Study of Crenolanib Combined With Chemotherapy in FLT3-mutated Acute Myeloid Leukemia Patients

NCT ID: NCT02400281

Last Updated: 2024-07-03

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1/PHASE2

Total Enrollment

28 participants

Study Classification

INTERVENTIONAL

Study Start Date

2015-09-30

Study Completion Date

2020-07-15

Brief Summary

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This is an open label, two-arm, Phase I-II trial, non-randomized. Arm 1: crenolanib with standard chemotherapy (Idarubicin/Cytarabine, MEC;Mitoxantrone/Etoposide/Cytarabine, FLAG-Ida: Fludarabine/Cytarabine/G-CSF/Idarubicin) Arm 2: crenolanib with 5-azacitidine

Detailed Description

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For each arm:

The phase I with dose-limiting toxicity (DLT) determination will use 3+3 design.

Phase II total of 52 patients (26 per arm) will be treated at established phase I dose.

Enrollment to be simultaneous to each arm.

Conditions

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Acute Myeloid Leukemia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Arm 1 crenolanib besylate combination

Arm 1 patients will receive crenolanib besylate, combined with standard chemotherapy (Idarubicin/Cytarabine, MEC;Mitoxantrone/Etoposide/Cytarabine, FLAG-Ida: Fludarabine/Cytarabine/G-CSF/Idarubicin

Group Type EXPERIMENTAL

Crenolanib besylate

Intervention Type DRUG

Idarubicin

Intervention Type DRUG

Cytarabine

Intervention Type DRUG

Mitoxantrone

Intervention Type DRUG

Etoposide

Intervention Type DRUG

Fludarabine

Intervention Type DRUG

G-CSF

Intervention Type DRUG

Arm 2 crenolanib besylate combination

Arm 2 patients will receive crenolanib besylate and azacytidine.

Group Type EXPERIMENTAL

Crenolanib besylate

Intervention Type DRUG

Azacytidine

Intervention Type DRUG

Interventions

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Crenolanib besylate

Intervention Type DRUG

Idarubicin

Intervention Type DRUG

Cytarabine

Intervention Type DRUG

Azacytidine

Intervention Type DRUG

Mitoxantrone

Intervention Type DRUG

Etoposide

Intervention Type DRUG

Fludarabine

Intervention Type DRUG

G-CSF

Intervention Type DRUG

Other Intervention Names

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CP-868,596-26 4-demethoxydaunorubicin cytosine arabinoside 5-azacytidine Novantrone etoposide phosphate Fludarabine phosphate

Eligibility Criteria

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Inclusion Criteria

1. Confirmed diagnosis of refractory/relapsed AML or high-risk MDS

* Arm 1: Subjects must have received at least one prior therapy and a maximum of three prior therapies
* Arm 2: Subjects must have received at least one prior therapy and a maximum of three prior therapies. No prior treatment with 5-Azacitidine is allowed in this arm.
2. FLT3 mutation positive (ITD, TKD or other)
3. ECOG PS 0-2
4. Adequate liver and renal function
5. Negative pregnancy test
6. Extramedullary leukemia allowed except CNS disease

Exclusion Criteria

* Arm 1 and 2 Exclusion:

1. \<5% blasts in marrow or blood at time of screening
2. Active HIV, hepatitis B or C
3. CNS leukemia
4. Clinically significant GVHD or organ dysfunction where chemotherapy specified by protocol cannot be given
5. Patient with AML-M3 (APL)
6. Pre-existing liver diseases (i.e. cirrhosis, chronic hepatitis B or C, nonalcoholic steatohepatitis, sclerosing cholangitis)
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Arog Pharmaceuticals, Inc.

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jorge Cortes, MD

Role: PRINCIPAL_INVESTIGATOR

M.D. Anderson Cancer Center

Locations

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MD Anderson Cancer Center

Houston, Texas, United States

Site Status

Countries

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United States

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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ARO-010

Identifier Type: -

Identifier Source: org_study_id

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