Acute Myeloid Leukemia Clinical Trial
— REGALOfficial title:
A Randomized, Open-Label Study of the Efficacy and Safety of Galinpepimut-S (GPS) Maintenance Monotherapy Compared to Investigator's Choice of Best Available Therapy in Subjects With Acute Myeloid Leukemia Who Have Achieved Complete Remission After Second-Line Salvage Therapy
Verified date | April 2024 |
Source | Sellas Life Sciences Group |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
To assess the safety and efficacy of galinpepimut-S (GPS) compared with investigator's choice of best available therapy (BAT) on overall survival (OS) in subjects with acute myeloid leukemia (AML) who are in second or later complete remission (CR2) or second or later complete remission with incomplete platelet recovery (CRp2).
Status | Active, not recruiting |
Enrollment | 128 |
Est. completion date | March 2025 |
Est. primary completion date | December 2024 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: 1. Willing and able to understand and provide signed informed consent for the study that fulfills Institution Review Board (IRB) guidelines. 2. Male or female patients =18 years of age on the day of signing informed consent. 3. Must have a diagnosis of AML according to the WHO criteria (primary/de novo or secondary, including treatment-related [e.g., due to prior anthracycline use], as well as cases due to progression of antecedent hematological disorder [e.g., MDS, MPN, or MDS/MPN 'overlap' syndrome). 4. Must be in second morphological complete remission (with or without platelet recovery; CR2/CRp2) for relapsed AML based upon the CRp criteria as follows: 1. <5% myeloblasts in bone marrow 2. Absence of Auer rods 3. Absence of circulating peripheral blasts 4. Peripheral blood absolute neutrophil count (ANC) >1000 cells/µL 5. Peripheral blood platelet count >20,000/µL 6. Absence of extramedullary disease 5. Patients must have > 300 lymphocytes/ µL. 6. Must not be candidates at the time of study entry for allogeneic stem cell transplant (Allo-SCT) due to intercurrent medical conditions, patient's preference or lack of an available donor. 7. Must have received the last dose of re-induction antileukemic therapy at least 4 weeks or ten half-lives of induction therapy (whichever is shorter) prior to receiving study treatment. 8. Must be consented within 6 months of having achieved CR2/CRp2 or later. 9. Must have an Eastern Cooperative Oncology Group (ECOG) performance status of 0, 1, 2 or 3. 10. Must have an estimated life expectancy >6 months. 11. If female, is postmenopausal (at least 12 sequential months of amenorrhea) or surgically sterile. Females of childbearing potential must have a negative pregnancy test 12. Female patients of childbearing potential who are heterosexually active and male patients with female sexual partners of childbearing potential must agree to use an effective method of contraception (e.g., oral contraceptives, double-barrier methods such as a condom and a diaphragm, intrauterine device) during the study and for 4 months following the last dose of study medication, or to abstain from sexual intercourse for this time; a woman not of childbearing potential is one who has undergone bilateral oophorectomies or who is post- menopausal, defined as the absence of menstrual periods for 12 consecutive months. 13. Must have recovered to National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE) v5 Grade 0 or 1 after completion of prior AML therapy with the exception of the platelet count requirements (i.e., as long as peripheral blood platelet count is >20,000/µL). 14. Must not have end stage renal disease. 15. Must have adequate hepatic function defined as a serum total bilirubin <2 × ULN (except for Gilbert's syndrome, which will allow bilirubin =3.0 mg/dL), and alanine aminotransferase (ALT) and aspartate aminotransferase (AST) =3 × ULN. 16. Must be willing and able to return to the clinical site for adequate follow-up and to comply with the protocol as required. Exclusion Criteria: 1. For subjects randomized to GPS maintenance monotherapy: 1. Continuation of any agents administered as part of induction of CR2/CRp2 or later 2. Receiving any concurrent anti-AML systemic therapy 3. Prior clinically significant allergic reaction to Montanide, sargramostim (GM-CSF) or filgrastim (granulocyte colony stimulating factor [G-CSF]). 4. Received any consolidation and/or maintenance antileukemic therapy, investigational agent, systemic corticosteroid therapy, or other immunosuppressive therapy within 4 weeks prior or 10 half lives, whichever is shorter prior to receiving study treatment. Systemic corticosteroids for chronic conditions (at doses =10 mg/day of prednisone or equivalent) or permitted, as are inhalational, intra-ocular, intra-articular and topical corticosteroids as well as any corticosteroids or other immunosuppressive therapies that do not act systemically (e.g. budesonide) at any dose level. 2. Imminently planned hematopoietic stem cell transplant (autologous or allogeneic, with any degree of match donor). 3. Acute promyelocytic leukemia or any morphologic and molecular variants, inclusive. 4. Serious concurrent illness that in the opinion of the Investigator would pose an undue risk to the subject being participating in the clinical study. 5. Currently have, central nervous system leukemia. 6. Received a live vaccine within 30 days prior to the first dose of study drug. Examples of live vaccines include, but are not limited to, the following: measles, mumps, rubella, varicella/zoster (chicken pox), yellow fever, rabies, Bacillus Calmette-Guérin (BCG), and typhoid vaccine. Seasonal influenza vaccines for injection are generally killed virus vaccines and are allowed; however, intranasal influenza vaccines (e.g., FluMist®) are live attenuated vaccines and are not allowed. Vaccines for Covid-19 used under an EUA, are considered an authorized (though not an approved or cleared) medical product for use in clinical care. Vaccines used for the prevention of Covid-19 are allowed to be used. 7. Currently participating in or has participated in a study of an investigational agent or has used an investigational device within 4 weeks, or in the case of drugs 10 half lives, whichever is shorter, prior to the first dose of study treatment. 8. Patients who had an SCT after their most recent re-induction that resulted in CR2 or CRp2 or later are not eligible. Patients with prior SCT are allowed only if they had SCT prior to their latest re-induction or achieved CR by means of transplant ("hot transplant"). 9. Diagnosis of immunodeficiency or is receiving chronic systemic steroid therapy (in dosing exceeding 10 mg daily of prednisone equivalent) or any other form of immunosuppressive therapy exceeding 10 mg daily of prednisone equivalent within 7 days prior the first dose of study drug. The use of physiologic doses of corticosteroids and/or immunosuppressive agents may be approved after consultation with the Sponsor. Steroids taken as short-term therapy (= 7 days) for antiemesis are permissible. 10. Known additional malignancy that is progressing or has required active treatment within the past 5 years, even if currently inactive or unapparent. 11. Known active CNS metastases and/or carcinomatous meningitis. Participants with previously treated brain metastases may participate provided they are radiologically stable, i.e., without evidence of progression for at least 4 weeks by repeat imaging (note that the repeat imaging should be performed during study screening), clinically stable and without requirement of steroid treatment for at least 14 days prior to first dose of study treatment. 12. Known hypersensitivity to Montanide or vaccine adjuvants. 13. Previous clinically significant systemic allergic reaction to Montanide, sargramostim (GM-CSF), or filgrastim (G-CSF). 14. Active autoimmune disease that has required systemic treatment in past 2 years (i.e., with use of disease modifying agents, corticosteroids or immunosuppressive drugs). Replacement therapy (e.g., thyroxine, insulin, or physiologic corticosteroid replacement therapy for adrenal or pituitary insufficiency) is not considered a form of systemic treatment and is allowed. 15. Active life threatening infection requiring systemic therapy. 16. History or current evidence of any condition, therapy, or laboratory abnormality that might confound the results of the study, interfere with the patient's participation for the full duration of the study, or is not in the best interest of the participant to participate, in the opinion of the treating investigator. This includes any serious, intercurrent, chronic, or acute illness, such as cardiac disease (New York Heart Association [NYHA] class III or IV), hepatic disease, or other illness considered by the investigator as an unwarranted high risk for investigational drug treatment. 17. Known psychiatric or substance abuse disorder that would interfere with the participant's ability to cooperate with the requirements of the study. 18. Is pregnant or breastfeeding or expecting to conceive or father children within the projected duration of the study, starting with the screening visit through 30 days after the last dose of study treatment. 19. Has had an allogeneic tissue/solid organ transplant. |
Country | Name | City | State |
---|---|---|---|
France | CHU Amiens-Picardie - Hopital Sud | Amiens | |
France | CHU Angers | Angers | |
France | CHU de Caen | Caen | |
France | CHU de Grenoble | Grenoble | |
France | Hôtel Dieu - Nantes | Nantes | |
France | Hôpital Saint Antoine | Paris | |
France | Centre Hospitalier Lyon Sud | Pierre-Bénite | |
France | CHU de Poitiers | Poitiers | |
France | Institut Gustave Roussy | Villejuif | |
Germany | Klinikum Chemnitz gGmbH | Chemnitz | |
Germany | Universitatsklinikum Leipzig | Leipzig | |
Germany | Universitätsklinik Rostock | Rostock | |
Greece | University General Hospital of Alexandroupoli | Alexandroupolis | |
Greece | General Hospital of Athens "?ippokration" | Athens | |
Greece | General Hospital of Athens "Evaggelismos" | Athens | |
Greece | General Hospital of Athens "G. Gennimatas" | Athens | |
Greece | General Hospital of Athens "Laiko" | Athens | |
Greece | University General Hospital "Attikon" | Chaïdári | |
Greece | General Hospital of Thessaloniki "G. Papanikolaou" | Chortiátis | |
Greece | University General Hospital of Ioannina | Ioánnina | |
Greece | University General Hospital of Patras | Río | |
Greece | University General Hospital of Thessaloniki "Ahepa" | Thessaloníki | |
Hungary | Semmelweis Egyetem | Budapest | |
Hungary | Petz Aladár Egyetemi Oktató Kórház | Gyor | |
Hungary | Pécsi Tudományegyetem | Pécs | |
India | Yashoda Hospital | Hyderabad | |
India | Malabar Cancer Centre | Kannur | Kerala |
India | Fortis Hospital | Ludhiana | |
India | All India Institute of Medical Sciences | New Delhi | |
India | State Cancer Institute, Indira Gandhi Institute of Medical Sciences | Patna | |
Poland | Szpital Uniwersytecki Nr 2 im. Dr Jana Biziela w Bydgoszczy | Bydgoszcz | |
Poland | Uniwersyteckie Centrum Kliniczne Klinika Hematologii i Transplantologii | Gdansk | |
Poland | Szpitale Pomorskie Sp. z o.o. | Gdynia | |
Poland | Swietokrzyskie Centrum Onkologii | Kielce | |
Poland | Wojewodzki Szpital Specjalistyczny w Legnicy | Legnica | |
Poland | Zaklad Opieki Zdrowotnej MSW z Warminsko-Mazurskim Centrum Onkologii | Olsztyn | |
Poland | Szpital Wojewodzki w Opolu | Opole | |
Poland | SP ZOZ Szpital Uniwersytecki w Krakowie | Slomniki | |
Poland | Instytut Hematologii i Transfuzjologii | Warsaw | |
Poland | Uniwersytecki Szpital Kliniczny im. Jana Mikulicza Radeckiego we Wroclawiu | Wroclaw | |
Serbia | University Clinical Center of Serbia | Belgrade | |
Serbia | Clinical Centre of Vojvodina | Novi Sad | |
Spain | Hospital de San Pedro de Alcantara | Cáceres | |
Spain | C.H. Regional Reina Sofia | Córdoba | |
Spain | Hospital General Universitario Gregorio Marañon | Madrid | |
Spain | Hospital Universitario La Paz | Madrid | |
Spain | Hospital Universitario Central de Asturias | Oviedo | |
Spain | Clinica Universidad Navarra | Pamplona | |
Spain | Complejo Asistencial Universitario de Salamanca | Salamanca | |
Spain | Hospital Universitario Virgen del Rocio | Sevilla | |
Spain | Hospital Universitari i Politecnic La Fe de Valencia | Valencia | |
Taiwan | Changhua Christian Hospital | Chang Hua | |
Taiwan | Kaohsiung Medical University Hospital | Kaohsiung | |
Taiwan | Taichung Veterans General Hospital | Taichung | |
Taiwan | National Cheng Kung University Hospital | Tainan | |
Taiwan | National Taiwan University Hospital | Taipei | |
United States | Augusta University | Augusta | Georgia |
United States | O'Neal Comprehensive Cancer Center | Birmingham | Alabama |
United States | Rush University Cancer Center | Chicago | Illinois |
United States | University Hospitals Cleveland Medical Center | Cleveland | Ohio |
United States | Baylor Scott and White Research Institute | Dallas | Texas |
United States | Colorado Blood Cancer Institute - SCRI - PPDS | Denver | Colorado |
United States | Virginia Cancer Specialists | Gainesville | Virginia |
United States | Bon Secours St. Francis Cancer Center | Greenville | South Carolina |
United States | University of Texas - MD Anderson Cancer Center | Houston | Texas |
United States | Mayo Clinic Jacksonville Florida | Jacksonville | Florida |
United States | Northwell Health Cancer Institute | Lake Success | New York |
United States | UCLA Medical Hematology and Oncology | Los Angeles | California |
United States | Tulane Cancer Center - Liberty | New Orleans | Louisiana |
United States | Oregon Health and Science University | Portland | Oregon |
United States | Swedish Cancer Institute | Seattle | Washington |
United States | New York Medical College | Valhalla | New York |
United States | The Oncology Institute of Hope and Innovation | Whittier | California |
Lead Sponsor | Collaborator |
---|---|
Sellas Life Sciences Group |
United States, France, Germany, Greece, Hungary, India, Poland, Serbia, Spain, Taiwan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Overall survival | The primary objective of the trial is to compare the efficacy of GPS to Investigator's choice of BAT on OS in subjects with AML who are in CR2/CRp2. | Up to 156 weeks | |
Secondary | LFS | Leukemia free survival | Up to 156 weeks | |
Secondary | OS rate (%) | Percentage of patients surviving | At 6, 9 and 12 months | |
Secondary | LFS rate (%) | Percentage of patients surviving and being free of leukemic relapse | At 6, 9, and 12 months | |
Secondary | MRD | Minimum residual disease | Up to 91 weeks |
Status | Clinical Trial | Phase | |
---|---|---|---|
Recruiting |
NCT05400122 -
Natural Killer (NK) Cells in Combination With Interleukin-2 (IL-2) and Transforming Growth Factor Beta (TGFbeta) Receptor I Inhibitor Vactosertib in Cancer
|
Phase 1 | |
Recruiting |
NCT04460235 -
Immunogenicity of an Anti-pneumococcal Combined Vaccination in Acute Leukemia or Lymphoma
|
Phase 4 | |
Completed |
NCT04022785 -
PLX51107 and Azacitidine in Treating Patients With Acute Myeloid Leukemia or Myelodysplastic Syndrome
|
Phase 1 | |
Completed |
NCT03678493 -
A Study of FMT in Patients With AML Allo HSCT in Recipients
|
Phase 2 | |
Recruiting |
NCT05424562 -
A Study to Assess Change in Disease State in Adult Participants With Acute Myeloid Leukemia (AML) Ineligible for Intensive Chemotherapy Receiving Oral Venetoclax Tablets in Canada
|
||
Completed |
NCT03197714 -
Clinical Trial of OPB-111077 in Patients With Relapsed or Refractory Acute Myeloid Leukaemia
|
Phase 1 | |
Terminated |
NCT03224819 -
Study of Emerfetamab (AMG 673) in Adults With Relapsed/Refractory Acute Myeloid Leukemia (AML)
|
Early Phase 1 | |
Active, not recruiting |
NCT03844048 -
An Extension Study of Venetoclax for Subjects Who Have Completed a Prior Venetoclax Clinical Trial
|
Phase 3 | |
Active, not recruiting |
NCT04070768 -
Study of the Safety and Efficacy of Gemtuzumab Ozogamicin (GO) and Venetoclax in Patients With Relapsed or Refractory CD33+ Acute Myeloid Leukemia:Big Ten Cancer Research Consortium BTCRC-AML17-113
|
Phase 1 | |
Active, not recruiting |
NCT04107727 -
Trial to Compare Efficacy and Safety of Chemotherapy/Quizartinib vs Chemotherapy/Placebo in Adults FMS-like Tyrosine Kinase 3 (FLT3) Wild-type Acute Myeloid Leukemia (AML)
|
Phase 2 | |
Recruiting |
NCT04920500 -
Bioequivalence of Daunorubicin Cytarabine Liposomes in Naive AML Patients
|
N/A | |
Recruiting |
NCT04385290 -
Combination of Midostaurin and Gemtuzumab Ozogamicin in First-line Standard Therapy for Acute Myeloid Leukemia (MOSAIC)
|
Phase 1/Phase 2 | |
Recruiting |
NCT03897127 -
Study of Standard Intensive Chemotherapy Versus Intensive Chemotherapy With CPX-351 in Adult Patients With Newly Diagnosed AML and Intermediate- or Adverse Genetics
|
Phase 3 | |
Active, not recruiting |
NCT04021368 -
RVU120 in Patients With Acute Myeloid Leukemia or High-risk Myelodysplastic Syndrome
|
Phase 1 | |
Recruiting |
NCT03665480 -
The Effect of G-CSF on MRD After Induction Therapy in Newly Diagnosed AML
|
Phase 2/Phase 3 | |
Completed |
NCT02485535 -
Selinexor in Treating Patients With Intermediate- and High-Risk Acute Myeloid Leukemia or High-Risk Myelodysplastic Syndrome After Transplant
|
Phase 1 | |
Enrolling by invitation |
NCT04093570 -
A Study for Participants Who Participated in Prior Clinical Studies of ASTX727 (Standard Dose), With a Food Effect Substudy at Select Study Centers
|
Phase 2 | |
Recruiting |
NCT04069208 -
IA14 Induction in Young Acute Myeloid Leukemia
|
Phase 2 | |
Recruiting |
NCT05744739 -
Tomivosertib in Relapsed or Refractory Acute Myeloid Leukemia (AML)
|
Phase 1 | |
Recruiting |
NCT04969601 -
Anti-Covid-19 Vaccine in Children With Acute Leukemia and Their Siblings
|
Phase 1/Phase 2 |