Olutasidenib Combined With Co-targeted Therapy in Relapsed or Refractory IDH1-mutated Myeloid Malignancies Harboring Activated Signaling Pathway Mutations

Trial statusRecruiting
Trial phasePhase 2
Trial typeInterventional
Biological sexAll
Age18+
SponsorM.D. Anderson Cancer Center

About this trial

To learn about the safety and tolerability of study drug combinations in patients with relapsed/refractory, IDH1-mutated myeloid malignancies with a co-signaling mutation.

Eligibility criteria

Qualifiers

Age ≥ 18 years.

Participants with a diagnosis of relapsed and/or refractory AML (including biphenotypic or bilineage leukemia including a myeloid component) OR high-risk MDS, MPN, or MDS/MPN (defined as ≥10% blasts on peripheral flow cytometry or bone marrow biopsy).

Participants must have a documented IDH1 mutation.

Participants must also have a documented co-signaling mutation in one or more of the following: KRAS, NRAS, PTPN11, CBL, NF1, FLT3-ITD, FLT3-TKD, KIT, JAK2, MPL, CALR, CSF3R.

Disqualifiers

Participants who have received prior olutasidenib (Rezlidhiai, previously FT-2102).

Participants with translocation t(15;17) or acute promyelocytic leukemia (French-American British (FAB) class M3-AML).

Participants with any concurrent uncontrolled clinically significant medical condition, including life threatening infection, which could place the patient at unacceptable risk of study treatment.

Participants with any uncontrolled psychiatric illness that would limit compliance with study requirements.

Trial design

Treatments tested in this trial

  • Olutasidenib
  • Cladribine (CLAD)
  • Venetoclax
  • Gilteritinib
  • Ruxolitinib
  • Cytarabine

Treatment groups

68 Participants
are divided into 5 treatment groups

Sponsors and collaborators

M.D. Anderson Cancer Center

Lead sponsor

Rigel Pharmaceuticals

Collaborator