Study of Sapacitabine in Acute Myeloid Leukemia (AML) or Myelodysplastic Syndromes (MDS)

Cyclacel Pharmaceuticals

Status and phase: Unknown; Phase 2; Phase 1

Conditions: Myelodysplastic Syndromes; Acute Myeloid Leukemia

Treatments: Drug: sapacitabine and decitabine (Part 1 - completed); Drug: sapacitabine and venetoclax (Part 2 - recruiting)

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT01211457

CYC682-11

Details and patient eligibility

About

This is a combination study to evaluate sapacitabine administered in alternating cycles with decitabine in previously untreated Acute Myeloid Leukemia (AML) or concomitantly with venetoclax in previously treated AML or MDS

Full description

This is an open-label, single arm, study of sapacitabine administered in alternating cycles with decitabine in elderly patients with previously untreated AML (Part 1) or concomitantly with venetoclax in adult patients with relapsed or refractory AML or MDS (Part 2). Treatment will be administered on an outpatient basis. One treatment cycle is 4 weeks.

Enrollment: 65 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Newly diagnosed AML based on WHO classification (Part 1) or previously treated AML or MDS (Part 2)
• Age 70 years or older for whom the treatment of choice is low-intensity therapy by investigator assessment or who has refused intensive induction therapy recommended by investigator (Part 1); age 18 years or older (Part 2)
• ECOG performance status 0-2
• Adequate renal function
• Adequate liver function
• Able to swallow capsules
• Ability to understand and willingness to sign the informed consent form

Exclusion criteria

• AML is of the sub-type of acute promyelocytic leukemia or extramedullary myeloid tumor without bone marrow involvement
• Known central nervous system (CNS) involvement by leukemia
• Uncontrolled intercurrent illness including
• Known hypersensitivity to decitabine (Part 1) or venetoclax (Part 2)
• Known to be HIV-positive

Trial design

Primary purpose: Treatment

Allocation: Non-Randomized

Interventional model: Single Group Assignment

Masking: None (Open label)

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65 participants in 2 patient groups

Sapacitabine/decitabine (Part 1 - completed)

Experimental group

Description:

decitabine will be administered in alternating cycles with sapacitabine

Treatment:

Drug: sapacitabine and decitabine (Part 1 - completed)

sapacitabine/venetoclax (Part 2 - recruiting)

Experimental group

Description:

sapacitabine will be administered concomitantly with venetoclax

Treatment:

Drug: sapacitabine and venetoclax (Part 2 - recruiting)