Mocravimod as Adjunctive and Maintenance Treatment in AML Patients Undergoing Allo-HCT

Purpose

This is a multi-center, randomized, double-blinded, placebo controlled trial.

Condition

  • Adult Acute Myeloid Leukemia

Eligibility

Eligible Ages
Between 18 Years and 75 Years
Eligible Genders
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Diagnosis of AML (excluding acute promyelocytic leukemia) according to the WHO 2022 classification of AML and related precursor neoplasm, including AML with myelodysplasia-related gene mutations - European Leukemia Net (ELN) high-risk or intermediate-risk AML in CR1, or AML of any risk in CR2, [CRi] is also allowable - Planned allogeneic HCT from fully matched related or unrelated donor with no more than 1 antigen mismatch or planned use of haploidentical donor using PBSC graft - Any conditioning regimen with a Transplant Conditioning Score (TCI) ≥ 1.5 - Planned use of CsA-based or TAC-based GvHD prophylaxis - age ≥ 18 years and ≤ 75 years - Eastern Cooperative Oncology Group (ECOG) performance status of 0 or 1

Exclusion Criteria

  • Use of anti-thymocyte globulin (ATG), alemtuzumab, abatacept for GvHD prophylaxis - Diagnosis of macular edema during screening - Cardiac/pulmonary/hepatic/renal dysfunction - Hepatic dysfunction as defined by aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT) > 2.5 x upper limit of normal (ULN); or total bilirubin > 1.5 mg/dL - Renal dysfunction with estimated creatinine clearance < 45 mL/min by the Cockcroft-Gault formula

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Intervention Model Description
prospective, multicenter, randomized, double-blind, placebo-controlled, and 3-arm parallel group study
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
3mg mocravimod arm
3 mg of mocravimod orally once per day for 12 months
  • Drug: mocravimod
    S1PR modulator
Experimental
1mg mocravimod arm
1 mg of mocravimod orally once per day for 12 months
  • Drug: mocravimod
    S1PR modulator
Placebo Comparator
Placebo arm
placebo orally once per day for 12 months
  • Drug: mocravimod
    S1PR modulator

Recruiting Locations

University of Alabama Hospital (UAB Hospital)
Birmingham, Alabama 35233-1932
Contact:
Antonio Di Stasi, MD
adistasi@uabmc.edu

More Details

Status
Recruiting
Sponsor
Priothera SAS

Study Contact

Malika Souquieres, MSc
+33367510040
malika.souquieres@priothera.com

Detailed Description

The purpose of this study is to evaluate the efficacy and safety of mocravimod as an adjunctive and maintenance treatment in adult acute myeloid leukemia (AML) patients undergoing allogeneic hematopoietic cell transplantation (HCT).