Leukemia, Myeloid
Conditions
Keywords
AML, FLT-3 mutation
Brief summary
The purpose of this study is to determine the response rate of patients with refractory, relapsed or poor risk AML expressing FLT-3 activating mutations, when administered CEP-701 at a dosage of 60 mg 2 times a day.
Detailed description
This is an open-label study of CEP-701 in patients with refractory, relapsed, or poor risk AML expressing FLT-3 activating mutations. Patients who meet eligibility criteria will be enrolled at a dosage of 60 mg orally 2 times a day for 28 days (1 cycle). Upon completion of cycle 1, the dosage may be increased to 80mg 2 times a day or decreased to 40 mg 2 times a day, dependent upon response to 60 mg dosage.
Interventions
60mg orally 2 times a day for 28 days
80mg 2 times a day, dependent upon response to cycle 1
40mg 2 times a day, dependent upon response to cycle 1
Sponsors
Study design
Eligibility
Inclusion criteria
* patient must have confirmed diagnosis of refractory or relapsed AML that expresses a FLT-3 mutation * patient must have life expectancy of more than 2 months * patient must be fully recovered from reversible side effects of previous therapy for cancer
Exclusion criteria
* total bilirubin, ALT or AST greater than 2 times upper limit of normal * patient \<65 years of age with estimated creatinine clearance less than 60 mL/min; patient \>65 years of age with serum creatinine \> 1.5 times the upper limit of normal (ULN) * received any investigational drug within past 4 weeks * GI disturbance/malabsorption that may affect absorption of CEP-701 * HIV positive * received NSAID within prior 14 days * has active infection
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Blood Samples and/or bone marrow assessments for complete remission (CR), complete tumor clearance (CTC), or hematologic response (HR) from bone marrow | 56 days | Response rate of patients with refactory, relapsed, or poor risk acute myeloid leukemia (AML) expressing Fms-like tyrosine kinase 3 (FLT-3) activating mutations. CR is defined as presence of less than 5% myeloblasts in bone marrow with normalized peripheral blood cell counts. HR is defined as a 50% or more decrease in the absolute number of peripheral blast count or at least a 50% reduction in bone marrow blasts. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Number of days to response | 56 Days | Response as defined by CR, CTC, or HR. |
| Number of days to disease progression | 56 Days | Response as defined by CR, CTC, or HR. |
| Levels of FLT-3 phosphorylation inhibition in vivo | 56 Days | The degree of inhibition of FLT-3 autophosphorylation measured in ex vivo bioassay plasma samples |