Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics and Pharmacodynamics of Tuspetinib (HM43239) in Patients With Relapsed or Refractory Acute Myeloid Leukemia
NCT03850574 · Status: RECRUITING · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL · Enrollment: 240
Last updated 2025-08-26
Summary
The main purpose of this study is to identify a safe and potentially effective dose of tuspetinib to be used in future studies in study participants diagnosed with acute myeloid leukemia (AML), myelodysplastic syndromes with increased blasts grade 2 (MDS-IB2), or chronic myelomonocytic leukemia (CMML) that is relapsed or refractory after at least one line of prior therapy, or in study participants with newly diagnosed AML. Tuspetinib will be administered as a single agent or in combination with other drugs (venetoclax or venetoclax plus azacitidine), as specified for each part of the study.
Conditions
- Leukemia, Myeloid, Acute
- Refractory AML
- Relapsed Adult AML
- Myelodysplastic Syndrome With Excess Blasts-2
- Chronic Myelomonocytic Leukemia
Interventions
- DRUG
-
Tuspetinib
Daily (QD), continuous dosing
- DRUG
-
Venetoclax Oral Tablet
Venetoclax will be given to study participants in the Part C tuspetinib plus venetoclax combination treatment group either in 50 mg or 100 mg tablets
- DRUG
-
Azacitidine for Intravenous Infusion
Azacitidine will be given to study participants in Part D as intravenous infusion at a dose of 75 mg/m\^2
Sponsors & Collaborators
-
Aptose Biosciences Inc.
lead INDUSTRY
Principal Investigators
-
Naval Daver, MD · M.D. Anderson Cancer Center
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SEQUENTIAL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2019-03-11
- Primary Completion
- 2026-11-30
- Completion
- 2027-04-30
- FDA Drug
- Yes
Countries
- United States
- Australia
- Germany
- New Zealand
- South Korea
- Spain
Study Locations
More Related Trials
-
A Global Study of the Efficacy and Safety of Midostaurin + Chemotherapy in Newly Diagnosed Patients With FLT3 Mutation Negative (FLT3-MN) Acute Myeloid Leukemia (AML)
NCT03512197 ·Status: COMPLETED ·Phase: PHASE3
-
A Study of Midostaurin Efficacy and Safety in Newly Diagnosed Patients With FLT3-mutated AML
NCT03280030 ·Status: COMPLETED ·Phase: PHASE2
-
Safety, Tolerability, Pharmacokinetics and Efficacy of AMG 397 in Subjects With Selected Relapsed or Refractory Hematological Malignancies
NCT03465540 ·Status: TERMINATED ·Phase: PHASE1
-
A Trial to Assess Cobicistat Boosted Venetoclax in Combination With Azacitidine in Adult Patients With Newly Diagnosed AML
NCT06014489 ·Status: RECRUITING ·Phase: PHASE2
-
Volasertib + Decitabine in Patients With Acute Myeloid Leukemia (AML)
NCT02003573 ·Status: TERMINATED ·Phase: PHASE1
-
AMD3100 Plus Mitoxantrone, Etoposide and Cytarabine in Acute Myeloid Leukemia
NCT00512252 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
A Phase 1b/2 Study of Alvocidib Plus Decitabine or Azacitidine in Patients With MDS
NCT03593915 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
Arsenic Trioxide With Cyclophosphamide in Patients With Relapsed/Refractory Acute Myeloid Leukemia
NCT03318016 ·Status: TERMINATED ·Phase: PHASE1
-
A Study to Evaluate Escalating Doses of ASP1235 (AGS62P1) Given as Monotherapy in Subjects With Acute Myeloid Leukemia (AML)
NCT02864290 ·Status: TERMINATED ·Phase: PHASE1
-
A Phase II Study of Cladribine and Low Dose Cytarabine in Combination With Venetoclax, Alternating With Azacitidine and Venetoclax, in Patients With Higher-risk Myeloproliferative Chronic Myelomonocytic Leukemia or Higher-risk Myelodysplastic Syndromes With Excess Blasts
NCT05365035 ·Status: RECRUITING ·Phase: PHASE2
-
Comparing Cytarabine + Daunorubicin Therapy Versus Cytarabine + Daunorubicin + Venetoclax Versus Venetoclax + Azacitidine in Younger Patients With Intermediate Risk AML (A MyeloMATCH Treatment Trial)
NCT05554393 ·Status: RECRUITING ·Phase: PHASE2
-
Testing Oral Decitabine and Cedazuridine (ASTX727) in Combination With Venetoclax for Higher-Risk Acute Myeloid Leukemia Patients
NCT04817241 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2
-
Phase I Dose Escalation Trial of Volasertib in Combination With Azacitidine in Patients With MDS or CMML
NCT01957644 ·Status: TERMINATED ·Phase: PHASE1
-
A Study of ASP2215 Versus Salvage Chemotherapy in Patients With Relapsed or Refractory Acute Myeloid Leukemia (AML) With FMS-like Tyrosine Kinase (FLT3) Mutation
NCT02421939 ·Status: COMPLETED ·Phase: PHASE3
-
Azacitidine, Venetoclax, and Trametinib for the Treatment of Relapsed or Refractory Acute Myeloid Leukemia or Higher-Risk Myelodysplastic Syndrome
NCT04487106 ·Status: COMPLETED ·Phase: PHASE2
-
Lenalidomide Plus Chemotherapy for AML
NCT01681537 ·Status: COMPLETED ·Phase: PHASE1
-
Temozolomide Plus Vorinostat in Relapse/Refractory Acute Myeloid Leukemia (AML)
NCT01550224 ·Status: COMPLETED ·Phase: PHASE2
-
AML-02: Omacetaxine With Standard-of-Care Induction With Cytarabine & Idarubicin in Newly-Diagnosed AML Patients
NCT02440568 ·Status: TERMINATED ·Phase: PHASE1/PHASE2
-
A Phase I/II Study of Induction Chemotherapy With Daunorubicin, Cytarabine, Topotecan and Etoposide
NCT00005793 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Safety of MT-401-OTS in Patients With Relapsed AML or MDS
NCT06552416 ·Status: RECRUITING ·Phase: PHASE1
-
A Phase 1B/2A Trial of Combination of ASTX727 With ASTX029 in Acute Myeloid Leukemia
NCT06113289 ·Status: WITHDRAWN ·Phase: PHASE1/PHASE2
-
An Expanded Treatment Protocol (ETP) of Midostaurin (PKC412) in Patients 18 Years of Age or Older With Newly-diagnosed FLT3-mutated Acute Myeloid Leukemia (AML)
NCT03114228 ·Status: NO_LONGER_AVAILABLE
-
OX40, Venetoclax, Avelumab, Glasdegib, Gemtuzumab Ozogamicin, and Azacitidine in Relapsed or Refractory Acute Myeloid Leukemia
NCT03390296 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
AR-42 in Treating Patients With Advanced or Relapsed Multiple Myeloma, Chronic Lymphocytic Leukemia, or Lymphoma
NCT01129193 ·Status: COMPLETED ·Phase: PHASE1
-
Venetoclax and Azacitidine for the Treatment of Relapsed or Refractory High-Risk Myelodysplastic Syndrome or Chronic Myelomonocytic Leukemia
NCT04550442 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE1/PHASE2