CARDINAL (TERN701-1012) = TERN-701 in Chronic Phase Chronic Myeloid Leukemia [Australia, France, Germany, Italy, South Korea, Spain, USA]
Study title
Safety, Tolerability, Pharmacokinetics, and Efficacy of TERN-701 in participants with chronic myeloid leukemia
Scientific title
A Phase 1 Clinical Trial to Evaluate the Safety, Tolerability, Pharmacokinetics, and Efficacy of TERN-701 in Participants With Chronic Myeloid Leukemia
Type of study
Trial after therapy failure or intolerance
Phase
Current status
Recruiting
Other trial ID
CARDINAL, TERN701-1012; ClinicalTrials.gov NCT06163430, EudraCT no. 2023-507677-18
What is the purpose of the study
The goal of the study is to evaluate the safety, tolerability, pharmacokinetics, pharmacodynamics and efficacy of TERN-701, a novel highly selective allosteric inhibitor of BCR-ABL1, in participants with previously treated chronic phase – chronic myeloid leukemia (CP-CML).
What will happen during the study
The study has two parts: Part 1 of the trial (Dose Escalation) will evaluate a range of doses of TERN-701 administered once daily to identify dose levels that are safe, achieve adequate exposure levels, and show evidence of clinical activity measured by hematologic responses and decresase in transcript levels from baseline.
Part 2 (Dose Expansion) consists of randomized, parallel dose expansion cohorts of TERN-701 that will further evaluate the efficacy and safety of at least 2 recommended dose levels for expansion selected from Part 1. The purpose of Part 2 is to select the optimal therapeutically active dose(s) of TERN-701 for evaluation in subsequent studies in participants with CP-CML.
In both Part 1 and Part 2, participants will receive continuous daily dosing of TERN-701 divided into 28-day cycles.
Key inclusion criteria
This study includes male or female patients who:
- are aged 18 years or older at the time of signing the informed consent
- have an Eastern Co-Operative Group (ECOG) status of 0, 1 or 2
- have stablished cytopathologically confirmed diagnosis of BCR-ABL1 positive chronic myeloid leukemia in chronic phase (CML-CP) with or without T315l mutation
- have received treatment with active site targeting TKIs and have treatment failure, suboptimal response, or treatment intolerance
- are intolerant of asciminib, and do not have resistant/relapsing disease
- have adequate organ function.
Further criteria apply. Please discuss these with your doctor or study staff.
Key exclusion criteria
This study does not include patients who:
- have CML in accelerated or blast phase
- have been treated with systemic antineoplastic therapy (including prior TKIs, interferon-alfa, therapeutic antibodies, chemotherapy) or other experimental therapy 7 days before the first dose of TERN-701
- have completed previous anticancer therapy without resolution of all associated clinically significant toxicity (to ≤ Grade 2 or baseline).
Further criteria apply. Please discuss these with your doctor or study staff.
Estimated primary completion date
Where can I find additional information
You can find a study description in the US registry ClinicalTrials.gov. This is a database provided by the U. S. National Institutes of Health.
Study sponsor
Terns, Inc.
Scientific lead / contact
Principal investigator
Study centers / principal investigators
Australia
Royal Adelaide Hospital
Adelaide
South Australia
Principal Investigator: David Yeung
France
Institut Bergonié
Bordeaux
Principal Investigator: Francois-Xavier Mahon
Centre Hospitalier Lyon Sud
Lyon
Principal Investigator: Marie Balsat
Institut Paoli-Calmettes
Marseille
Principal Investigator: Aude Charbonnier
Centre Hospitalier Universitaire Nantes – Hôtel Dieu
Nantes
Principal Investigator: Viviane Dubruille
Hôpital Saint-Louis
Paris
Principal Investigator: Delphine Rea
Germany
Charite Campus Virchow
Berlin
Principal Investigator: Philipp Le Coutre
Medizinische Hochschule Hannover
Hannover
Principal Investigator: Florian Heidel
Universitätsklinikum Jena
Jena
Principal Investigator: Andreas Hochhaus
Italy
Fondazione IRCCS San Gerardo dei Tintori
Monza
Principal Investigator: Carlo Gambacorti Passerini
Spain
Hospital Clinic de Barcelona
Barcelona
Principal Investigator: Ana Triguero Moreno
Hospital Universitari Vall d’Hebrón
Barcelona
Principal Investigator: Sara Garrido Paniagua
Hospital Universitario de Gran Canaria Doctor Negrin
Las Palmas
Principal Investigator: Maria Teresa Gomez Casares
Hospital Universitario 12 de Octubre
Madrid
Principal Investigator: Gonzalo Carreño Gómez-Tarragona
Hospital Universitario Ramón y Cajal
Madrid
Principal Investigator: José Valentín García-Gutiérrez
Hospital Universitario de La Princesa
Madrid
Principal Investigator: Maria del Valle Gomez Garcia de Soria
Hospital Quirónsalud Zaragoza
Zaragoza
Principal Investigator: Maria Pilar Giraldo Castellano
South Korea
Dong-A University Hospital
Busan Gwang’yeogsi
Principal Investigator: Sung-Hyun Kim
Keimyung University Dongsan Hospital
Daegu Gwang’yeogsi
Principal Investigator: Young Rok Do
Uijeongbu Eulji Medical Center
Gyeonggi-do
Principal Investigator: Dong-Wook Kim
Hallym University Sacred Heart Hospital
Gyeonggi-do
Principal Investigator: Dae Young Zang
United States
California
University of California Irvine – Cancer Research Institute
Principal Investigator: Richard Van Etten
Colorado
USOR – Rocky Mountain Cancer Centers – Boulder
Principal Investigator: David Andorsky
Oregon
Oregon Health and Science University
Principal Investigator: Michael Heinrich
Tennessee
SCRI – TriStar Centennial Medical Center
Principal Investigator: Stephen Strickland
Texas
The University of Texas MD Anderson Cancer Center
Principal Investigator: Elias Jabbour
Washington
Fred Hutchinson Cancer Center – Seattle Cancer Care Alliance (SCCA) Location
Principal Investigator: Vivian Oehler