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This is an open-label, multicenter, dose-escalation Phase 1/1b study in patients with acute myelogenous leukemia (AML)/MDS or non-Hodgkin Lymphoma (NHL), intended to investigate safety, pharmacokinetics, and the pharmacodynamic effects of FT-1101 administered via one or more intermittent dosing schedules alone and in combination with azacitidine. Once the MTD has been established for a treatment cohort, up to 20 additional patients may be enrolled in up to 4 expansion cohorts each of select populations of patients with either AML/MDS or NHL at the recommended dose for future studies to confirm safety.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dose Escalation FT-1101 | Experimental | Following a 3+3 dose escalation strategy, the first cohort of patients will be administered FT-1101 at 10 mg, oral capsules, once weekly on a continuous basis. Subsequent cohorts dose and frequency will be determined by investigators and sponsor following observations of previous cohorts. Dose escalation will continue until the MTD is determined. |
|
| Dose Expansion FT-1101 | Experimental | Once the MTD is determined, the Recommended Phase 2 Dose (RP2D) will be identified. 3 Expansion cohorts of up to 20 patients each will be treated with the RP2D of FT-1101 |
|
| Dose Escalation FT-1101 + azacitidine | Experimental | Following a 3+3 dose escalation strategy, the first cohort of AML/MDS patients will be administered FT-1101 at approximately 50% or lower than the MTD identified for the single agent FT-1101. Subsequent cohorts dose will be determined by investigators and sponsor following observations of previous cohorts. Dose escalation will not exceed the dose determined to be the single agent MTD for that schedule. |
|
| Dose Expansion FT-1101 + azacitidine | Experimental | Once the MTD is determined, the Recommended Phase 2 Dose (RP2D) will be identified. 1 Expansion cohorts of up to 20 AML/MDS patients each will be treated with the RP2D of FT-1101 in combination with azacitidine. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| FT-1101 | Drug | FT-1101 will be supplied as 5 mg, 20 mg or 100 mg capsules and will be administered per the protocol defined frequency and dose level |
|
| Measure | Description | Time Frame |
|---|---|---|
| Maximum Tolerated Dose (MTD) | Within first 4 weeks of treatment | |
| Dose Limiting Toxicities (DLT) | Within first 4 weeks of treatment | |
| Recommended Phase 2 Dose (RP2D) | Participants to be followed for duration of participation, an expected average of 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Area under the plasma concentration versus time curve (AUC) | PK collected at multiple visits during the first 30 days of treatment | |
| Peak Plasma Concentration (Cmax) | PK collected at multiple visits during the first 30 days of treatment |
| Measure | Description | Time Frame |
|---|---|---|
| Assessment of on-target activity of FT-1101, as determined by changes in PD biomarkers in bone marrow aspirates and/or peripheral blood | Assessed for duration of participation, an expected average of 12 weeks | |
| To determine if there is any correlation between cancer-associated genetic alterations with response |
Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Patrick Kelly, MD | Forma Therapeutics, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Cedars Sinai | Los Angeles | California | 90048 | United States | ||
| Florida Cancer Specialists |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 39734743 | Derived | Crymes A, Evans MG, Jeyakumar D, Lou JJ, Zhao X, Rezk SA. Acute Myeloid Leukemia (AML) With T-Cell Differentiation Arising From Chronic Myelomonocytic Leukemia (CMML). Case Rep Hematol. 2024 Dec 14;2024:5584297. doi: 10.1155/crh/5584297. eCollection 2024. |
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|
| Azacitidine | Drug | Azacitidine will be administered per site's standard of care |
|
| Time of peak plasma concentration (TMax) | PK collected at multiple visits during the first 30 days of treatment |
| Time for half of the drug to be absent in blood stream following dose (T 1/2) | PK collected at multiple visits during the first 30 days of treatment |
| Rate at which drug is removed from blood stream (CL/F) | PK collected at multiple visits during the first 30 days of treatment |
| Rate of drug distribution within the blood stream (Vd/F) | PK collected at multiple visits during the first 30 days of treatment |
| Observe patients for any evidence of anti-leukemic or anti-myelodysplastic activity of FT-1101 | Assessed for duration of participation, an expected average of 12 weeks |
| Assessed for duration of participation, an expected average of 12 weeks |
| To evaluate PK/PD relationships in dose-escalation and dose-expansion cohorts | Assessed for duration of participation, an expected average of 12 weeks |
| Sarasota |
| Florida |
| 34232 |
| United States |
| Moffitt Cancer Center | Tampa | Florida | 23985 | United States |
| Northwestern University | Chicago | Illinois | 60611 | United States |
| University of Maryland, Greenebaum Comprehensive Cancer Center | Baltimore | Maryland | 21201 | United States |
| Levine Cancer Institute | Charlotte | North Carolina | 28204 | United States |
| Sarah Cannon Research Institute | Nashville | Tennessee | 37203 | United States |
| MD Anderson Cancer Center | Houston | Texas | 77030 | United States |
| ID | Term |
|---|---|
| D015470 | Leukemia, Myeloid, Acute |
| D009190 | Myelodysplastic Syndromes |
| D008228 | Lymphoma, Non-Hodgkin |
| ID | Term |
|---|---|
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D001855 | Bone Marrow Diseases |
| D008223 | Lymphoma |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
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| ID | Term |
|---|---|
| D001374 | Azacitidine |
| ID | Term |
|---|---|
| D001372 | Aza Compounds |
| D009930 | Organic Chemicals |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D011743 | Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D012263 | Ribonucleosides |
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