Phase I Open-Label, Sequential Dose Escalation Study Investigating the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of AC220 When Administered Daily to Patients With Relapsed or Refractory Acute Myeloid Leukemia
试验速览
- 阶段
- 1 期
- 状态
- 已完成
- 入组人数
- 76
- 试验地点
- 5
- 主要终点
- Number of Participants With Treatment-Emergent Treatment Related Adverse Events Following Oral Administration of Quizartinib in Participants With Relapsed or Refractory Acute Myeloid Leukemia
研究概览
简要总结
Patients received oral AC220 daily for 14 days to study the side effects, tolerability and best dose for treating relapsed or refractory acute myeloid leukemia, regardless of FLT3 status.
详细描述
This is a multi-center clinical study conducted in the USA and two international sites. This open-label, dose escalation study was designed to characterize the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of orally administered AC220 as a single agent given daily for 14 days. Cohorts of 3 patients received AC220 until dose limiting toxicity was noted (DLT). At that point cohorts expanded to 6 patients until MTD was determined. Patients not experiencing DLT or significant disease progression at Day 15 may have continued receiving AC220 at the discretion of the Investigator and Sponsor. FLT3 positive and negative patients were allowed to participate.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Males and females age ≥ 18 years;
- •Histopathologically documented primary or secondary AML, as defined by WHO criteria (Jaffe et al, 2001), confirmed by pathology review at treating institution, meeting at least one of the following:
- •Refractory to at least 1 cycle of induction chemotherapy, or
- •Relapsed after at least 1 cycle of induction chemotherapy, or
- •Patient is not, according to the clinical judgment of the Principal Investigator, a candidate for induction chemotherapy due to age, comorbidity, or other factors;
- •Patients for whom no standard therapies are anticipated to result in a durable remission, or who have failed potentially curative therapy, or who refuse standard therapy or patients for whom there is no known therapy of documented treatment benefit;
- •Eastern Cooperative Oncology Group (ECOG) performance status of 0-3;
- •In the absence of rapidly progressing disease, the interval from prior treatment to time of AC220 administration should be at least 2 weeks for cytotoxic agents (other than hydroxyurea, per Section 8.8), or at least 5 half-lives for noncytotoxic agents;
- •Persistent chronic clinically significant toxicities from prior chemotherapy or surgery must be less than Grade 2;
- •Serum creatinine ≤ 2.0 mg/dL;
- •Total serum bilirubin ≤ 1.5 × ULN unless considered due to Gilbert's syndrome or leukemic organ involvement;
- •Serum AST or ALT ≤ 3.0 × ULN unless considered due to leukemic organ involvement;
- •Females of childbearing potential must have a negative pregnancy test (urine β-hCG);
- •Females of childbearing potential and sexually mature males must agree to use a medically accepted method of contraception throughout the study;
- •Written informed consent must be provided.
排除标准
- •Histologic diagnosis of acute promyelocytic leukemia;
- •Clinically active central nervous system leukemia;
- •Persistent clinically significant toxicity from prior chemotherapy that is Grade 2 or higher by the National Cancer Institute Common Terminology Criteria for Adverse Events (CTCAE v3);
- •Bone marrow transplant within 2 months prior to study;
- •Active, uncontrolled infection;
- •Major surgery within 4 weeks prior to study;
- •Radiation therapy within 4 weeks prior to, or concurrent with, study;
- •Human immunodeficiency virus positivity;
- •Active hepatitis B or C or other active liver disease;
- •Women who are pregnant, lactating, or unwilling to use contraception if of childbearing potential;
- •Medical condition, serious intercurrent illness, or other extenuating circumstance that, in the judgment of the Principal Investigator, could jeopardize patient safety or interfere with the objectives of the study.
研究组 & 干预措施
AC220
Determine safety, tolerability and pharmacokinetic (PK) parameters of AC220
干预措施: AC220 (Drug)
结局指标
主要结局
Number of Participants With Treatment-Emergent Treatment Related Adverse Events Following Oral Administration of Quizartinib in Participants With Relapsed or Refractory Acute Myeloid Leukemia
时间窗: Baseline up to 30 days post last dose
Number of Participants With Treatment-emergent Treatment-related Grade 3 or 4 Adverse Events By At Least 10% of All Participants By Dose Group Following Oral Administration of Quizartinib in Participants With Relapsed or Refractory Acute Myeloid Leukemia
时间窗: Baseline up to 30 days post last dose
次要结局
- Number of Participants Achieving a Best Disease Response by Dose Cohort in Terms of Progressive Disease Following Oral Administration of Quizartinib in Participants With Relapsed or Refractory Acute Myeloid Leukemia(Baseline up to 28 days after the last dose, up to approximately 3 years)
- Number of Participants Achieving a Best Disease Response by Dose Cohort in Terms of Best Overall Response Following Oral Administration of Quizartinib in Participants With Relapsed or Refractory Acute Myeloid Leukemia(Baseline up to 28 days after the last dose, up to approximately 3 years)
- Number of Participants With Hematologic Improvement Following Oral Administration of Quizartinib in Participants With Relapsed or Refractory Acute Myeloid Leukemia(Baseline up to 28 days after the last dose, up to approximately 3 years)