A Phase Ib, Open-label, Multi-center Dose-finding Study of Oral Panobinostat (LBH589) in Combination With Ara-C and Mitoxantrone as Salvage Therapy for Refractory or Relapsed Acute Myeloid Leukemia
Phase 1
Completed
- Conditions
- Acute Myeloid Leukemia
- Interventions
- Drug: panobinostat/LBH589B
- Registration Number
- NCT01055483
- Lead Sponsor
- Novartis Pharmaceuticals
- Brief Summary
The study will determine the maximal tolerated dose (MTD) of panobinostat administered in combination with a fixed combination of cytarabine (ara-C) and mitoxantrone in adult patients with relapsed or refractory acute myeloid leukemia (AML).
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 59
Inclusion Criteria
- Patients with cytopathologically confirmed diagnosis of AML according to WHO criteria, excluding acute promyelocytic leukemia.
- First relapsed AML
- Primary refractory AML defined as failure to respond to initial induction chemotherapy (no CR) or recurrence within 6 months of initial CR.
- Age more than 18 years
- ECOG performance status < 2
Exclusion Criteria
- Prior treatment with deacetylase inhibitor
- Concurrent therapy with any other investigational agent
- Patients who have received cumulative doses (or its equivalent to other anthracyclines) of more than 360 mg/m2 of doxorubicin will be excluded from the study.
- Clinical symptoms suggesting CNS leukemia
- LVEF below 45% Other protocol-defined inclusion/exclusion criteria may apply
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description LBH589 panobinostat/LBH589B -
- Primary Outcome Measures
Name Time Method Incidence of dose limiting toxicity (DLT) 1 cycle (1 cycle = 28 days)
- Secondary Outcome Measures
Name Time Method Frequency, severity and duration of Adverse Events (AE) using CTCAE version 3.0 During maximal three LBH589/chemotherapy cycles and subsequent optional single-agent LBH589 treatment
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What is the mechanism of action of panobinostat in combination with ara-C and mitoxantrone for relapsed AML?
How does the efficacy of panobinostat compare to standard salvage therapies for refractory AML?
Which biomarkers correlate with response to panobinostat in AML patients with relapsed or refractory disease?
What are the common adverse events associated with panobinostat and how are they managed in AML trials?
Are there alternative HDAC inhibitor combinations being studied for relapsed/refractory AML by Novartis or competitors?
Trial Locations
- Locations (1)
Novartis Investigative Site
🇩🇪Ulm, Germany
Novartis Investigative Site🇩🇪Ulm, Germany