Relapsed AML, Refractory AML
Conditions
Keywords
AML, phase 1, oncology
Brief summary
This is a dose escalation study to evaluate the safety, tolerability, and pharmacokinetics of quizartinib for Japanese acute myeloid leukemia (AML) subjects.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Relapsed or refractory AML * AML for which no standard treatment is available * ECOG Performance Status (PS) of 0 to 2
Exclusion criteria
* Acute Promyelocytic Leukemia * chronic myelogenous leukemia in blast phase (BCR-ABL fusion gene positive) * History of other malignancies within 3 years prior to enrollment, except curatively treated in-situ carcinoma, AML, or MDS.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| AUCtau,ss of quizartinib and its active metabolite | Cycle 1: Days 1, 2, 4, 8, 11, 15, 16, 18, 22, 28; Cycle 2 and on: Days 1, 15 | Evaluate the pharmacokinetics of quizartinib and its active metabolite, AC886 by Cmax, Tmax, AUCtau, Cmax,ss, Ctrough, Tmax,ss, AUCtau,ss. |
| Tmax of quizartinib and its active metabolite | Cycle 1: Days 1, 2, 4, 8, 11, 15, 16, 18, 22, 28; Cycle 2 and on: Days 1, 15 | Evaluate the pharmacokinetics of quizartinib and its active metabolite, AC886 by Cmax, Tmax, AUCtau, Cmax,ss, Ctrough, Tmax,ss, AUCtau,ss. |
| AUCtau of quizartinib and its active metabolite | Cycle 1: Days 1, 2, 4, 8, 11, 15, 16, 18, 22, 28; Cycle 2 and on: Days 1, 15 | Evaluate the pharmacokinetics of quizartinib and its active metabolite, AC886 by Cmax, Tmax, AUCtau, Cmax,ss, Ctrough, Tmax,ss, AUCtau,ss. |
| Cmax,ss of quizartinib and its active metabolite | Cycle 1: Days 1, 2, 4, 8, 11, 15, 16, 18, 22, 28; Cycle 2 and on: Days 1, 15 | Evaluate the pharmacokinetics of quizartinib and its active metabolite, AC886 by Cmax, Tmax, AUCtau, Cmax,ss, Ctrough, Tmax,ss, AUCtau,ss. |
| Ctrough of quizartinib and its active metabolite | Cycle 1: Days 1, 2, 4, 8, 11, 15, 16, 18, 22, 28; Cycle 2 and on: Days 1, 15 | Evaluate the pharmacokinetics of quizartinib and its active metabolite, AC886 by Cmax, Tmax, AUCtau, Cmax,ss, Ctrough, Tmax,ss, AUCtau,ss. |
| Tmax,ss of quizartinib and its active metabolite | Cycle 1: Days 1, 2, 4, 8, 11, 15, 16, 18, 22, 28; Cycle 2 and on: Days 1, 15 | Evaluate the pharmacokinetics of quizartinib and its active metabolite, AC886 by Cmax, Tmax, AUCtau, Cmax,ss, Ctrough, Tmax,ss, AUCtau,ss. |
| number of subjects experiencing adverse events | first dose to follow-up, approximately 1 year | — |
| Cmax of quizartinib and its active metabolite | Cycle 1: Days 1, 2, 4, 8, 11, 15, 16, 18, 22, 28; Cycle 2 and on: Days 1, 15 | Evaluate the pharmacokinetics of quizartinib and its active metabolite, AC886 by Cmax, Tmax, AUCtau, Cmax,ss, Ctrough, Tmax,ss, AUCtau,ss. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| PIA assessment | Cycle 1: Days 1, 2, 8, 15 | Exploratory assessment of quizartinib-related biomarkers such as FLT3-ITD allelic ratio, PIA assessment. |
| bone marrow findings | Cycle 1: Days 15, 28; Cycle 2 and on: Day 28 | Exploratory analyses of tumor response to quizartinib based on bone marrow findings, absolute neutrophil count, and platelet count. |
| absolute neutrophil count | Cycle 1: Days 15, 28; Cycle 2 and on: Day 28 | Exploratory analyses of tumor response to quizartinib based on bone marrow findings, absolute neutrophil count, and platelet count. |
| platelet count | Cycle 1: Days 15, 28; Cycle 2 and on: Day 28 | Exploratory analyses of tumor response to quizartinib based on bone marrow findings, absolute neutrophil count, and platelet count. |
| FMS-like tyrosine kinase-3 / internal tandem duplication FLT3/ITD allelic ratio | Cycle 1: Days 1, 2, 8, 15 | Exploratory assessment of quizartinib-related biomarkers such as FLT3-ITD allelic ratio, PIA assessment. |
Countries
Japan