 2 dose (RP2D) for the subsequent Expansion part. * Expansion part: To assess the activity of single agent SAR440234 at the RP2D in participants with R/R AML or HR-MDS. Secondary Objective: * To characterize the safety profile including cumulative adverse drug reactions. * To evaluate the potential immunogenicity of SAR440234. * To assess any preliminary evidence of hematologic response in the Dose Escalation Part.

Eligibility overview

Sex: ALL

Age: 16 Years to

Healthy volunteers: No

Study type: INTERVENTIONAL

Eligibility criteria
Inclusion criteria:

* Confirmed diagnosis of Acute Myeloblastic leukemia (AML) (except acute promyelocytic leukemia), or myelodysplastic syndrome (MDS) with a risk category of intermediate or higher. Participants must had exhausted available treatment options and might not be eligible for any treatment known to provide clinical benefit.
* Participants with AML must had relapsed or refractory disease that had been resistant to available therapies.
* Participants with B-ALL (B acute lymphoid leukemia) in second or subsequent relapse: should had completed previously greater than or equal to (\>=) 1 cycle of a salvage regimen. Participants must had exhausted available treatment options and must not be eligible for any treatment known to provide clinical benefit.
* Participants with HR-MDS (high risk myelodysplastic syndrome) must have greater than (\>) 10 percentage blasts in the bone marrow at the time of enrollment and fit one of the following categories: Not eligible for induction therapy and having completed \>=2 cycles of therapy or not eligible for allogeneic stem cell transplant and had completed \>=1 course of induction therapy.
* Signed written informed consent.

Exclusion criteria:

* Aged less than 16 years old.
* Eastern Cooperative Oncology Group (ECOG) performance status \>2.
* Participants with inadequate biological tests.
* White blood cell count \> 30,000 per cubic millimeter.
* History of active or chronic autoimmune conditions that had required or requires therapy.
* Graft-versus-host disease following allogeneic stem cell transplantation required treatment with more than 10 milligrams (mg) of oral prednisone or equivalent daily. The stem cell transplant and/or donor lymphocyte infusion should had been performed more than 3 months before study treatment start.
* Second primary malignancy that required active therapy. Adjuvant hormonal therapy was allowed.
* Previous treatment with radiotherapy or immunotherapeutic agents in the 4 weeks prior to investigational medicinal product (IMP) administration.
* Previous treatment with any other investigational agent in the 4 weeks prior to IMP administration.
* Receiving, at the time of first IMP administration, of concurrent steroids \>10 mg per day of oral prednisone or the equivalent for \>=3 months.
* Requirement for tocilizumab for any other diagnosis.
* Evidence of active central nervous system leukemia at the time of enrollment.
* Acquired immunodeficiency syndrome (AIDS-related illnesses) or human immunodeficiency virus disease requiring antiretroviral treatment or had active Hepatitis B viral infection or Hepatitis C viral infection.
* Women of childbearing potential, male with a partner of childbearing potential who did not agree to use effective methods of birth control.
* Any clinically significant, uncontrolled medical conditions that, in the Investigator's opinion, would expose excessive risk to the participant or may interfere with compliance or interpretation of the study results.

The above information was not intended to contain all considerations relevant to a participant's potential participation in a clinical trial.
Locations (4)
  • Houston, Texas, United States
  • Marseille, France
  • Paris, France
  • Villejuif, France