[PDF] To: NCI CTEP UM1 Clinical Trials Investigators From: Richard





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To: NCI CTEP UM1 Clinical Trials Investigators From: Richard

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  • Funded Activities Under The CTSA Program

    As part of its annual fiscal year appropriation, NCATS receives funds to support the programs, initiatives and activities of the CTSA Program. Each CTSA-funded institution provides core resources, subject-matter expertise, and training and educational opportunities to support clinical and translational science. Together, these institutions work col...

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  • Related Opportunities of Interest

    PA-21-345: Administrative Supplements to Promote Diversity in Small Businesses-SBIR/STTR (Admin Supp Clinical Trial Not Allowed)

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What does UM1 stand for?

Part 1. Overview Information National Center for Advancing Translational Sciences ( NCATS) Clinical and Translational Science Award (UM1 Clinical Trial Optional) UM1 Research Project with Complex Structure Cooperative Agreement See Notices of Special Interest associated with this funding opportunity

How do I write an UM1 application?

The UM1 application must describe the overarching goals of each component and the coordination, integration, synergy, and mutual reinforcement of resources between the components. Include a description of the roles of any shared partners and/or collaborators. Limited to THREE pages.

How many pages are required for UM1 hub application?

Limited to THREE pages. Given the clinical and translational science purpose of UM1 hub applications, research involving human subjects is anticipated to be initiated during the grant period; thus: All applicants must answer Yes to the involvement of Human Subjects during the period of award and complete all related sections.

What is the NCATS UM1 program?

The described Program is intended to be of the type of CTS research that the applicant considers to be of high priority. NCATS solicits the submission of one set of companion applications. With this solicitation for the UM1 application, a separate, companion FOA will solicit applications for a required K12 ( NOT-TR-21-030 ).

To: NCI CTEP UM1 Clinical Trials Investigators From: Richard

Page 1 of 2

To:

NCI CTEP UM1 Clinical Trials Investigators

From: Richard Piekarz, M.D., Ph.D., IDB, CTEP, NCI

S. Percy Ivy, M.D., IDB, CTEP, NCI

Date:

September 23, 2022

Re: Iadademstat Pre-Solicitation Applications: Notification to UM1 Investigators

Dear UM1 Investigators,

As part of the

iadademstat clinical development program, CTEP would like to request pre-solicitation applications from all interested UM1 investigators for selected studies.

Iadademstat (ORY-1001) is an oral small-molecule inhibitor of lysine-specific demethylase 1 (LSD1) and

has been granted FDA Orphan Drug Designation for the treatment of acute myeloid leukemia (AML) and small cell lung carcinoma (SCLC). LSD1 modulates gene expression via demethylation of histone H3 lysine 4 (H3K4) and

9 (H3K9), plus non-histone targets such as p53 (Lynch et al., 2012. Expert Opin

Ther Targets

. 16(12):1239-1249). LSD1 also provides a scaffold for assembly of the GFI1/CoREST

transcriptional repressor complex, which regulates hematopoietic differentiation (Maiques-Diaz et al.,

2018. Cell Rep. 22(13):3641-3659). Overexpression of LSD1 has been detected in hematological

malignancies such as AML (Niebel et al., 2014. Blood. 124(1):151-152) along with solid tumors such as

bladder, lung, and colorectal carcinomas (Hayami et al., 2011. Int J Cancer. 128(3):574-586). In cell

lines and mouse models of AML driven by mixed -lineage leukemia gene (MLL) rearrangements, LSD1 inhibition resulted in impairment of the oncogenic transcriptional program and induction of the

differentiation program (Harris et al., 2012. Cancer Cell. 21(4):473-487). Gene expression shifting from

a proliferation to differentiation signature has also been preclinically characterized in other AML subtypes (McGrath et al., 2016. Cancer Res. 76(7):1975-1988) and SCLC (Mohammad et al., 2015. Cancer Cell. 28(1):57-69) in response to LSD1 blockade. Iadademstat has demonstrated selective LSD1 target engagement and anticancer activity in both AML

and SCLC cell lines (Sacilotto et al., 2021. ACS Pharmacol. Transl. Sci. 4(6):1818-1834). In xenograft

models of acute leukemia and SCLC, iadademstat suppressed cancer growth and improved survival (Maes

et al., 2018, Cancer Cell. 33(3):495-511, Augert et al., 2019, and Sci Signal. 12(567):eaau2922). The

first-in-human trial of iadademstat monotherapy found that it was safe and well-tolerated in patients with

relapsed or refractory (R/R) AML when administered at a dose of 140 µg/m2 /d on the first five days of each week in a

28-day cycles (EudraCT 2013-002447-29). Time- and exposure-dependent induction of

myeloblast differentiation markers were observed in the dose expansion cohort (n=14), with one patient

exhibiting complete remission with incomplete count recovery (CRi) (Salamero et al., 2020. J Clin Oncol. 8(36):4260-4273). Iadademstat has also been evaluated in two phase 2 single-arm combination trials: the ALICE trial with azacitidine for treatment-naïve AML patients (EudraCT 2018-000482-36), and the CLEPSIDRA trial with platinum-etoposide for second-line SCLC patients (EudraCT 2018-

000469-35). In the ALICE trial, an 81% objective response rate was observed in evaluable patients

(n=27) after 42 months of enrollment. CR or CRi was observed in 64% of patients, exhibiting a durable

response greater than 6 months (Salamero et al ., 2022.

Poster at EHA).

In the CLEPSIDRA trial,

four out of ten evaluable patients achieved partial response, with a mean duration of response of 4.5 months (Navarro-Mendivil et al., 2020. Ann. Oncol. 31 (suppl 4):S974-S987).

Page 2 of 2

The following clinical trials have been selected for this pre-solicitation application: Phase 2 trial of iadademstat in combination with venetoclax and azacitidine in patients with AML. Phase 2 trial of iadademstat in combination with checkpoint inhibitor in patients with SCLC. The following criteria will be used to prioritize study assignment to investigators: Review of a one-page (maximum) summary of the proposed trial that includes objectives, schema, study size, and correlatives.

A site's need for trials to meet accrual goals.

The documented ability of the site to achieve acceptable accrual rates in a similar patient population. If your submission includes other sites, it is recommended to include examples of

their documen ted accrual rate as well. If prior accrual track record does not match projected accrual, please explain rationale for the projected accrual estimates. Competing trials. Please do not omit ongoing competing trials but explain mitigating factors (e.g., the trial will be finished, or the trial is accruing a non-competing patient subset). Early Career Investigator (ECI) trials led by an early-career Principal Investigator (PI). The ECI- PI should have a major interest in clinical research and the intention to develop a career in that field. The ECI-PI should also be within 7 years of completion of fellowship training and be a faculty member at an institution with a successful track record in conducting clinical trials.

If you are interested in conducting a trial

with iadademstat in any of the above-described settings, please fill out the attached Pre-LOI form and submit it to PreLOIs@tech-res.com by COB October 7, 2022.

Please note that in the case of an ECI application, the ECI-PI"s curriculum vitae and letters of mentorship

and institutional commitment must be submitted together with the Pre-LOI application via e-mail. The

Investigational Drug Branch will review the submissions and make a formal request for a full LOI on or

around October 28, 2022.

Should you have questions or concerns regarding this process or the solicited iadademstat trials, please

contact Dr. Richard Piekarz at 240-276-6565 or rpiekarz@nih.gov.quotesdbs_dbs31.pdfusesText_37
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