FDA Clinical Hold on Magenta Trial
FDA has placed a clinical hold on a Magenta Therapeutics Phase 1/2 clinical trial of MGTA-117 in patients with acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS). The company says the agency is “requiring that Magenta develop an additional bioassay to be used in conjunction with the PK/PD model to inform dose escalation decisions in addition to safety monitoring. This was the only clinical hold item identified by the FDA and does not relate to the toxicology or manufacturing of MGTA-117.” Magenta says it has initiated the bioassay development and it intends to work closely with FDA under Type A meeting requests.
The trial is designed as an initial evaluation of the therapy’s safety, pharmacokinetics and pharmacodynamics as a single agent in the relapsed/refractory AML and MDS patient population, according to the company. Magenta anticipates transitioning the study to transplant-eligible patients after adequate data have been collected in the relapsed/refractory AML and MDS patient population. Magenta also expects to develop MGTA-117 as a targeted conditioning agent for patients with genetic diseases prior to delivery of ex vivo gene therapies.
The company describes MGTA-117 as an antibody-drug conjugate designed to selectively deplete hematopoietic stem cells (HSCs) from patients prior to transplant or HSC-based gene therapy to reduce the need for high-dose or high-intensity chemotherapeutic agents or, in the case of gene therapy applications, to potentially eliminate the need for chemotherapeutic agents altogether. It is designed to target the CD117 receptor, which is expressed on the cell surface of HSCs and leukemia cells.