Acute Myeloid Leukemia (AML)
Conditions
Keywords
AML, bone marrow, abnormal blast cells of myeloid, acute leukemia, cytogenetic abnormalities, HDACi
Brief summary
This study will be conducted to assess the maximum tolerated dose (MTD) of panobinostat given 3 times a week (administered on weeks 2 and 3 of a 4 week cycle) in combination with induction chemotherapy (idarubicin and cytarabine) in newly diagnosed patients with a cytopathologically confirmed diagnosis of high-risk AML, and to investigate the safety of the combination in this regimen.
Interventions
Oral administration of panobinostat given 3 times a week (administered on weeks 2 and 3 of a 4 week cycle) in combination with induction chemotherapy (idarubicin and cytarabine.
Sponsors
Study design
Eligibility
Inclusion criteria
* Newly diagnosed adult patients = 65 years old with a cytopathologically confirmed diagnosis of high-risk AML * = 20% bone marrow blasts via bone marrow aspiration or biopsy * The patient has not yet been treated for AML * 1º or 2º AML patients with high-risk category features * ECOG PS = 2 * Renal function and liver function limits.
Exclusion criteria
* Patient with a 'favorable' or 'better-risk' cytogenetic profile = t(15;17); t(8;21); or inv(16) or t(16;16) * Patient has clinical symptoms suggestive of CNS leukemia and/or CSF findings for CNS leukemia * Prior treatment with deacetylase inhibitors (DACi) including, panobinostat * Impaired cardiac function * Female patient who is pregnant or breast feeding * Male patient who is not willing to use a barrier method of contraception Other protocol-defined inclusion/
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Define the maximum tolerated dose of Panobinostat (LBH589) that can be given with standard idarubicin and ara-C chemotherapy measured by safety and tolerability. | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| To determine the number of patients who have safety and tolerability events | 1 year |
| To determine Panobinostat's pharmacokinetic parameters (study the amount of Panobinostat in a person's blood over time) following study treatments | 1 year |
| To determine the response of Panobinostat (LBH589) given with standard idarubicin and ara-C chemotherapy (as defined by Cheson 2003) | 1 year |
Countries
Germany, Spain, United States