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

Recruitment status

COMPLETED

Study phase

PHASE1/PHASE2

Target enrollment

55 participants

Primary outcome timeframe

9 Months

Results posted on

2022-12-02

Participant Flow

55 subjects were screened and of those 12 did not meet eligibility criteria

Participant milestones

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

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

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 Months

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

Outcome measures

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 months

Adverse events occurring while participants were on Leucine

Outcome measures

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 events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

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

Phone: 516-562-1504

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place