FDA Lifts Hold on Ryvu Myeloid Leukemia Trial
FDA has lifted a partial clinical hold against Ryvu Therapeutics and its Phase 1b dose escalation clinical trial of RVU120 (also known as SEL120) in patients with relapsed/refractory acute myeloid leukemia and high-risk myelodysplastic syndrome. The hold was issued after Ryvu reported a patient death that might have been related to RVU120. Study protocol modification have been made to FDA’s satisfaction, the company says.
“Based on the recommendations from the FDA, the study will resume enrollment at a 75mg dose (Every Other Day – EOD) in a standard 3+3 design, according to a revised protocol intended to increase patients’ safety,” according to Ryvu. The protocol amendment covers modified exclusion criteria, scope of monitoring and frequency of laboratory testing, it says. Following the completion of the 75mg cohort, the data generated will be reviewed by the agency and a further dose escalation strategy will be established. Additionally, Ryvu plans to use 75mg as the starting dose for a single-agent, open-label Phase 1/2 trial investigating the safety and efficacy of RVU120 in patients with relapsed/refractory metastatic or advanced solid tumors, which will begin patient enrollment this quarter.
Ryvu describes RVU120 as a selective first-in-class CDK8/CDK19 inhibitor which has demonstrated efficacy in a number of solid tumor types in in vitro and in vivo models, as well as in onco-hematological malignancies.