Clinical trial

Master Screening and Reassessment Protocol (MSRP) for the NCI MyeloMATCH Clinical Trials

Name
NCI-2022-07006
Description
This MyeloMATCH Master Screening and Reassessment Protocol (MSRP) evaluates the use of a screening tool and specific laboratory tests to help improve participants' ability to register to clinical trials throughout the course of their myeloid cancer (acute myeloid leukemia or myelodysplastic syndrome) treatment. This study involves testing patients' bone marrow and blood for certain biomarkers. A biomarker (sometimes called a marker) is any molecule in the body that can be measured. Doctors look at markers to learn what is happening in the body. Knowing about certain markers can give doctors more information about what is driving the cancer and how to treat it. Testing patients' bone marrow and blood will show doctors if patients have markers that specific drugs can target. The marker testing in this study will let doctors know if they can match patients with a treatment study (myeloMATCH clinical trial) that tests treatment for the type of cancer they have or continue standard of care treatment with their doctor on the Tier Advancement Pathway (TAP).
Trial arms
Trial start
2025-02-10
Estimated PCD
2029-05-15
Trial end
2029-05-15
Status
Recruiting
Phase
Early phase I
Treatment
Azacitidine
Given IV or SC
Arms:
MM1OA-EA02 Regimen 1 (azacitidine, venetoclax), MM1OA-EA02 Regimen 2 (azacitidine, venetoclax, gilteritinib), MM1OA-EA02 Regimen 3 (azacitidine, venetoclax, gilteritinib), MM1YA-CTG01 Arm II (azacitidine, venetoclax), MM1YA-S01 Arm III (azacitidine, venetoclax), MM2YA-EA01 Arm D (azacitidine, venetoclax)
Other names:
5 AZC, 5-AC, 5-Azacitidine, 5-Azacytidine, 5-AZC, Azacytidine, Azacytidine, 5-, Ladakamycin, Mylosar, U-18496, Vidaza
Best Practice
Receive SOC treatment
Arms:
TAP (SOC treatment, mutation carrier screening)
Other names:
standard of care, standard therapy
Biopsy
Undergo biopsy
Arms:
MM1OA-EA02 Regimen 1 (azacitidine, venetoclax), MM1OA-EA02 Regimen 2 (azacitidine, venetoclax, gilteritinib), MM1OA-EA02 Regimen 3 (azacitidine, venetoclax, gilteritinib), MM2YA-EA01 Arm A (cytarabine), MM2YA-EA01 Arm B (cytarabine, venetoclax), MM2YA-EA01 Arm C (Vyxeos, venetoclax), MM2YA-EA01 Arm D (azacitidine, venetoclax)
Other names:
BIOPSY_TYPE, Bx
Biospecimen Collection
Undergo collection of blood samples
Arms:
MM1OA-EA02 Regimen 1 (azacitidine, venetoclax), MM1OA-EA02 Regimen 2 (azacitidine, venetoclax, gilteritinib), MM1OA-EA02 Regimen 3 (azacitidine, venetoclax, gilteritinib), MM1YA-CTG01 Arm I (daunorubicin, cytarabine, venetoclax), MM1YA-CTG01 Arm II (azacitidine, venetoclax), MM1YA-CTG01 Arm III (daunorubicin, cytarabine), MM1YA-S01 Arm I (cytarabine, daunorubicin), MM1YA-S01 Arm II (cytarabine, daunorubicin, venetoclax), MM1YA-S01 Arm III (azacitidine, venetoclax), MM1YA-S01 Arm IV (Vyxeos), MM1YA-S01 Arm V (Vyxeos, venetoclax)
Other names:
Biological Sample Collection, Biospecimen Collected, Specimen Collection
Bone Marrow Aspiration
Undergo bone marrow aspiration
Arms:
MM1YA-CTG01 Arm I (daunorubicin, cytarabine, venetoclax), MM1YA-CTG01 Arm II (azacitidine, venetoclax), MM1YA-CTG01 Arm III (daunorubicin, cytarabine), MM1YA-S01 Arm I (cytarabine, daunorubicin), MM1YA-S01 Arm II (cytarabine, daunorubicin, venetoclax), MM1YA-S01 Arm III (azacitidine, venetoclax), MM1YA-S01 Arm IV (Vyxeos), MM1YA-S01 Arm V (Vyxeos, venetoclax)
Cytarabine
Given
Arms:
MM1YA-CTG01 Arm I (daunorubicin, cytarabine, venetoclax), MM1YA-CTG01 Arm III (daunorubicin, cytarabine), MM1YA-S01 Arm I (cytarabine, daunorubicin), MM1YA-S01 Arm II (cytarabine, daunorubicin, venetoclax), MM2YA-EA01 Arm A (cytarabine), MM2YA-EA01 Arm B (cytarabine, venetoclax)
Other names:
.beta.-Cytosine arabinoside, 1-.beta.-D-Arabinofuranosyl-4-amino-2(1H)pyrimidinone, 1-.beta.-D-Arabinofuranosylcytosine, 1-Beta-D-arabinofuranosyl-4-amino-2(1H)pyrimidinone, 1-Beta-D-arabinofuranosylcytosine, 1.beta.-D-Arabinofuranosylcytosine, 2(1H)-Pyrimidinone, 4-Amino-1-beta-D-arabinofuranosyl-, 2(1H)-Pyrimidinone, 4-amino-1.beta.-D-arabinofuranosyl-, Alexan, Ara-C, ARA-cell, Arabine, Arabinofuranosylcytosine, Arabinosylcytosine, Aracytidine, Aracytin, Aracytine, Beta-Cytosine Arabinoside, CHX-3311, Cytarabinum, Cytarbel, Cytosar, Cytosine Arabinoside, Cytosine-.beta.-arabinoside, Cytosine-beta-arabinoside, Erpalfa, Starasid, Tarabine PFS, U 19920, U-19920, Udicil, WR-28453
Daunorubicin Hydrochloride
Given IV
Arms:
MM1YA-CTG01 Arm I (daunorubicin, cytarabine, venetoclax), MM1YA-CTG01 Arm III (daunorubicin, cytarabine), MM1YA-S01 Arm I (cytarabine, daunorubicin), MM1YA-S01 Arm II (cytarabine, daunorubicin, venetoclax)
Other names:
Cerubidin, Cerubidine, Cloridrato de Daunorubicina, Daunoblastin, Daunoblastina, Daunoblastine, Daunomycin Hydrochloride, Daunomycin, hydrochloride, Daunorubicin.HCl, Daunorubicini Hydrochloridum, FI-6339, Ondena, RP-13057, Rubidomycin Hydrochloride, Rubilem
Echocardiography
Undergo ECHO
Arms:
MM1YA-S01 Arm I (cytarabine, daunorubicin), MM1YA-S01 Arm II (cytarabine, daunorubicin, venetoclax), MM1YA-S01 Arm III (azacitidine, venetoclax), MM1YA-S01 Arm IV (Vyxeos), MM1YA-S01 Arm V (Vyxeos, venetoclax), MM2YA-EA01 Arm A (cytarabine), MM2YA-EA01 Arm B (cytarabine, venetoclax), MM2YA-EA01 Arm C (Vyxeos, venetoclax), MM2YA-EA01 Arm D (azacitidine, venetoclax)
Other names:
EC
Gilteritinib
Given PO
Arms:
MM1OA-EA02 Regimen 2 (azacitidine, venetoclax, gilteritinib), MM1OA-EA02 Regimen 3 (azacitidine, venetoclax, gilteritinib)
Other names:
ASP-2215, ASP2215
Liposome-encapsulated Daunorubicin-Cytarabine
Given IV
Arms:
MM1YA-S01 Arm IV (Vyxeos), MM1YA-S01 Arm V (Vyxeos, venetoclax), MM2YA-EA01 Arm C (Vyxeos, venetoclax)
Other names:
CPX-351, Cytarabine and Daunorubicin Liposomal, Cytarabine-Daunorubicin Liposome for Injection, Daunorubicin and Cytarabine (Liposomal), Liposomal AraC-Daunorubicin CPX-351, Liposomal Cytarabine-Daunorubicin, Liposome-encapsulated Combination of Daunorubicin and Cytarabine, Vyxeos
Multigated Acquisition Scan
Undergo MUGA
Arms:
MM1YA-S01 Arm I (cytarabine, daunorubicin), MM1YA-S01 Arm II (cytarabine, daunorubicin, venetoclax), MM1YA-S01 Arm III (azacitidine, venetoclax), MM1YA-S01 Arm IV (Vyxeos), MM1YA-S01 Arm V (Vyxeos, venetoclax), MM2YA-EA01 Arm A (cytarabine), MM2YA-EA01 Arm B (cytarabine, venetoclax), MM2YA-EA01 Arm C (Vyxeos, venetoclax), MM2YA-EA01 Arm D (azacitidine, venetoclax)
Other names:
Blood Pool Scan, Equilibrium Radionuclide Angiography, Gated Blood Pool Imaging, Gated Heart Pool Scan, MUGA, MUGA Scan, Multi-Gated Acquisition Scan, Radionuclide Ventriculogram Scan, Radionuclide Ventriculography, RNVG, SYMA Scanning, Synchronized Multigated Acquisition Scanning
Mutation Carrier Screening
Undergo rapid genetic testing
Arms:
Screening (mutation carrier screening), TAP (SOC treatment, mutation carrier screening)
Venetoclax
Given PO
Arms:
MM1OA-EA02 Regimen 1 (azacitidine, venetoclax), MM1OA-EA02 Regimen 2 (azacitidine, venetoclax, gilteritinib), MM1OA-EA02 Regimen 3 (azacitidine, venetoclax, gilteritinib), MM1YA-CTG01 Arm I (daunorubicin, cytarabine, venetoclax), MM1YA-CTG01 Arm II (azacitidine, venetoclax), MM1YA-S01 Arm II (cytarabine, daunorubicin, venetoclax), MM1YA-S01 Arm III (azacitidine, venetoclax), MM1YA-S01 Arm V (Vyxeos, venetoclax), MM2YA-EA01 Arm B (cytarabine, venetoclax), MM2YA-EA01 Arm C (Vyxeos, venetoclax), MM2YA-EA01 Arm D (azacitidine, venetoclax)
Other names:
ABT-0199, ABT-199, ABT199, GDC-0199, RG7601, Venclexta, Venclyxto
Size
2000
Primary endpoint
Timing of treatment Substudy or Tier Advancement Pathway (TAP) assignment
Within 72 hours of MDNet receipt of specimens for initial therapy or within 10 days for subsequent therapy
Eligibility criteria
Inclusion Criteria: * Participants must be suspected to have previously untreated acute myeloid leukemia (AML) or myelodysplastic syndrome (MDS). Participants with AML cannot have a history of previously treated myeloproliferative neoplasms (MPN) or MDS. * Participants must be \>= 18 years of age. * Participants must not have received prior anti-cancer therapy for AML or MDS. * Note: Hydroxyurea to control the white blood cell count (WBC) is allowed. * Note: Prior erythroid stimulating agent (ESA) is not considered prior therapy for the purposes of eligibility. Participants must not be currently receiving any cytarabine-containing therapy other than up to 1 g/m\^2 of cytarabine, which is allowed for urgent cytoreduction. * Participants are allowed prior use of hydroxyurea, all-trans retinoic acid (ATRA), BCR-ABL directed tyrosine kinase inhibitor, erythropoiesis-stimulating agent, thrombopoietin receptor agonist and lenalidomide, with a maximum limit of 1 month of exposure. * Note: Participants receiving hydroxyurea prior to treatment substudy or TAP assignment must agree to discontinue hydroxyurea within 24 hours before beginning substudy or TAP treatment. * Participants must not have a prior or concurrent malignancy that requires concurrent anti-cancer therapy * Note: active hormonal therapy is allowed * Participants must have a Zubrod Performance Status evaluation within 28 days prior to registration. * Participants must agree to have translational medicine specimens submitted. * Participants must be offered the opportunity to participate in specimen banking. * Note: Specimens must be collected and submitted following the initial paper-based process and subsequently via the Precision Medicine Specimen Tracking Forms in Medidata Rave instance for the MyeloMATCH MSRP. * Participants must be informed of the investigational nature of this study and must sign and give informed consent in accordance with institutional and federal guidelines. * Note: As a part of the Oncology Patient Enrollment Network (OPEN) registration process the treating institution's identity is provided in order to ensure that the current (within 365 days) date of institutional review board approval for this study has been entered in the system. * The master screening and reassessment protocol (MSRP) should only be used in sites where the relevant AML treatment substudies are open or if the site is willing to follow the MSRP Tier Advancement Pathway (TAP) for patients in the event that the site does not have the relevant study open and transfer to another site that does have the study open. For example, if a site does not have a myeloMATCH Tier 1 study for older AML open for enrollment, such older AML patients should only be consented for the MSRP if the site is willing to treat the patient with standard of care on TAP or is willing to transfer the patient to a center with a study open that the patient would otherwise match to.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['PHASE2'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'SCREENING', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 2000, 'type': 'ESTIMATED'}}
Updated at
2024-06-11

1 organization

6 products

2 indications

Product
Cytarabine
Product
Venetoclax