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NCT06533761PHASE1Recruiting

Eganelisib as Monotherapy and in Combination With Cytarabine in Relapsed/Refractory AML

Stelexis BioSciences

Start Date

4/28/2025

Completion Date

3/15/2028

Summary

This is a Phase 1b open-label, multicenter, dose-escalation and dose-optimization study designed to evaluate the safety, tolerability, pharmacokinetics (PK), pharmacodynamics (PD), and anti-tumor efficacy of eganelisib as monotherapy and in combination with cytarabine in patients with relapsed/refractory (r/r) acute myeloid leukemia (AML) or r/r higher-risk myelodysplastic syndromes (HR-MDS). The study consists of 2 parts: * Part 1: Dose Escalation (DE) in both monotherapy and in combination. * Part 2: Dose Optimization

Eligibility Criteria

Age Range: 18 years to No maximum

Inclusion Criteria: * Pathological diagnosis of either: AML according to World Health Organization (WHO) 2022 revised criteria per the local pathology report and with ≥10% bone marrow blasts (acute promyelocytic leukemia is excluded but secondary AML and treatment-related AML can be included); Higher-risk (IPSS-R Intermediate, High or Very High Risk at time of study entry) myelodysplastic syndromes (HR-MDS) according to WHO 2022 revised criteria per the local pathology report and with ≥10% bone marrow blasts. * Eastern Cooperative Oncology Group (ECOG) performance status ≤2. * Adequate hepatic and renal function measured within 7 days prior to the first dose of eganelisib. Exclusion Criteria: * Autologous or allogeneic stem cell transplant within 6 months prior to Cycle 1 Day 1. * Receiving immunosuppressants (eg, cyclosporin) or systemic steroids (except for steroid use as cortisol replacement therapy in documented adrenal insufficiency). * Active fungal disease or uncontrolled infection of any kind; patients receiving antibiotic, antifungal or antiviral treatment must be afebrile and hemodynamically stable for \>72 hours prior to treatment * WBC count \>25 × 10\^9/L measured within 7 days prior to the first dose of eganelisib (hydroxyurea is permitted to decrease the WBC count). * Presence of a clinically significant non-hematologic toxicity of prior therapy that has not resolved to Grade ≤1 or Baseline, whichever is worst, as determined by NCI CTCAE v 5.0, except alopecia or skin pigmentation. Fatigue and neuropathy must have resolved to Grade ≤2.

Interventions

DRUG

Eganelisib

DRUG

Eganelisib in combination with cytarabine

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Conditions

AML, AdultMDS

Locations

City of Hope

Duarte, California 91010

United States

Anshutz Cancer Pavilion

Aurora, Colorado 80045

United States

Moffitt Cancer Center

Tampa, Florida 33612

United States

Dana-Farber Cancer Institute

Boston, Massachusetts 02215

United States

Washington University in St Louis

St Louis, Missouri 63110

United States

Memorial Sloan Kettering Cancer Center

New York, New York 10065

United States

Memorial Sloan Kettering Cancer Center

New York, New York 10065

United States

Montefiore Medical Center

New York, New York 10466

United States

Cleveland Clinic

Cleveland, Ohio 44106

United States

Ohio State University

Columbus, Ohio 43210

United States

MD Anderson Cancer Center

Houston, Texas 77054

United States

Hospital San Pedro de Alcántara

Cáceres, 10003

Spain

Hospital Universitari i Politècnic La Fe

Valencia, 46026

Spain