Status:

UNKNOWN

Everolimus (RAD001) in Elderly Patients With Acute Myeloid Leukemia

Lead Sponsor:

Bayside Health

Conditions:

Acute Myeloid Leukemia

Eligibility:

All Genders

18+ years

Phase:

PHASE1

Brief Summary

The main goal of this study is to assess the safety and tolerability of RAD001 in combination with low-dose cytarabine in acute myeloid leukemia patients unfit for intensive chemotherapy. The secondar...

Detailed Description

A multicentre 2-stage Phase Ib/II trial of 5-Azacitidine combined with Everolimus for AML patients over the age of 60 or relapsed AML over the age of 18. The MTD and DLT of 5-Azacitidine (7 doses over...

Eligibility Criteria

Inclusion

  • Untreated AML patients (defined by WHO 2008 criteria) over the age of 60 or relapsed/refractory AML over the age of 18 who have received up to 2 previous lines of intensive chemotherapy
  • No prior failure to achieve at least a PR with Azacitidine or Everolimus
  • Provision of written informed consent
  • Secondary AML (including therapy-related) are included
  • Life expectancy of greater than 3 months in relation to diseases other then AML/MDS
  • ECOG performance status 0 - 3
  • Electrolyte levels (potassium, calcium (albumin-adjusted), magnesium, phosphorous) within normal limits (WNL) or easily correctable with supplements
  • Adequate hepatic function as defined by bilirubin ≤ 1.5 x the upper limit of normal (ULN) and aspartate aminotransferase (AST) and alanine aminotransferase (ALT) ≤ 2.5 x ULN
  • Adequate renal function, with serum creatinine ≤ 1.5 x ULN or GFR \> 30 ml/minute
  • Patients with no uncontrolled active infection
  • Hydroxyurea ceased 48 hours prior to study therapy
  • Exclusion Criteria
  • Any serious medical or psychiatric conditions which the investigator feels may interfere with the patient's ability to give informed consent or participate in the procedures or evaluations of the study
  • History of major non-compliance to medication
  • Evidence of CNS leukemia
  • Uncontrolled viral infection with known HIV or Hepatitis type B or C
  • Currently active gastrointestinal disease (e.g., ulcerative diseases, uncontrolled nausea, vomiting, diarrhoea, malabsorption syndrome, or small bowel resection), or other disease, that prevents the patient from absorbing or taking oral medication
  • Any other concurrent severe and/or uncontrolled medical conditions (eg. acute or chronic liver disease, infection, pulmonary disease) that in the opinion of the investigator could potentiate unacceptable safety risks or jeopardize compliance with the protocol
  • Males with a female partner of childbearing potential do not agree to use at least 2 effective contraceptive methods throughout the study and for 6 months following the date of last dose

Exclusion

    Key Trial Info

    Start Date :

    February 1 2010

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    January 1 2014

    Estimated Enrollment :

    40 Patients enrolled

    Trial Details

    Trial ID

    NCT00636922

    Start Date

    February 1 2010

    End Date

    January 1 2014

    Last Update

    February 15 2013

    Active Locations (1)

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    Page 1 of 1 (1 locations)

    1

    BaysideHealth, The Alfred Hospital

    Melbourne, Victoria, Australia, 3004