A Study of the Safety and Pharmacokinetics of Venetoclax in Pediatric and Young Adult Patients With Relapsed or Refractory Malignancies

Completed · Phase 1

Conditions studied: Malignancies, Acute Lymphoblastic Leukemia (ALL), Acute Myeloid Leukemia (AML), Non-Hodgkin's Lymphoma, Neuroblastoma

In brief

An open-label, global, multi-center study to evaluate the safety and pharmacokinetics of venetoclax monotherapy, to determine the dose limiting toxicity (DLT) and the recommended Phase 2 dose (RPTD), and to assess the preliminary efficacy of venetoclax in pediatric and young adult participants with relapsed or refractory malignancies.

Key facts

Study ID: NCT03236857
Run by: AbbVie
People needed: 143
Starts: 2017-11-08
Expected to finish: 2023-04-19
Last updated by the study team: 2023-05-22

Who can join

Age: any, up to 25. Sex: any. Healthy volunteers: not accepted.

You may qualify if…

Participants must have relapsed or refractory cancer.
Participants must have adequate hepatic and kidney function.
Participants less than or equal to 16 years of age must have performance status of Lansky greater than or equal to 50% and participants greater than 16 years of age must have performance status of Karnofsky greater than or equal to 50%.
Participants with solid tumors (with the exception of neuroblastoma) must have adequate bone marrow function in Part 1.
For the fifth cohort during Part 2 Cohort Expansion, participants with solid tumors must have evidence of BCL-2 expression (except participants with TCF3-HLF ALL).

You may not qualify if…

Participants with primary brain tumors or disease metastatic to the brain.
Participants who have central nervous system (CNS) disease with cranial involvement that requires radiation.
Participants who have received any of the following within the listed time frame, prior to the first dose of study drug
Inotuzumab ozogamicin or gemtuzumab ozogamicin within 30 days
Biologic agent (i.e., antibodies) for anti-neoplastic intent within 30 days or 5 half-lives whichever is shorter.
CAR-T infusion or other cellular therapy within 30 days
Anticancer therapy including chemotherapy, radiation therapy, targeted small molecule agents, investigational agents within 14 days or 5 half-lives, whichever is shorter (Exceptions: Ph+ALL participants on Tyrosine Kinase Inhibitor (TKI) at Screening may enroll and remain on TKI therapy to control disease and TCF3-HLF ALL participants are allowed to have received chemotherapy within 14 days or 5 half-lives, whichever is shorter).
Steroid therapy for anti-neoplastic intent within 5 days (with the exception of TCF3-HLF ALL participants).
Requires ongoing hydroxyurea (hydroxyurea permitted up to first dose)
Participants who are less than 100 days post-transplant, or greater than or equal to 100 days post-transplant with active graft versus host disease (GVHD), or are receiving immunosuppressant therapy within 7 days prior to first dose of study drug.
Participants who are less than 6 weeks post-131 I-metaiodobenzylguanidine (mIBG) therapy.
Participants who have received the following within 7 days prior to the first dose of study drug:
Strong and moderate Cytochrome P450 3A (CYP3A) inhibitors (Part 1 Dose Determination);
Strong and moderate CYP3A inducers (Part 1 Dose Determination and Part 2 Cohort Expansion).
Participants who have not recovered from clinically significant adverse effect(s)/toxicity(s) of the previous therapy (Exception: Chemotherapy induced side effects that are expected to return to baseline in TCF3-HLF ALL participants).
Participants who have active, uncontrolled infections.
Participants with malabsorption syndrome or any other condition that precludes enteral administration.
Participants with recent positive test for SARS-CoV-2 (COVID-19) and no follow up test with negative result cannot be enrolled. Participants with contact to persons with COVID-19 and participants with signs and symptoms for COVID-19 infection must be tested before enrolling.

Where it is running

Univ California, San Francisco /ID# 163460 — San Francisco, California, United States
Children's Hospital Colorado /ID# 161551 — Aurora, Colorado, United States
Children's Healthcare of Atlan /ID# 161552 — Atlanta, Georgia, United States
Dana-Farber Cancer Institute /ID# 163440 — Boston, Massachusetts, United States
Memorial Sloan Kettering Cancer Center-Koch Center /ID# 163444 — New York, New York, United States
Cincinnati Children's Hospital /ID# 161550 — Cincinnati, Ohio, United States
Children's Hospital of Philadelphia /ID# 163445 — Philadelphia, Pennsylvania, United States
St Jude Children's Research Hospital /ID# 163447 — Memphis, Tennessee, United States
Primary Children's /ID# 164399 — Salt Lake City, Utah, United States
Seattle Children's Hospital /ID# 163459 — Seattle, Washington, United States
Medical College of Wisconsin /ID# 163461 — Milwaukee, Wisconsin, United States
Sydney Children's Hospital /ID# 163148 — Randwick, New South Wales, Australia
Queensland Children's Hospital /ID# 163146 — South Brisbane, Queensland, Australia
Women and Childrens Hospital /ID# 163147 — North Adelaide, South Australia, Australia
Royal Children's Hospital /ID# 163104 — Parkville, Victoria, Australia
Hospital for Sick Children /ID# 163726 — Toronto, Ontario, Canada
CHU Sainte-Justine /ID# 163725 — Montreal, Quebec, Canada
AP-HM - Hopital de la Timone /ID# 161465 — Marseille, Bouches-du-Rhone, France
Centre Leon Berard /ID# 163707 — Lyon, Rhone, France
AP-HP - Hopital Armand-Trousseau /ID# 163728 — Paris, France
Robert Debre Hopital, FR /ID# 161464 — Paris, France
CHU Toulouse - Hôpital des enfants /ID# 163727 — Toulouse, France
Universitaetsklinikum Freiburg /ID# 164206 — Freiburg im Breisgau, Baden-Wurttemberg, Germany
Universitaetsklinikum Schleswig-Holstein Campus Kiel /ID# 161729 — Kiel, Schleswig-Holstein, Germany
Charite Universitaetsklinikum Berlin - Campus Virchow /ID# 161730 — Berlin, Germany

Full record on ClinicalTrials.gov

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