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BI 811283 in Combination With Cytarabine in Previously Untreated AML Ineligible for Intensive Treatment

An Open Phase I/IIa Trial to Investigate the Maximum Tolerated Dose, Safety, Efficacy and Pharmacokinetics of BI 811283 in Combination With Cytarabine in Patients With Previously Untreated Acute Myeloid Leukaemia Ineligible for Intensive Treatment

Status
Completed
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00632749
Enrollment
68
Registered
2008-03-11
Start date
2008-05-31
Completion date
2014-03-31
Last updated
2015-09-14

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Leukemia, Myeloid, Acute

Brief summary

Investigation of maximum tolerated dose, safety, efficacy and pharmcokinetics of BI 811283 in combination with cytarabine (LD-Ara-C) in previously untreated acute myeloid leukaemia (AML) patients

Interventions

DRUGBI 811283 (d 1 and 15)

BI 811283 (24 hours i.v.c.i.) on day 1 and 15 of a 4-week treatment cycle

DRUGCytarabine

Cytarabine 2 x 20 mg/d s.c. on days 1-10 of a 4-week treatment cycle

DRUGBI 811283 (d1)

BI 811283 (24 hours i.v.c.i.) on day 1 of a 4-week treatment cycle

Sponsors

Boehringer Ingelheim
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Male or female adult with previously untreated acute myeloid leukaemia (AML) * Confirmed diagnosis of AML according to the WHO definition (except for acute promyelocytic leukaemia, APL) * Patient is considered ineligible for intensive treatment * Patient is eligible for low-dose cytarabine (LD-Ara-C) treatment * Life expectancy \> 3 months * Eastern co-operative oncology group (ECOG, R01-0787) performance score \<=2 at screening * Signed written informed consent consistent with international conference on harmonisation good clinical practice (ICH-GCP) and local legislation

Exclusion criteria

* Patient with APL (AML subtype M3 according to the French-American-British (FAB) classification). * Relapsed or treatment refractory AML. * Hypersensitivity to one of the trial drugs or the excipients. * Other malignancy requiring treatment. * Known central nervous system involvement. * Aspartate amino transferase (AST) or alanine amino transferase (ALT) greater than 2.5 times the upper limit of normal (ULN). * INR \> 1.5 x ULN for subjects not on therapeutic vitamin K antagonists (phenprocoumon, warfarin). * Bilirubin greater than 1.5 mg/dl. * Serum creatinine greater than 2.0 mg/dl. * LVEF (Left ventricular ejection fraction) \< 50% in echocardiography or clinical congestive heart failure New York Heart Association (NYHA) grade III or IV. * Concomitant intercurrent illness, which would compromise the evaluation of efficacy or safety of the trial drug, e.g. active severe infection, unstable angina pectoris or cardiac arrhythmia. * Psychiatric illness or social situation that would limit compliance with trial requirements. * Concomitant therapy, which is considered relevant for the evaluation of the efficacy or safety of the trial drug (i.e. other chemo- or immunotherapy, see also section 4.2.2). * Contraindications for cytarabine treatment according to the summary of product characteristics (SPC). * Patients who are sexually active and unwilling to use a medically acceptable method of contraception during the trial (hormonal contraception, intrauterine device, condom with spermicide, etc.). * Pregnant or nursing female patients. * Patient unable to comply with the protocol.

Design outcomes

Primary

MeasureTime frameDescription
The Maximum Tolerated Dose (MTD) of 2 Schedules of BI 811283 in Combination With Cytarabine.up to 28 days of treatmentThe MTD was defined as the highest dose at which 6 patients were treated and less than 2 patients who experienced a dose limiting toxicities (DLT) within the first cycle of treatment.The MTD was defined based on safety data from the first cycle only. It was determined using a standard 3 + 3 design with de-escalation.

Secondary

MeasureTime frameDescription
Incidence and Intensity of AEs Graded According to CTCAE (Version 3.0)Data from first treatment administration until cut-off date of 20 October 2011; up to 1239 daysThe severity and timing of AEs indicates how well the treatment regimen was tolerated. Toxicities were evaluated using the common terminology criteria for adverse events (CTCAE) grading scheme.
Incidence of Dose Limiting Toxicity (DLT)up to 28 days of treatmentNumber of participants with DLT in the first cycle (28 days) for the determination of the maximum tolerated dose (MTD)
Partial RemissionData collected up to cut-off date 20 Oct 2011, Up to 1239 daysResponse to treatment was evaluated according to the following criteria (modified from the National Cancer Institute/Cancer and Leukemia Group B criteria; The best overall response was defined as the best overall response recorded during the time period from the start of the treatment until the end of the treatment period, progression or death (whichever was earlier). Possible categories for best overall response were CR, CRi, Partial remission (PR), no change (NC), Progressive disease (PD) and no assessment. Partial remission (PR). All of the criteria for CR had to be met, except that the bone marrow had to contain ≥ 5% but less than 25% blasts (or ≤ 50% of initial blast count), or \< 5% blasts in the presence of Auer rods or abnormal morphology.
Event Free Survival (EFS)Data collected up to cut-off date 20 Oct 2011, Up to 1239 daysEFS was defined as the duration of time from randomisation to time of treatment failure (i.e. PD), relapse from CR, or death from any cause, whichever came first.
Relapse Free SurvivalData collected up to cut-off date 20 Oct 2011, Up to 1239 daysRelapse-free survival was defined only for patients who achieved CR/CRi and was measured from the date of attaining CR/CRi until the date of recurrence or death from any cause, whichever occurred first. Number of patients having relapse free survival are presented.
Remission DurationData collected up to cut-off date 20 Oct 2011, Up to 1239 daysRemission duration analysis was defined only for patients who achieved CR, and was measured from the date of attaining CR until the date of disease recurrence (relapse). For patients who died without report of relapse, remission duration was censored on the date of death, regardless of the cause.
Overall Survival (OS)Data collected up to cut-off date 20 Oct 2011, Up to 1239 daysOS was defined for all patients that entered the trial, and measured from the date of randomization until death from any cause.
Cmax (Maximum Measured Concentration of BI 811283 in Plasma)-0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283Cmax (maximum measured concentration of BI 811283 in plasma) during Cycle 1
AUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)-0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283AUC(0-inf) (area under the concentration-time curve of BI 811283 in plasma over the time interval from 0 extrapolated to infinity) during Cycle 1
AUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)-0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283AUC0-tz (area under the concentration-time curve of BI 811283 in plasma over the time interval from 0 to the time of the last quantifiable data point) during Cycle 1
Response (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])Data collected up to cut-off date 20Oct2011, Up to 1239 daysResponse to treatment was evaluated according to the following criteria (modified from the National Cancer Institute/Cancer and Leukemia Group B criteria: The best overall response was defined as the best overall response recorded during the time period from the start of the treatment until the end of the treatment period, progression or death (whichever was earlier). Possible categories for best overall response were CR, CRi, Partial remission (PR), no change (NC), Progressive disease (PD) and no assessment. * Complete remission (CR): morphologically leukaemia free state (i.e. bone marrow with \< 5% blasts by morphologic criteria and no Auer rods, no evidence of extramedullary leukaemia) and absolute neutrophil count ≥ 1,000/μL and platelets \> 100,000/μL. * Complete remission with incomplete blood count recovery (incomplete CR, CRi).All of the above criteria for CR had to be met, except that neutrophils \< 1,000/μL or platelets \< 100,000/μL in the blood.
AUC (0-inf, ss)(Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity) at Steady State-0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283AUC (0-inf, ss)(area under the concentration-time curve of BI 811283 in plasma over the time interval from 0 extrapolated to infinity) at steady state during Cycle 1
AUC (0-tz,ss) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point) at Steady State-0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283AUC (0-tz,ss) (area under the concentration-time curve of BI 811283 in plasma over the time interval from 0 to the time of the last quantifiable data point) at steady state during Cycle 1
Tmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)-0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283tmax (time from dosing to maximum measured concentration of BI 811283 in plasma) during Cycle 1
Tmax,ss (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma at Steady State)-0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283tmax,ss (time from dosing to maximum measured concentration of BI 811283 in plasma at steady state) during Cycle 1
Cmax (Maximum Measured Concentration of Cytarabine in Plasma)-0.05 hours before and 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00 hours after administration of CytarabineCmax of Cytarabine after a 20 mg Subcutaneous Dose on the First Day of BI 811283
AUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)-0.05 hours before and 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00 hours after administration of CytarabineAUC (0-inf) of Cytarabine after a 20 mg Subcutaneous Dose on the First Day of BI 811283
Tmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)-0.05 hours before and 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00 hours after administration of CytarabineTmax of Cytarabine after a 20 mg Subcutaneous Dose on the First Day of BI 811283
AUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)-0.05 hours before and 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00 hours after administration of CytarabineAUC (0-tz) of Cytarabine after a 20 mg Subcutaneous Dose on the First Day of BI 811283
Pharmacodynamic MonitoringOn Day 5, i.e. 72 hours after the end of the first BI 811283 infusion, and on Day 28 in the first cycle onlyPharmacodynamic monitoring: drug effect on leukaemia cells (e.g. polyploidy, histone H3 phosphorylation, morphologic changes). An evaluation of this secondary endpoint is not possible due to missing samples / samples of poor quality of the provided material.
Pharmacokinetics of Cytarabine After a Single Dose and at Steady State When Given Alone-0.05, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00 hoursThe study protocol originally included a phase II part with a treatment arm in which Cytarabine was given alone, however the sponsor discontinued the clinical development of BI 811283, therefore the protocol was amended and the reference therapy arm was removed from the study protocol -\> (Protocol Amendment 5, version 19 -May-2010, approved 28-Jun-2010). Since there was never a treatment arm in which Cytarabine was given alone; hence pharmacokinetics are not calculated.
Cmax,ss (Maximum Measured Concentration of BI 811283 in Plasma at Steady State)-0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283Cmax (maximum measured concentration of BI 811283 in plasma at steady state) during Cycle 1

Countries

Germany

Participant flow

Recruitment details

68 participants were entered, and 64 were treated with the study treatment

Participants by arm

ArmCount
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A
5 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment Schedule A: BI 811283 on Days 1 + 15 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
4
15 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A
15 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment Schedule A: BI 811283 on Days 1 + 15 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
3
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A
30 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment Schedule A: BI 811283 on Days 1 + 15 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
3
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A
60 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment Schedule A: BI 811283 on Days 1 + 15 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
4
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A
100 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment Schedule A: BI 811283 on Days 1 + 15 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
7
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A
120 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment Schedule A: BI 811283 on Days 1 + 15 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
7
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B
5 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment schedule B: BI 811283 on Day 1 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
4
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B
40 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment schedule B: BI 811283 on Day 1 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
4
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B
80 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment schedule B: BI 811283 on Day 1 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
5
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B
160 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment schedule B: BI 811283 on Day 1 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
3
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B
240 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment schedule B: BI 811283 on Day 1 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
7
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B
300 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment schedule B: BI 811283 on Day 1 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
4
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B
360 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment schedule B: BI 811283 on Day 1 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
3
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B
420 mg of BI 811283 (preconcentrate for infusion after dilution) in combination with cytarabine (solution for injection); Treatment schedule B: BI 811283 on Day 1 in combination with cytarabine 20 mg twice daily on Days 1-10 (28-day cycle); BI 811283: 24-hour continuous intravenous infusion Cytarabine: subcutaneous injection
6
Total64

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007FG008FG009FG010FG011FG012FG013
Overall StudyOther Adverse event11112412201010
Overall StudyProgressive disease32224432324324
Overall StudyReason other than those specified above02001010002102
Overall StudyRefuse to continue medication00010000010000

Baseline characteristics

Characteristic5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A15 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule A5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule B420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTotal
Age, Continuous76.0 years
STANDARD_DEVIATION 5.8
71.3 years
STANDARD_DEVIATION 2.5
79.3 years
STANDARD_DEVIATION 8.4
77.5 years
STANDARD_DEVIATION 4
67.4 years
STANDARD_DEVIATION 9.3
72.3 years
STANDARD_DEVIATION 5.1
74.3 years
STANDARD_DEVIATION 4.1
73.5 years
STANDARD_DEVIATION 6.6
79.0 years
STANDARD_DEVIATION 4.4
78.3 years
STANDARD_DEVIATION 4
72.3 years
STANDARD_DEVIATION 4.4
69.5 years
STANDARD_DEVIATION 11.8
63.3 years
STANDARD_DEVIATION 5.1
63.3 years
STANDARD_DEVIATION 5.6
72.2 years
STANDARD_DEVIATION 7.6
Sex: Female, Male
Female
3 Participants2 Participants2 Participants2 Participants4 Participants3 Participants1 Participants3 Participants2 Participants2 Participants2 Participants2 Participants0 Participants2 Participants30 Participants
Sex: Female, Male
Male
1 Participants1 Participants1 Participants2 Participants3 Participants4 Participants3 Participants1 Participants3 Participants1 Participants5 Participants2 Participants3 Participants4 Participants34 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
EG008
affected / at risk
EG009
affected / at risk
EG010
affected / at risk
EG011
affected / at risk
EG012
affected / at risk
EG013
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —— / —
other
Total, other adverse events
4 / 43 / 33 / 34 / 47 / 77 / 74 / 44 / 45 / 53 / 36 / 74 / 43 / 36 / 6
serious
Total, serious adverse events
3 / 42 / 33 / 34 / 46 / 76 / 74 / 43 / 45 / 53 / 37 / 73 / 43 / 35 / 6

Outcome results

Primary

The Maximum Tolerated Dose (MTD) of 2 Schedules of BI 811283 in Combination With Cytarabine.

The MTD was defined as the highest dose at which 6 patients were treated and less than 2 patients who experienced a dose limiting toxicities (DLT) within the first cycle of treatment.The MTD was defined based on safety data from the first cycle only. It was determined using a standard 3 + 3 design with de-escalation.

Time frame: up to 28 days of treatment

Population: Treated set (TS): All patients who received at least one single dose of trial medication (BI 811283 or cytarabine) were considered.

ArmMeasureValue (NUMBER)
Treatment Schedule AThe Maximum Tolerated Dose (MTD) of 2 Schedules of BI 811283 in Combination With Cytarabine.100 mg
Treatment Schedule BThe Maximum Tolerated Dose (MTD) of 2 Schedules of BI 811283 in Combination With Cytarabine.NA mg
Secondary

AUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)

AUC(0-inf) (area under the concentration-time curve of BI 811283 in plasma over the time interval from 0 extrapolated to infinity) during Cycle 1

Time frame: -0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283

Population: Treated set (Only patients with observed cases (OC) values were analysed)

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment Schedule AAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)177 nmol·h/LGeometric Coefficient of Variation 28.2
Treatment Schedule BAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)985 nmol·h/LGeometric Coefficient of Variation 311
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)1000 nmol·h/LGeometric Coefficient of Variation 40.7
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)2790 nmol·h/LGeometric Coefficient of Variation 130
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)4400 nmol·h/LGeometric Coefficient of Variation 62.9
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)5620 nmol·h/LGeometric Coefficient of Variation 27.9
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)192 nmol·h/LGeometric Coefficient of Variation 47.7
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)1490 nmol·h/LGeometric Coefficient of Variation 98.1
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)2840 nmol·h/LGeometric Coefficient of Variation 29.6
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)8870 nmol·h/LGeometric Coefficient of Variation 59.9
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)9770 nmol·h/LGeometric Coefficient of Variation 63
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)14100 nmol·h/LGeometric Coefficient of Variation 32.6
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)12800 nmol·h/LGeometric Coefficient of Variation 64.3
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC(0-inf) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity)23200 nmol·h/LGeometric Coefficient of Variation 57.9
Secondary

AUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)

AUC (0-inf) of Cytarabine after a 20 mg Subcutaneous Dose on the First Day of BI 811283

Time frame: -0.05 hours before and 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00 hours after administration of Cytarabine

Population: Treated set (Only patients with observed cases (OC) values were analysed)

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment Schedule AAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)104 ng·h/mLGeometric Coefficient of Variation 31.4
Treatment Schedule BAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)122 ng·h/mLGeometric Coefficient of Variation 6.89
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)102 ng·h/mLGeometric Coefficient of Variation 31.5
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)85.4 ng·h/mLGeometric Coefficient of Variation 35.3
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)65.9 ng·h/mLGeometric Coefficient of Variation 42.5
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)68.1 ng·h/mLGeometric Coefficient of Variation 41.4
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)62.0 ng·h/mLGeometric Coefficient of Variation 24.1
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)NA ng·h/mL
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)NA ng·h/mL
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)71.2 ng·h/mLGeometric Coefficient of Variation 20.7
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)72.7 ng·h/mLGeometric Coefficient of Variation 23.6
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)75.5 ng·h/mLGeometric Coefficient of Variation 27.2
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)76.9 ng·h/mLGeometric Coefficient of Variation 19.5
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-inf) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 Extrapolated to Infinity)76.8 ng·h/mLGeometric Coefficient of Variation 42.6
Secondary

AUC (0-inf, ss)(Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity) at Steady State

AUC (0-inf, ss)(area under the concentration-time curve of BI 811283 in plasma over the time interval from 0 extrapolated to infinity) at steady state during Cycle 1

Time frame: -0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283

Population: Treated set (Only patients with observed cases (OC) values were analysed). Steady state analyses is not applicable for Treatment Schedule B, since pharmacokinetic analyses was performed after a single dose for Treatment Schedule B.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment Schedule AAUC (0-inf, ss)(Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity) at Steady State188 nmol·h/LGeometric Coefficient of Variation 12.7
Treatment Schedule BAUC (0-inf, ss)(Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity) at Steady State615 nmol·h/LGeometric Coefficient of Variation 15.3
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-inf, ss)(Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity) at Steady StateNA nmol·h/L
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-inf, ss)(Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity) at Steady State4460 nmol·h/LGeometric Coefficient of Variation 41.8
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-inf, ss)(Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity) at Steady State5140 nmol·h/LGeometric Coefficient of Variation 105
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-inf, ss)(Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 Extrapolated to Infinity) at Steady State4750 nmol·h/LGeometric Coefficient of Variation 58.1
Secondary

AUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)

AUC0-tz (area under the concentration-time curve of BI 811283 in plasma over the time interval from 0 to the time of the last quantifiable data point) during Cycle 1

Time frame: -0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283

Population: Treated Set (Only patients with observed cases (OC) values were analysed)

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment Schedule AAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)169 nmol·h/LGeometric Coefficient of Variation 30.5
Treatment Schedule BAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)939 nmol·h/LGeometric Coefficient of Variation 328
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)2010 nmol·h/LGeometric Coefficient of Variation 207
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)2350 nmol·h/LGeometric Coefficient of Variation 105
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)2810 nmol·h/LGeometric Coefficient of Variation 135
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)5340 nmol·h/LGeometric Coefficient of Variation 27.2
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)156 nmol·h/LGeometric Coefficient of Variation 17.5
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)1450 nmol·h/LGeometric Coefficient of Variation 97.3
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)2730 nmol·h/LGeometric Coefficient of Variation 29.1
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)8680 nmol·h/LGeometric Coefficient of Variation 60.4
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)9260 nmol·h/LGeometric Coefficient of Variation 63.6
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)13700 nmol·h/LGeometric Coefficient of Variation 31.7
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)12100 nmol·h/LGeometric Coefficient of Variation 63.1
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC0-tz (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)21700 nmol·h/LGeometric Coefficient of Variation 55.2
Secondary

AUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)

AUC (0-tz) of Cytarabine after a 20 mg Subcutaneous Dose on the First Day of BI 811283

Time frame: -0.05 hours before and 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00 hours after administration of Cytarabine

Population: Treated Set (Only patients with observed cases (OC) values were analysed)

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment Schedule AAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)45.0 ng·h/LGeometric Coefficient of Variation 156
Treatment Schedule BAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)66.9 ng·h/LGeometric Coefficient of Variation 73.8
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)66.8 ng·h/LGeometric Coefficient of Variation 57.6
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)71.8 ng·h/LGeometric Coefficient of Variation 26.4
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)46.6 ng·h/LGeometric Coefficient of Variation 51.2
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)42.3 ng·h/LGeometric Coefficient of Variation 64.3
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)45.9 ng·h/LGeometric Coefficient of Variation 20
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)33.9 ng·h/LGeometric Coefficient of Variation 245
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)57.0 ng·h/LGeometric Coefficient of Variation 18.2
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)60.2 ng·h/LGeometric Coefficient of Variation 30.4
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)52.5 ng·h/LGeometric Coefficient of Variation 38.8
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)52.1 ng·h/LGeometric Coefficient of Variation 42.1
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)41.3 ng·h/LGeometric Coefficient of Variation 87.2
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BAUC (0-tz) (Area Under the Concentration-time Curve of Cytarabine in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point)51.6 ng·h/LGeometric Coefficient of Variation 38.1
Secondary

AUC (0-tz,ss) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point) at Steady State

AUC (0-tz,ss) (area under the concentration-time curve of BI 811283 in plasma over the time interval from 0 to the time of the last quantifiable data point) at steady state during Cycle 1

Time frame: -0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283

Population: Treated set (Only patients with observed cases (OC) values were analysed). Steady state analyses is not applicable for Treatment Schedule B, since pharmacokinetic analyses was performed after a single dose for Treatment Schedule B.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment Schedule AAUC (0-tz,ss) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point) at Steady State183 nmol·h/LGeometric Coefficient of Variation 14.3
Treatment Schedule BAUC (0-tz,ss) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point) at Steady State597 nmol·h/LGeometric Coefficient of Variation 15
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-tz,ss) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point) at Steady State1620 nmol·h/LGeometric Coefficient of Variation 58.2
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-tz,ss) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point) at Steady State4330 nmol·h/LGeometric Coefficient of Variation 40.5
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-tz,ss) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point) at Steady State4340 nmol·h/LGeometric Coefficient of Variation 83.6
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AAUC (0-tz,ss) (Area Under the Concentration-time Curve of BI 811283 in Plasma Over the Time Interval From 0 to the Time of the Last Quantifiable Data Point) at Steady State4820 nmol·h/LGeometric Coefficient of Variation 55.6
Secondary

Cmax (Maximum Measured Concentration of BI 811283 in Plasma)

Cmax (maximum measured concentration of BI 811283 in plasma) during Cycle 1

Time frame: -0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283

Population: Treated Set (Only patients with observed cases (OC) values were analysed)

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment Schedule ACmax (Maximum Measured Concentration of BI 811283 in Plasma)8.03 nmol/LGeometric Coefficient of Variation 32.3
Treatment Schedule BCmax (Maximum Measured Concentration of BI 811283 in Plasma)64.10 nmol/LGeometric Coefficient of Variation 686
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax (Maximum Measured Concentration of BI 811283 in Plasma)104.00 nmol/LGeometric Coefficient of Variation 321
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax (Maximum Measured Concentration of BI 811283 in Plasma)153.00 nmol/LGeometric Coefficient of Variation 108
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax (Maximum Measured Concentration of BI 811283 in Plasma)214.00 nmol/LGeometric Coefficient of Variation 38.8
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax (Maximum Measured Concentration of BI 811283 in Plasma)272.00 nmol/LGeometric Coefficient of Variation 30
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of BI 811283 in Plasma)7.06 nmol/LGeometric Coefficient of Variation 10
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of BI 811283 in Plasma)66.10 nmol/LGeometric Coefficient of Variation 85.3
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of BI 811283 in Plasma)139.00 nmol/LGeometric Coefficient of Variation 33.8
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of BI 811283 in Plasma)499.00 nmol/LGeometric Coefficient of Variation 101
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of BI 811283 in Plasma)445.00 nmol/LGeometric Coefficient of Variation 71
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of BI 811283 in Plasma)631.00 nmol/LGeometric Coefficient of Variation 31
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of BI 811283 in Plasma)528.00 nmol/LGeometric Coefficient of Variation 40.5
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of BI 811283 in Plasma)1130.00 nmol/LGeometric Coefficient of Variation 53.3
Secondary

Cmax (Maximum Measured Concentration of Cytarabine in Plasma)

Cmax of Cytarabine after a 20 mg Subcutaneous Dose on the First Day of BI 811283

Time frame: -0.05 hours before and 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00 hours after administration of Cytarabine

Population: Treated Set (Only patients with observed cases (OC) values were analysed)

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment Schedule ACmax (Maximum Measured Concentration of Cytarabine in Plasma)53.2 ng/mLGeometric Coefficient of Variation 65.4
Treatment Schedule BCmax (Maximum Measured Concentration of Cytarabine in Plasma)72.6 ng/mLGeometric Coefficient of Variation 31
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax (Maximum Measured Concentration of Cytarabine in Plasma)49.0 ng/mLGeometric Coefficient of Variation 80.6
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax (Maximum Measured Concentration of Cytarabine in Plasma)64.9 ng/mLGeometric Coefficient of Variation 49.5
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax (Maximum Measured Concentration of Cytarabine in Plasma)61.9 ng/mLGeometric Coefficient of Variation 57.3
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax (Maximum Measured Concentration of Cytarabine in Plasma)46.0 ng/mLGeometric Coefficient of Variation 54.1
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of Cytarabine in Plasma)46.3 ng/mLGeometric Coefficient of Variation 31.8
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of Cytarabine in Plasma)49.8 ng/mLGeometric Coefficient of Variation 58.1
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of Cytarabine in Plasma)55.0 ng/mLGeometric Coefficient of Variation 16.5
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of Cytarabine in Plasma)65.1 ng/mLGeometric Coefficient of Variation 44.5
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of Cytarabine in Plasma)49.4 ng/mLGeometric Coefficient of Variation 58.9
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of Cytarabine in Plasma)48.6 ng/mLGeometric Coefficient of Variation 88.4
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of Cytarabine in Plasma)49.0 ng/mLGeometric Coefficient of Variation 77
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BCmax (Maximum Measured Concentration of Cytarabine in Plasma)68.7 ng/mLGeometric Coefficient of Variation 33.1
Secondary

Cmax,ss (Maximum Measured Concentration of BI 811283 in Plasma at Steady State)

Cmax (maximum measured concentration of BI 811283 in plasma at steady state) during Cycle 1

Time frame: -0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283

Population: Treated set (Only patients with observed cases (OC) values were analysed). Steady state analyses is not applicable for Treatment Schedule B, since pharmacokinetic analyses was performed after a single dose for Treatment Schedule B.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Treatment Schedule ACmax,ss (Maximum Measured Concentration of BI 811283 in Plasma at Steady State)8.02 nmol/LGeometric Coefficient of Variation 4.59
Treatment Schedule BCmax,ss (Maximum Measured Concentration of BI 811283 in Plasma at Steady State)24.7 nmol/LGeometric Coefficient of Variation 18.5
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax,ss (Maximum Measured Concentration of BI 811283 in Plasma at Steady State)43.3 nmol/LGeometric Coefficient of Variation 5.58
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax,ss (Maximum Measured Concentration of BI 811283 in Plasma at Steady State)141 nmol/LGeometric Coefficient of Variation 52.2
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax,ss (Maximum Measured Concentration of BI 811283 in Plasma at Steady State)213 nmol/LGeometric Coefficient of Variation 96.1
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ACmax,ss (Maximum Measured Concentration of BI 811283 in Plasma at Steady State)229 nmol/LGeometric Coefficient of Variation 67.9
Secondary

Event Free Survival (EFS)

EFS was defined as the duration of time from randomisation to time of treatment failure (i.e. PD), relapse from CR, or death from any cause, whichever came first.

Time frame: Data collected up to cut-off date 20 Oct 2011, Up to 1239 days

Population: Treated set

ArmMeasureValue (MEAN)Dispersion
Treatment Schedule AEvent Free Survival (EFS)35.0 daysStandard Deviation 15.6
Treatment Schedule BEvent Free Survival (EFS)122.3 daysStandard Deviation 120
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AEvent Free Survival (EFS)32.0 daysStandard Deviation 1
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AEvent Free Survival (EFS)117.5 daysStandard Deviation 102.4
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AEvent Free Survival (EFS)60.4 daysStandard Deviation 52.6
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AEvent Free Survival (EFS)62.0 daysStandard Deviation 54.1
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BEvent Free Survival (EFS)209.0 daysStandard Deviation 315.8
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BEvent Free Survival (EFS)65.0 daysStandard Deviation 41.5
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BEvent Free Survival (EFS)168.8 daysStandard Deviation 219.3
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BEvent Free Survival (EFS)62.7 daysStandard Deviation 53.9
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BEvent Free Survival (EFS)138.7 daysStandard Deviation 183.2
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BEvent Free Survival (EFS)48.5 daysStandard Deviation 36.9
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BEvent Free Survival (EFS)174.0 daysStandard Deviation 67.2
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BEvent Free Survival (EFS)30.0 daysStandard Deviation 7.3
Secondary

Incidence and Intensity of AEs Graded According to CTCAE (Version 3.0)

The severity and timing of AEs indicates how well the treatment regimen was tolerated. Toxicities were evaluated using the common terminology criteria for adverse events (CTCAE) grading scheme.

Time frame: Data from first treatment administration until cut-off date of 20 October 2011; up to 1239 days

Population: Treated set

ArmMeasureGroupValue (NUMBER)
Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 31 participants
Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 53 participants
Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 40 participants
Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 42 participants
Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 31 participants
Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 50 participants
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 30 participants
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 50 participants
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 21 participants
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 42 participants
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 51 participants
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 42 participants
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 31 participants
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 31 participants
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 44 participants
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 52 participants
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 43 participants
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 30 participants
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 54 participants
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 52 participants
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 41 participants
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 31 participants
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 30 participants
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 42 participants
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 52 participants
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 43 participants
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 52 participants
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 30 participants
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 41 participants
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 31 participants
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 51 participants
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 43 participants
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 52 participants
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 32 participants
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 52 participants
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 31 participants
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 41 participants
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 30 participants
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 51 participants
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 42 participants
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 54 participants
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 10 participants
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 42 participants
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 20 participants
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence and Intensity of AEs Graded According to CTCAE (Version 3.0)CTCAE Grade 30 participants
Secondary

Incidence of Dose Limiting Toxicity (DLT)

Number of participants with DLT in the first cycle (28 days) for the determination of the maximum tolerated dose (MTD)

Time frame: up to 28 days of treatment

Population: Treated set

ArmMeasureValue (NUMBER)
Treatment Schedule AIncidence of Dose Limiting Toxicity (DLT)0 participants
Treatment Schedule BIncidence of Dose Limiting Toxicity (DLT)0 participants
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence of Dose Limiting Toxicity (DLT)0 participants
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence of Dose Limiting Toxicity (DLT)0 participants
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence of Dose Limiting Toxicity (DLT)0 participants
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AIncidence of Dose Limiting Toxicity (DLT)2 participants
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence of Dose Limiting Toxicity (DLT)1 participants
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence of Dose Limiting Toxicity (DLT)0 participants
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence of Dose Limiting Toxicity (DLT)0 participants
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence of Dose Limiting Toxicity (DLT)0 participants
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence of Dose Limiting Toxicity (DLT)1 participants
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence of Dose Limiting Toxicity (DLT)0 participants
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence of Dose Limiting Toxicity (DLT)1 participants
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BIncidence of Dose Limiting Toxicity (DLT)0 participants
Secondary

Overall Survival (OS)

OS was defined for all patients that entered the trial, and measured from the date of randomization until death from any cause.

Time frame: Data collected up to cut-off date 20 Oct 2011, Up to 1239 days

Population: Treated set

ArmMeasureValue (MEAN)Dispersion
Treatment Schedule AOverall Survival (OS)122.8 daysStandard Deviation 166.2
Treatment Schedule BOverall Survival (OS)212.0 daysStandard Deviation 55.1
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AOverall Survival (OS)71.3 daysStandard Deviation 40.5
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AOverall Survival (OS)236.8 daysStandard Deviation 225.5
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AOverall Survival (OS)148.7 daysStandard Deviation 125.5
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AOverall Survival (OS)86.6 daysStandard Deviation 58.1
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BOverall Survival (OS)236.8 daysStandard Deviation 322.9
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BOverall Survival (OS)137.3 daysStandard Deviation 121.7
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BOverall Survival (OS)198.2 daysStandard Deviation 260.1
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BOverall Survival (OS)339.7 daysStandard Deviation 364.8
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BOverall Survival (OS)175.7 daysStandard Deviation 175.4
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BOverall Survival (OS)73.0 daysStandard Deviation 31.3
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BOverall Survival (OS)294.7 daysStandard Deviation 101.5
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BOverall Survival (OS)48.7 daysStandard Deviation 17.9
Secondary

Partial Remission

Response to treatment was evaluated according to the following criteria (modified from the National Cancer Institute/Cancer and Leukemia Group B criteria; The best overall response was defined as the best overall response recorded during the time period from the start of the treatment until the end of the treatment period, progression or death (whichever was earlier). Possible categories for best overall response were CR, CRi, Partial remission (PR), no change (NC), Progressive disease (PD) and no assessment. Partial remission (PR). All of the criteria for CR had to be met, except that the bone marrow had to contain ≥ 5% but less than 25% blasts (or ≤ 50% of initial blast count), or \< 5% blasts in the presence of Auer rods or abnormal morphology.

Time frame: Data collected up to cut-off date 20 Oct 2011, Up to 1239 days

Population: Treated set

ArmMeasureValue (NUMBER)
Treatment Schedule APartial Remission0 participants
Treatment Schedule BPartial Remission0 participants
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule APartial Remission0 participants
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule APartial Remission0 participants
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule APartial Remission0 participants
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule APartial Remission0 participants
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BPartial Remission0 participants
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BPartial Remission1 participants
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BPartial Remission0 participants
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BPartial Remission0 participants
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BPartial Remission0 participants
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BPartial Remission0 participants
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BPartial Remission0 participants
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BPartial Remission0 participants
Secondary

Pharmacodynamic Monitoring

Pharmacodynamic monitoring: drug effect on leukaemia cells (e.g. polyploidy, histone H3 phosphorylation, morphologic changes). An evaluation of this secondary endpoint is not possible due to missing samples / samples of poor quality of the provided material.

Time frame: On Day 5, i.e. 72 hours after the end of the first BI 811283 infusion, and on Day 28 in the first cycle only

Population: Treated set

Secondary

Pharmacokinetics of Cytarabine After a Single Dose and at Steady State When Given Alone

The study protocol originally included a phase II part with a treatment arm in which Cytarabine was given alone, however the sponsor discontinued the clinical development of BI 811283, therefore the protocol was amended and the reference therapy arm was removed from the study protocol -\> (Protocol Amendment 5, version 19 -May-2010, approved 28-Jun-2010). Since there was never a treatment arm in which Cytarabine was given alone; hence pharmacokinetics are not calculated.

Time frame: -0.05, 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00 hours

Population: Treated set

Secondary

Relapse Free Survival

Relapse-free survival was defined only for patients who achieved CR/CRi and was measured from the date of attaining CR/CRi until the date of recurrence or death from any cause, whichever occurred first. Number of patients having relapse free survival are presented.

Time frame: Data collected up to cut-off date 20 Oct 2011, Up to 1239 days

Population: Treated set (Only patients with observed cases (OC) values were analysed)

ArmMeasureValue (NUMBER)
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ARelapse Free Survival1 participants
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ARelapse Free Survival1 participants
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BRelapse Free Survival1 participants
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BRelapse Free Survival1 participants
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BRelapse Free Survival1 participants
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BRelapse Free Survival1 participants
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BRelapse Free Survival2 participants
Secondary

Remission Duration

Remission duration analysis was defined only for patients who achieved CR, and was measured from the date of attaining CR until the date of disease recurrence (relapse). For patients who died without report of relapse, remission duration was censored on the date of death, regardless of the cause.

Time frame: Data collected up to cut-off date 20 Oct 2011, Up to 1239 days

Population: Treated set (Only patients with observed cases (OC) values were analysed)

ArmMeasureValue (MEAN)
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ARemission Duration263.0 days
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ARemission Duration28.0 days
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BRemission Duration337.0 days
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BRemission Duration455.0 days
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BRemission Duration128.0 days
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BRemission Duration15.0 days
Secondary

Response (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])

Response to treatment was evaluated according to the following criteria (modified from the National Cancer Institute/Cancer and Leukemia Group B criteria: The best overall response was defined as the best overall response recorded during the time period from the start of the treatment until the end of the treatment period, progression or death (whichever was earlier). Possible categories for best overall response were CR, CRi, Partial remission (PR), no change (NC), Progressive disease (PD) and no assessment. * Complete remission (CR): morphologically leukaemia free state (i.e. bone marrow with \< 5% blasts by morphologic criteria and no Auer rods, no evidence of extramedullary leukaemia) and absolute neutrophil count ≥ 1,000/μL and platelets \> 100,000/μL. * Complete remission with incomplete blood count recovery (incomplete CR, CRi).All of the above criteria for CR had to be met, except that neutrophils \< 1,000/μL or platelets \< 100,000/μL in the blood.

Time frame: Data collected up to cut-off date 20Oct2011, Up to 1239 days

Population: Treated set

ArmMeasureGroupValue (NUMBER)
Treatment Schedule AResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR0 participants
Treatment Schedule AResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR0 participants
Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR0 participants
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR1 participants
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR0 participants
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule AResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR1 participants
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR1 participants
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR0 participants
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR1 participants
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR1 participants
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR1 participants
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR0 participants
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR1 participants
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi1 participants
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CRi0 participants
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BResponse (Complete Remission [CR], Complete Remission With Incomplete Blood Count Recovery [CRi])CR0 participants
Secondary

Tmax,ss (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma at Steady State)

tmax,ss (time from dosing to maximum measured concentration of BI 811283 in plasma at steady state) during Cycle 1

Time frame: -0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283

Population: Treated set (Only patients with observed cases (OC) values were analysed). Steady state analyses is not applicable for Treatment Schedule B, since pharmacokinetic analyses was performed after a single dose for Treatment Schedule B.

ArmMeasureValue (MEDIAN)
Treatment Schedule ATmax,ss (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma at Steady State)23.9 hours
Treatment Schedule BTmax,ss (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma at Steady State)24.0 hours
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax,ss (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma at Steady State)6.0 hours
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax,ss (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma at Steady State)6.0 hours
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax,ss (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma at Steady State)6.0 hours
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax,ss (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma at Steady State)6.0 hours
Secondary

Tmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)

tmax (time from dosing to maximum measured concentration of BI 811283 in plasma) during Cycle 1

Time frame: -0.05 hours before and 1:00, 4:00, 6:00, 24:00, 25:00, 26:00, 28:00, 32:00, 36:00, 48:00 hours after administration of BI 811283

Population: Treated Set (Only patients with observed cases (OC) values were analysed)

ArmMeasureValue (MEDIAN)
Treatment Schedule ATmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)24.0 hours
Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)26.0 hours
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)25.0 hours
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)22.7 hours
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)6.0 hours
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)23.6 hours
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)23.9 hours
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)6.0 hours
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)24.1 hours
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)24.9 hours
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)6.0 hours
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)23.9 hours
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)5.9 hours
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of BI 811283 in Plasma)14.8 hours
Secondary

Tmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)

Tmax of Cytarabine after a 20 mg Subcutaneous Dose on the First Day of BI 811283

Time frame: -0.05 hours before and 0:30, 1:00, 1:30, 2:00, 3:00, 4:00, 6:00 hours after administration of Cytarabine

Population: Treated Set (Only patients with observed cases (OC) values were analysed)

ArmMeasureValue (MEDIAN)
Treatment Schedule ATmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.50 hours
Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.50 hours
30 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.92 hours
60 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.83 hours
100 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.48 hours
120 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule ATmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.55 hours
5 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.50 hours
40 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.50 hours
80 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.58 hours
160 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.50 hours
240 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.50 hours
300 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.50 hours
360 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.48 hours
420 mg BI 811283 + 20 mg Cytarabine - Treatment Schedule BTmax (Time From Dosing to Maximum Measured Concentration of Cytarabine in Plasma)0.49 hours

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026