Completed Cancer NIHR-supported project Digestion, Kidneys & Other Organs

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.

In plain English

AI plain-English summary

A new experimental drug, CC-91633, is being tested for the first time in humans to see if it can treat people whose acute myeloid leukaemia or high-risk myelodysplastic syndrome has stopped responding to standard therapies. These blood cancers often return or become resistant to available treatments, leaving patients with few options. This Phase 1 trial is the critical first step in determining whether CC-91633 is safe and tolerable, and what dose should be used in future studies. The drug is taken orally as capsules, either at home or in hospital, over multiple cycles lasting up to two years if patients benefit. If the drug proves safe and shows signs of activity, it could open a new treatment pathway for patients who currently have none. Even at this early stage, the trial will establish the dosing and safety profile needed to design larger, more definitive studies. About 15 patients in the UK will participate, part of a global total of roughly 120. This is an early-phase safety and dose-finding study, not a test of efficacy, but it lays essential groundwork for future clinical development.

View original technical description
This Phase 1 study is assessing if the novel compound CC-91633 can help people with Relapsed or Refractory Acute Myeloid Leukaemia (R/R AML) or Relapsed or Refractory Higher-Risk Myelodysplastic syndrome (R/R-HR MDS). Relapsed or refractory means that the disease has come back after treatment or is no longer responding to available therapies.It is the first study testing CC-91633 in humans. Part A is testing increasing amounts of CC-91633 to find out which dose can be tolerated without serious side effects. Part B will evaluate the highest or near highest safe dose. In the UK, only Part B of the study will be implemented, including about 15 patients out of a total of 80 patients globally. About 120 patients will take part in Part A and B of this study globally. R/R AML and R/R-HR MDS patients ? 18 years will be invited. All participants will receive CC-91633. There is no placebo or randomisation. There are three phases to the study: During Screening (max. 28 Days), initial tests check whether patients are able to take part. Throughout the treatment period, patients will receive CC-91633 as capsules taken by mouth. The dosing schedule will be once daily up to 14 days or twice a week for up to 4 weeks every 28-day cycle for 6 cycles. The capsules will be taken in the hospital or at home. This period might be extended to up to 2 years for patients if it is safe to continue and they are benefitting from it. The follow-up period will assess patients’ safety after the last CC-91633 dose and will continue for at least 28 days. All patients will be followed for up to 2 years. During this time, patients will no longer receive the study treatment, but will still be in contact with the study team to monitor their health.

Researchers

Austin Kulasekararaj (Principal Investigator)

Related Research

Grants with similar aims, by meaning.

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
A Phase 1, First-in-Human, Dose Escalation Study of JNJ-89853413 for Relapsed or Refractory Acute Myeloid Leukemia or Myelodysplastic Neoplasms
89853413AML1001 - A Phase 1, First-in-Human, Dose Escalation Study of JNJ-89853413 for Relapsed or Refractory Acute Myeloid Leukemia or Myelodysplastic Neoplasms
An open-label Phase I/IIa study to evaluate the safety and efficacy of CCS1477 as monotherapy in patients with advanced haematological malignancies.
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

Plain English summaries and category classifications on this site are generated by AI and may not perfectly reflect the original research.