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ASH 2023 | Results of a Phase I trial investigating CYNK-001, a placental NK-cell product, in patients with AML

Eunice Wang, MD, Roswell Park Comprehensive Cancer Center, Buffalo, NY, presents the preliminary results of the Phase I CYNK-001-AML study (NCT04310592) investigating CYNK-001, a placental natural killer (NK)-cell product, in patients with relapsed/refractory (R/R) acute myeloid leukemia (AML) or de novo or secondary AML in morphologic complete remission (CR) with measurable residual disease (MRD). The NK-cell infusion was administered in different doses following standard conditioning regimens and was well tolerated, with some evidence of clinical efficacy at the highest dose level. The trial is now closed, and future studies will focus on developing and investigating next-generation NK-cell therapies to improve the potency and efficacy of this therapeutic approach. This interview took place at the 65th ASH Annual Meeting and Exposition, held in San Diego, CA.

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Transcript (edited for clarity)

So COVALENT-103 is a Phase I study that is planned for patients with relapsed and refractory FLT3-mutant AML, examining the safety, tolerability and Phase II dose of a novel FLT3 inhibitor.

Now this FLT3 inhibitor, in contrast to our FDA inhibitors midostaurin, quizartinib, and gilteritinib, differs in that it’s what we would consider maybe a third-generation agent...

So COVALENT-103 is a Phase I study that is planned for patients with relapsed and refractory FLT3-mutant AML, examining the safety, tolerability and Phase II dose of a novel FLT3 inhibitor.

Now this FLT3 inhibitor, in contrast to our FDA inhibitors midostaurin, quizartinib, and gilteritinib, differs in that it’s what we would consider maybe a third-generation agent. It is a irreversibly, covalently binding inhibitor, BMF-500, which in the laboratory binds with high affinity and stays bound, thereby potentially conferring greater potency and durability of response.

In this Phase I trial, there’s going to be two cohorts. There is known interactions of the drug with CYP3A inhibitors, so of course there’s going to be an arm with and without commonly used azole medications. And really again looking at initial responses, efficacy. We’re hopeful that this could represent again the next generation and this particular pharmaceutical company has developed many covalent or irreversible inhibitors, targeting not only FLT3, but also menin inhibition, which is of great interest as we move forward with some of these newer agents in treatment of relapsed/refractory AML.

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Disclosures

Consultancy: Takeda, PharmaEssentia, Abbvie, GlaxoSmithKline, Astellas, Kite, Pfizer, Novartis, BMS, Gilead, Jazz
Speakers Bureau: Dava oncology, Kura Oncology, Astellas, Kite, Pfizer, Novartis