Acute Myeloid Leukemia Clinical Trial
Official title:
A Phase I/II Study Evaluating the Safety and Efficacy of Nilotinib Combined With Mitoxantrone, Etoposide, and High-Dose Cytarabine (NOVE-HiDAC) Induction Chemotherapy Followed by Consolidation Therapy for Poor-Risk Patients With C-kit Positive Acute Myeloid Leukemia (AML) up to Age 65
This is a phase I/II open-label study that is evaluating the toxicity and efficacy of
nilotinib combined with mitoxantrone, etoposide, and high-dose cytarabine (NOVE-HiDAC)
chemotherapy for patients with poor-risk acute myeloid leukemia (AML). There are two parts
to the study. The first part (Phase I) will determine the maximum dose of nilotinib that can
safely be given when combined with NOVE-HiDAC. This dose will then be used in combination
with the NOVE-HiDAC regimen in the second part of the study (Phase II), which will evaluate
the antileukemic activity of the treatment. The patients who achieve complete remission from
the induction therapy (1 cycle) will then receive consolidation therapy combined with
nilotinib (maximum of 2 cycles).
The patient population for this study will have AML and will fall into a poor risk category.
This means they have persistent leukemia after induction therapy, they relapse within two
years of achieving complete remission with induction therapy, or they have certain poor risk
features at diagnosis. The AML cells will also be positive for c-kit (a stem cell factor
receptor), which is involved in cancer cell growth. Nilotinib is a drug that blocks the
effects of c-kit. Using this drug in combination with chemotherapy may improve ability of
the chemotherapy drugs to kill leukemia cells. This may then increase the chances of the
leukemia going into complete remission.
n/a
Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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