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A Phase I Combination Study of CYC065 and Venetoclax for Relapsed or Refractory Chronic Lymphocytic Leukemia (CLL)
This is an open-label, single arm, dose escalation study in patients with relapsed or refractory CLL. Treatment will be administered on an outpatient basis and all patients will receive CYC065 over 4-hour infusion once every 2 weeks on Day 1 and Day 15 in combination with venetoclax. One treatment cycle is 4 weeks.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| CYC065 and venetoclax | Experimental | CYC065 will be administered intravenously via 4-hour infusion on Day 1 and Day 15 after the venetoclax ramp-up schedule is completed. Venetoclax will be taken daily at a dose that is deemed safe and tolerable after the ramp-up schedule. One cycle will be 28 days or 4 weeks. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| CYC065 | Drug | intravenous infusion |
| |
| Venetoclax |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients who experience dose-limiting toxicity (DLT) | At the end of cycle 1 (each cycle is 28 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Pharmacokinetic effect | Plasma drug level | At the end of cycle 1 (each cycle is 28 days) |
| Pharmacodynamic effect | MCL-1 level in peripheral white blood cells |
| Measure | Description | Time Frame |
|---|---|---|
| Anti-tumor activity | Response assessed by investigators based on International Workshop for CLL criteria or International Working Group criteria for patients with small lymphocytic lymphoma. | From the date of first dose of CYC065 to 4 weeks after the last dose of CYC065 |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Mark Kirschbaum, MD | Cyclacel Pharmaceuticals, Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Investigational Site | Baltimore | Maryland | 21201 | United States | ||
| Investigational Site |
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| ID | Term |
|---|---|
| D012008 | Recurrence |
| D015451 | Leukemia, Lymphocytic, Chronic, B-Cell |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D015448 | Leukemia, B-Cell |
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| ID | Term |
|---|---|
| C000621593 | CYC065 |
| C579720 | venetoclax |
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Three to 6 patients will be entered at a given CYC065 dose level. Dose escalation will be 33% until one out of 3 patients experienced a DLT at a given dose level. Dose escalation will continue at 25% if no additional DLT is observed; otherwise, dose escalation will be stopped. At least 6 patients will be treated at RD.
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| Drug |
oral capsule |
|
|
| At the end of cycle 1 (each cycle is 28 days) |
| Charlotte |
| North Carolina |
| 28204 |
| United States |
| Investigational Site | Houston | Texas | 77030 | United States |
| D007945 | Leukemia, Lymphoid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D008232 | Lymphoproliferative Disorders |
| D008206 | Lymphatic Diseases |
| D007160 | Immunoproliferative Disorders |
| D007154 | Immune System Diseases |
| D002908 | Chronic Disease |