Trial Outcomes & Findings for Pilot Phase I/II Study of Amino Acid Leucine in Treatment of Patients With Transfusion-Dependent Diamond Blackfan Anemia (NCT NCT01362595)
NCT ID: NCT01362595
Last Updated: 2022-12-02
Results Overview
The primary outcome is the type of response observed at 9 months. Response to treatment can be one of the following: 1. Complete response (CR): Hb \> 9 gm/dL and transfusion-independence as defined in DBA 2. Partial response (PR): Hb \< 9 gm/dL and increased reticulocyte count to greater than baseline. 3. No response (NR): no change in transfusion requirements and no significant change reticulocyte count from baseline 4. Progression: worsening of disease as defined by the need for more frequent transfusions
COMPLETED
PHASE1/PHASE2
55 participants
9 Months
2022-12-02
Participant Flow
55 subjects were screened and of those 12 did not meet eligibility criteria
Participant milestones
| Measure |
Leucine
No alternative treatment arm
leucine: Dosage of leucine will be dependent on body surface area (BSA): leucine 700 mg/m2/dose by mouth three times a day
|
|---|---|
|
Overall Study
STARTED
|
55
|
|
Overall Study
COMPLETED
|
43
|
|
Overall Study
NOT COMPLETED
|
12
|
Reasons for withdrawal
| Measure |
Leucine
No alternative treatment arm
leucine: Dosage of leucine will be dependent on body surface area (BSA): leucine 700 mg/m2/dose by mouth three times a day
|
|---|---|
|
Overall Study
Screen failure
|
10
|
|
Overall Study
Withdrawal by Subject
|
2
|
Baseline Characteristics
Pilot Phase I/II Study of Amino Acid Leucine in Treatment of Patients With Transfusion-Dependent Diamond Blackfan Anemia
Baseline characteristics by cohort
| Measure |
Leucine
n=43 Participants
No alternative treatment arm
leucine: Dosage of leucine will be dependent on body surface area (BSA): leucine 700 mg/m2/dose by mouth three times a day
|
|---|---|
|
Age, Categorical
<=18 years
|
34 Participants
n=5 Participants
|
|
Age, Categorical
Between 18 and 65 years
|
9 Participants
n=5 Participants
|
|
Age, Categorical
>=65 years
|
0 Participants
n=5 Participants
|
|
Age, Continuous
|
10.4 years
n=5 Participants
|
|
Sex: Female, Male
Female
|
22 Participants
n=5 Participants
|
|
Sex: Female, Male
Male
|
21 Participants
n=5 Participants
|
|
Race (NIH/OMB)
American Indian or Alaska Native
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Asian
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
|
0 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Black or African American
|
1 Participants
n=5 Participants
|
|
Race (NIH/OMB)
White
|
29 Participants
n=5 Participants
|
|
Race (NIH/OMB)
More than one race
|
12 Participants
n=5 Participants
|
|
Race (NIH/OMB)
Unknown or Not Reported
|
0 Participants
n=5 Participants
|
|
Region of Enrollment
United States
|
43 participants
n=5 Participants
|
PRIMARY outcome
Timeframe: 9 MonthsThe primary outcome is the type of response observed at 9 months. Response to treatment can be one of the following: 1. Complete response (CR): Hb \> 9 gm/dL and transfusion-independence as defined in DBA 2. Partial response (PR): Hb \< 9 gm/dL and increased reticulocyte count to greater than baseline. 3. No response (NR): no change in transfusion requirements and no significant change reticulocyte count from baseline 4. Progression: worsening of disease as defined by the need for more frequent transfusions
Outcome measures
| Measure |
Leucine
n=43 Participants
No alternative treatment arm
leucine: Dosage of leucine will be dependent on body surface area (BSA): leucine 700 mg/m2/dose by mouth three times a day
|
|---|---|
|
Response to Leucine in Transfusion Dependent Patients With Diamond Blackfan Anemia
Complete Hematologic Response
|
2 Participants
|
|
Response to Leucine in Transfusion Dependent Patients With Diamond Blackfan Anemia
Partial hematologic response
|
5 Participants
|
|
Response to Leucine in Transfusion Dependent Patients With Diamond Blackfan Anemia
No hematologic response
|
36 Participants
|
|
Response to Leucine in Transfusion Dependent Patients With Diamond Blackfan Anemia
Progression
|
0 Participants
|
SECONDARY outcome
Timeframe: 9 monthsAdverse events occurring while participants were on Leucine
Outcome measures
| Measure |
Leucine
n=43 Participants
No alternative treatment arm
leucine: Dosage of leucine will be dependent on body surface area (BSA): leucine 700 mg/m2/dose by mouth three times a day
|
|---|---|
|
Severe Adverse Events Attributable to Leucine
No Adverse events
|
41 Participants
|
|
Severe Adverse Events Attributable to Leucine
Withdrew early
|
2 Participants
|
Adverse Events
Leucine
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Dr. Adrianna Vlachos
Feinstein Institutes for Medical Research
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place