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A Study of RO5045337 in Combination With Cytarabine in Patients With Acute Myelogenous Leukemia

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Roche

Status and phase

Completed
Phase 1

Conditions

Myelogenous Leukemia, Acute

Treatments

Drug: cytarabine
Drug: RO5045377

Study type

Interventional

Funder types

Industry

Identifiers

NCT01635296
NP28023
2011-006252-36 (EudraCT Number)

Details and patient eligibility

About

This multi-center, open-label, Phase 1b study will evaluate the safety, pharmacokinetics and efficacy of RO5045337 in combination with cytarabine in patients with acute myelogenous leukemia. In Arm A, cohorts of previously untreated patients deemed unsuitable for standard induction therapy will receive escalating oral doses of RO5045377 and cytarabine 20 mg/m2 subcutaneously daily for Days 1 to 10 of each 28-day cycle. In Arm B, cohorts of patients who have relapsed or are refractory after at least one cytarabine/anthracycline containing regimen will receive escalating oral doses of RO5045377 on Days 1 to 5 and cytarabine 1 gm/m2 intravenously on Days 1 to 6 of each 28-day cycle. Patients will receive up to 4 cycles of therapy, patients in Arm A who achieve hematologic response may continue additional cycles until disease progression.

Enrollment

43 patients

Sex

All

Ages

18+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • Adult patients, >/= 18 years of age
  • Patients with histologically or cytologically documented acute myelogenous leukemia appropriate for cytarabine therapy including:
  • Arm A: Patients who have not received prior standard induction chemotherapy, considered unsuitable for standard induction therapy
  • Arm B: Patients who have failed their 1st or greater line of standard induction chemotherapy (primary refractory) or patients who originally achieved a complete response but are currently in first or greater relapse
  • Eastern Cooperative Oncology Group (ECOG) performance status 0 to 2
  • All non-hematological adverse events of any prior chemotherapy, surgery, or radiotherapy must have resolved to NCI-CTC AE Grade </=2
  • Adequate hepatic and renal function
  • Patient must be willing to submit the blood sampling and bone marrow sampling for PK and PD analyses and exploratory biomarkers

Exclusion criteria

  • History of allergic or toxic reactions attributed to cytarabine or a history of allergic reactions to components of the formulated product
  • Current evidence of CNS leukemia
  • Any severe and/or uncontrolled medical condition or other conditions that could affect the participation in the study
  • Pregnant or breastfeeding women
  • HIV-positive patients receiving combination anti-retroviral therapy

Trial design

Primary purpose

Treatment

Allocation

Non-Randomized

Interventional model

Parallel Assignment

Masking

None (Open label)

43 participants in 2 patient groups

A: Previously untreated
Experimental group
Treatment:
Drug: cytarabine
Drug: cytarabine
Drug: RO5045377
Drug: RO5045377
B: Relapse/Refractory
Experimental group
Treatment:
Drug: cytarabine
Drug: cytarabine
Drug: RO5045377
Drug: RO5045377

Trial contacts and locations

9

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Data sourced from clinicaltrials.gov

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