Study of CEP-701 (Lestaurtinib) in Patients With Acute Myeloid Leukemia (AML)

NCT ID: NCT00079482

Last Updated: 2016-07-21

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE2

Total Enrollment

224 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-10-31

Study Completion Date

2010-01-31

Brief Summary

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The purpose of the study is to determine whether CEP-701 given in sequence with induction chemotherapy increases the proportion of patients with relapsed acute myeloid leukemia (AML) who achieve a second complete remission (CR).

Detailed Description

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Patients randomly assigned to chemotherapy alone received the second course of induction chemotherapy as soon as clinically indicated; patients randomly assigned to receive chemotherapy plus sequential lestaurtinib had lestaurtinib withheld for 3 days (72 hours) before the start of the second 5-day course of chemotherapy and resumed lestaurtinib treatment 2 days (48 hours) after the final administration of the second course of chemotherapy.

Conditions

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Acute Myeloid Leukemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Induction chemotherapy with or without sequential treatment with oral CEP-701 at 80 mg bid. For patients with duration of first CR of 1 to 6 months, the induction regimen will be MEC.

Group Type ACTIVE_COMPARATOR

CEP-701

Intervention Type DRUG

Mitozantrone, Etoposide, Cytarabine (combination Chemotherapy)

Intervention Type DRUG

Chemotherapy

2

Induction chemotherapy with or without sequential treatment with oral CEP-701 at 80 mg bid. For patients with duration of first CR of more than 6 months to 24 months, the induction regimen will be HiDAC.

Group Type ACTIVE_COMPARATOR

CEP-701

Intervention Type DRUG

high-dose cytarabine

Intervention Type DRUG

Chemotherapy

Interventions

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CEP-701

Intervention Type DRUG

high-dose cytarabine

Chemotherapy

Intervention Type DRUG

Mitozantrone, Etoposide, Cytarabine (combination Chemotherapy)

Chemotherapy

Intervention Type DRUG

Other Intervention Names

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lestaurtinib HiDAC MEC

Eligibility Criteria

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Inclusion Criteria

* cytological confirmation of AML;
* relapsed disease following first CR of 1 month(30days)to 24 months(730days). The time from first relapse to study entry (start of first course of induction chemotherapy) must be no longer than 30days;
* confirmation of FLT-3 activating mutation positive status after point of initial relapse;
* aged 18 years or older;
* written informed consent;
* ability to understand and comply with study restrictions;
* no comorbid conditions that would limit life expectancy to less than 3 months;
* ECOG Performance Score of 0, 1,or 2;
* women must be neither pregnant nor lactating, and either of non-childbearing potential or using adequate contraception with a negative pregnancy test at study entry

Exclusion Criteria

* bilirubin \> 2x ULN;
* ALT/AST \> 3x ULN;
* serum creatinine \> 1.5 mg/dL;
* resting ejection fraction of left ventricle l \< 45%(applies only to patients scheduled to receive mitoxantrone, etoposide, and cytarabine \[MEC\];
* untreated or progressive infection;
* any physical or psychiatric cdtn that may compromise participation in the study;
* known CNS involvement with AML;
* any previous treatment with a FLT-3 inhibitor;
* requires current treatment for HIV with protease inhibitors;
* active GI ulceration or bleeding;
* use of an investigational drug that is not expected to be cleared by the start of CEP-701 treatment
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Cephalon

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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University of Alabama

Birmingham, Alabama, United States

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Mayo-Scottsdale

Scottsdale, Arizona, United States

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University of Arkansas for Medical Sciences

Little Rock, Arkansas, United States

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USC/Norris Cancer Center

Los Angeles, California, United States

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Stanford Medical Center

Stanford, California, United States

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Moffitt Cancer Center

Tampa, Florida, United States

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Emory University School of Medicine

Atlanta, Georgia, United States

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ACORN-Central Georgia Hematology/Oncology

Macon, Georgia, United States

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Northwestern University

Chicago, Illinois, United States

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University of Chicago

Chicago, Illinois, United States

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St. Francis Cancer Care Services

Beech Grove, Indiana, United States

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Indiana Cancer Pavillion

Indianapolis, Indiana, United States

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University of Iowa Hospitals and Clinics

Iowa City, Iowa, United States

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LSU Shreveport

Shreveport, Louisiana, United States

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Univeristy of Maryland Medicine - Greenebaum Cancer Center

Baltimore, Maryland, United States

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Johns Hopkins

Baltimore, Maryland, United States

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Tufts New England Medical Center

Boston, Massachusetts, United States

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Beth Israel Hospital

Boston, Massachusetts, United States

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University of Michigan

Ann Arbor, Michigan, United States

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Karmanos Cancer Institute Wayne State University

Detroit, Michigan, United States

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University of Minnesota

Minneapolis, Minnesota, United States

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The Mayo Clinic

Rochester, Minnesota, United States

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Washington University

St Louis, Missouri, United States

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University of Nebraska

Omaha, Nebraska, United States

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Roswell Park Cancer Institute

Buffalo, New York, United States

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New York Presbyterian

New York, New York, United States

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Duke University Medical Center

Durham, North Carolina, United States

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The Cleveland Clinic Foundation

Cleveland, Ohio, United States

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University of Pennsylvania

Philadelphia, Pennsylvania, United States

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University of Pittsburgh

Pittsburgh, Pennsylvania, United States

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Medical University of South Carolina

Charleston, South Carolina, United States

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ACORN-The West Clinic

Memphis, Tennessee, United States

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MD Anderson Cancer Center

Houston, Texas, United States

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University of Washington Medical Center

Seattle, Washington, United States

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Sydney, New South Wales, Australia

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Herston, Queensland, Australia

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South Brisbane, Queensland, Australia

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Adelaide, South Australia, Australia

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Fitzroy, Victoria, Australia

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Melbourne, Victoria, Australia

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Perth, Western Australia, Australia

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Princess Margaret Hospital

Toronto, Ontario, Canada

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CHA Hospital Enfant-Jesus

Québec, Quebec, Canada

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Chemnitz, , Germany

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Dresden, , Germany

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Frankfurt, , Germany

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Heidelberg, , Germany

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Münster, , Germany

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Stuttgart, , Germany

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Haifa, , Israel

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Petah Tikva, , Israel

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Tel Litwinsky, , Israel

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Bologna, , Italy

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Roma, , Italy

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Roma, , Italy

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Turin, , Italy

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Auckland, Auckland, New Zealand

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Bialystok, , Poland

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Gdansk, , Poland

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Katowice, , Poland

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Krakow, , Poland

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Lodz, , Poland

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Lublin, , Poland

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Poznan, , Poland

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Warsaw, , Poland

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Warsaw, , Poland

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Wroclaw, , Poland

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Bucharest, , Romania

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Iași, , Romania

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Moscow, , Russia

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Novosibirsk, , Russia

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Saint Petersburg, , Russia

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Saint Petersburg, , Russia

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Barcelona, , Spain

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Valencia, , Spain

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Lund, , Sweden

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Stockholm, , Sweden

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Cherkassy, , Ukraine

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Kiev, , Ukraine

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Kiev, , Ukraine

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Lviv, , Ukraine

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Countries

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United States Australia Canada Germany Israel Italy New Zealand Poland Romania Russia Spain Sweden Ukraine

References

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Levis M, Ravandi F, Wang ES, Baer MR, Perl A, Coutre S, Erba H, Stuart RK, Baccarani M, Cripe LD, Tallman MS, Meloni G, Godley LA, Langston AA, Amadori S, Lewis ID, Nagler A, Stone R, Yee K, Advani A, Douer D, Wiktor-Jedrzejczak W, Juliusson G, Litzow MR, Petersdorf S, Sanz M, Kantarjian HM, Sato T, Tremmel L, Bensen-Kennedy DM, Small D, Smith BD. Results from a randomized trial of salvage chemotherapy followed by lestaurtinib for patients with FLT3 mutant AML in first relapse. Blood. 2011 Mar 24;117(12):3294-301. doi: 10.1182/blood-2010-08-301796. Epub 2011 Jan 26.

Reference Type DERIVED
PMID: 21270442 (View on PubMed)

Other Identifiers

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C701a/204/ON/US

Identifier Type: -

Identifier Source: org_study_id

NCT00483340

Identifier Type: -

Identifier Source: nct_alias

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