Status:

COMPLETED

Ph I Study of Alvocidib and Cytarabine/Daunorubicin (7+3) in Patients With Newly Diagnosed Acute Myeloid Leukemia (AML).

Lead Sponsor:

Sumitomo Pharma America, Inc.

Conditions:

Acute Myeloid Leukemia

Eligibility:

All Genders

18-65 years

Phase:

PHASE1

Brief Summary

The purpose of this Phase I study is to determine the safety and tolerability including the maximum dose (MTD) and dose-limiting toxicities (DLTs) of alvocidib when administered over a range of doses ...

Detailed Description

Primary Objective: • To determine the safety and tolerability including the maximum tolerated dose (MTD) and dose-limiting toxicities (DLTs) of alvocidib when administered over a range of doses on Da...

Eligibility Criteria

Inclusion

  • To be eligible for participation in the study, patients must meet all of the following inclusion criteria:
  • Be between the ages of ≥18 and ≤65 years
  • Have an established, pathologically confirmed diagnoses of AML by World Health Organization (WHO) criteria with ≥20% bone marrow blasts based on histology or flow cytometry
  • Be newly diagnosed and previously untreated
  • Have an Eastern Cooperative Oncology Group (ECOG) performance status (PS) ≤2
  • Have a serum creatinine level ≤1.8 mg/dL
  • Have an alanine aminotransferase (ALT) and aspartate aminotransferase (AST) level ≤5 times upper limit of normal (ULN)
  • Have a total bilirubin level ≤2.0 mg/dL (unless secondary to Gilbert syndrome, hemolysis, or leukemia)
  • Have a left ventricular ejection fraction (LVEF) \>45% by echocardiogram (ECHO) or multigated acquisition (MUGA) scan
  • Be nonfertile or agree to use an adequate method of contraception. Sexually active patients and their partners must use an effective method of contraception associated with a low failure rate prior to study entry, for the duration of study participation, and for at least 6 months after the last dose of study drug.
  • Be able to comply with the requirements of the entire study.
  • Provide written informed consent prior to any study related procedure. (In the event that the patient is re-screened for study participation or a protocol amendment alters the care of an ongoing patient, a new informed consent form must be signed.)

Exclusion

  • Patients meeting any one of these exclusion criteria will be prohibited from participating in this study.
  • Received any previous treatment for AML
  • Diagnosed with APL-M3 or CBF-AML
  • Require concomitant chemotherapy, radiation therapy, or immunotherapy. Hydroxyurea is allowed up to the evening before starting (but not within 12 hours) of starting Induction therapy.
  • Received \>200 mg/m2 equivalents of daunorubicin
  • Have a peripheral blast count of \>30,000/mm3 (may use hydroxyurea as in #3 above)
  • Have active central nervous system (CNS) leukemia
  • Have evidence of uncontrolled disseminated intravascular coagulation
  • Have an active, uncontrolled infection
  • Have other life-threatening illness
  • Have other active malignancies or diagnosed with other malignancies within the last 6 months, except nonmelanoma skin cancer or cervical intraepithelial neoplasia
  • Have mental deficits and/or psychiatric history that may compromise the ability to give written informed consent or to comply with the study protocol.
  • Are pregnant and/or nursing

Key Trial Info

Start Date :

September 25 2017

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 20 2020

Estimated Enrollment :

32 Patients enrolled

Trial Details

Trial ID

NCT03298984

Start Date

September 25 2017

End Date

March 20 2020

Last Update

November 15 2023

Active Locations (3)

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Page 1 of 1 (3 locations)

1

Sidney Kimmel Cancer Center at Johns Hopkins

Baltimore, Maryland, United States, 21287

2

Columbia University

New York, New York, United States, 10032

3

University of North Carolina

Chapel Hill, North Carolina, United States, 27599