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Acute Myeloid LeukemiaPhase 1NCT04471064

A Study of XY0206 Tablets in Patients With Relapsed / Refractory Acute Myeloid Leukemia

A Phase 1 study testing XY0206 in people with Acute Myeloid Leukemia, run by Shijiazhuang Yiling Pharmaceutical Co. Ltd at 1 site in China.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

1. To evaluate the safety and tolerability of xy0206 as single drug in the treatment of relapsed / refractory AML; 2. Evaluate the dose limited toxicity (DLT) and maximum tolerable dose (MTD) of xy0206 as single drug in the treatment of relapsed / refractory AML subjects. 3. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Acute Myeloid Leukemia
What is being tested?
XY0206
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteChina
Study dates
15 Sep 2020to Feb 2024
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

  • Patients must meet all of the following criteria before entering the group:
  • 1. At least 18 years old; 2. Based on the World Health Organization (WHO) 2016 classification, the patients who were confirmed by the morphology of bone marrow cells and met the diagnosis criteria of relapsed / refractory AML (refer to the Chinese diagnosis and treatment guidelines for relapsed and refractory acute myeloid leukemia (2017 version)), the diagnosis criteria of relapsed AML: after CR, the peripheral blood once again showed leukemia cells or the original / immature cells in bone marrow were more than 5% (except the bone marrow after consolidated chemotherapy) The diagnosis standard of refractory AML: the primary refractory disease that has not been completely relieved after two courses of chemotherapy induced by standard regimen (including cytarabine and an anthracycline or anthraquinone drug); 3. ECOG physical fitness score is ≤ 2 points ; 4 Estimated survival time ≥ 12 weeks; 5 The organ function level of subjects must meet the following requirements:
  • Blood routine test: WBC ≤ 30 × 109 / L (it is allowed to take hydroxyurea until 3 days before administration of test drug to stabilize WBC);
  • Blood biochemistry: serum creatinine (Scr) ≤ 1.5 × ULN or creatinine clearance rate (Ccr) ≥ 60 ml / min (using Cockcroft -Gault formula); alanine aminotransferase (ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) ≤ 2.5 × ULN (liver with leukemia cell infiltration ≤ 5 × ULN), total bilirubin (TBIL) ≤ 1.5 × ULN;
  • Electrolyte: the content of potassium, sodium, calcium and magnesium in the blood is within the normal value range of the laboratory (if the abnormal laboratory result judged by the researcher is of no clinical significance or can be controlled within the normal value range by drugs in the screening period, the subject can be included in the group);
  • Coagulation function: INR ≤ 1.5 × ULN, APTT < 10 seconds, PT < 3 seconds, FIB ≥ 1.5g/l (blood products or drugs are allowed to be corrected 3 days before administration of test drugs);
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  • Friderica corrected QT value (QTC) for male ≤ 450 ms or female ≤ 470 MS;
  • LVEF≥ 50%;
  • Urinary protein < 2 + was detected in urine routine. If urinary protein ≥ 2 +, 24-hour urinary protein quantification is needed, and only when 24-hour urinary protein < 2g can be enrolled in the group; 6. The serum pregnancy test must be carried out within 28 days before receiving the first dose of study drug and the result must be negative. The women of childbearing age and the male subjects agree to adopt the routine and effective contraceptive measures during the whole study period and within 6 months after the treatment; 7. The subjects should be willing to provide effective diagnosis evidence before treatment or accept bone marrow puncture or biopsy for diagnosis, and accept bone marrow puncture or biopsy for efficacy evaluation after treatment; 8. Volunteer to participate in clinical research and sign informed consent in writing.

Who cannot join

  • Patients cannot participate in this clinical study if they meet any of the following conditions:
  • Known allergy to the study drug or any of its ingredients; has been treated with sunitinib malate, or allergy to sunitinib malate;
  • BCR / ABL positive leukemia (chronic myeloid leukemia);
  • The subjects had central nervous system leukemia;
  • The subjects had secondary AML after chemotherapy for other tumors (except MDS);
  • At the same time, patients with other malignant tumors (except for those with cured stage IB or lower grade cervical cancer, non-invasive basal cell or squamous cell skin cancer, malignant melanoma with complete remission (CR) > 10 years, and other malignant tumors with complete remission (CR) > 5 years);
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  • Treatment before the trial:
  • Previous treatment with FLT3 inhibitor;
  • Patients who have received allogeneic hematopoietic stem cell transplantation before;
  • Received chemotherapy, biotherapy, targeted antitumor therapy within 28 days before starting to use the study drug, and radiotherapy within 14 days;
  • Drugs with significant effect on P450 metabolic enzyme pathway taken within 2 weeks before the screening period;
  • Have participated in other clinical studies and applied research drugs within 28 days before starting to use research drugs;
  • Major surgery or significant traumatic injury within 28 days prior to the first administration of the study treatment or maybe major surgery is needed during the study treatment period;
  • Concomitant drugs that may cause QTc prolongation or induce torsade de pointes (TdP) are required, in addition to antimicrobials used as standard therapy for the prevention or treatment of infection and other such drugs considered essential by the researchers;
  • The toxic and side effects caused by previous treatment did not recover to CTCAE ≤ 1, except for hair loss and other tolerable events judged by the researchers;
  • Combined diseases:
  • One or more HBsAg, HCV, anti HIV or anti Treponema pallidum specific antibodies are positive;
  • Clinically significant gastrointestinal abnormalities that may affect drug intake, transport or absorption (e.g., inability to swallow, chronic diarrhea, intestinal obstruction, peptic ulcer, etc.), subjects with total gastrectomy, or patients with malabsorption syndrome;
  • Have a history of uncontrolled epilepsy, central nervous system disease or mental illness;
  • Hypertension with poor drug control (persistent systolic blood pressure ≥ 150 mmHg and / or diastolic blood pressure ≥ 100 mmHg despite antihypertensive treatment);
  • Poorly controlled diabetes mellitus (fasting blood glucose continues to be > 7.1mmol/L despite hypoglycemic treatment), or insulin-dependent diabetes mellitus (type I diabetes), or non insulin-dependent diabetes mellitus with small vessel disease, or pancreatic dysfunction;
  • In the 12 months before the first application, there were any of the following conditions: symptomatic congestive heart failure (New York Heart Association class II-IV), uncontrolled arrhythmia, angina pectoris, myocardial infarction, stroke (except lacunar infarction), coronary / peripheral artery bypass surgery, pulmonary embolism;
  • Long QT syndrome with congenital long QT interval syndrome or known family history;
  • There is a history of LVEF falling below 40%;
  • Uncontrolled active infections (bacteria, viruses, fungi, etc.);
  • Bleeding grade ≥ grade 3 ;
  • Have adrenal insufficiency;
  • The thyroid function was abnormal in the past, or could not be maintained in the normal range even under the condition of drug treatment;
  • Currently, there are serious unhealed wounds, ulcers or fractures;
  • Stevens Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN);
  • For female subjects: currently in pregnancy or lactation;
  • Any previous or current disease, treatment, or laboratory abnormality that may interfere with the results of the study, affect the subject's participation in the whole process of the study, or the subject is not suitable for the study in the opinion of the investigator.

Trial locations and contacts

1 site in 1 country.

Jianxiang Wang, MD contact

022-23909120

wangjx@ihcams.ac.cn

China1 site, 1 recruiting
  • Institute of Hematology, Chinese Academy of Medical Sciences

    Tianjin, Tianjin Municipality, 300052

    Junyuan Qi, MD, 18622662361, qi_jy@yahoo.com

    Recruiting

Other trials in China

About this study

Official title: A Multicenter, Open, Dose Increasing Phase I Study to Evaluate the Safety, Tolerability, Pharmacokinetics, and Primary Efficacy of xy0206 Tablets in Relapsed / Refractory Acute Myeloid Leukemia Subjects

  1. To evaluate the safety and tolerability of xy0206 as single drug in the treatment of relapsed / refractory AML;
  2. Evaluate the dose limited toxicity (DLT) and maximum tolerable dose (MTD) of xy0206 as single drug in the treatment of relapsed / refractory AML subjects.
  3. To evaluate the pharmacokinetic (PK), pharmacokinetic (PD) characteristics and PK / PD correlation of xy0206 as single drug treatment in relapsed / refractory AML subjects;
  4. To evaluate the primary efficacy of xy0206 as single drug in the treatment of relapsed / refractory AML patients;
  5. To evaluate biomarkers of xy0206 as single drug treatment for relapsed / refractory AML subjects.
Being tested
XY0206
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.

  • XY0206Drug

    Dosage form:Tablet;Multiple dose phase:Take the medicine once a day,1 tablet at a time.4 weeks of continuous medication is one course of treatment. After the first course of treatment, the subjects can continue to receive the experimental drug treatment until they meet the withdrawal criteria. The duration and interval of treatment were determined according to the accumulated condition after multiple dose.

Study groups in NCT04471064
Study groupRoleWhat they receive
XY0206-12.5mgExperimentalDrug:XY0206;Dosage form:Tablet;Dosage:12.5mg; multiple dose phase
Receives: Drug: XY0206
XY0206-25mgExperimentalDrug:XY0206;Dosage form:Tablet;Dosage:25mg; multiple dose phase
Receives: Drug: XY0206
XY0206-50mgExperimentalDrug:XY0206;Dosage form:Tablet;Dosage:50mg; multiple dose phase
Receives: Drug: XY0206
XY0206-100mgExperimentalDrug:XY0206;Dosage form:Tablet;Dosage:100mg; multiple dose phase
Receives: Drug: XY0206
XY0206-150mgExperimentalDrug:XY0206;Dosage form:Tablet;Dosage:150mg; multiple dose phase
Receives: Drug: XY0206
XY0206-200mgExperimentalDrug:XY0206;Dosage form:Tablet;Dosage:200mg; multiple dose phase
Receives: Drug: XY0206
XY0206-250mgExperimentalDrug:XY0206;Dosage form:Tablet;Dosage:250mg; multiple dose phase
Receives: Drug: XY0206

What is being measured

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

  1. Maximum tolerable dose

    The occurrence of Maximum tolerable dose.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  2. Dose limiting toxicity

    The occurrence of Dose limiting toxicity.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  3. Adverse event

    The occurrence rate of Adverse event.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  4. Adverse drug reactions

    The occurrence rate of adverse drug reactions.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  5. Serious adverse events

    The occurrence rate of Serious adverse events.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  6. Blood routine

    Check whether the red blood cell system, white blood cell system and platelet system are normal

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  7. Urine routine

    Urine routine examination includes urine color, transparency, pH, red blood cells, white blood cells, epithelial cells, tube type, protein, specific gravity and urine sugar.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  8. Stool routine

    Routine stool tests include the detection of red and white blood cells in feces, bacterial sensitivity test, occult blood test (OB) and inspection of eggs.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  9. Blood biochemistry

    The contents of various ions, sugars, lipids, proteins, enzymes, hormones and metabolites in blood were detected

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  10. Serum amylase / lipase

    Evaluation of pancreatic function

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  11. Coagulation function

    Four coagulation parameters including prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT) and fibrinogen (FIB) were evaluated.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  12. ECG

    Evaluation of QT interval

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  13. Echocardiography

    To evaluate the electrophysiological condition of the heart

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  14. Imaging examination

    Chest X-ray/CT

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  15. Body temperature

    One of the vital signs.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  16. Blood pressure

    Assess whether systolic blood pressure and diastolic blood pressure are normal

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  17. Heart rate

    One of the vital signs.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  18. Breathing

    Assess if breathing is normal

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  19. Skin

    Assess if the skin is normal.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  20. Head

    Head examination includes head, eyes, ears, nose, lips, etc.Assess if head is normal

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  21. Neck

    Neck examination includes thyroid gland, lymph node, etc.Assess if neck is normal.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  22. Chest

    Chest examination includes lung, cardiovascular, etc.Assess if chest is normal.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  23. Abdomen

    Abdominal examination includes liver and spleen.Assess if abdomen is normal.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  24. Limbs

    Assess if limbs is normal.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  25. Nerves

    Assess nerve function by communication

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

  26. Back/spine

    Assess if back/spine is normal.

    Measured: from the start of the medication to the end of the study or 28 days after cessation of medication

Timeline

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

  1. First posted14 Jul 2020
  2. Study start15 Sep 2020
  3. Primary completionFeb 2024 (estimated)
  4. Study completionFeb 2024 (estimated)

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
60 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04471064
Sponsor's protocol ID
HY-XY0206-Ⅰ-02
Status last verified
May 2023
First submitted
1 Jul 2020
Last updated
18 May 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Shen L, Yang Y, Xu C, Jiang B, Duan X, Shao X, Li S, Liu S, Huang C, Song L, Sun M, Fan J, Wang N, Zhang D, Fang Y, Kang L, Jiang Y, Niu M, Qi J, Cheng T, Wang H. XY0206 targets FLT3-dependent resistance states in acute myeloid leukemia. J Clin Invest. 2026 Sep 1;136(20):e204701. doi: 10.1172/JCI204701. eCollection 2026 Oct 15.

    PubMed 42678731
  • Song L, Wei X, Zhai Z, Wang A, Jiang D, Liang Y, Li F, Jiang Z, Zhang X, Guo Q, Jing H, Xu Y, Tong X, Wang J, Wang J, Qi J. Phase I/II Trial of the FLT3 Kinase Inhibitor XY0206 in Patients With Relapsed/Refractory Acute Myeloid Leukemia. Eur J Haematol. 2026 Aug;117(2):422-431. doi: 10.1111/ejh.70164. Epub 2026 Apr 21.

    PubMed 42015516

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing XY0206 in people with Acute Myeloid Leukemia, run by Shijiazhuang Yiling Pharmaceutical Co. Ltd at 1 site in China.

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 9 inclusion and 32 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: status not confirmed, as of the sponsor's last update on 18 May 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in China. 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?

Results are not available in the source record.

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

Contact wei Wang, master (086-0311-66703017, wangwei001@yiling.cn), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Maximum tolerable dose (time frame: from the start of the medication to the end of the study or 28 days after cessation of medication). The study lists 26 primary outcomes in all. 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 NCT04471064, which also lists 2 linked publications.

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 18 May 2023.

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