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Leukemia, MyeloidPhase 1NCT04748848

A Safety, Tolerability and Preliminary Efficacy Study of CC-90011 in Combination With Venetoclax and Azacitidine in R/R Acute Myeloid Leukemia and Treatment-naïve Participants Not Eligible for Intensive Therapy

A Phase 1 study testing CC-90011, Venetoclax and Azacitidine in people with Leukemia, Myeloid, run by Celgene at 17 sites in 4 countries.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

CC-90011-AML-002 is a Phase 1/2, open-label, multicenter study to assess the safety, tolerability, and preliminary efficacy of CC-90011 given concurrently with Venetoclax and Azacitidine. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Leukemia, Myeloid
What is being tested?
CC-90011, Venetoclax and Azacitidine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
1 participants
Where
17 sitesin 4 countries
Study dates
14 Oct 2021to 9 Mar 2022
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

  • Participants must satisfy the following criteria to be enrolled in the study:
  • All participants (Parts I, II, and III):
  • 1. Participant must understand and voluntarily sign an Informed Consent Form (ICF) prior to any study-related assessments/procedures being conducted.
  • 3. Participant must have a projected life expectancy of at least 12 weeks. 4. Participant has Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.
  • 5. Participants must have the required protocol baseline laboratory values 6. Participant has adequate organ function 7. Participant must be able and willing to undergo hospitalization, hydration, and treatment with a uric acid-reducing agent prior to the first dose of venetoclax and during Cycle 1.
  • Part I only:
Show all 11Show fewer
  • 8. Relapsed and/or refractory acute myeloid leukemia (AML) as defined by the World Health Organization (WHO) Classification and is ≥ 18 years of age at the time of signing the ICF who are not eligible to receive further intensive therapy and:
  • Has failed to have a complete remission (CR) or CR with incomplete hematologic recovery (Cri) after induction plus reinduction with intensive chemotherapy (anthracycline plus cytarabine containing regimens) or 2 cycles of low intensity therapy (either 2 cycles of the same regimen or 1 cycle of 2 different regimens) OR
  • Has relapsed from CR from either intensive or low-intensity therapy. Participants with second relapse are also eligible
  • Part II and Part III only:
  • 9. Histologically confirmed treatment naïve Acute myeloid leukemia (AML) as defined by the 2008 World Health Organization (WHO) Classification, including secondary AML and therapy related AML, and is ≥ 75 years of age at the time of signing the ICF, or is ≥ 18 to 74 years at the time of signing the ICF with comorbidities precluding the use of intensive induction chemotherapy 10. Participant has not received prior therapy for AML with the exception of hydroxyurea to treat hyperleukocytosis.

Who cannot join

  • The presence of any of the following will exclude a participant from enrollment:
  • All participants (Parts I, II, and III):
  • Participant is suspected or proven to have acute promyelocytic leukemia (APL) based on morphology, immunophenotype, molecular assay, or karyotype.
  • Participant has favorable risk cytogenetics
  • Participants with AML who may receive fms-like tyrosine kinase 3 (FLT3) inhibitor directed therapy.
  • Participant has or is suspected of having active central nervous system (CNS) involvement.
Show all 33Show fewer
  • Participant has an active, uncontrolled infection except participants with infection under active treatment and controlled with antibiotics, antifungals, or antivirals are eligible.
  • Participant with prior autologous hematopoietic stem cell transplant (HSCT) who, in the investigator's judgment, have not fully recovered from the effects of the last transplant (eg, transplant related side effects).
  • Participant had prior allogeneic HSCT with either standard or reduced intensity conditioning ≤ 6 months prior to dosing.
  • Participants on systemic immunosuppressive therapy post HSCT at the time of screening, or with clinically significant graft-versus-host disease (GVHD). The use of topical steroids for ongoing skin or ocular GVHD is permitted.
  • Participant has immediate life-threatening, severe complications of leukemia such as disseminated/uncontrolled infection, uncontrolled bleeding, pneumonia with hypoxia or shock, and/or disseminated intravascular coagulation. The participant should be afebrile for at least 72 hours.
  • Participants requiring treatment with strong or moderate CYP3A inhibitors/inducers.
  • Participant has ongoing treatment with chronic, therapeutic dosing of anticoagulants.
  • Participant has a history of concurrent secondary cancers requiring active, ongoing systemic treatment.
  • Participant has known human immunodeficiency virus (HIV) infection.
  • Participant has known chronic active hepatitis B virus (HBV) or hepatitis C virus (HCV).
  • Participant who is seropositive due to HBV vaccination is eligible.
  • Participant who has no active viral infection and is under adequate prophylaxis against HBV reactivation is eligible.
  • Participant is known to have dysphagia, short-gut syndrome, gastroparesis, or other conditions that limit the ingestion or gastrointestinal absorption of drugs administered orally.
  • Participant has impaired cardiac function or clinically significant cardiac diseases
  • Participant has consumed grapefruit, grapefruit products, Seville oranges (including marmalade containing Seville oranges), or Star fruit within 3 days prior to first venetoclax dose through last dose of venetoclax.
  • Pregnant women are excluded from this study due to potential teratogenic and/or abortifacient effect of this therapy. Nursing mothers should stop breastfeeding in order to be eligible due to potential risk for Adverse Events (AEs) in a nursing infant.
  • Participant has had previous treatment with a lysine-specific demethylase 1A (LSD1) inhibitor.
  • Participant has any significant medical condition, laboratory abnormality, or psychiatric illness that would prevent the participant from participating in the study.
  • Participant has any condition including the presence of laboratory abnormalities, which places the participant at unacceptable risk if he/she were to participate in the study.
  • Participant has any condition that confounds the ability to interpret data from the study.
  • Participant received live COVID-19 vaccines within 30 days prior to initiation of study treatment
  • Participants currently in other interventional trials, including those for COVID-19, may not participate in BMS clinical trials until the protocol specific washout period is achieved. If a study participant has received an investigational COVID-19 vaccine or other investigational product designed to treat or prevent COVID-19 prior to screening, enrollment must be delayed until the biologic impact of the vaccine or investigational product is stabilized, as determined by discussion between the Investigator and the Medical Monitor.
  • Part I only:
  • Participant had prior treatment with venetoclax for AML, either as monotherapy or in combination with other agents.
  • Part II and Part III only:
  • Participant had prior treatment with hypomethylating agent (HMA) or chemotherapy for antecedent hematologic disorders. Prior treatment with hydroxyurea is permitted.
  • Participant has received systemic anticancer therapy (including investigational therapy), radiotherapy, or immunotherapy < 14 days or 5 half-lives, whichever is shorter, prior to the first dose of CC-90011.

Trial locations and contacts

17 sites in 4 countries.

17 sites in 4 countries

United States11 sites
  • Local Institution - 111

    Chicago, Illinois, 60611

  • Local Institution - 116

    Cleveland, Ohio, 44195

  • Local Institution - 115

    Columbus, Ohio, 43210

  • Local Institution - 104

    Dallas, Texas, 75246

  • Local Institution - 110

    Duarte, California, 91010-301

  • Local Institution - 118

    Durham, North Carolina, 27710

  • Local Institution - 101

    Houston, Texas, 77030

  • Local Institution - 108

    Miami, Florida, 33136

  • Local Institution - 103

    New Haven, Connecticut, 06510

  • Local Institution - 121

    New York, New York, 10029

  • Local Institution - 120

    Seattle, Washington, 98104

Other trials in United States

Spain4 sites
  • Local Institution - 803

    Barcelona, 08035

  • Local Institution - 800

    Barcelona, 08907

  • Local Institution - 802

    Madrid, 28007

  • Local Institution - 801

    Seville, 41013

Other trials in Spain

Belgium1 site
  • Local Institution - 202

    Ghent, 9000

Other trials in Belgium

France1 site
  • Local Institution - 401

    Villejuif, 94805

Other trials in France

About this study

Official title: A Phase 1/2, Open-label, Multicenter Dose Escalation and Dose Expansion Study to Evaluate the Safety, Tolerability, and Preliminary Efficacy of CC-90011 in Combination With Venetoclax and Azacitidine in R/R Acute Myeloid Leukemia (AML) and Treatment-naïve Subjects With AML Who Are Not Eligible for Intensive Induction Chemotherapy

CC-90011-AML-002 is a Phase 1/2, open-label, multicenter study to assess the safety, tolerability, and preliminary efficacy of CC-90011 given concurrently with Venetoclax and Azacitidine. This study will include 3 parts: a dose escalation part in R/R AML, a dose escalation part in ndAML (treatment-naïve participants with AML who are ≥ 75 years of age or are ≥ 18 to 74 years of age and otherwise not eligible for intensive induction chemotherapy), and a randomized dose expansion part in ndAML of Venetoclax and Azacitidine with or without CC-90011.

Being tested
CC-90011, Venetoclax, Azacitidine
Keywords
Acute Myeloid Leukemia, CC-90011, Venetoclax, Azacitidine, LSD-1 inhibitor, Minimal residual disease
Medical subject headings
Leukemia, Myeloid, Leukemia, Myeloid, Acute, Neoplasm, Residual

What participants receive

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

  • CC-90011Drug

    CC-90011 will be given PO on Days 1, 8, and 15 of continuous 4-week (28-day) cycle. The dose escalation is designed to explore three dose levels of CC-90011, for example 20, 40, and 60 mg as determined by Bayesian design.

  • VenetoclaxDrug

    Venetoclax is administered orally QD on Days 1 to 28 of each 28-day cycle with a brief dose ramp-up for Cycle 1 with the dosing of 100 mg on Day 1, 200 mg on Day 2, and 400 mg on Day 3. Venetoclax should be administered at 400 mg on subsequent days.

  • AzacitidineDrug

    Azacitidine is administered on Days 1 to 7 of each 28-day cycle as an IV infusion or SC injection at 75 mg/m2

  • VenetoclaxDrug

    Venetoclax is administered orally QD on Days 1 to 28 of each 28-day cycle

  • CC-90011Drug

    CC-90011 will be given PO on Days 1, 8, and 15 of continuous 4-week (28-day) cycle at the recommended phase to dose of CC-90011 confirmed in dose escalation.

Study groups in NCT04748848
Study groupRoleWhat they receive
CC-90011 in combination with Venetoclax and Azacitidine in Dose EscalationExperimentalCC-90011 in combination with venetoclax and azacitidine in dose escalation
Receives: Drug: CC-90011; Drug: Venetoclax; Drug: Azacitidine
Venetoclax and AzacitidineExperimentalVenetoclax and Azacitidine control arm in dose expansion. The participants will be randomized to the treatment arm or control arm at a 2:1 ratio.
Receives: Drug: Azacitidine; Drug: Venetoclax
CC-90011 in combination with Venetoclax and Azacitidine in Dose ExpansionExperimentalCC-90011 in combination with venetoclax and azacitidine in dose expansion
Receives: Drug: Venetoclax; Drug: Azacitidine; Drug: CC-90011

What is being measured

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

  1. Adverse Events (AEs)

    An AE is any noxious, unintended, or untoward medical occurrence that may appear or worsen in a participant during the course of a study. It may be a new intercurrent illness, a worsening concomitant illness, an injury, or any concomitant impairment of the participant's health, including laboratory test values, regardless of etiology. Any worsening (ie, any clinically significant adverse change in the frequency or intensity of a preexisting condition) should be considered an AE

    Measured: From ICF signature until 28 days after last dose of CC- 90011 and all combination agents

  2. Recommended Phase 2 dose (RP2D)

    The RP2D will include evaluation of DLTs and MTD using NCI CTCAE criteria

    Measured: Up to approximately Cycle 1 (each cycle is 28 days)

Secondary outcomes (12)
  1. Complete remission (CR) Rate

    Defined as the rate of achieving CR (as assessed by the Investigator and by programmatic outputs by the Sponsor)

    Measured: Up to approximately 10 months

  2. Complete remission with partial hematologic recovery (CRh) Rate

    Defined as the rate of achieving CRh (as assessed by the Investigator and by programmatic outputs by the Sponsor)

    Measured: Up to approximately 2 years

  3. Overall response rate (ORR)

    Defined as the rate of achieving CR/CRMRD-/CRi/PR/MLFS

    Measured: Up to approximately 2 years

  4. Duration of response (CR)

    Time from the first CR to the date of documented disease relapse or death, whichever is earlier.

    Measured: Up to approximately 2 years

  5. Duration of response (CR/CRh)

    Time from the first CR or CRh to the date of documented disease relapse or death, whichever is earlier.

    Measured: Up to approximately 2 years

  6. Duration of response (CR/ CRMRD-/ CRi/ PR/MLFS)

    Time from the first CR, CRMRD-, CRi, PR or MLFS to the date of documented disease relapse, progression, or death, whichever is earlier.

    Measured: Up to approximately 2 years

  7. Event-free survival (EFs)_Part III Only

    Time from study randomization to the date of treatment failure, relapse from CR or death from any cause, whichever comes first.

    Measured: Up to approximately 2 years

  8. Overall survival (OS)_Part III Only

    Time from study randomization to the date of death due to any cause.

    Measured: Up to approximately 2 years

  9. Minimal residual disease (MRD) Response Rate_Part II and III only

    The rate of having at least a one log reduction in disease burden or an MRD negative (10-3) test result.

    Measured: Up to approximately 2 years

  10. Minimal residual disease (MRD) Conversion Rate_Part II and III Only

    The rate of participants achieving MRD negativity (10-3) at any time on therapy.

    Measured: Up to approximately 2 years

  11. Complete response with incomplete hematologic recovery (CRi) rate

    Defined as the rate of achieving CRi (as assessed by the Investigator and by programmatic outputs by the Sponsor)

    Measured: Up to approximately 2 years

  12. Duration of response (CR/CRi)

    Time from the first CR or CRi to the date of documented disease relapse or death, whichever is earlier.

    Measured: Up to approximately 2 years

Timeline

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

  1. First posted10 Feb 2021
  2. Study start14 Oct 2021
  3. Primary completion9 Mar 2022
  4. Study completion9 Mar 2022

Why it stopped: Business objectives have changed.

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
Randomised
Intervention model
Sequential
Masking
None (open label)
Enrolment
1 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04748848
Sponsor's protocol ID
CC-90011-AML-002
Other IDs
U1111-1251-6973, 2020-005341-16
Status last verified
Feb 2023
First submitted
2 Feb 2021
Last updated
2 Mar 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
Individual data sharing
Yes: Information relating to our policy on data sharing and the process for requesting data can be found at the following link: https://www.celgene.com/research-development/clinical-trials/clinical-trials-data-sharing/

Questions about this trial

What is this clinical trial studying?

A Phase 1 study testing CC-90011, Venetoclax and Azacitidine in people with Leukemia, Myeloid, run by Celgene at 17 sites in 4 countries.

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 11 inclusion and 33 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: stopped early, as of the sponsor's last update on 2 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 17 sites in United States, Spain, Belgium, France. 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 was stopped early (reason given: Business objectives have changed.). Results are not available in the source record.

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?

Adverse Events (AEs) (time frame: From ICF signature until 28 days after last dose of CC- 90011 and all combination agents). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 2 Mar 2023; AzTrials last refreshed its copy on 6 Nov 2026.

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