Session: 604. Molecular Pharmacology and Drug Resistance: Myeloid Neoplasms: Poster III
Hematology Disease Topics & Pathways:
Research, Clinical trials, Clinical Research
Method: This Phase Ib, open-label, multicenter, dose escalation and expansion study evaluated the safety, PK, pharmacodynamics, and preliminary activity of BC3402 combined with AZA in pts with higher-risk MDS (intermediate-, high-, or very high-risk by IPSS-R) or CMML. Three dose-schedules of BC3402 are being evaluated (10 mg/kg every 4 weeks (Q4W), 10 mg/kg every 2 weeks (Q2W) and 20 mg/kg Q2W) combined with AZA at a fixed dose of 75 mg/m2/day on Days 1-7 every 28 days. An accelerated titration design was used in the first dose level followed by a standard “3+3” design. A recommended phase 2 dose (RP2D) is being selected for dose expansion. Disease assessments are performed by IWG 2006 criteria for MDS and CMML.
Results: As of the data cut-off date (June 7th, 2024), 10 pts (7 MDS, 3 CMML) were enrolled including 8 pts in the dose escalation part (10 mg/kg Q4W [1], 10 mg/kg Q2W [3], and 20 mg/kg Q2W [4]) and 2 pts in the dose expansion part. DLT has not been observed and 20 mg/kg Q2W has been determined to be the RP2D. All pts experienced treatment-related adverse event (TRAE), with 9 pts (9/10, 90%) experiencing Grade ≥ 3 TRAEs. The most common (incidence≥25%) TRAEs are neutrophil count decreased (90%), white blood cell decreased (90%), platelet count decreased (90%), anemia (50%), and lymphocyte count decreased (30%). All of the TRAEs were manageable. Of the 3 treatment naïve MDS pts treated with BC3402 10 mg/kg Q2W, two pts had complete remissions (CRs). Of the 6 pts treated with BC3402 20 mg/kg Q2W, one treatment naïve MDS and two treatment naïve CMML pts had CRs giving an overall CR rate of 71.4% (5/7) among the total of 7 treatment naïve pts. The duration of treatment for these CR pts are range from 6.3 to 11.4 months, all of whom are still receiving study treatment.
Conclusion: BC3402 at dose range up to 20 mg/kg Q2W combined with AZA demonstrated promising anti-tumor efficacy (CR rate: 71.4%) in treatment naïve MDS and CMML patients and AEs were manageable. Given the CR rate of ~16% with AZA monotherapy in this patient population, the current data supports further evaluation of BC3402 in combination with AZA for pts with treatment naïve MDS and CMML. Clinical trial information: NCT05970822.
Disclosures: No relevant conflicts of interest to declare.
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