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intravenous volasertib in combination with subcutaneous low-dose cytarabine vs. placebo plus low-dose cytarabine in patients â?¥ 65 years with previously untreated acute myeloid leukaemia,who are ineligible for intensive remission induction therapy

Phase 3
Conditions
Health Condition 1: null- Acute Myeloid Luekemia
Registration Number
CTRI/2014/01/004298
Lead Sponsor
Boehringer Ingelheim Pharmaceuticals
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Closed to Recruitment of Participants
Sex
Not specified
Target Recruitment
35
Inclusion Criteria

•Age >= 65 years

•Cytologically/histologically confirmed AML according to WHO classification except for Acute promyelocytic leukemia (APL)

•Investigator considers patient ineligible for intensive remission induction therapy based on documented medical reasons (e.g. disease characteristics like AML genetics, type of AML (de novo or secondary), and patient characteristics like performance score, concomitant diagnoses, organ dysfunctions

•Patient is eligible for LDAC treatment

•ECOG performance score <= 2 at screening

•Previously untreated AML except for hydroxyurea and/or corticosteroid therapy for no more than 28 days (cumulative).

Previous therapy for MDS is allowed

Exclusion Criteria

•Prior or concomitant chemotherapy for AML

Prior therapy for MDS is allowed.

•Treatment with any investigational drug within 2 weeks before first administration of present trial drug

•APL (Acute promyelocytic leukemia)

• Hypersensitivity to one of the trial drugs or the excipients

• Current clinical central nervous system symptoms deemed by the investigator to be related to leukemic CNS involvement

• Severe illness or organ dysfunction involving the heart, kidney, liver or other organ system which in the opinion of the investigator precludes treatment with LDAC

• QTcF prolongation > 470 ms or QT prolongation deemed clinically relevant by the investigator

•Total Bilirubin > 3 x ULN

•Creatinine clearance < 30 mL per min

•Active Hepatitis B or Hepatitis C or chronic infection

•HIV infection

•Second malignancy currently requiring active therapy

•Any significant concurrent psychiatric disorder or social situation that according to the investigator judgement would compromise patient safety or compliance interfere with consent study participation or interpretation of study results

•Known or suspected active alcohol or drug abuse,

•Patient unable to comply with the protocol

•Male patients with partners of childbearing potential who are unwilling to use condoms in combination with a second medically acceptable method of contraception during the trial and for a minimum of 6 months after study treatment

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Complete Remission (CR) and Complete Remission with incomplete blood count recovery (CRi), based on blinded central review <br/ ><br>Timepoint: Complete Remission-Cycle-1 till end of treatment <br/ ><br>Complete Remission with incomplete blood count recovery-Cycle-1 till end of treatment
Secondary Outcome Measures
NameTimeMethod
Key secondary endpoint: Overall Survival (OS). <br/ ><br> <br/ ><br>Secondary endpoints: Event-Free Survival (EFS), Relapse-Free Survival (RFS). <br/ ><br>Timepoint: Key secondary endpoint: Overall Survival (OS). <br/ ><br> <br/ ><br>Secondary endpoints: Event-Free Survival (EFS), Relapse-Free Survival (RFS). <br/ ><br>
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