Combined PD1 Inhibitor and Decitabine in Elderly Patients With Relapse and Refractory Acute Myeloid Leukemia

NCT ID: NCT04353479

Last Updated: 2020-04-20

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

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2020-04-25

Study Completion Date

2022-12-31

Brief Summary

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This is an open-label, single arm, phase 2 study to evaluate efficacy and safety of PD1 inhibitor Camrelizumab(SHR-1210) combined with DNA methyltransferase inhibitor decitabine in elderly patients with relapse and refractory acute myeloid leukemia.

Detailed Description

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In this single-center, open-label, nonrandomized, no control, prospective clinical trial, 29 relapsed or refractory acute myeloid leukemia patients will be enrolled. Patients will be administered Camrelizumab(SHR-1210) at D1 and D15 and decitabine at D1-5. Treatment repeats every 28 days until disease progression or unacceptable toxicity.

Conditions

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Acute Myeloid Leukemia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Camrelizumab(SHR-1210) Combined With Decitabine

Patients will be administered Camrelizumab(SHR-1210) at D1 and D15 and decitabine at D1-5. Treatment repeats every 28 days until disease progression or unacceptable toxicity.

Group Type EXPERIMENTAL

Camrelizumab(SHR-1210)

Intervention Type DRUG

A humanized monoclonal immunoglobulin

Decitabine

Intervention Type DRUG

A DNA methyltransferase inhibitor

Interventions

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Camrelizumab(SHR-1210)

A humanized monoclonal immunoglobulin

Intervention Type DRUG

Decitabine

A DNA methyltransferase inhibitor

Intervention Type DRUG

Other Intervention Names

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PD1 inhibitor 5-aza-2- deoxycytidine

Eligibility Criteria

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Inclusion Criteria

* Age: 60-75
* Relapsed and refractory patients with acute myeloid leukemia via morphology and immunology
* ECOG:0-2
* Life expectancy ≥ 3 months
* Adequate laboratory parameters during the screening period as evidenced by the following:

1. Creatinine clearance≥30 mL/min and serum Creatinine ≤ 160µmol/L
2. ALT and AST ≤ 3 × upper limit of normal (ULN)
3. FEV1,FVC,DLCO ≥ 50% predicted value
4. Left ventricular ejection fraction (LVEF) ≥ 40%, no symptomatic arrhythmia
5. Able to understand and sign an informed consent form (ICF).

* Suffering from heart failure
* Active tuberculosis or HIV positive
* Active hepatitis: Hepatitis B(HBsAg positive and HBV DNA≥500IU/mL), and hepatitis C(HCV RNA positive, abnormal liver function) ,Hepatitis B and hepatitis C infection in common.
* Active, known or suspected autoimmune disease. Subjects who were in a stable state without systemic immunosuppressive therapy were admitted
* Concurrent medical condition requiring the long-term use of immunosuppressive medications, or immunosuppressive doses of systemic corticosteroids \> 10 mg/day topical prednisone or equivalent
* Suffer from other hematological neoplasm
* Known history of use other immune checkpoint inhibitor
* Other factors that may lead to the study termination, such as severe disease or abnormal laboratory tests or family or social factors affecting subjects safety or test data and sample collection.

Exclusion Criteria

* Treatment-related AML
* Allergic to Camrelizumab, Decitabine, other monoclonal antibody or pharmaceutical excipients
* Use of immunosuppressive drug within 2 weeks before entering the group
Minimum Eligible Age

60 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Shanghai Jiao Tong University School of Medicine

OTHER

Sponsor Role lead

Responsible Party

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Junmin Li

Director of Department of Hematology

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Junmin Li

Role: PRINCIPAL_INVESTIGATOR

Ruijin Hospital

Central Contacts

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Kai Xue

Role: CONTACT

+86-13818659448

Hongming Zhu

Role: CONTACT

Other Identifiers

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MA-AML-II-001

Identifier Type: -

Identifier Source: org_study_id

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