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The goal of the study is to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and efficacy of TERN-701, a highly selective allosteric inhibitor of BCR-ABL1, in participants with previously treated chronic phase - chronic myeloid leukemia (CP-CML).
The study has two parts: Part 1 of the trial (Dose Escalation) will evaluate sequential dose escalation cohorts of TERN-701 administered once daily.
Part 2 (Dose Expansion) consists of randomized, parallel dose expansion cohorts of TERN-701 that will further evaluate the efficacy and safety of 2 recommended dose levels for expansion selected from Part 1. Part 2m (mutation cohort) will further evaluate the efficacy and safety of 500mg of TERN-701 in previously treated CP-CML participants with certain resistance mutations.
In both Part 1 and Part 2, participants will receive continuous once daily dosing of TERN-701 divided into 28-day cycles. During the treatment period, participants will have scheduled visits to the trial center at Cycle 1 day 1(C1D1), C1D2 (Part 1 only), C1D8, C1D15, and C1D16 (Part 1 only), followed by Day 1 of Cycles 2 through 7, and Day 1 of every 3 cycles thereafter.
Approximately 180 participants could be enrolled in this trial, up to 80 participants in Part 1 (dose escalation), including optional backfill cohorts, approximately 80 participants in Part 2 (randomized dose expansion), and approximately 20 participants in Part 2m (mutation cohort).
All participants will receive active trial intervention.
Four dose-level cohorts have been evaluated in Part 1; two dose levels will be evaluated in Part 2 (Randomized Dose Expansion), and one dose level will be evaluated in Part 2m (mutation cohort).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Part 1- Dose Level 1 (160 mg) of TERN-701 | Experimental | Dose Level 1 of TERN-701 dosed once daily. |
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| Part 1- Dose Level 2 (320 mg) of TERN-701 | Experimental | Dose Level 2 of TERN-701 dosed once daily. |
|
| Part 1- Dose Level 3 (400 mg) of TERN-701 | Experimental | Dose Level 3 of TERN-701 dosed once daily. |
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| Part 1- Dose Level 4 (500 mg) of TERN-701 | Experimental | Dose Level 4 of TERN-701 dosed once daily. |
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| Part 2 - Dose 1 (320 mg) | Experimental | Dose 1 was selected based on the totality of safety, PK, PD and efficacy data from Part 1. TERN-701 administered once daily. |
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| Part 2 - Dose 2 (500 mg) | Experimental | Dose 2 was selected based on the totality of safety, PK, PD and efficacy data from Part 1. TERN-701 administered once daily. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| TERN-701 | Drug | TERN-701 orally QD |
|
| Measure | Description | Time Frame |
|---|---|---|
| Part 1 - Incidence of Dose Limiting Toxicities during the first cycle of treatment | Determination of the Maximum Tolerated Dose (MTD) and recommended doses for expansion cohorts of TERN-701. | First cycle is 28 days |
| Part 1 - Serious Adverse Events | Number and percentage of patients with any serious adverse event | up to 3 years |
| Part 1 - Adverse Events | Number and percentage of patients with any adverse event | up to 3 years |
| Part 2- Complete Hematologic Response (CHR) | CHR Defined by ELN 2020 criteria in participants who are not in CHR at baseline. | up to 3 years |
| Part 2: Molecular response (MR) | MR defined by ELN 2020 criteria measured by quantitative polymerase chain reaction of BCR-ABL transcript levels. | up to 3 years |
| Part 2 - Best categorical shift in BCR-ABL1 transcript levels from baseline | The best categorical molecular response shift on treatment relative to baseline | up to 3 years |
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Key Inclusion Criteria:
Key Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Study Director | Contact | 650-525-5535 | clinicaltrials@ternspharma.com |
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Alabama Medicine (UAB Medicine) | Recruiting | Birmingham | Alabama | 35233 | United States | |
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A sequential Intervention Model was used for Part 1 Dose Escalation. In the Part 2 Randomized Dose Expansion, participants will be randomized to one of two selected doses in parallel for the duration of the study. Participants enrolled into Part 2m (mutational cohort) will receive the same selected dose
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| Part 2m - 500 mg Dose | Experimental | Dose for Part 2m was selected based on the totality of safety, PK, PD and efficacy data from Part 1 and nonclinical data. TERN-701 is administered once daily. |
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| Banner MD Anderson Cancer Center |
| Recruiting |
| Gilbert |
| Arizona |
| 85234 |
| United States |
| UC Irvine Health | Recruiting | Orange | California | 92868 | United States |
| Rocky Mountain Cancer Centers, LLP | Recruiting | Lone Tree | Colorado | 80303 | United States |
| Florida Cancer Specialists - South Region Research Office | Not yet recruiting | Fort Myers | Florida | 33901 | United States |
| Florida Cancer Affiliates - Ocala | Recruiting | Ocala | Florida | 34474 | United States |
| Florida Cancer Specialists - North Region Research Office | Not yet recruiting | St. Petersburg | Florida | 33705 | United States |
| Florida Cancer Specialists - East Region Research Office | Not yet recruiting | West Palm Beach | Florida | 33401 | United States |
| Georgia Cancer Center at Augusta University | Recruiting | Augusta | Georgia | 30912 | United States |
| Memorial Sloan Kettering Cancer Center - Main Campus | Recruiting | New York | New York | 10065 | United States |
| Atrium Health Levine Cancer Institute | Recruiting | Winston-Salem | North Carolina | 27103 | United States |
| Willamette Valley Cancer Institute and Research Center | Recruiting | Eugene | Oregon | 97401 | United States |
| Oregon Health & Science University | Recruiting | Portland | Oregon | 97239 | United States |
| Thomas Jefferson University - Center City (Philadelphia) | Recruiting | Philadelphia | Pennsylvania | 19107 | United States |
| Tristar BMT | Recruiting | Nashville | Tennessee | 37203 | United States |
| The University of Texas M.D. Anderson Cancer Center | Recruiting | Houston | Texas | 77030 | United States |
| Huntsman Cancer Institute | Recruiting | Salt Lake City | Utah | 84112 | United States |
| Fred Hutchinson Cancer Center | Recruiting | Seattle | Washington | 98109 | United States |
| Royal Adelaide Hospital | Recruiting | Adelaide | South Australia | 5000 | Australia |
| Monash Medical Centre | Not yet recruiting | Clayton | Victoria | 3168 | Australia |
| Peter MacCallum Cancer Centre | Not yet recruiting | Melbourne | Victoria | 3000 | Australia |
| Royal Perth Hospital | Recruiting | Perth | Western Australia | 6000 | Australia |
| Centre Léon Bérard | Recruiting | Lyon | Auvergne-Rhône-Alpes | 69008 | France |
| Institut Bergonié | Recruiting | Bordeaux | 33076 | France |
| Institut Paoli Calmettes | Recruiting | Marseille | 13273 | France |
| CHU de Nantes (University Hospital of Nantes) - Hôtel Dieu | Recruiting | Nantes | 44093 | France |
| Hôpital Saint Louis | Recruiting | Paris | 75010 | France |
| Centre Hospitalier Lyon-Sud | Recruiting | Pierre-Bénite | 69495 | France |
| Universitätsklinikum Aachen | Recruiting | Aachen | 52074 | Germany |
| Charité Campus Virchow-Klinikum - Universitätsmedizin Berlin | Recruiting | Berlin | 10117 | Germany |
| Universitätsklinikum Frankfurt | Recruiting | Frankfurt am Main | 60590 | Germany |
| Medizinische Hochschule Hannover | Recruiting | Hanover | 30625 | Germany |
| Universitätsklinikum Jena | Recruiting | Jena | 07747 | Germany |
| Universitätsklinikum Mannheim | Recruiting | Mannheim | 68167 | Germany |
| Klinikum rechts der lsar der Technischen Universität München | Recruiting | München | 81675 | Germany |
| Azienda Ospedaliero-Universitaria di Bologna - Policlinico di Sant'Orsola | Recruiting | Bologna | 40138 | Italy |
| Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico | Recruiting | Milan | 20122 | Italy |
| Fondazione IRCCS San Gerardo dei Tintori - SC Centro di Ricerca Fase I | Recruiting | Monza | 20900 | Italy |
| Fondazione IRCCS San Gerardo dei Tintori | Recruiting | Monza | 20900 | Italy |
| Auckland City Hospital | Not yet recruiting | Auckland | 1023 | New Zealand |
| Christchurch Hospital | Recruiting | Christchurch | 8011 | New Zealand |
| Uijeorigbu Eulji Medical Center, Eulji University | Recruiting | Uijeongbu-si | Gyeonggi-do | 11749 | South Korea |
| Hallym University Sacred Heart Hospital | Recruiting | Anyang-si | Gyeonggido | 14068 | South Korea |
| Dong-A University hospital | Recruiting | Busan | 49201 | South Korea |
| Keimyung University Dongsan Hospital | Recruiting | Daegu | 42601 | South Korea |
| Hospital Universitari Vall d'Hebrón | Recruiting | Barcelona | 08035 | Spain |
| Hospital Clínic de Barcelona | Recruiting | Barcelona | 08036 | Spain |
| Hospital Universitari Germans Trias i Pujol (ICO Badalona) | Recruiting | Barcelona | 08916 | Spain |
| Hospital Universitario de Gran Canaria Doctor Negrín | Recruiting | Las Palmas | 35010 | Spain |
| Hospital Universitario de La Princesa | Recruiting | Madrid | 28006 | Spain |
| Hospital Universitario Ramón y Cajal | Recruiting | Madrid | 28034 | Spain |
| Hospital Universitario 12 de Octubre | Recruiting | Madrid | 28041 | Spain |
| Hospital de Día Quirónsalud Zaragoza | Recruiting | Zaragoza | 50012 | Spain |
| Imperial College Healthcare NHS Trust | Recruiting | London | England | W12 0HS | United Kingdom |
| ID | Term |
|---|---|
| D015466 | Leukemia, Myeloid, Chronic-Phase |
| D015464 | Leukemia, Myelogenous, Chronic, BCR-ABL Positive |
| ID | Term |
|---|---|
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D009196 | Myeloproliferative Disorders |
| D001855 | Bone Marrow Diseases |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D002908 | Chronic Disease |
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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