Hu5F9‐G4

A new clinical trial is exploring the potential of Magrolimab (also known as Hu5F9‐G4) in combination with intensive chemotherapy for patients with newly diagnosed acute myeloid leukemia (AML) or high-risk myelodysplastic syndrome (MDS). This Phase 2 study, called MAGROLIC, aims to evaluate the effectiveness and safety of this treatment approach for patients who are eligible for stem cell transplantation.

Table of Contents

What is Magrolimab?

Magrolimab, also known as HU5F9‐G4, is a new medication being studied for the treatment of certain blood cancers[1]. It is a type of drug called an immunoglobulin, which is a protein that helps your immune system fight diseases. Magrolimab is given as a solution for infusion, which means it is delivered directly into your bloodstream through a vein[1].

Medical Conditions Treated

Magrolimab is being investigated for the treatment of two main conditions:

  • Acute Myeloid Leukemia (AML): This is a type of cancer that affects the blood and bone marrow. It causes rapid growth of abnormal white blood cells[1].
  • High-risk Myelodysplastic Neoplasia: This is a group of disorders where the bone marrow doesn’t produce enough healthy blood cells. It’s considered “high-risk” when it’s more likely to progress to AML[1].

How Magrolimab is Used

In the clinical trial, Magrolimab is being used in combination with intensive chemotherapy for patients who are newly diagnosed with AML or high-risk myelodysplastic syndrome. The treatment is intended for patients who are planning to undergo allogeneic stem cell transplantation, which is a procedure where healthy stem cells from a donor are used to replace the patient’s diseased bone marrow[1].

Magrolimab is given intravenously (through a vein) at a maximum dose of 30 mg/kg (milligrams per kilogram of body weight). The treatment period can last up to 4 weeks[1].

Clinical Trial Details

The clinical trial for Magrolimab is called MAGROLIC. It’s a Phase 2, single-arm, open-label study. Here’s what these terms mean:

  • Phase 2: This stage of clinical research focuses on determining how well the drug works and continues to assess its safety[1].
  • Single-arm: All participants in the study receive the same treatment; there’s no comparison group[1].
  • Open-label: Both the researchers and the participants know which treatment is being given[1].

Eligibility Criteria

To participate in this study, patients must meet certain criteria. Some key inclusion criteria are:

  • Having AML or high-risk myelodysplastic syndrome according to specific medical criteria[1].
  • Being classified as “intermediate or adverse risk” according to certain guidelines[1].
  • Planning to undergo intensive chemotherapy followed by allogeneic stem cell transplantation[1].

Some reasons why a patient might not be eligible include:

  • Not being suitable for intensive chemotherapy[1].
  • Having received prior treatment for AML or high-risk myelodysplastic syndrome (except for a medication called hydroxyurea)[1].
  • Having a specific genetic mutation called FLT3[1].
  • Having inadequate function of the heart, lungs, kidneys, or liver[1].

Study Objectives and Endpoints

The main goal of this study is to see how well Magrolimab works when combined with intensive chemotherapy. Researchers will look at several factors, including:

  • Complete remission rate: This is the main measure of success, looking at how many patients achieve complete remission after treatment[1].
  • Overall survival: How long patients live after starting the treatment[1].
  • Event-free survival: The time from the start of treatment until the disease worsens or the patient dies[1].
  • Relapse-free survival: For patients who achieve remission, how long they stay in remission[1].
  • Rate of stem cell transplantation: How many patients are able to proceed to stem cell transplantation[1].
  • Quality of life: How the treatment affects patients’ overall well-being[1].

Potential Benefits and Risks

While Magrolimab shows promise in treating AML and high-risk myelodysplastic syndrome, it’s important to remember that it’s still being studied. The potential benefits include improved treatment outcomes and the possibility of proceeding to stem cell transplantation. However, as with any medical treatment, there may be risks and side effects[1].

The study will carefully monitor all adverse events (side effects) during the treatment. These will be graded according to their severity and recorded to ensure patient safety[1].

It’s crucial for patients to discuss the potential benefits and risks of participating in this clinical trial with their healthcare providers. They can provide more detailed information based on individual health conditions and circumstances.

Aspect Details
Study Name MAGROLIC
Drug Magrolimab (Hu5F9‐G4)
Trial Phase Phase 2
Conditions Studied Acute Myeloid Leukemia (AML) and High-risk Myelodysplastic Syndrome (MDS)
Treatment Approach Magrolimab plus intensive chemotherapy
Primary Endpoint Best complete remission rate during induction chemotherapy
Key Secondary Endpoints Overall Survival, Event-Free Survival, Relapse-Free Survival
Eligible Patients Newly diagnosed AML or MDS-IB-2, intermediate or poor-risk, eligible for intensive chemotherapy and stem cell transplantation
Maximum Daily Dose 30 mg/kg
Administration Route Intravenous infusion

Ongoing Clinical Trials on Hu5F9‐G4

  • Study of Magrolimab and Chemotherapy for Newly Diagnosed Acute Myeloid Leukemia Patients Eligible for Stem Cell Transplantation

    Not recruiting

    2 1 1 1
    Investigated diseases:
    Germany

Glossary

  • Acute Myeloid Leukemia (AML): A type of blood cancer that starts in the bone marrow and quickly moves into the blood, affecting the production of normal blood cells.
  • Myelodysplastic Syndrome (MDS): A group of disorders where the bone marrow doesn't produce enough healthy blood cells. High-risk MDS has a higher chance of progressing to AML.
  • Allogeneic Stem Cell Transplantation: A procedure where a patient receives blood-forming stem cells from a genetically similar, but not identical, donor to replace damaged or diseased cells in the bone marrow.
  • Induction Chemotherapy: The first phase of chemotherapy treatment, aimed at killing as many cancer cells as possible to induce remission.
  • Complete Remission (CR): A state where there is no evidence of disease and blood cell counts have returned to normal levels.
  • Event-Free Survival (EFS): The length of time after treatment during which no specified events (such as disease progression or relapse) are detected.
  • Relapse-Free Survival (RFS): The length of time after achieving complete remission that a patient survives without any signs or symptoms of the disease returning.
  • Adverse Events: Any unfavorable and unintended sign, symptom, or disease temporarily associated with the use of a medical treatment or procedure.

References

  1. http://clinicaltrials.eu/trial/study-of-magrolimab-and-chemotherapy-for-newly-diagnosed-acute-myeloid-leukemia-patients-eligible-for-stem-cell-transplantation/