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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT01684150
Other study ID # EPZ-5676-12-001
Secondary ID 2013-002355-15
Status Completed
Phase Phase 1
First received
Last updated
Start date September 2012
Est. completion date February 2016

Study information

Verified date March 2024
Source Ipsen
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The purpose of this study is to determine the safe dose of EPZ-5676, to evaluate the safety of EPZ-5676 in patients with advanced hematologic malignancies, and to conduct a preliminary assessment of the anti-leukemia activity of EPZ-5676 in patients with acute leukemias bearing rearrangements of the MLL gene. Currently this study is in the MLL-r restricted/expansion phase and is only enrolling patients with rearrangements involving the MLL gene, including 11q23 or partial tandem duplications (PTD).


Description:

A subset of patients with acute myeloid leukemia (AML) and acute lymphoblastic leukemia (ALL) harbor rearrangements of the MLL gene, which are detected either by cytogenetic or fluorescent in situ hybridization evaluation at the time of diagnosis. A protein called DOT1L plays an important role in the malignant process in these leukemias. EPZ-5676 is a molecule that blocks the activity of DOT1L, and is therefore being evaluated in the treatment of patients with MLL-rearranged leukemias. The dose escalation portion has been completed. Currently this study is in the expansion phase and patients with MLL-r and MLL-PTD will receive EPZ-5676 as a 28-day continuous intravenous infusion (CIV).


Recruitment information / eligibility

Status Completed
Enrollment 51
Est. completion date February 2016
Est. primary completion date November 2015
Accepts healthy volunteers No
Gender All
Age group 18 Years to 90 Years
Eligibility Inclusion Criteria: 1. Male and female patients aged = 18 years. 2. Patients with relapsed /refractory AML, ALL, or MLL with rearrangement of the MLL gene, including 11q23 or PTD, are eligible for the expanded cohort: - At least one prior therapy; - Refractory disease on most recent therapy, or disease recurrence following remission on most recent therapy; - Received and failed all known effective therapies for their disease; - Not a candidate for allogeneic stem cell transplantation - > 10% blasts or biopsy-documented leukemia cutis or myeloid sarcoma. 3. Eastern Cooperative Oncology Group (ECOG) performance status of 0-2. 4. Patients must have the following clinical laboratory values: - Serum creatinine =2 mg/dL or creatinine clearance > 60 mL/minute; - Total bilirubin =2.0 times the ULN for the institution, unless considered due to Gilbert's syndrome; - ALT or AST = twice the upper limit of normal (ULN), unless considered due to organ leukemic involvement; - Absolute neutrophil count =1,000/µL (unless due to documented leukemic involvement of the bone marrow at the time of study entry) - Platelets =100,000/µL (unless due to documented leukemic involvement of the bone marrow at the time of study entry). - PT or aPTT < 1.5 times the ULN 5. Able and willing to give written informed consent. 6. Life expectancy of at least 3 months Exclusion Criteria: 1. Uncontrolled intercurrent illness or psychiatric illness/social situations that would limit compliance with study requirements. 2. Active heart disease 3. Receiving any other standard treatment for their hematologic malignancy. 4. Receiving strong CYP3A4 inhibitors/ inducers. 5. Known history of cerebrovascular accident in the past 6 months. 6. Known bleeding diathesis. 7. Known, active (symptomatic) involvement of the central nervous system by leukemia. 8. On immunosuppressive therapy. 9. Known active infection. 10. Pregnant or nursing females.

Study Design


Intervention

Drug:
EPZ-5676
MLL-r and MLL-PTD 28-day continuous IV infusion of each 28-day cycle. Number of cycles: until disease progression or unacceptable toxicity develops.

Locations

Country Name City State
Germany Universitätsklinikum Ulm Ulm
Netherlands Erasmus University Medical Center Rotterdam
United States Northwestern University Chicago Illinois
United States Duke University Health System Durham North Carolina
United States UT MD Anderson Cancer Houston Texas
United States Sarah Cannon Research Institute Nashville Tennessee
United States Memorial Sloan Kettering Cancer Center New York New York
United States Mayo Clinic Scottsdale-Phoenix Scottsdale Arizona

Sponsors (2)

Lead Sponsor Collaborator
Epizyme, Inc. Celgene

Countries where clinical trial is conducted

United States,  Germany,  Netherlands, 

Outcome

Type Measure Description Time frame Safety issue
Primary The maximum tolerated dose (MTD) and/or recommended phase 2 dose (RP2D) of EPZ-5676 as determined by incidence of protocol-specified dose-limiting adverse events. The MTD is defined as the dose level below in which >1 patient out of 3 or >2 patients out of 6 experience dose-limiting adverse events (as defined by the protocol). up to 12 months
Secondary Pharmacokinetic profile of EPZ-5676 analysis of Cmax, AUC and steady state concentration up to 24 months
Secondary The incidence of adverse events in patients treated with EPZ-5676 Evaluation of adverse events, vital signs, physical examination, 12-lead ECG, and laboratory assessments up to 24 months
Secondary Anti-leukemic activity of EPZ-5676 in patients with acute leukemia harboring a MLL-rearrangement Evaluation of response by standard criteria for AML or ALL up to 24 months
Secondary Effects of EPZ-5676 on histone H3K79 methylation in peripheral blood mononuclear cells (PBMC). up to 24 months
Secondary Effects of EPZ-5676 on histone H3K79 methylation in leukemia cells up to 24 months
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