Leukemia, Myeloid, Acute Clinical Trial
Official title:
A Phase 1 Study of AC220 (ASP2689) in Combination With Induction and Consolidation Chemotherapy in Patients With Newly Diagnosed Acute Myeloid Leukemia
The purpose of this study is to define the maximum tolerated dose (MTD) of AC220 when combined with induction and consolidation therapy and as maintenance therapy following induction and consolidation.
Subjects will receive escalating doses of AC220 plus standard 7+3 cytarabine and daunorubicin
remission induction therapy. Subjects may receive up to 2 cycles of induction therapy.
Subjects who have a complete response (including complete remission (CR) with incomplete
hematologic recovery) are eligible to receive up to 3 consolidation cycles. In consolidation
subjects will receive AC220 plus high dose cytarabine. Subjects achieving a composite
Complete Remission (CRc) will be eligible to receive AC220 alone for up to 12 additional 28
day cycles.
Subjects will be enrolled into successive gender balanced cohorts of 6 subjects (at least 3
must be females) to determine the maximum tolerated dose (MTD). Dose escalation decision will
be made based on dose limiting toxicities (DLTs) that occur during the first remission
induction cycle. Seven and 14 day schedules will be evaluated.
After the MTD and schedule is established, the study will open to enroll between 14 to 34
subjects. Subjects will receive AC220 during induction and consolidation at the MTD and
schedule established. Stopping rules will be used to evaluate safety at the current dose. If
testing at a dose level must be stopped, then a lower dose may be tested. MTD will also be
established for the maintenance therapy.
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