Efficacy Study of Inecalcitol With Decitabine in Acute Myeloid Leukemia Patients Unfit for Standard Chemotherapy

NCT ID: NCT02802267

Last Updated: 2017-07-02

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

110 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-06-30

Study Completion Date

2019-12-31

Brief Summary

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Evaluate the effect of the addition of inecalcitol to decitabine treatment on overall survival in previously untreated AML patients aged 65 years or more who are randomly assigned to receive decitabine with or without inecalcitol.

Detailed Description

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Conditions

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Acute Myelogenous Leukemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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inecalcitol

Two tablets of Inecalcitol 2mg each (total 4mg) taken orally every other day.

Group Type EXPERIMENTAL

Inecalcitol

Intervention Type DRUG

vitamin D receptor agonist

placebo

Two tablets of placebo 2mg each (total 4mg) taken orally every other day

Group Type PLACEBO_COMPARATOR

Placebo Oral Tablet

Intervention Type DRUG

placebo

Interventions

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Inecalcitol

vitamin D receptor agonist

Intervention Type DRUG

Placebo Oral Tablet

placebo

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

• Patients aged 65 to \< 75 years with at least one non severe comorbidity ie disease or syndrome with mild to moderate clinical or diagnostic observations or lab abnormalities which could increase the risk of toxicity and/or early death of intensive chemotherapy in the opinion of the investigator and are not contra-indicated for non-intensive chemotherapy.

or ≥ 75 years with or without any comorbidity at the time of the informed consent signature;

• Newly diagnosed, untreated de novo or secondary AML according to WHO classification;

Exclusion Criteria

* Prior or current treatment with chemotherapy for any myeloid disorder (excluding hydroxyurea) or radiotherapy for extramedullary involvement within 2 weeks of randomization;
* Prior treatment with decitabine, azacitidine, or cytarabine;
* Prior malignancies for 5 years with exception of basal cell, squamous cell carcinoma of the skin, or carcinoma " in situ " of the cervix or breast;
* Chronic myelogenous or acute promyelocytic leukaemia;
* Known CNS involvement;
* Patient eligible to bone marrow or stem cell transplant;
* WBC ≥ 30.000/mm3;
* Impaired renal function with Creatinine clearance \< 30 mL/min/1.73m² according to the MDRD formula;
* Serum bilirubin ≥ 2.5 x ULN and/or AST and/or ALT ≥ 2.5 x ULN (upper limit of normal value);
* Calcemia ≥ 2.65 mmol/L (106 mg/L) at screening assessment (corrected with albuminemia);
* History of diseases known to be associated with calcium disorders: ongoing hyperparathyroidism, sarcoidosis….;
* Presence or history of symptomatic kidney stones in the last 5 years;
* Hypersensitivity to any of the excipients of decitabine (Potassium dihydrogen phosphate (E340) ; Sodium hydroxide (E524) ; Hydrochloric acid (for pH adjustment) or to the excipient of inecalcitol tablets (lactose);
* Current use of drugs known to influence serum calcium (such as thiazide diuretics, teriparatide, calcitonin and multivitamin supplements containing \> 400 IU of vitamin D or calcium);
* Current use of digitalis;
* Current use of drugs which could influence bioavailability of inecalcitol (such as magnesium-containing antacids, bile-resin binders);
* Use of any other experimental drug or therapy or vitamin D supplementation within 4 weeks of randomization;
* Known HIV;
* Patients who are eligible for intensive induction therapy with curative intent;
* Refractory congestive heart failure;
* Active infection resistant to anti-infective therapy;
* Documented pulmonary disease with DLCO ≤ 65% or FEV1≤ 65%, or dyspnea at rest or requiring oxygen, or any pleural neoplasm or uncontrolled lung neoplasm;
* Liver cirrhosis Child B or C or acute viral hepatitis;
* Current mental illness requiring psychiatric hospitalization, institutionalization or intensive outpatient management, or current cognitive status that produces dependence (as confirmed by the specialist) not controlled by the caregiver;
* Uncontrolled neoplasia;
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hybrigenics Corporation

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jean-Francois Dufour-Lamartinie, MD

Role: PRINCIPAL_INVESTIGATOR

Hybrigenics Corporation

Locations

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Scripps Health

San Diego, California, United States

Site Status RECRUITING

Georgia Cancer Center-Augusta University

Augusta, Georgia, United States

Site Status RECRUITING

Comprehensive Cancer Centers of Nevada

Las Vegas, Nevada, United States

Site Status RECRUITING

New Mexico Cancer Care Alliance

Albuquerque, New Mexico, United States

Site Status RECRUITING

Duke Cancer Institute, Duke Univ Medical Center

Durham, North Carolina, United States

Site Status RECRUITING

University of Texas; M D Anderson Cancer Center

Houston, Texas, United States

Site Status RECRUITING

ProHealth Care Inc

Waukesha, Wisconsin, United States

Site Status NOT_YET_RECRUITING

Necker Hospital- APHP

Paris, , France

Site Status RECRUITING

Countries

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United States France

Central Contacts

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Shankar Srinivasan, PhD

Role: CONTACT

+1-2246221775

Jean-Francois Dufour-Lamartinie, MD

Role: CONTACT

+33-158103805

Facility Contacts

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Marin Xavier, M.D.

Role: primary

Boyka S Petrov

Role: backup

Jeremy M Pantin, M.D.

Role: primary

Christine Sanchez

Role: backup

Khin Win, MBBS, CCRC

Role: primary

Tiffany Gordon

Role: backup

Kaylee Deutsch, MHA, CCRP

Role: primary

April Encee, RN, OCN

Role: backup

David Rizzieri, M.D.

Role: primary

Rachel Stowe

Role: backup

Jorge Cortes, M.D.

Role: primary

Jane A Autry

Role: backup

Dawn Minikel

Role: primary

Amelia Crouse

Role: backup

Olivier Hermine, MD, PhD

Role: primary

Other Identifiers

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ICT8

Identifier Type: -

Identifier Source: org_study_id

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