A Phase 1/2, Open-label, 2-arm Study Evaluating BLU-263 as Monotherapy and in Combination With Azacitidine, in Patients With KIT Altered Hematologic Malignancies

Status: Terminated
Location: See all (11) locations...
Intervention Type: Drug
Study Type: Interventional
Study Phase: Phase 1
SUMMARY

The goal of this clinical trial is to evaluate elenestinib (BLU-263) in participants with Advanced Systemic Mastocytosis (AdvSM), SM with an associated hematologic neoplasm (SM-AHN), and other hematologic malignancies. The main questions it aims to answer are: * Determine Recommended Dose of elenestinib (BLU-263) monotherapy for participants with AdvSM * Safety and tolerability of elenestinib (BLU-263) monotherapy * Efficacy of elenestinib (BLU-263) monotherapy in participants with AdvSM * Determine Recommended Dose of elenestinib (BLU-263) in combination with azacitidine in participants with AdvSM * Safety and tolerability of elenestinib (BLU-263) in combination with azacitidine * Efficacy of elenestinib (BLU-263) in combination with azacitidine in participants with AdvSM The estimated study duration for each participant will be approximately 4 years: 2 years of treatment followed by 2 years of follow-up. Participants may be required to attend monthly visits for the first six months, followed by quarterly visits for the remainder of the study.

Eligibility
Participation Requirements
Sex: All
Minimum Age: 18
Healthy Volunteers: f
View:

• Participant has Eastern Cooperative Oncology Group (ECOG) performance status (PS) of 0-2

• Participant must have a new Bone Marrow (BM) biopsy or may use archival tissue if taken within 56 days prior to C1D1 and participant must be willing to have follow-up BM Biopsies.

• Participants receiving antineoplastic therapy within the preceding 12 weeks must have discontinued therapy due to disease progression, refractory disease, lack of efficacy, or intolerance.

• Participants treated with 1 prior selective KIT inhibitor (such as avapritinib or CGT9486) will be permitted on study after confirmation of KIT D816V mutation and with written approval of the study Sponsor. Participants who discontinued treatment with a prior selective KIT inhibitor due to a severe AE that was thought to be related to prior treatment will not be eligible to participate in the study.

‣ Arm 1 (Monotherapy): Participants must have one of the following AdvSM diagnoses, based on World Health Organization (WHO) diagnostic criteria.

‣ Before enrollment, diagnosis of AdvSM must be confirmed based on Central Pathology Laboratory assessment of BM:

⁃ Aggressive SM (ASM).

⁃ SM-AHN that in the opinion of the Investigator is not considered to be a candidate for Hypomethylating agent (HMA) monotherapy. Incidental indolent, low-grade lymphoid AHNs (eg, chronic lymphocytic leukemia) not requiring treatment are eligible.

⁃ Mast cell leukemia (MCL), including diagnoses with an AHN component, that does not require a C-finding.

⁃ Upon discussion with the Sponsor, other relapsed or refractory hematologic neoplasms with evidence of aberrant KIT or PDGFR may be considered for enrollment. (eg, participants with chronic myeloid neoplasms, such as subvariants of MDS/MPN that harbor activating KIT exon 17 mutations but do not fulfill the diagnostic criteria of SM-AHN, and participants with myeloid/lymphoid neoplasms with PDGFRa/b fusion genes and mutations conferring resistance to imatinib, such as T674I or D842V).

Locations
United States
California
Stanford Cancer Institute
Palo Alto
Massachusetts
Dana-Farber Cancer Institute
Boston
Michigan
University of Michigan
Ann Arbor
Utah
Huntsman Cancer Institute
Salt Lake City
Other Locations
Belgium
Antwerp University Hospital
Edegem
University Hospital Ghent
Ghent
France
CHU Caen - Institut d'Hematologie de Basse Normandie
Caen
Germany
University Medical Centre Mannheim
Mannheim
Netherlands
Maastricht University Medical Center
Maastricht
Norway
Oslo University Hospital
Oslo
Spain
Instituto de Estudios de Mastocitosis de Castilla La Mancha (CLMast)
Toledo
Time Frame
Start Date: 2023-09-25
Completion Date: 2025-03-10
Participants
Target number of participants: 9
Treatments
Experimental: Monotherapy
Participants with AdvSM (ASM, SM-AHN, or MCL) will receive BLU-263 monotherapy.
Experimental: Combination therapy
Participants with high risk and very high risk systemic mastocytosis with an associated hematologic neoplasm (SM-AHN) of non-MC lineage will receive BLU-263 in combination with azacitidine.
Sponsors
Leads: Blueprint Medicines Corporation

This content was sourced from clinicaltrials.gov

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