Preclinical characterization and clinical trial of CFI-400945, a polo-like kinase 4 inhibitor, in patients with relapsed/refractory acute myeloid leukemia and higher-risk myelodysplastic neoplasms.


Journal

Leukemia
ISSN: 1476-5551
Titre abrégé: Leukemia
Pays: England
ID NLM: 8704895

Informations de publication

Date de publication:
19 Dec 2023
Historique:
received: 25 08 2023
accepted: 30 11 2023
revised: 23 11 2023
medline: 20 12 2023
pubmed: 20 12 2023
entrez: 19 12 2023
Statut: aheadofprint

Résumé

CFI-400945 is a selective oral polo-like kinase 4 (PLK4) inhibitor that regulates centriole duplication. PLK4 is aberrantly expressed in patients with acute myeloid leukemia (AML). Preclinical studies indicate that CFI-400945 has potent in vivo efficacy in hematological malignancies and xenograft models, with activity in cells harboring TP53 mutations. In this phase 1 study in very high-risk patients with relapsed/refractory AML and myelodysplastic syndrome (MDS) (NCT03187288), 13 patients were treated with CFI-400945 continuously in dose escalation from 64 mg/day to 128 mg/day. Three of the 9 efficacy evaluable AML patients achieved complete remission (CR). Two of 4 AML patients (50%) with TP53 mutations and complex monosomal karyotype achieved a CR with 1 patient proceeding to allogenic stem cell transplant. A third patient with TP53 mutated AML had a significant reduction in marrow blasts by > 50% with an improvement in neutrophil and platelet counts. Responses were observed after 1 cycle of therapy. Dose-limiting toxicity was enteritis/colitis. A monotherapy and combination therapy study with a newer crystal form of CFI-400945 in patients with AML, MDS and chronic myelomonocytic leukemia (CMML) is ongoing (NCT04730258).

Identifiants

pubmed: 38114624
doi: 10.1038/s41375-023-02110-9
pii: 10.1038/s41375-023-02110-9
doi:

Banques de données

ClinicalTrials.gov
['NCT04730258']

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Princess Margaret Cancer Foundation (PMCF)
ID : n/a

Informations de copyright

© 2023. The Author(s), under exclusive licence to Springer Nature Limited.

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Auteurs

Tracy Murphy (T)

Leukemia Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.

Jacqueline M Mason (JM)

Campbell Family Institute for Breast Cancer Research, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Treadwell Therapeutics Canada Inc, Toronto, Canada.

Brian Leber (B)

Division of Hematology, Juravinski Cancer Centre, McMaster University, Hamilton, ON, Canada.

Mark R Bray (MR)

Campbell Family Institute for Breast Cancer Research, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Treadwell Therapeutics Canada Inc, Toronto, Canada.

Steven M Chan (SM)

Leukemia Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.

Vikas Gupta (V)

Leukemia Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.

Dina Khalaf (D)

Division of Hematology, Juravinski Cancer Centre, McMaster University, Hamilton, ON, Canada.

Dawn Maze (D)

Leukemia Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.

Caroline J McNamara (CJ)

Leukemia Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.

Aaron D Schimmer (AD)

Leukemia Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.

Andre C Schuh (AC)

Leukemia Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.

Hassan Sibai (H)

Leukemia Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.

Michael Trus (M)

Division of Hematology, Juravinski Cancer Centre, McMaster University, Hamilton, ON, Canada.

Debbie Valiquette (D)

Division of Hematology, Juravinski Cancer Centre, McMaster University, Hamilton, ON, Canada.

Kylie Martin (K)

Leukemia Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.

Linh Nguyen (L)

Treadwell Therapeutics Inc., San Mateo, CA, USA.

Xuan Li (X)

Department of Biostatistics, University Health Network, Toronto, ON, Canada.

Tak W Mak (TW)

Campbell Family Institute for Breast Cancer Research, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.
Treadwell Therapeutics Canada Inc, Toronto, Canada.

Mark D Minden (MD)

Leukemia Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.

Karen W L Yee (KWL)

Leukemia Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, University Health Network, Toronto, ON, Canada. karen.yee@uhn.ca.

Classifications MeSH