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AML, AdultPhase 1NCT03194685

Study of FF-10101-01 in Patients With Relapsed or Refractory Acute Myeloid Leukemia

A Phase 1 study testing FF-10101-01 in people with AML, Adult, run by Fujifilm Pharmaceuticals U.S.A., Inc. at 7 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A Phase 1 dose escalation and dose ranging study of FF-10101-01 in subjects with relapsed or refractory acute myeloid leukemia to determine the safety, tolerability, PK and preliminary efficacy. A total of 9 cohorts will be enrolled in Phase 1 to establish the Maximum Tolerated Dose (MTD). Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
AML, Adult
What is being tested?
FF-10101-01
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
97 participants
Where
7 sitesUnited States
Study dates
5 May 2017to 31 Jul 2021
Phase
Phase 1
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

None listed.

Who cannot join

  • Subjects diagnosed with acute promyelocytic leukemia
  • Subjects with Bcr-Abl positive leukemia (chronic myelogenous leukemia in blast crisis)
  • Subjects with clinically active CNS leukemia
  • Subjects with major surgery within 28 days prior to the first administration of FF-10101-01
  • Subjects with radiation therapy within 28 days prior to the first administration of FF-10101-01
  • Subjects with active malignant disease requiring therapy other than AML or myelodysplastic syndrome with transformation into AML
Show all 18Show fewer
  • Subjects with an active uncontrolled infection
  • Subjects with a medical condition, serious intercurrent illness, or other circumstance that, in the Investigator's judgment, could jeopardize the subject's safety as a study subject, or that could interfere with the study objectives
  • Subjects known to have human immunodeficiency virus infection, or who have active hepatitis B or C infection as determined by serological testing
  • Subjects with congestive heart failure, New York Heart Association (NYHA) Class 3 or 4, or subjects with a past history of congestive heart failure NYHA Class 3 or 4 and in whom echocardiogram or multiple gate acquisition (MUGA) scan performed within 3 months prior to screening or at screening showed a LVEF <40%
  • Female subjects who are pregnant or breast feeding
  • Subjects on 3-hydroxy-3-methylglutaryl-coenzyme A reductase inhibitors (statins) or other drugs known to have muscle toxicity
  • Subjects taking strong inhibitors of CYP3A4 will be excluded from the study unless therapeutic substitution is possible
  • Subjects taking strong inducers of CYP3A4 will be excluded from the study unless therapeutic substitution is possible
  • Use of systemic immunosuppressive agents within 14 days prior to first dose of FF-10101
  • Subjects taking drugs known to cause Torsades de Pointes will be excluded from the study unless therapeutic substitution is possible
  • Subjects known to have long QT syndrome
  • Subjects with mean QTcF values following 3 ECGs conducted 5 minutes apart of >470 msec

Trial locations and contacts

7 sites in 1 country.

7 sites in 1 country

United States7 sites
  • Johns Hopkins Hospital - Sidney Kimmel Cancer Center

    Baltimore, Maryland, 21287

  • Massachusetts General Hospital Cancer Center

    Boston, Massachusetts, 02114

  • Roswell Park Comprehensive Cancer Center

    Buffalo, New York, 14263

  • Northwestern University

    Chicago, Illinois, 60611

  • University of California Los Angeles, David Geffen School of Medicine

    Los Angeles, California, 90095

  • University of Pennsylvania

    Philadelphia, Pennsylvania, 19104

  • University Of California, San Francisco School of Medicine

    San Francisco, California, 94143

Other trials in United States

About this study

Official title: A First-in-Human Phase 1 Study to Assess the Safety, Tolerability, Efficacy, and Pharmacokinetics of FF-10101-01 in Subjects With Relapsed or Refractory Acute Myeloid Leukemia

A Phase 1 dose escalation and dose ranging study of FF-10101-01 in subjects with relapsed or refractory acute myeloid leukemia to determine the safety, tolerability, PK and preliminary efficacy. A total of 9 cohorts will be enrolled in Phase 1 to establish the Maximum Tolerated Dose (MTD).

Read the detailed description

Subjects will receive FF-10101-01 orally once a day repeated every 28 days =1 cycle Frequent blood draws will be collected to measure pharmacodynamic parameters and pharmacodynamic activity.

Disease assessments, including bone marrow aspirates, will be performed at the beginning of cycles 1-3, and every 3 months thereafter. Subjects who demonstrate objective response or stable disease will be allowed to continue therapy with FF-10101-01 until , observation of unacceptable adverse events, or until the subject is no longer deriving benefit based on the opinion of the investigator.

Conditions
AML, Adult
Being tested
FF-10101-01
Keywords
Acute Myeloid Leukemia
Medical subject headings
Leukemia, Myeloid, Acute

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • FF-10101-01Drug

    Also called FF-10101 succinate

    FF-10101-01 will be administered orally once a day on Days 1-28 of a 28-day cycle. In Phase 1, the dose escalation will proceed until MTD is reached.

Study groups in NCT03194685
Study groupRoleWhat they receive
Cohort 1: 10 mgExperimentalOrally once a day (QD) on Days 1-28 of a 28-day cycle. Drug: FF-10101-01
Receives: Drug: FF-10101-01
Cohort 2: 20 mgExperimentalOrally once a day (QD) on Days 1-28 of a 28-day cycle. Drug: FF-10101-01
Receives: Drug: FF-10101-01
Cohort 3: 35 mgExperimentalOrally once a day (QD) on Days 1-28 of a 28-day cycle. Drug: FF-10101-01
Receives: Drug: FF-10101-01
Cohort 4: 50 mgExperimentalOrally once a day (QD) on Days 1-28 of a 28-day cycle. Drug: FF-10101-01
Receives: Drug: FF-10101-01
Cohort 5: 75 mgExperimentalOrally once a day (QD) on Days 1-28 of a 28-day cycle. Drug: FF-10101-01
Receives: Drug: FF-10101-01
Cohort 6: 100 mgExperimentalOrally once a day (QD) on Days 1-28 of a 28-day cycle. Drug: FF-10101-01
Receives: Drug: FF-10101-01
Cohort 7: 150 mgExperimentalOrally once a day (QD) on Days 1-28 of a 28-day cycle. Drug: FF-10101-01
Receives: Drug: FF-10101-01
Cohort 8: 225 mgExperimentalOrally once a day (QD) on Days 1-28 of a 28-day cycle. Drug: FF-10101-01
Receives: Drug: FF-10101-01

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Phase 1: Frequency of adverse events

    Safety Assessments include frequency of adverse events (AEs) in percentage (%)

    Measured: 12 months

Secondary outcomes (26)
  1. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Maximum observed concentration (Cmax)

    Maximum observed concentration (Cmax)

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  2. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Time to maximum concentration (tmax)

    Time to maximum concentration (tmax)

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  3. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Area under the plasma concentration-time curve in the sampled matrix during a 24-hour dosing interval (AUC(τ))

    Area under the plasma concentration-time curve in the sampled matrix during a 24-hour dosing interval (AUC(τ))

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  4. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite -Plasma concentration-time curve (AUC(0-last))

    Area under the plasma concentration-time curve in the sampled matrix from time zero to the last quantifiable concentration, if concentrations are not quantifiable over the entire 24-hour dosing interval (AUC(0-last))

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  5. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Dose normalized AUC(τ) (AUC(τ)/dose)

    Dose normalized AUC(τ) (AUC(τ)/dose)

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  6. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Dose normalized Cmax (Cmax/dose)

    Dose normalized Cmax (Cmax/dose)

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  7. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Accumulation ratio for AUC

    Accumulation ratio for AUC [RaccAUC ie, ratio of Day 29/Day 1 of the PK parameter]

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  8. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Accumulation ratio for Cmax

    Accumulation ratio for Cmax [RaccCmax ie, ratio of Day 29/Day 1 of the PK parameter]

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  9. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Oral clearance (CL/F) for FF-10101

    Oral clearance (CL/F) for FF-10101

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  10. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Average concentrations (Cavg)

    Average concentrations (Cavg)

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  11. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Minimum observed concentration (Cmin)

    Minimum observed concentration (Cmin)

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  12. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Fluctuation index

    Fluctuation index

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  13. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Metabolite (FF-10101M1) to parent (FF-10101) exposure ratios for Cmax

    Metabolite (FF-10101M1) to parent (FF-10101) exposure ratios for Cmax

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  14. Phase 1: Evaluate the Pharmacokinetic profile of FF-10101-01 and its Metabolite - Metabolite (FF-10101M1) to parent (FF-10101) exposure ratios for AUC(τ)

    Metabolite (FF-10101M1) to parent (FF-10101) exposure ratios for AUC(τ)

    Measured: Cycle 1, Day 1 through Cycle 2, Day 1

  15. Phase 1: Frequency of Serious Adverse Events

    Safety Assessments include frequency of Serious adverse events (SAEs)

    Measured: 12 Months

  16. Phase 1: Frequency of Dose Limiting Toxicities

    Safety Assessments include frequency of dose-limiting toxicities (DLTs), dose reductions, delays, or withdrawals due to toxicity.

    Measured: 12 Months

  17. Phase 1: Frequency of adverse events including assessment of Hematology laboratory parameters

    Safety assessments also include assessment of clinical laboratory parameters Hematology

    Measured: 12 Months

  18. Phase 1: Frequency of adverse events including assessment of serum chemistry laboratory parameters

    Safety assessments also include assessment of clinical laboratory parameters serum chemistry

    Measured: 12 Months

  19. Phase 1: Frequency of adverse events including assessment of urinalysis laboratory parameters

    Safety assessments also include assessment of clinical laboratory parameters urinalysis

    Measured: 12 Months

  20. Phase 1: Frequency of Adverse events including assessment of vital signs

    Safety assessments also include assessment of Vital signs (Heart Rate and BP)

    Measured: 12 Months

  21. Phase 1: Frequency of Adverse events including assessment of vital signs - Heart Rate

    Safety assessments also include assessment of Vital signs Heart Rate

    Measured: 12 Months

  22. Phase 1: Frequency of Adverse events including assessment of vital signs - Blood Pressure

    Safety assessments also include assessment of Vital signs BP)

    Measured: 12 Months

  23. Phase 1: Frequency of Adverse events including assessment of 12 lead ECG.

    Safety assessments also include assessment of 12 lead ECG.

    Measured: 12 Months

  24. Phase 1: Composite complete remission rate (CRc) including CR

    Composite complete remission rate (CRc) which includes CR

    Measured: 12 Months

  25. Phase 1: Composite complete remission rate (CRc) including CR with incomplete platelet recovery (CRp)

    Composite complete remission rate (CRc) which includes CR with incomplete platelet recovery (CRp)

    Measured: 12 Months

  26. Phase 1: Composite complete remission rate (CRc) including CR with incomplete neutrophil recovery with or without platelet recovery (CRi))

    Composite complete remission rate (CRc) which includes CR with incomplete neutrophil recovery with or without platelet recovery (CRi))

    Measured: 12 Months

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted21 Jun 2017
  2. Study start5 May 2017
  3. Primary completion31 Jul 2021
  4. Study completion31 Jul 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
97 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03194685
Sponsor's protocol ID
FF-10101-US101
Status last verified
Dec 2024
First submitted
4 May 2017
Last updated
24 Dec 2024
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
No

Publications

  • Levis M, Perl A, Schiller G, Fathi AT, Roboz G, Wang ES, Altman J, Rajkhowa T, Ando M, Suzuki T, Subach RA, Maier G, Madden T, Johansen M, Cheung K, Kurman M, Smith C. A phase 1 study of the irreversible FLT3 inhibitor FF-10101 in relapsed or refractory acute myeloid leukemia. Blood Adv. 2024 May 28;8(10):2527-2535. doi: 10.1182/bloodadvances.2023010619.

    PubMed 38502195

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing FF-10101-01 in people with AML, Adult, run by Fujifilm Pharmaceuticals U.S.A., Inc. at 7 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 0 inclusion and 18 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 24 Dec 2024. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 7 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Phase 1: Frequency of adverse events (time frame: 12 months). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03194685, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 24 Dec 2024.

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