ClinicalTrials.gg
TerminatedNCT03755154Updated Oct 16, 2024

Study of a New Intravenous Drug, Called S65487, in Patients With Acute Myeloid Leukemia, Non Hodgkin Lymphoma, Multiple Myeloma or Chronic Lymphocytic Leukemia

A Phase 1 interventional study of S65487- initial scheme and S65487 - alternative scheme in Relapsed or Refractory Acute Myeloid Leukemia, Relapsed or Refractory Non-Hodgkin Lymphoma and Relapsed or Refractory Multiple Myeloma, sponsored by Institut de Recherches Internationales Servier. Terminated at 11 sites in 4 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2024-10-16.

Sponsored by Institut de Recherches Internationales Servier · Phase 1, Interventional, and Treatment

Why this study was terminated
The study was prematurely terminated on 14th March 2023 for strategic considerations due to the limited efficacy seen with this treatment in monotherapy. This decision was not based on any safety concerns.
Phase
Phase 1
Study type
Interventional
Enrollment
60
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this first in human study is to assess safety, tolerability, Pharmacokinetic (PK) and preliminary clinical activity and to estimate the Maximum Tolerated Doses (MTD(s))/ Recommended Phase 2 Doses (RP2D(s)) of S65487 as single agent administered intravenously (i.v.) in adult patients with refractory or relapsed Acute Myeloid Leukemia (AML), Non-Hodgkin Lymphoma (NHL), Multiple Myeloma (MM) or Chronic Lymphocytic Leukemia (CLL).

Read the detailed description

This study is designed in two parts: one part for dose escalation, one part for dose expansion.The dose escalation part will be followed by expansion part at the MTD(s)/RP2D(s)

This study will utilize an adaptative Bayesian Logistic Regression model to guide dose escalation and estimate the MTD(s) based on the Dose Limiting Toxicity (DLT) relationship(s) for S65487 in the indications.

02

Conditions studied

  • Relapsed or Refractory Acute Myeloid Leukemia
  • Relapsed or Refractory Non-Hodgkin Lymphoma
  • Relapsed or Refractory Multiple Myeloma
  • Relapsed or Refractory Chronic Lymphocytic Leukemia

Keywords

  • Leukemia
  • Lymphoma
  • Myeloma
  • Dose-escalation
03

In context

Recurrence

4,347 studies on the registry are indexed under Recurrence; 1,004 are open to participants now.

This study's enrollment of 60 is above the median of 50 across 3,429 interventional studies indexed under Recurrence.

Browse Recurrence studies →

Lead sponsor

Institut de Recherches Internationales Servier is the lead sponsor of 67 studies on the registry; 4 are open to participants now.

Of its 18 completed or terminated interventional studies of FDA-regulated products, 8 (44%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Patients with cytologically confirmed and documented de novo, secondary or therapy-related AML, excluding acute promyelocytic leukaemia with relapsed or refractory disease without established alternative therapy. Or patients with measurable confirmed Multiple Myeloma (IMWG) with relapsed or refractory disease who have previously received at least three lines of treatment and without established alternative therapy. Or patients with histologically and measurable confirmed Non Hodgkin Lymphoma defined as Diffuse Large B cell Lymphoma (DLBCL), Follicular Lymphoma (FL), Mantle Cell Lymphoma (MCL), Marginal Zone Lymphoma (MZL), High-Grade B cell Lymphoma with relapsed or refractory disease who have received at least two lines of therapy (including rituximab) and without established alternative therapy. Or patients with Chronic Lymphocytic Leukemia (CLL) who have relapsed or are refractory (except treatment failure), as defined per iwCLL, from venetoclax treatment and without established alternative therapy.
  • ECOG (Eastern Cooperative Oncology Group) performance status ≤ 2.
  • For NHL, MM patients and CLL patients: haematological function (independent of any growth factor support) based on the last assessment performed before inclusion, defined as: absolute neutrophil count (ANC) ≥ 1 x 109/L, haemoglobin ≥ 8 g/dL, platelet count ≥ 50 x 109/L for NHL and MM patients, platelet count ≥ 30 x 109/L for CLL patients.
  • For AML patients: circulating Blood White Cell count (WBC count) \< 25 x 109/L (with or without use of hydroxycarbamide/leukapheresis) based on the last assessment performed before inclusion.
  • Adequate renal function based on the last assessment performed before inclusion, assessed as Glomerular Filtration Rate (GFR) using Modification of Diet in Renal Disease (MDRD) Formula.
  • Adequate hepatic function based on the last assessment performed before inclusion.

Exclusion criteria

Exclusion Criteria:

  • Pregnancy, breastfeeding or possibility of becoming pregnant during the study.
  • Participation in another interventional study at the same time or another interventional study requiring investigational treatment intake within 3 weeks or at least 5 half-lives (whichever is longer) prior to the first S65487 administration.
  • Participant already enrolled in the study (informed consent signed) and has received at least one dose of S65487.
  • Patients who have not recovered from toxicity of previous anticancer therapy, including grade ≥ 2 non-hematologic toxicity, prior to the first IMP administration (including peripheral neurotoxicity). Certain toxicities will not be considered in this category (e.g. alopecia).
  • Patients refractory to a previous treatment with a Bcl-2 inhibitor.
  • For AML patients : Allogenic stem cell transplant within 3 months before the first IMP administration and/or patients who still receive immunosuppressive treatment within 3 months before the first IMP administration and/or patients with active Graft-versus-host disease within 3 months before the first IMP administration and/or patient who receive donor lymphocyte infusion (DLI) within 3 months before the first IMP administration.
  • For NHL, MM and CLL patients : Prior allogenic stem cell transplant before the first IMP administration and/or Autologous stem cell transplant within 3 months before the first IMP administration.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
60 participants (actual)

Study arms

  • Experimental
    S65487 - initial scheme

    Drug: S65487- initial scheme

  • Experimental
    S65487 - alternative scheme

    Drug: S65487 - alternative scheme

Interventions

  • S65487 is administered as single agent via i.v. infusion once a week on a 3-week cycle.

  • S65487 is administered in 3 to 5 i.v. infusions the first week of each cycle then once a week on the rest of the 3-week cycle.

06

What researchers measure

Primary outcomes

  1. Incidence of Dose Limiting Toxicity (DLT)

    Safety criterion

    Time frame: until the end of the first cycle (each cycle is 21days)

  2. Incidence and severity of Adverse Events

    Safety and tolerability criteria

    Time frame: through study completion an average of 6 months

  3. Incidence and severity of Serious Adverse Events

    Safety and tolerability criteria

    Time frame: through study completion an average of 6 months

  4. Number of participants with dose reductions

    Time frame: through study completion an average of 6 months

  5. Number of participants with dose interruptions

    Time frame: through study completion an average of 6 months

  6. Dose intensity

    Time frame: through study completion an average of 6 months

Secondary outcomes

  1. The pharmacokinetic (PK) profile of S65487: Area Under the Curve (AUC)

    Time frame: Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 3 (alternative schedule only), Cyle 1 Day 5 (alternative schedule only), Cycle 1 Day 8, Cycle 1 Day 9, Day 1 of next cycles (one cycle is 21 days)

  2. PK profile of S65487: Volume of distribution at steady-state (Vss)

    Time frame: Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 3 (alternative schedule only), Cyle 1 Day 5 (alternative schedule only), Cycle 1 Day 8, Cycle 1 Day 9, Day 1 of next cycles (one cycle is 21 days)

  3. PK profile of S65487: total CLearance (CL)

    Time frame: Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 3 (alternative schedule only), Cyle 1 Day 5 (alternative schedule only), Cycle 1 Day 8, Cycle 1 Day 9, Day 1 of next cycles (one cycle is 21 days)

  4. PK profile of S65487: terminal half-life (t½z)

    Time frame: Cycle 1 Day 1, Cycle 1 Day 2, Cycle 1 Day 3 (alternative schedule only), Cyle 1 Day 5 (alternative schedule only), Cycle 1 Day 8, Cycle 1 Day 9, Day 1 of next cycles (one cycle is 21 days)

  5. Best Overall Response (BOR)

    Best Response observed during the treatment period

    Time frame: Through study completion, an average of 6 months

  6. Overall Response Rate (ORR)

    Proportion of patients in whom a complete response (CR) or a partial response (PR)

    Time frame: Through study completion, an average of 6 months

07

Study locations

11 sites
  • The Alfred Hospital Malignant Haematology & Stem Cell Transplantation Services
    Melbourne, Victoria 3004, Australia
  • Centre Hospitalier Universitaire Régionale de Lille Hôpital Huriez
    Lille, 59037, France
  • CHU Nantes Hôtel Dieu
    Nantes, 44093, France
  • CHU de Nice - Hôpital l'Archet 1 Hématologie clinique
    Nice, 06200, France
  • Clinica Universidad de Navarra
    Madrid, 28027, Spain
  • Clínica Universidad Navarra- Servicio de Hematología
    Pamplona, 31008, Spain
  • Hospital Clínico Universitario de Salamanca- Servicio de Hematología (4a planta)
    Salamanca, 37007, Spain
  • Hospital Universitario La Fe - Servicio de Hematología - Torre F - Planta 7
    Valencia, 46026, Spain
  • King's College Hospital NHS Foundation Trust
    London, SE5 9RS, United Kingdom
  • The Christie NHS foundation Trust
    Manchester, M20 4BX, United Kingdom
  • Freeman Hospital
    Newcastle, NE7 7DN, United Kingdom
08

References and documents

Individual participant data

Plan to share: Yes — Qualified scientific and medical researchers can request access to anonymized patient-level and study-level clinical trial data. Access can be requested for all interventional clinical studies: used for Marketing Authorization (MA) of medicines and new indications approved after 1 January 2014 in the European Economic Area (EEA) or the United States (US). where Servier is the Marketing Authorization Holder (MAH). The date of the first MA of the new medicine (or the new indication) in one of the EEA Member States will be considered for this scope. In addition, access can be requested for all interventional clinical studies in patients: sponsored by Servier with a first patient enrolled as of 1 January 2004 onwards for New Chemical Entity or New Biological Entity (new pharmaceutical form excluded) for which development has been terminated before any Marketing authorization (MA) approval.

Supporting information: Study protocol, Statistical analysis plan, Informed consent form, Clinical study report

Time frame: After Marketing Authorisation in EEA or US if the study is used for the approval.

Access criteria: Researchers should register on Servier Data Portal and fill in the research proposal form. This form in four parts should be fully documented. The Research Proposal Form will not be reviewed until all mandatory fields are completed.

Data sharing details ↗ · clinicaltrials.servier.com

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Jul 2019 to primary completion in Nov 2023, 51 months.

How these figures are worked out, and which studies are left out of them.

Registered
Nov 13, 2018
First posted
Nov 27, 2018
StartActual
Jul 17, 2019
Primary completionActual
Nov 6, 2023
CompletionActual
Nov 6, 2023
Last update
Oct 16, 2024
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Oct 16, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT03755154
Lead sponsor
Institut de Recherches Internationales Servier
Collaborators
ADIR, a Servier Group company
Responsible party
Sponsor
First posted
Nov 27, 2018
Start date
Jul 17, 2019
Primary completion
Nov 6, 2023
Completion
Nov 6, 2023
Last update
Oct 16, 2024

Oversight

Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Oct 2024. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: VOB-560

Start the discussion