NCT01034410

Brief Summary

This is an open label randomized controlled phase II study of AS1411 combined with Cytarabine in the treatment of patients with primary refractory or relapsed acute myeloid leukemia.

Trial Health

60
Monitor

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
90

participants targeted

Target at P50-P75 for phase_2

Timeline
Completed

Started Jan 2010

Shorter than P25 for phase_2

Geographic Reach
4 countries

14 active sites

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

December 16, 2009

Completed
1 day until next milestone

First Posted

Study publicly available on registry

December 17, 2009

Completed
15 days until next milestone

Study Start

First participant enrolled

January 1, 2010

Completed
1 year until next milestone

Primary Completion

Last participant's last visit for primary outcome

January 1, 2011

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

January 1, 2011

Completed
Last Updated

February 2, 2011

Status Verified

February 1, 2011

Enrollment Period

1 year

First QC Date

December 16, 2009

Last Update Submit

February 1, 2011

Conditions

Keywords

AS1411AMLrelapsedrefractoryaptamernucleolin

Outcome Measures

Primary Outcomes (1)

  • To compare the response rate (CR + CRi) of AS1411 at 40 and 80mg/kg/day in combination with cytarabine therapy with the response rate (CR + CRi) of cytarabine therapy alone

    Dec 2011

Secondary Outcomes (5)

  • To compare duration of remission, disease free survival and overall survival of AS1411 at 40 or 80mg/kg/day in combination with cytarabine therapy with that of cytarabine alone.

    Dec 2011

  • To compare the time to hematological recovery of AS1411 at 40 or 80mg/kg/day in combination with cytarabine therapy with that of cytarabine alone.

    Dec 2011

  • To compare the safety of AS1411 at 40 or 80mg/kg/day in combination with cytarabine therapy with that of cytarabine alone.

    Dec 2011

  • To evaluate and compare a range of PD markers in patients administered AS1411 in combination with cytarabine therapy with the same PD markers in patients administered cytarabine therapy alone.

    Dec 2011

  • To further define the PK of AS1411

    Dec 2011

Study Arms (3)

Control

ACTIVE COMPARATOR

cytarabine 2g/m2 bid Days 4-7

Drug: Cytarabine

AS1411-40

EXPERIMENTAL

AS1411 40mg/kg/day d1-7 plus cytarabine 2g/m2 bid days 4-7

Drug: AS1411Drug: Cytarabine

AS1411-80

EXPERIMENTAL

AS1411 80mg/kg/day d1-7, cytarabine 2g/m2 bid days 4- 7/ bid d4-7

Drug: AS1411Drug: Cytarabine

Interventions

AS1411DRUG

AS1411 40mg/kg/day or AS1411 80mg/kg/day

AS1411-40AS1411-80

Cytarabine 2g/m2 bid Days 4-7

Also known as: Ara-C
AS1411-40AS1411-80Control

Eligibility Criteria

Age18 Years - 70 Years
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Diagnosis of AML as defined by the World Health Organization (WHO) classification (Vardiman 2009)
  • Primary refractory AML (defined as a failure to achieve a CR or CRi after therapy with curative intent) or AML in first relapse
  • ECOG Performance status 0, 1 or 2
  • Age \> 18 and \< 70 years
  • For patients presenting with primary refractory AML, \> 20% blasts on baseline bone marrow assessment
  • For patients presenting with relapsed AML, \> 5% blasts on baseline bone marrow assessment

You may not qualify if:

  • An initial diagnosis of acute promyelocytic leukemia (as defined by French-American-British criteria (Bennett 1976))
  • Secondary AML, defined as AML evolving from antecedent hematological disorder or prior exposure to leukemogenic therapy or agent
  • Clinically active CNS leukemia
  • Previously received a total cumulative dose of cytarabine \> 6g/m2 in the last 6 months
  • Previously received \> 1 induction regimen (Defined as 1 or 2 cycles of a drug or a drug combination administered as remission induction therapy)

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (14)

UCLA

Los Angeles, California, 90095, United States

Location

Weill Medical College of Cornell University

New York, New York, 10021, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Royal North Shore Hospital

St Leonards, New South Wales, 2065, Australia

Location

Westmead Hospital

Westmead, New South Wales, 2145, Australia

Location

Royal Adelaide Hospital

Adelaide, South Australia, 5000, Australia

Location

The Alfred Hospital

Melbourne, Victoria, 3004, Australia

Location

Royal Perth Hospital

Perth, Western Australia, 6000, Australia

Location

Christchurch Hospital

Christchurch, New Zealand

Location

Changhua Christian Hospial

Changhua, Changhua Country, 500, Taiwan

Location

China Medical University Hospital

Taichung, 40447, Taiwan

Location

Taipei Veterans General Hospital

Taipei, 112, Taiwan

Location

Tri-Service General Hospital

Taipei, 114, Taiwan

Location

National Taiwan University Hospital

Taipei, Taiwan

Location

MeSH Terms

Conditions

Leukemia, Myeloid, AcuteRecurrence

Interventions

AGRO 100Cytarabine

Condition Hierarchy (Ancestors)

Leukemia, MyeloidLeukemiaNeoplasms by Histologic TypeNeoplasmsHematologic DiseasesHemic and Lymphatic DiseasesDisease AttributesPathologic ProcessesPathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

CytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsArabinonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Study Officials

  • Rob Stuart, MD

    Medical University of South Carolina

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 2
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
CROSSOVER
Sponsor Type
INDUSTRY

Study Record Dates

First Submitted

December 16, 2009

First Posted

December 17, 2009

Study Start

January 1, 2010

Primary Completion

January 1, 2011

Study Completion

January 1, 2011

Last Updated

February 2, 2011

Record last verified: 2011-02

Locations