An Open-Label, Multicenter, Single-Arm, Phase I Dose Escalation Study of OP-2100, an Orally Bioavailable Prodrug of Decitabine, for Patients with Relapsed or Refractory Higher-Risk Myelodysplastic Syndromes and Chronic Myelomonocytic Leukemia

التفاصيل البيبلوغرافية
العنوان: An Open-Label, Multicenter, Single-Arm, Phase I Dose Escalation Study of OP-2100, an Orally Bioavailable Prodrug of Decitabine, for Patients with Relapsed or Refractory Higher-Risk Myelodysplastic Syndromes and Chronic Myelomonocytic Leukemia
المؤلفون: Kimura, Shinya, Usuki, Kensuke, Ichinohe, Tatsuo, Ikezoe, Takayuki, Kuroda, Junya, Kasahara, Senji, Okamoto, Sho, Iizuka, Hiromitsu, Ureshino, Hiroshi, Watanabe, Tatsuro, Ro, Tokihiro, Endo, Kosuke, Kagawa, Yuka, Kurahashi, Yuki, Naito, Toshiki, Yamauchi, Takahiro
المصدر: Blood; November 2023, Vol. 142 Issue: 1, Number 1 Supplement 1 p6466-6466, 1p
مستخلص: Hypomethylating agents (HMA) are commonly used to treat high-risk myelodysplastic syndromes (MDS) and chronic myelomonocytic leukemia (CMML).Decitabine (DEC), one of the HMAs, is S phase-specifically incorporated into DNA to exert its effect, and sustained plasma concentration may increase its efficacy (Saunthararajah et al. J Clin Invest. 2015). Therefore, we developed OP-2100, an orally bioavailable prodrug of DEC. It showed equal efficacy to conventional HMAs in various blood cancer mouse models and exhibited a favorable safety profile in healthy mice (Watanabe et al. Blood. 2020; Ureshino et al. Mol Cancer Ther. 2021). In addition, it exhibited a sustained-release pharmacokinetic (PK) profile when orally administered to monkeys. In a phase I study, OP-2100 monotherapy showed the expected PK profile on patients with relapsed or refractory higher-risk MDS and CMML, and we reported the preliminary result.
قاعدة البيانات: Supplemental Index
الوصف
تدمد:00064971
15280020
DOI:10.1182/blood-2023-173174