Acute Myeloid Leukemia Clinical Trial
Official title:
Phase I Trial of Sorafenib Maintenance Therapy for Patients With FLT3-ITD AML After Allogeneic Stem Cell Transplantation
Verified date | March 2017 |
Source | Massachusetts General Hospital |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
Sorfenib works by slowing the spread of cancer cells. It has been used in other studies for patients with AML with the FLT3-ITD mutation and information from these studies suggests that sorafenib may help to control leukemia. The purpose of this study is to find the highest dose of sorafenib for maintenance therapy that can be safely used in participants with AML who have undergone allogeneic stem cell transplant.
Status | Completed |
Enrollment | 22 |
Est. completion date | August 2016 |
Est. primary completion date | September 2015 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 75 Years |
Eligibility |
Inclusion Criteria: - Subjects with AML with the FLT3-ITD mutation who have undergone allogeneic HSCT - Peripheral blood chimerism studies showing >/= 70% of all cells are of donor origin - Adequate hematologic and hepatic function - ECOG performance status 0-2 - Able to swallow whole pills Exclusion Criteria: - Evidence of relapsed/recurrent/residual disease as assessed by bone marrow aspirate and biopsy performed between days 30-60 after HSCT - Active acute graft vs host disease requiring an equivalent dose of > 0.5 mg/kg/day of prednisone or equivalent or those patients which necessitated the addition of another agent for the treatment of GVHD beyond corticosteroids - Ongoing uncontrolled infection - Cardiac disease: congestive heart failure > class II NYHA, unstable angina or new onset angina (began within the last 3 months) or myocardial infarction within the past 6 months - Cardiac ventricular arrhythmias requiring anti-arrhythmic therapy - Uncontrolled hypertension - Known HIV infection or chronic hepatitis B or C - Thrombotic or embolic events such as cerebrovascular accident including transient ischemic attacks within the past 6 months - Pulmonary hemorrhage/bleeding event > CTCAE v 4.0 Grade 2 within 4 weeks of starting study drug - Any other hemorrhage/bleeding event > CTCAE v. 4.0 Grade 3 within 4 weeks of starting study drug - Serious non-healing wound, non-healing ulcer, or bone fracture - Evidence or history of bleeding diathesis or coagulopathy - Major surgery or significant traumatic injury within 4 weeks of starting study drug - Use of St. John's Wort or rifampin (rifampicin) - Known or suspected allergy to sorafenib - Pregnant or breast-feeding - Receiving any other investigational agents |
Country | Name | City | State |
---|---|---|---|
United States | Dana-Farber Cancer Institute | Boston | Massachusetts |
United States | Massachusetts General Hospital | Boston | Massachusetts |
Lead Sponsor | Collaborator |
---|---|
Massachusetts General Hospital | Dana-Farber Cancer Institute |
United States,
Chen YB, Li S, Lane AA, Connolly C, Del Rio C, Valles B, Curtis M, Ballen K, Cutler C, Dey BR, El-Jawahri A, Fathi AT, Ho VT, Joyce A, McAfee S, Rudek M, Rajkhowa T, Verselis S, Antin JH, Spitzer TR, Levis M, Soiffer R. Phase I trial of maintenance sorafe — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Maximum Tolerated Dose | To define the maximum tolerated dose (MTD) of maintenance sorafenib after allogeneic HSCT | 3 years | |
Secondary | Median number of days sorafenib tolerated | Define the median number of days of sorafenib tolerated prior to dose-limiting toxicity or disease relapse | 3 years | |
Secondary | Rate of serious infections | Rate of serious infections (bacterial, viral, fungal, or other) after starting sorafenib | 3 years | |
Secondary | Rate of acute GVHD | Rate of grades II-IV acute graft-vs-host disease (GVHD) after starting sorafenib | 3 years | |
Secondary | Rate of chronic GVHD | Rates of significant chronic GVHD after starting sorafenib | 3 years | |
Secondary | Survival | 1-year and 2-year progression-free and overall survival after HSCT | 3 years | |
Secondary | Impact of sorafenib on bone marrow and serum levels of FLT3-ITD quantitative PCR | To assess the impact of sorafenib on quantitative bone marrow and serum levels of FLT3-ITD DNA in patients (as measured by PCR) with FLT3-ITD AML after allogeneic SCT | 3 years |
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