Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
APR-246 · 5 trials · 6 indications
Relapse-free survival (RFS) at 12 months or longer if data permits. RFS was defined as the time from HCT to relapse after HCT or death, whichever occurred first.
Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.
1\. Dose-limiting toxicities (DLTs), classified and graded according to the National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE, version 5.0).
DLT: Hematological and non-hematological toxicities according to grade/days stated in the protocol.
Phase Ib: Progression-free Survival is calculated from date of enrollment to the date of disease progression or death due to any cause, whichever occurs first. Symptomatic deterioration is not considered PD. For a patient without evidence of disease progression or death, Progression-free survival will be censored at the date of last evaluable tumor assessment. Patients with no evaluable tumor assessments will be censored at the date of first study drug administration. Phase II: Progression-free survival (PFS) based on Blinded Independent Central Review (BICR) is the primary endpoint and is defined as the number of days from the date of randomization to the date of objective disease progression or relapse (according to RECIST v1.1 only) or death due to any cause, whichever occurs first. If neither event occurs, PFS is censored at the date of the last evaluable tumor assessment. Symptomatic deterioration is not considered objective disease progression.
| Arm | Type | Description |
|---|---|---|
| Experimental arm: APR-246 + azacitidine | EXPERIMENTAL | APR-246 and azacitidine maintenance therapy will continue for a maximum of 12 cycles |
| APR-246 + PLD | EXPERIMENTAL | - |
| APR-246 | EXPERIMENTAL | APR-246 4.5 g/day |
| Phase Ib. APR-246 (35mg/kg) + Carboplatin/PLD. | EXPERIMENTAL | Dose escalation of APR-246. |
| Phase II: Arm A. APR-246 + Carboplatin/PLD. | EXPERIMENTAL | Experimental |
| Phase II: Arm B. Carboplatin/PLD. | ACTIVE_COMPARATOR | Active Comparator |
| Phase Ib. APR-246 (50mg/kg) + Carboplatin/PLD. | EXPERIMENTAL | Dose escalation of APR-246. |
| Phase Ib. APR-246 (67.5mg/kg) + Carboplatin/PLD. | EXPERIMENTAL | Dose escalation of APR-246. |
| Name | Type | Description |
|---|---|---|
| APR-246 | DRUG | APR-246 will be administered on Days 1-4, with azacitidine on Days 1-5, of every 28 day cycle. Patients may receive a maximum of 12 cycles. |
| Pegylated Liposomal Doxorubicin Hydrochloride (PLD) | DRUG | Intravenous infusion |
| Venetoclax | DRUG | Venetoclax 400 mg once daily |
| Azacitidine | DRUG | Subcutaneous injection, or intravenous infusion |
| Carboplatin and Pegylated Liposomal Doxorubicin Hydrochloride (PLD) | DRUG | Intravenous infusion. |
Inclusion Criteria: 1. Patient must have previously met pre-transplantation eligibility. 2. Patient has received an allogeneic transplant for AML or MDS. 3. Any standard (non-study) conditioning \[MAC (myeloablative conditioning), RIC (reduced intensity conditioning), or NMA (non-myeloablative cond...
APR-246 is an investigational small molecule being studied in oncology. It is being evaluated for use in acute myeloid leukemia, myelodysplastic syndromes, platinum sensitive recurrent high-grade serous ovarian cancer with mutated p53, bladder cancer, and other hematologic neoplasms. It is not approved and remains in clinical development.
APR-246 targets the p53 tumor suppressor protein. It is designed to reactivate mutant p53, restoring its tumor-suppressing function. This mechanism is being studied in cancers that carry p53 mutations, including high-grade serous ovarian cancer and TP53 mutant myelodysplastic syndromes.
APR-246 is being developed by Aprea Therapeutics, Inc., a biopharmaceutical company traded on the NASDAQ under the ticker symbol APRE. The company is conducting clinical trials of APR-246 across multiple oncology indications.
APR-246 has completed clinical trials ranging from Phase 1 to Phase 3. A Phase 2 study in platinum-resistant high-grade serous ovarian cancer has been completed, as has a Phase 3 study in TP53 mutant myelodysplastic syndromes. The drug remains investigational and is not FDA approved.
APR-246 has been studied in several completed trials. NCT00900614 was a Phase 1 safety study in refractory hematologic or prostate cancer. NCT02098343 was a Phase 1b/II study in recurrent ovarian cancer. NCT03268382 was a Phase 2 study in platinum-resistant ovarian cancer. NCT03745716 was a Phase 3 study in TP53 mutant MDS.
Yes, APR-246 is also known as eprenetapopt. This alternative name is used in some clinical and scientific literature. Both names refer to the same investigational small molecule being developed by Aprea Therapeutics for p53-mutant cancers.