Efficacy of MT-401 in Patients With AML Following Stem Cell Transplant

Open to people ages 18 years and up

1. First allogeneic HSCT, in ≤ CR2, and MRD negative prior to transplant (including matched sibling, MUD with at least 6 of 8 HLA markers, or haploidentical with at least 5 of 10 HLA markers) as:
2. Adjuvant therapy for AML (Group 1) at 90 days (±10 days) post-HSCT defined as patients with CRMRD; or
3. Treatment for refractory/relapsed AML (first relapse post-HSCT) when disease occurs after transplant (Group 2) defined as
4. First relapse (MRD+ or frank relapse) post-HSCT
5. Patients in Arm 1B (SOC) who experience first relapse (MRD+ or frank relapse) post HSCT
6. Safety Lead-in defined as patients who fit all the criteria for Group 2 only
7. Are ≥18 years of age
8. Karnofsky/Lansky score of ≥60
9. Life expectancy ≥12 weeks
10. Adequate blood, liver, and renal function
11. Blood: Hemoglobin ≥7.0 g/dL (can be transfused)
12. Liver: Bilirubin ≤2X upper limit of normal; aspartate aminotransferase ≤3X upper limit of normal
13. Renal: Serum creatinine ≤2X upper limit of normal or measured or calculated creatinine clearance ≥45mL/min
14. Patients are allowed to be on experimental conditioning regimens prior to transplant if no planned maintenance therapy post-transplant.
15. In Group 2, patients may receive bridging therapy at the investigators' discretion in situations where MT-401 is not ready for administration or the treating physician believes the patient would benefit

1. Clinically significant or severely symptomatic intercurrent infection
2. Pregnant or lactating
3. For Group 1, anti-neoplastic therapy after HSCT and prior to or during dosing of MT-401
4. For Group 2, concomitant anti-neoplastic therapy during or after dosing of MT-401
5. Evidence of acute or chronic GVHD ≥Grade 2 (exception: acute or chronic Grade 2 GVHD of skin allowed if stable) within one week prior to receiving MT-401