Active Cancer NIHR-supported project Heart, Stroke & Blood

Sumitomo - A Phase 1/2, Open-Label, Dose-Escalation, Dose-Expansion Study of DSP-5336 in Adult Patients with Acute Leukaemia and Other Selected Hematologic Malignancies, with and without Mixed Lineage Leukaemia (MLL) rearrangement or Nucleophosmin 1 (NPM1) Mutation

In plain English

AI plain-English summary

A new drug called DSP-5336 is being tested in around 130 patients with acute leukaemia to see if it can shrink tumours that have stopped responding to existing treatments. This matters because acute leukaemias with specific genetic faults—MLL rearrangements (found in 5–10% of adult cases) and NPM1 mutations (present in about 30% of adult AML)—are notoriously hard to treat, especially in older adults. Current options often fail once the cancer returns or resists therapy. The study targets these exact patient groups, including those who have not been treated with similar drugs before. If DSP-5336 proves safe and effective, it could become a new treatment option for people with relapsed or refractory leukaemia who currently have few alternatives. The drug is being tested both alone and in combination with standard AML drugs (venetoclax/azacitidine or gilteritinib), so success could expand the toolkit for managing these aggressive blood cancers. The UK is participating in all three phases of the trial, from dose-finding through to efficacy testing in three distinct genetic subgroups.

View original technical description
Sumitomo Pharma America, Inc. is conducting a study in the globe including US, EU and APAC to test a new drug called DSP-5336 for treating certain types of difficult-to-treat blood cancers. The study focuses on acute leukemia, a severe blood cancer that's particularly challenging to treat, especially in older adults. There are two main types: acute myeloid leukemia (AML) and acute lymphoblastic leukemia (ALL), both of which can be life-threatening.The study targets leukemias with specific genetic changes, including alterations in the MLL gene (found in 5-10% of adult cases and more frequently in children) and mutations in the NPM1 gene (present in about 30% of adult AML cases).About 130 patients will be included in Phase 1. Around 1 to 6 patients will be enrolled at each dose level. For Phase 2 about 20 to 40 patients will be included in each of the three arms.The UK is participating in all three parts of the study:1. Phase 1 Testing DSP-5336 alone in patients whose leukemia has returned or not responded to treatment arm A and B.2. Phase 1 Evaluating DSP-5336 in combination with other drugs used for AML (venetoclax/azacitidine or gilteritinib) in adults with difficult-to-treat AML (Arm E and Arm F)3. Phase 2 Assessing DSP-5336 by itself in patients with specific genetic changes who haven't been treated with similar drugs before. (Arm G) relapsed/refractory AML with MLL rearrangement. (Arm H) relapsed/refractory AML with NPM1 mutation. (Arm I) relapsed/refractory ALL with MLL rearrangement.The researchers aim to determine:• The most effective dose of the drug• Its safety profile• How the body processes the drug• Whether it helps control the cancerThis study is important because it targets types of leukemia that are currently hard to treat effectively, potentially offering new hope for patients with limited treatment options.

Researchers

Katharine Hodby (Principal Investigator)

Related Research

Grants with similar aims, by meaning.

A Phase 1/2, Open-Label, Dose-Escalation, Dose-Expansion Study of DSP 5336 in Adult Patients with Acute Leukemia and Other Selected Hematologic Malignancies, with and without Mixed Lineage Leukemia (MLL) rearrangement or Nucleophosmin 1 (NPM1) Mutation
DSP-5336-101 - A Phase 1/2, Open-Label, Dose-Escalation, Dose-Expansion Study of Enzomenib (DSP-5336) in Adult Patients with Acute Leukemia and Other Selected Hematologic Malignancies, with and without Mixed Lineage Leukemia (MLL) rearrangement or Nucleophosmin 1 (NPM1) Mutation
CA091-P01 (CC-91633-AML-001) - A Phase 1, open-label, dose-finding study of CC-91633 (BMS-986397) in subjects with relapsed or refractory acute myeloid leukemia or relapsed or refractory higher-risk myelodysplastic syndromes.
CCS1477-02 - An open-label Phase I/IIa study to evaluate the safety and efficacy of CCS1477 as monotherapy in patients with advanced haematological malignancies
An open-label Phase I/IIa study to evaluate the safety and efficacy of CCS1477 as monotherapy in patients with advanced haematological malignancies.

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