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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
GroupInterventionDescription
LBH589panobinostat/LBH589B-
Primary Outcome Measures
NameTimeMethod
Incidence of dose limiting toxicity (DLT)1 cycle (1 cycle = 28 days)
Secondary Outcome Measures
NameTimeMethod
Frequency, severity and duration of Adverse Events (AE) using CTCAE version 3.0During maximal three LBH589/chemotherapy cycles and subsequent optional single-agent LBH589 treatment

Trial Locations

Locations (1)

Novartis Investigative Site

🇩🇪

Ulm, Germany

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