Study of SGR-2921 in Relapsed/Refractory Acute Myeloid Leukemia or Myelodysplastic Syndrome

Purpose

The purpose of this study is to evaluate safety and tolerability and to determine the maximum tolerated dose (MTD) and/or recommended dose (RD) of SGR-2921.

Conditions

  • Acute Myeloid Leukemia
  • High-Risk and Very High-Risk Myelodysplastic Syndromes

Eligibility

Eligible Ages
Over 18 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • ≥ 18 years of age. - Life expectancy ≥ 8 weeks. - Confirmed diagnosis of R/R AML or High Risk (HR) and Very High Risk (VHR) MDS. - Eastern Cooperative Oncology Group (ECOG) performance status ≤ 2.

Exclusion Criteria

  • Active malignancies within two years prior to the first dose, or requiring ongoing treatment, not related to AML or MDS. - Clinical evidence of central nervous system (CNS) or pulmonary leukostasis, ≥ Grade 3 disseminated intravascular coagulation, or active CNS leukemia. - Use of experimental drug, or therapy, or anti-cancer therapy within 14 days or 5 half-lives of the first dose of study drug. - QT interval corrected for heart rate per Fridericia's formula ≥470 msec during screening ECG.

Study Design

Phase
Phase 1
Study Type
Interventional
Allocation
Non-Randomized
Intervention Model
Sequential Assignment
Primary Purpose
Treatment
Masking
None (Open Label)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Dose Escalation in the Absence of Specific Azole Antifungal Treatments
Up to 9 dose levels will be evaluated in subjects not receiving specific azole antifungal treatment.
  • Drug: SGR-2921
    SGR-2921 will be administered orally.
Experimental
Dose Escalation in the Presence of Specific Azole Antifungal Treatments
Up to 9 dose levels will be evaluated in subjects receiving specific azole antifungal treatment.
  • Drug: SGR-2921
    SGR-2921 will be administered orally.

Recruiting Locations

The University of Kansas Clinical Research Center
Fairway, Kansas 66205

More Details

Status
Recruiting
Sponsor
Schrödinger, Inc.

Study Contact

Study Physician
503-922-0158
sdgr-trials-group@schrodinger.com

Detailed Description

This is a study of SGR-2921, an oral, small molecule inhibitor of cell division cycle 7-related protein kinase (CDC7), in subjects with Relapsed/Refractory (R/R) Acute Myeloid Leukemia (AML) or Myelodysplastic Syndrome (MDS) to evaluate the safety, pharmacokinetics (PK), pharmacodynamics (PD), maximum tolerated dose (MTD) and/or recommended dose (RD) of SGR-2921. Exploratory cohorts may evaluate additional PK, PD, preliminary anti-tumor activity, and safety to establish the SGR-2921 RD. A planned amendment will evaluate SGR-2921 in combination with other approved AML/MDS treatments such as hypomethylating agents (HMA), BCL2 inhibitors, IDH inhibitors or FLT3 inhibitors, in patients with AML and/or MDS.