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myCare-204 FAQ

myCare-204 FAQ

General Information

Q: What is the myCare-204 Trial?

The myCare-204 Trial is a prospective, randomized, multi-arm, multi-site randomized clinical trial program evaluating the efficacy and safety of Singula™ for use in treatment selection

Q: What is the purpose of the myCare-204 trial?

The purpose of this research study is to run a prospective, randomized, multi-arm, multi-site randomized clinical trial program evaluating the efficacy and safety of Singula™ for use in treatment selection

Q: What is the objective of the study

The myCare-204 Trial is designed to evaluate the relationship between Cellworks Singula™ and complete remission (CR) as the primary endpoint. Evaluations will be performed in newly diagnosed AML patients 60 years of age or older as well as in AML patients who are refractory or have relapsed. The trials secondary endpoints will include measurable residual disease (MRD). MRD is a known independent prognostic indicator in AML useful for risk stratification and treatment planning. In accordance with International Working Group (IWG) guidelines, disease-free survival (DFS) and overall survival (OS) will also be evaluated as secondary endpoints.

Q: What are the benefits of participating as a Physician?

This study may benefit participants by providing results that help the Treating Physician better understand the patient’s disease. In specific, the study results could help in understanding accuracy of disease diagnosis and better inform patient prognosis. The study results could also provide new ideas for treatment options. The Treating Physicians are also on the study team and therefore study results are available to them via the principal investigator (PI).

  • Ability to select the most efficacious drug or drug combination for a patient based on a biosimulation of how a patient’s tumor profile responds to standard care drugs
  • Knowledge of how an individual patient will respond to all AML standard care drugs prior to treatment. The biosimulation analyzes mutational interactions of 4,000+ networked genes to predict and rank phenotype responses to all AML Standard Care treatments
  • Helps patients avoid the unnecessary side effects of therapies that will not produce a response in their specific tumor.
  • Improvement of overall survival rates for patients.

Q: What are the benefits of participating as a patient?

  • You may benefit from participating in this research because your treatment results could help your doctor understand the inner workings of your disease and accurately predict effective treatment for you and future patients.
  • Cellworks removes the black box from the analysis for treatment selection by providing rationales that explain how your unique molecular pathways will respond to the AML Standard Care treatments.
  • Knowledge of how an individual patient will respond to all AML standard care drugs and novel combinations therapies prior to treatment. The biosimulation analyzes mutational interactions of 4000+ networked genes to predict and rank phenotype responses to all AML Standard Care treatments.
  • Avoid the unnecessary side effects of therapies that will not produce a response from your specific tumor.
  • Improvement of complete remission, disease free survival, overall survival rates, objective remission rates and reduction in measurable residual disease for patients.

Q: What are the benefits of participating as an Institution?

  • Helping patients avoid the unnecessary side effects of therapies that will not produce a response in their specific tumor.
  • Improvement of complete remission, disease free survival, overall survival rates, objective remission rates and reduction in measurable residual disease for patients.
  • Ability to select the most efficacious treatment within AML Standard Care treatments for each patient based on a biosimulation of how the patient’s tumor profile responds to standard care drugs.
  • Knowledge of how an individual patient will respond to all AML standard care therapies prior to treatment. The biosimulation analyzes mutational interactions of 4000+ networked genes to predict and rank phenotype responses to all AML Standard Care treatments

Q: What are the risks of participation?

  • The current study utilizes FDA approved treatments i.e. AML On Label Drugs.
  • Nevertheless, patients participating in the current study may have unpleasant, serious, or life-threatening side effects as a consequence of the physician assigned treatment.
  • Furthermore, the assigned treatments may not be effective for the study participant.
  • Additionally, the protocol may require more time and attention than would a non- protocol treatment, including trips to the study site, more treatments, hospital stays or complex dosage regimens.
  • Cellworks also does not provide information regarding drug toxicity. This determination will need to be made by the treating physician.
  • There are possibilities of adverse events or serious adverse events due to the treatment provided. The treatment provided may involve risks which are currently unforeseeable.
  • Research participants may be at greater risk of having their personal health information disclosed by participating in a research study. Every effort will be made to safeguard the identity of the study participants, as well as their de-identified data.

Q: What indications are included?

The trial is designed specifically for newly diagnosed and relapsed refractory AML patients

Q: Can a patient with another type of cancer participate?

Only AML patients are eligible to participate in the trial

Q: Who pays for the drugs during this trial?

During this trial your drugs should be obtained by the usual methods for acquiring treatments. This can include: private insurance, other clinical trials and Medicare Part D.

Requirements

Q: What is required in order to participate?

  • Individuals are suspected of having newly diagnosed, treatment naïve, or relapsed AML, and Individuals must have measurable disease as defined below:
    • Myeloblasts present in the bone marrow, or
    • ≥ 20% myeloblasts (aka blasts) in peripheral blood, or
    • ≥ 20% large unstained cells in peripheral blood, and
  • Individuals ≥ 60 years of age, and
  • Individuals capable of providing informed consent
  • Eastern Cooperative Oncology Group (ECOG) performance status 0, 1 or 2
  • Next Generation Sequencing Report
  • Along with NGS test results
    • current health status,
    • Karyotyping
    • immunohistochemistry (IHC)
    • FLT3-itd mutation status will be obtained and provided. FLT3-itd mutation status will be determined through polymerase chain reaction (PCR) assay analysis
    • Cytogenetics
    • FISH

Patient Participation

Q: Can my patient participate if they were treated after receiving their NGS report?

Patients who have received treatment with any anticancer therapy (standard or investigational) within the previous 14 days prior to the first dose of study drug or who have had a less than full recovery, based on NIH CTCAE, Grade 1 and CNCC protocols from the clinically significant toxic effects of that treatment will not be eligible to participate in the study

Q: Can my patient be enrolled in other clinical trials alongside 204?

No

Q: Can patients outside the U.S. participate?

No, the trial is only open to patients being treated at City of Hope, Duarte.

Q: Can children participate in the trial?

No, the trial is not open to patients under 18 years of age.

Q: Can a patient opt out after joining the trial?

Yes. Your participation is entirely voluntary. If you choose to participate you can change your mind at any time and withdraw from the study. You will not be penalized in any way or lose any benefits to which you would otherwise be entitled if you choose not to participate in this study or to withdraw

Reports

Q: What is the Cellworks Singula report?

Singula reports predict an individual patent’s response to standard care therapies. It is best suited for treatment naïve patients.

Trial Length and Locations

Q: When did the myCare-204 trial begin?

Enrollment will begin in Q1 2022

Q: Where is myCare-204 trial taking place?

This is a multi-site trial with unlimited locations across the U.S.

Q: How long am I expected to participate in the trial?

Your study participation will be for up to 14 months

Q: How many people are expected to participate in the trial?

We anticipate about 138 patients will be enrolled and be randomized between the Control and Cellworks Singula™ treatment arms.

ENROLLMENT NOTIFICATION

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