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RO6870810

Phase 1

Acute Myeloid Leukemia | Small molecule | Oncology |Roche Holding AG|Last Updated: Jan 24, 2022

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLED
Total Trials1
Total Enrollment26

FDA Designations

No designations recorded

Clinical trial landscape

RO6870810 · 4 trials · 6 indications

Phase 1 4
NCT03255096A Study to Evaluate Safety, Pharmacokinetics, and Clinical Activity of Combination of RO6870810 and Venetoclax, With or Without Rituximab, in Participants With Relapsed/Refractory DLBCL and/or High-Grade B-Cell Lymphoma and/or High Grade B-Cell Lymphoma With MYC and/or BCL2 and/or BCL6Diffuse Large B-cell Lymphoma
COMPLETED39 Analytics
NCT03068351Study of Bromodomain and Extra-Terminal Protein (BET) Inhibitor RO6870810 as Mono- and Combination Therapy in Advanced Multiple MyelomaMultiple Myeloma
COMPLETED24 Analytics
NCT02308761A Study of RO6870810/TEN-010 in Participants With Acute Myeloid Leukemia and Myelodysplastic SyndromeAcute Myeloid Leukemia
COMPLETED26 Analytics
NCT01987362A Two Part Study of RO6870810. Dose-Escalation Study in Participants With Advanced Solid Tumors and Expansion Study in Participants With Selected MalignanciesSolid Tumors, Advanced Solid Tumors
COMPLETED52 Analytics
PHASE1COMPLETED
A Study to Evaluate Safety, Pharmacokinetics, and Clinical Activity of Combination of RO6870810 and Venetoclax, With or Without Rituximab, in Participants With Relapsed/Refractory DLBCL and/or High-Grade B-Cell Lymphoma and/or High Grade B-Cell Lymphoma With MYC and/or BCL2 and/or BCL6
Diffuse Large B-cell LymphomaUnlock trial analytics
PHASE1COMPLETED
Study of Bromodomain and Extra-Terminal Protein (BET) Inhibitor RO6870810 as Mono- and Combination Therapy in Advanced Multiple Myeloma
Multiple MyelomaUnlock trial analytics
PHASE1COMPLETED
A Study of RO6870810/TEN-010 in Participants With Acute Myeloid Leukemia and Myelodysplastic Syndrome
Acute Myeloid LeukemiaUnlock trial analytics
PHASE1COMPLETED
A Two Part Study of RO6870810. Dose-Escalation Study in Participants With Advanced Solid Tumors and Expansion Study in Participants With Selected Malignancies
Solid Tumors, Advanced Solid TumorsUnlock trial analytics

Study Endpoints

Primary Endpoints

Percentage of Participants With Dose-Limiting Toxiciities (DLT)- Part 1
Cycle (C) 1 (21 days)

DLT is defined as any of the toxicities- occurs within the first cycle for which the participant receives the full intended combination doses and number of administrations; is considered to be related to study treatment by the investigator; is not attributed to disease progression or another clearly identifiable cause.

Percentage of Participants With Adverse Events (AEs) - Part 1
Up to 36 months

An AE is defined as any unfavorable and unintended sign (including an abnormal laboratory finding), symptom, or disease temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product.

Percentage of Participants With Clinically Significant Changes in Vital Signs, Physical Examination, Clinical Laboratory Results and Electrocardiogram (ECG) Findings- Part 1
Up to 36 months
Complete Response (CR) Rate as Determined by Independent Radiological Central Review (ICR) Using Modified Lugano Response Criteria- Recommended Dose (RD) Expansion - Part 2
Up to 36 months
Overall Response (OR) Rate as Determined by Independent Radiological Central Review (ICR) Using Modified Lugano Response Criteria- RD Expansion - Part 2
Up to 36 months
Number of Dose-Limiting Toxicities (DLTs)
From first drug administration to end of dose-escalation phase (up to approximately 1 year)

DLTs are defined as the toxicities known and expected of RO6870810 and daratumumab that occur during a DLT assessment window of 21 days from the first administration of RO6870810 or study combination treatments, and are considered by the Investigator to be related to study treatment. DLTs are defined at specific severity levels for each term and include, but are not limited to the following Common Terminology Criteria for Adverse Events (CTCAE) terms: neutropenia, febrile neutropenia, thrombocytopenia, anemia and injection site reaction.

Objective Response Rate (ORR)
From baseline to end of study (up to approximately 2.5 years)

ORR is defined as the percentage of participants whose confirmed best overall response is either complete response (CR, including stringent complete response \[sCR\]) or partial response (PR, including very good partial response \[VGPR\]), assessed with use of the IMWG criteria. CR: Negative immunofixation on the serum and urine and disappearance of any soft tissue plasmacytomas, and \<5% plasma cells in bone marrow aspirates. sCR: CR plus normal free light chain (FLC) ratio and absence of clonal cells in bone marrow by immunohistochemistry or immunofluorescence. PR: \>/=50% reduction of serum M-protein plus reduction in 24h urinary M-protein by \>/=90% or to \<200 mg/24h. VGPR: serum and urine M-protein detectable by immunofixation but not on electrophoresis; or \>/=90% reduction in serum M-protein plus urine M-protein level \<100 mg/24h. ORR= CR + sCR + PR + VGPR

Progression Free Survival (PFS)
From baseline to end of study (up to approximately 2.5 years)

PFS is defined as the time from first study treatment to the first occurrence of disease progression (per IMWG criteria) or death, whichever occurs first. Disease progression is defined as an increase of \>/= 25% from lowest response value in any one or more of the following: serum M-component, urine M-component, in participants without measurable serum and urine M-protein levels: the difference between involved and uninvolved FLC levels (the absolute increase must be \>10 mg/dL), bone marrow plasma cell percentage (absolute level \>/= 10%), definite development of new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing bone lesions or soft tissue plasmacytomas, development of hypercalcemia (corrected serum calcium \> 11.5 mg/dL or 2.65 mmol/L) that can be attributed solely to the plasma cell proliferative disorder.

Duration of Response (DoR)
From baseline to end of study (up to approximately 2.5 years)

DoR is defined as the time from the first occurrence of a documented objective response (sCR, CR, VGPR, or PR) to the time of first disease progression per IMWG criteria or death from any cause, whichever occurs first. Disease progression is defined as an increase of \>/= 25% from lowest response value in any one or more of the following: serum M-component, urine M-component, in participants without measurable serum and urine M-protein levels: the difference between involved and uninvolved FLC levels (the absolute increase must be \>10 mg/dL), bone marrow plasma cell percentage (absolute level \>/= 10%), definite development of new bone lesions or soft tissue plasmacytomas or definite increase in the size of existing bone lesions or soft tissue plasmacytomas, development of hypercalcemia (corrected serum calcium \> 11.5 mg/dL or 2.65 mmol/L) that can be attributed solely to the plasma cell proliferative disorder.

Overall survival (OS)
From baseline to end of study (up to approximately 2.5 years)

OS is defined as the time from study enrollment until death from any cause.

Percentage of Participants With Dose-Limiting Toxicities (DLTs)
Cycle 1 (cycle length = 21 or 28 days)
MTD of RO6870810
Cycle 1 (cycle length = 21 or 28 days)
Percentage of Participants With Adverse Events (AEs)
Baseline up to 30 days after last dose (up to approximately 2.75 years)
Number of Participants with DLTs
Day 1 up to Day 28 (or Day 21)
Percentage of Participants with Adverse Events
Baseline up to approximately 47 months

Secondary Endpoints

Percentage of Participants With Adverse Events (AEs) - Part 2
Up to 36 months
Percentage of Participants With Clinically Significant Changes in Vital Signs, Physical Examination, Clinical Laboratory Results and Electrocardiogram (ECG) Findings- Part 2
Up to 36 months
Maximum Concentration (Cmax) of RO6870810 and its Potential Metabolites- Part 1 and Part 2
Pre-dose Day 1,8,15; 0.25,0.5,1,2,4,6,8 hour (h) post-dose Day 1, 15; Day 2 C1; Pre-dose Day 1,8,15; 0.25h post-dose Day 1,8 C2; Pre-dose Day 1,15 C4; 0.25h post-dose Day 1 C4; Pre-dose, 0.25h post-dose Day 1 of subsequent even Cycles (Up to 36 months)
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Study Design & Arms

AllocationNON_RANDOMIZED
MaskingNONE
ModelSEQUENTIAL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Dose Escalation Phase (Part 1)EXPERIMENTALParticipants will receive either RO6870810 and venetoclax or RO6870810 and venetoclax along with rituximab until disease progression, unacceptable toxicities or withdrawal from treatment for other reasons, or death.
Expansion Phase (Part 2)EXPERIMENTALParticipants will receive RO6870810 and venetoclax along with rituximab (or RO6870810 and venetoclax, if the combination of the 3 drugs is not tolerable) at a recommended dose established in dose escalation phase until disease progression, unacceptable toxicities or withdrawal from treatment for other reasons, or death.
RO6870810EXPERIMENTALParticipants will be administered RO6870810 monotherapy at ascending-dose levels during the dose escalation phase followed by an expansion phase during which RO6870810 will be administered as monotherapy at the recommended dose. Participants will continue to receive study drug as long as they experience clinical benefit in the opinion of the Investigator or until unacceptable toxicity or symptomatic deterioration attributed to disease progression, as determined by the Investigator after an integrated assessment of IMWG response criteria, biopsies/aspirate (if applicable), and clinical status, or withdrawal of consent.
RO6870810 + DaratumumabEXPERIMENTALParticipants will be administered RO6870810 at ascending-dose levels in combination with daratumumab at the recommended dose during the dose escalation phase followed by an expansion phase during which both RO6870810 and daratumumab will be administered each at their recommended dose. Participants will continue to receive the study drugs as long as they experience clinical benefit in the opinion of the Investigator or until unacceptable toxicity or symptomatic deterioration attributed to disease progression, as determined by the Investigator after an integrated assessment of IMWG response criteria, biopsies/aspirate (if applicable), and clinical status, or withdrawal of consent.
RO6870810 (Part 1)EXPERIMENTALParticipants will receive escalated doses of RO67870810 SC. RO6870810 will be escalated at a starting dose of 0.03 milligrams per kilogram (mg/kg) to a maximum of 0.85 mg/kg. Treatment will be administered in treatment cycles of either 21 days or 28 days and continued until PD, adverse events which justify treatment withdrawal, non-adherence, non-compliance, investigator decision, lost to follow-up, enrollment in other clinical study, or unacceptable toxicity.
RO6870810 (Part 2)EXPERIMENTALParticipants will receive RO6870810 at doses up to the MTD or up to the highest dose tested if the MTD is not defined. Treatment will be administered in treatment cycles of either 21 days or 28 days and continued until PD, adverse events which justify treatment withdrawal, non-adherence, non-compliance, investigator decision, lost to follow-up, enrollment in other clinical study, or unacceptable toxicity.

Interventions

NameTypeDescription
RO6870810DRUGRO6870810 subcutaneously (SC) at dose of 0.30, 0.45, or 0.65 milligram per kilogram (mg/kg) on Days 1-14 of 21-day cycles.
VenetoclaxDRUGVenetoclax tablets orally at dose of 400 mg once daily (QD) continuously for 21 days.
RituximabDRUGRituximab intravenously (IV) at dose of 375 mg/m\^2 weekly during the first 21-day cycle (C1) and on day 1 of each cycle thereafter.
daratumumabBIOLOGICALDaratumumab will be administered intravenously (IV) at a dose of 16 milligrams/kilogram (mg/kg) of body weight weekly for the first 8 weeks, every two weeks for the following 16 weeks, and every four weeks thereafter, until disease progression.
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria * Cooperative Oncology Group (ECOG) Performance Status of 0, 1, or 2. * Life expectancy \>3 months as per investigator's assessment. * Part 1 and Part 2 Group 1: Participantts with diffuse large B-cell lymphoma (DLBCL) relapsed or refractory to ≥ 1 course of chemotherapy includin...

Countries:United StatesAustraliaDenmarkSpainUnited Kingdom
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Frequently asked questions about RO6870810

What is RO6870810 used for?

RO6870810 is an investigational small molecule being studied in oncology. Clinical trials have evaluated it in advanced solid tumors, acute myeloid leukemia, myelodysplastic syndromes, multiple myeloma, diffuse large B-cell lymphoma, and high-grade B-cell lymphoma. It is not approved and remains in clinical development.

Who makes RO6870810?

RO6870810 is being developed by Roche Holding AG, traded on the OTC market under the ticker RHHBY. The company has sponsored multiple Phase 1 clinical trials of this investigational oncology drug.

What phase is RO6870810 in?

RO6870810 is in Phase 1 clinical development. All four completed trials were Phase 1 studies. The drug is investigational and has not received FDA approval.

What clinical trials is RO6870810 in?

RO6870810 has been studied in four completed Phase 1 trials: NCT01987362 in advanced solid tumors, NCT02308761 in acute myeloid leukemia and myelodysplastic syndromes, NCT03068351 in multiple myeloma, and NCT03255096 in diffuse large B-cell lymphoma, often combined with venetoclax and rituximab.

How does RO6870810 work?

RO6870810 is a bromodomain and extra-terminal (BET) inhibitor. It targets BET proteins, which are involved in regulating gene expression related to cancer cell growth. By inhibiting these proteins, the drug aims to disrupt tumor cell proliferation.

Is RO6870810 the same as TEN-010?

Yes, RO6870810 is also known as TEN-010. In the clinical trial NCT02308761, the study is titled 'A Study of RO6870810/TEN-010 in Participants With Acute Myeloid Leukemia and Myelodysplastic Syndrome,' confirming the two names refer to the same drug.