About this trial
Evaluate the safety, tolerability, pharmacokinetics, and preliminary efficacy of ICP-248 in combination with azacitidine in patients with acute myelogenous leukemia and Myelodysplastic Syndromes.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Subject must have confirmation of diagnosis of AML (except for acute promyelocytic leukemia [APL]) or MDS per 2016 World Health Organization (WHO) criteria.
Previously treated relapsed/refractory AML subjects
Treatment-naïve AML subjects should be: ≥60 years of age OR ≥18 years and <60 years will be eligible if the subject has at least one of the following co-morbidities, which make the subject unfit for intensive chemotherapy
For MDS cohort: Adult TN MDS and R/R MDS: revised International Prognostic Scoring System (IPSS-R) score > 3 and bone marrow blasts ≥ 5%.
Disqualifiers
R/R AML or R/R MDS with no response or intolerance to post azacitidine or BCL-2i.
Subject has acute promyelocytic leukemia (French-American-British Class M3 AML) .
Subject has known central nervous system (CNS) leukemia.
Suggest patients with active hepatitis B or C virus infection
Trial design
Single group
Treatments tested in this trial
ICP-248
DrugEligible patients will receive ICP-248 orally as per the protocol,once daily for every 28 days as one treatment cycle
Azacitidine
DrugEligible patients will receive azacitidine subcutaneously or intravenously as per the protocol,once daily on days 1-7 of each 28-day cycle.
Treatment groups
Trial outcomes
Primary outcomes
Incidence, type, and severity of dose-limiting toxicity (DLT).
Recommended phase II dose (RP2D) and/or maximum tolerated dose (MTD).
The incidence, nature, and severity of adverse events (AEs) as assessed per National Cancer Institute-Common Terminology Criteria for Adverse Events (NCI-CTCAE v5.0) criteria.
AML cohort:Composite complete remission rate by Investigator per ELN 2017 criteria.
Secondary outcomes
AML cohort:Composite complete remission rate: The proportion of subjects with complete remission (CR) and CR with incomplete hematologic recovery (CRi) by Investigator per European Leukemia Net (ELN) 2017 criteria.
AML cohort:Composite complete remission rate by completion of cycle 2 by Investigator per ELN 2017 criteria.
The incidence, nature, and severity of adverse events (AEs) as assessed per NCI-CTCAE v5.0 criteria.
Maximum concentration (Cmax)of ICP-248.
Sponsors and contacts
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