Status:

RECRUITING

A Study of AK117 in Combination With Azacitidine in Patients With Myelodysplastic Syndromes

Lead Sponsor:

Akeso

Conditions:

Higher-risk Myelodysplastic Syndromes

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

This is a Phase 2 randomized, double-blind, placebo-controlled, multicenter study evaluating the efficacy and safety of AK117 or placebo, combined with azacitidine in patients with newly diagnosed hig...

Eligibility Criteria

Inclusion

  • Age ≥ 18 years old at the time of enrolment.
  • Eastern Cooperative Oncology Group (ECOG) performance status score of 0 to 2.
  • Expected life expectancy ≥ 3 months.
  • Newly diagnosed HR-MDS, according to the 2016 World Health Organization (WHO) classification with the presence of \< 20% blasts in bone marrow or peripheral blood; Overall IPSS-R score ≥ 3.5.
  • Ability to undergo the study-required bone marrow sample collection procedures.
  • Suitable venous access for the study-required blood sampling (i.e., including PK and immunogenicity).
  • Female patients of childbearing age must have negative serum pregnancy test results before randomization or per region-specific guidance documented in the informed consent and a negative urine pregnancy test on the day of first dose prior to dosing.
  • Female patients of childbearing potential having sex with an unsterilized male partner must agree to use a highly effective method of contraception from the beginning of screening until 180 days after the last dose of the study treatment.
  • Unsterilized male patients having sex with a female partner of childbearing potential must agree to use an effective method of contraception from the beginning of screening until 180 days after the last dose of study treatment.

Exclusion

  • MDS evolving from a pre-existing myeloproliferative neoplasm (MPN), myelodysplastic/myeloproliferative neoplasms (MDS/MPN).
  • Prior treatment with Cluster of Differentiation (CD) 47 or Signal-regulatory protein alpha (SIRPα)-targeting agents.
  • Concurrently participating in another interventional clinical study, unless it is an observational (non-interventional) clinical study or during the follow-up period of an interventional study.
  • Patients who previously diagnosed with another malignancy and have any evidence of residual disease.
  • Known allergy to any component of any study drug; known history of severe hypersensitivity to other monoclonal antibodies.
  • Patients with any psychiatric or social factor which the investigator deems may interfere with the patient's ability to comply with the requirements of the study.
  • Patients with current hypertension with systolic blood pressure ≥ 160 mmHg or diastolic blood pressure ≥ 100 mmHg after oral antihypertensive therapy.
  • Patients with known cardiopulmonary disease defined as unstable angina, clinically significant arrhythmia, congestive heart failure (New York Heart Association Class III or IV), decompensated cirrhosis, nephrotic syndrome, uncontrolled metabolic disorders.
  • Patients who are breastfeeding or plans to breastfeed during the study.
  • Other conditions where the investigator considers the patient inappropriate for enrollment.

Key Trial Info

Start Date :

February 7 2024

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

June 1 2026

Estimated Enrollment :

90 Patients enrolled

Trial Details

Trial ID

NCT06196203

Start Date

February 7 2024

End Date

June 1 2026

Last Update

February 11 2025

Active Locations (15)

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Page 1 of 4 (15 locations)

1

UCLA Ronald Reagan Medical Center

Los Angeles, California, United States, 90095

2

Rocky Mountain Cancer Centers

Aurora, Colorado, United States, 80012

3

Yale Cancer Center

New Haven, Connecticut, United States, 06510

4

Mid Florida Hematology and Oncology Center

Orange City, Florida, United States, 32763