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CompletedNCT04839341Updated Jun 27, 2025

Study to Evaluate PK and Safety With Uproleselan Combined With Chemotherapy to Treat Chinese R/R AML Patients

A Phase 1 interventional study of Uproleselan in Relapsed/Refractory AML, sponsored by Apollomics Inc.. Completed at 2 sites in China. Open to participants aged 18 Years to 60 Years. Per ClinicalTrials.gov, last updated 2025-06-27.

Sponsored by Apollomics Inc. · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Enrollment
12
Allocation
Not applicable
Ages
18 Years to 60 Years
Sex
All
01

Study summary

This study will evaluate the safety and tolerability of uproleselan(GMI-1271), a specific E-selectin antagonist, and characterize the pharmacokinetic (PK) profile of uproleselan, in combination with chemotherapy to treat Chinese relapsed/refractory AML patients.

Read the detailed description

This study is a multicenter open-labelled study conducted in subjects with relapsed or refractory AML in China. The study includes the following phases: screening phase, induction phase, consolidation phase baseline, consolidation phase and follow-up period.

Screening phase:

This study will enroll 12 subjects, who are 18 to 60 years (inclusive) at the time of signing the Informed Consent Form (ICF), and with the diagnosis as relapsed or refractory AML. Screening is conducted 21 days to 2 days before administration, and signed ICF by the subject must be obtained before screening.

Baseline period:

The baseline period is 1 day before study drug administration.

Induction treatment:

During the induction phase, subjects will receive 8 consecutive days of uproleselan treatment and 5 consecutive days of MEC (mitoxantrone, etoposide, and cytarabine combined regimen) chemotherapy.

Consolidation baseline:

The baseline of the consolidation phase is 1 day before the treatment administration of the consolidation phase.

Consolidation treatment:

Subjects who met the criteria for consolidation treatment started the consolidation period at the 29th day of the previous treatment cycle at the earliest and the 65th day at the latest.

Follow-up period:

Each subject should complete the following follow-up stage: (1) Response evaluation to determine remission to the induction treatment (induction period); (2) EOT assessment after completing the last consolidation treatment cycle; (3) Death. Survival and long-term follow-up, including initiation of new anti-leukemia treatment (within 6 months after the last uproleselan/placebo administration), recurrence, HSCT and survival events, monthly (±14 days) for 2 years after the end of treatment, and afterwards quarterly (±14 days). The longest survival follow-up time is 3 years (calculated from the start of treatment).

02

Conditions studied

  • Relapsed/Refractory AML

Keywords

  • AML
03

In context

Leukemia, Myeloid, Acute

2,971 studies on the registry are indexed under Leukemia, Myeloid, Acute; 745 are open to participants now.

This study's enrollment of 12 is below the median of 41 across 2,509 interventional studies indexed under Leukemia, Myeloid, Acute.

Browse Leukemia, Myeloid, Acute studies →

Lead sponsor

Apollomics Inc. is the lead sponsor of 5 studies on the registry; 1 is open to participants now.

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

04

Who can participate

Ages eligible
18 Years to 60 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  1. ≥18 years and ≤60 years in age
  2. AML (including secondary AML) diagnosed as per WHO standards (2008).
  3. For refractory AML, only cytarabine/daunorubicin(or Idarubicin) as can be applied repeatedly(maximal twice) as induction, no other chemotherapy are allowed to be applied Venatoclax /hypomethylation drug [HMA] can be used before and after chemotherapy.

    1. For relapse AML, it must be the first or second relapse, and remain untreated.
    2. Certain regimens (Venatoclax/HMA, Venetoclax/LDAC, HMA single agent) and FLT3 inhibitors, tyrosine kinase inhibitors, IDH1/IDH2 inhibitors or similar targeted inhibitors used alone are not considered cytotoxic chemotherapy are allowed.
  4. ECOG performance status score is 0 to 2.
  5. Stable hemodynamics and good organ function.

Exclusion criteria

Exclusion Criteria:

  1. Patients with acute promyelocytic leukemia, acute leukemia of ambiguous lineage (biphenotypic leukemia), chronic myeloid leukemia with myeloid blast crisis, or secondary refractory AML.
  2. Active signs or symptoms of CNS involvement by malignancy.
  3. Stem cell transplantation ≤4 months prior to dosing.
  4. Any immunotherapy or radiotherapy therapy within 28 days of dosing; any other experimental therapy or chemotherapy within 14 days of dosing.
  5. Prior use of G-CSF, CM-CSF or plerixafor within 7 days of dosing.
  6. Inadequate organ function.
  7. Abnormal liver function.
  8. Known active infection with hepatitis A, B, or C, or human immunodeficiency virus.
  9. Moderate kidney dysfunction (glomerular filtration rate \<45 mL/min).
  10. Uncontrolled acute life-threatening bacterial, viral, or fungal infection.
  11. Clinically significant cardiovascular disease.
  12. Major surgery within 4 weeks of dosing.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
12 participants (actual)

Study arms

  • Experimental
    A Phase I, open-labeled multicenter study

    Uproleselan in combination with mitoxantrone, etoposide and cytarabine (MEC)

    Drug: Uproleselan

Interventions

  • DrugUproleselan

    A rationally designed E-selectin antagonist used to inhibit binding of cells to E-selectin

    Also known as: GMI-1271

06

What researchers measure

Primary outcomes

  1. Peak plasma concentration (Tmax)

    To assess the pharmacokinetic profile in patients with relapsed/refractory AML.

    Time frame: 14 days

  2. Peak plasma concentration (Cmax)

    To assess the pharmacokinetic profile in patients with relapsed/refractory AML.

    Time frame: 14 days

  3. Area under the plasma concentration-time curve from time zero to 12 hours (AUC0-12)

    To assess the pharmacokinetic profile in patients with relapsed/refractory AML.

    Time frame: 14 days

  4. The area under the plasma concentration-time curve (AUC0-t) from time zero to the last measurable time point

    To assess the pharmacokinetic profile in patients with relapsed/refractory AML.

    Time frame: 14 days

  5. The Incidence of Adverse Events

    Number of participants with an AE.

    Time frame: Up to 10 months

  6. The tolerance of participants with relapsed/refractory AML.

    Number of participants could tolerate the Uproleselan combined with chemotherapy.

    Time frame: Up to 10 months

Secondary outcomes

  1. OS

    Defined as the period from when the subject receives the first dose of the study drug to death from any cause;

    Time frame: Up to 3 years

  2. Remission rate (rate of CR, CR/CRi and CR/CRh)

    Defined as the rate of subjects who reach CR, CR/CRi and CR/CRh;

    Time frame: Up to 60 days

  3. CTCAE grade 3 and 4 oral mucositis

    The incidence of CTCAE grade 3 and 4 oral mucositis during the treatment duration.

    Time frame: Up to 254 days

07

Study locations

2 sites
  • Institute of Hematology and Blood Diseases Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College
    Tianjin, Tianjin Municipality 300020, China
  • The First Affiliated Hospital of Zhejiang University
    Hangzhou, China
08

References and documents

Individual participant data

Plan to share: No

No publications or documents are linked to this record.

09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 27, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT04839341
Lead sponsor
Apollomics Inc.
Responsible party
Sponsor
First posted
Apr 9, 2021
Start date
Feb 24, 2021
Primary completion
Jun 28, 2024
Completion
Jun 28, 2024
Last update
Jun 27, 2025

Study contacts

Jianxiang Wang, PhD
principal investigator · Institute of Hematology and Blood Disease Hospital, Chinese Academy of Medical Sciences

Oversight

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

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This study is completed, as verified in Jun 2025. You cannot join it, but the record below documents what was studied.

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