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NCT00804856

Phase I/IIa Trial to Investigate BI 6727 (Volasertib) as Monotherapy or in Combination With Cytarabine in Acute Myeloid Leukaemia

Completed Phase 2 Results posted Last updated 3 October 2023
What this trial tests

Phase 2 trial testing Volasertib in Leukemia, Myeloid, Acute in 180 participants. Completed in 23 April 2021.

Timeline
27 November 2008
Primary endpoint
9 March 2012
23 April 2021

Quick facts

Lead sponsorBoehringer Ingelheim
PhasePhase 2
StatusCompleted
Study typeINTERVENTIONAL
Allocationrandomized
Designparallel
Maskingnone
Primary purposetreatment
Enrollment180
Start date27 November 2008
Primary completion9 March 2012
Estimated completion23 April 2021
Sites27 locations across France, Italy, Belgium, Austria, Germany, Norway, Canada

Drugs / interventions tested

Conditions studied

Sponsor

Boehringer Ingelheim — full company profile →

Who can join

18 and older, any sex, with Leukemia, Myeloid, Acute. Patients with the condition only — healthy volunteers not accepted.

Results — posted to ClinicalTrials.gov

Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.

Phase I: Maximum Tolerated Dose (MTD) of Volasertib in Combination With LDAC (Schedule A) and Volasertib Monotherapy (Schedule B) Primary · First Treatment cycle, up to 28 days.

To determine the Maximum tolerated dose (MTD), dose escalation was conducted following the 3+3 design with de-escalation. The MTD was defined as the highest dose at which 6 patients had been treated and less than 2 patients experienced a Dose limiting toxicity (DLT) within the first cycle of treatment. The MTD was defined based on safety data from the first cycle only. DLT is defined as drug related Common terminology criteria for adverse events (CTCAE) grade ≥ 3 nonhaematological toxicity (excluding: untreated nausea, untreated vomiting, CTCAE grade 3 untreated diarrhoea, CTCAE grade 3 "febr

GroupValue95% CI
Phase I Schedule A. Volasertib+LDAC350
Phase I Schedule B. Volasertib450
Phase II: Number of Patients With Objective Response (Complete Remission (CR) + Complete Remission With Incomplete Blood Count Recovery (CRi)) Primary · The best overall response recorded during the time period from the start of the treatment until end of the treatment period, progression or death (whichever was earlier), up to 869 days.

Phase II: Number of patients with Objective Response (Complete remission (CR) + Complete remission with incomplete blood count recovery (CRi)). Complete remission (CR): morphologically leukaemia-free state (i.e. bone marrow with \<5% blasts by morphologic criteria and no Auer rods, no evidence of extramedullary leukaemia) and absolute neutrophil count ≥1,000/microliter (μL) and platelets \>100,000/μL. Complete remission with incomplete blood count recovery ("incomplete" CR, CRi): all of the above criteria for CR were met except that neutrophils \<1,000/μL or platelets \<100,000/μL in the blo

GroupValue95% CI
Phase II Schedule C. LDAC6
Phase II Schedule A. Volasertib 350 mg+LDAC13
Phase I: Number of Participants With Dose Limiting Toxicities (DLTs) in the First Cycle for the Determination of the Maximum Tolerated Dose (MTD) Primary · First Treatment cycle, up to 28 days.

A DLT was defined as a drug related CTCAE (Common Toxicity Criteria for Adverse Events) Grade ≥3 non-haematological toxicity (excluding untreated nausea, untreated vomiting, Grade 3 untreated diarrhea, Grade 3 febrile neutropenia, and Grade 3 infection with Grade 3 or 4 neutrophils). In patients with CRi (Complete Remission with Incomplete Blood Count Recovery) or PR (Partial Remission), persistent Grade 4 neutropenia or thrombocytopenia for 3 weeks after the end of the treatment cycle was regarded as a DLT unless the respective Grade 4 cytopenia was preexistent. In patients who required plate

GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC0
Phase I Schedule A. Volasertib 200 mg+LDAC0
Phase I Schedule A. Volasertib 250 mg+LDAC0
Phase I Schedule A. Volasertib 300 mg+LDAC1
Phase I Schedule A. Volasertib 350 mg+LDAC1
Phase I Schedule A. Volasertib 400 mg+LDAC2
Total Phase I Combined. Schedule A.4
Phase I Schedule B. Volasertib 150 mg1
Phase I Schedule B. Volasertib 200 mg0
Phase I Schedule B. Volasertib 350 mg0
Phase I Schedule B. Volasertib 400 mg1
Phase I Schedule B. Volasertib 450 mg1
Best Overall Response Secondary · The best overall response recorded during the time period from the start of the treatment until end of the treatment period, progression or death (whichever was earlier), up to 869 days.

* CR * CR+CRi * Partial remission: CR except bone marrow (BM) contained ≥5% but \<25% blasts (or ≤50% initial blasts), or \<5% blasts in presence of Auer rods or abnormal morphology. * No change: survived ≥7 days (d) after 1st cycle with persistent leukemia in last peripheral blood smear or BM, or with persistent extramedullary disease, without further deterioration due to leukemia or increase of blasts in BM or peripheral blood. * Aplasia: survived ≥7d after 1st cycle, died whilst cytopenic, with last post-treatment BM result aplastic or hypoplastic and without leukemia blasts. * Indeterminat

Complete remission
GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC0
Phase I Schedule A. Volasertib 200 mg+LDAC0
Phase I Schedule A. Volasertib 250 mg+LDAC2
Phase I Schedule A. Volasertib 300 mg+LDAC0
Phase I Schedule A. Volasertib 350 mg+LDAC0
Phase I Schedule A. Volasertib 400 mg+LDAC0
Total Phase I Combined. Schedule A.2
Phase I Schedule B. Volasertib 150 mg0
Phase I Schedule B. Volasertib 200 mg0
Phase I Schedule B. Volasertib 350 mg0
Phase I Schedule B. Volasertib 400 mg0
Phase I Schedule B. Volasertib 450 mg0
CRi
GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC0
Phase I Schedule A. Volasertib 200 mg+LDAC2
Phase I Schedule A. Volasertib 250 mg+LDAC0
Phase I Schedule A. Volasertib 300 mg+LDAC1
Phase I Schedule A. Volasertib 350 mg+LDAC1
Phase I Schedule A. Volasertib 400 mg+LDAC0
Total Phase I Combined. Schedule A.4
Phase I Schedule B. Volasertib 150 mg0
Phase I Schedule B. Volasertib 200 mg0
Phase I Schedule B. Volasertib 350 mg1
Phase I Schedule B. Volasertib 400 mg2
Phase I Schedule B. Volasertib 450 mg2
Partial remission
GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC0
Phase I Schedule A. Volasertib 200 mg+LDAC0
Phase I Schedule A. Volasertib 250 mg+LDAC0
Phase I Schedule A. Volasertib 300 mg+LDAC0
Phase I Schedule A. Volasertib 350 mg+LDAC0
Phase I Schedule A. Volasertib 400 mg+LDAC0
Total Phase I Combined. Schedule A.0
Phase I Schedule B. Volasertib 150 mg0
Phase I Schedule B. Volasertib 200 mg0
Phase I Schedule B. Volasertib 350 mg1
Phase I Schedule B. Volasertib 400 mg0
Phase I Schedule B. Volasertib 450 mg2
No change
GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC2
Phase I Schedule A. Volasertib 200 mg+LDAC1
Phase I Schedule A. Volasertib 250 mg+LDAC2
Phase I Schedule A. Volasertib 300 mg+LDAC1
Phase I Schedule A. Volasertib 350 mg+LDAC1
Phase I Schedule A. Volasertib 400 mg+LDAC1
Total Phase I Combined. Schedule A.8
Phase I Schedule B. Volasertib 150 mg4
Phase I Schedule B. Volasertib 200 mg0
Phase I Schedule B. Volasertib 350 mg2
Phase I Schedule B. Volasertib 400 mg2
Phase I Schedule B. Volasertib 450 mg7
Aplasia
GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC0
Phase I Schedule A. Volasertib 200 mg+LDAC0
Phase I Schedule A. Volasertib 250 mg+LDAC0
Phase I Schedule A. Volasertib 300 mg+LDAC0
Phase I Schedule A. Volasertib 350 mg+LDAC0
Phase I Schedule A. Volasertib 400 mg+LDAC0
Total Phase I Combined. Schedule A.0
Phase I Schedule B. Volasertib 150 mg0
Phase I Schedule B. Volasertib 200 mg0
Phase I Schedule B. Volasertib 350 mg0
Phase I Schedule B. Volasertib 400 mg1
Phase I Schedule B. Volasertib 450 mg3
Indeterminate
GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC0
Phase I Schedule A. Volasertib 200 mg+LDAC0
Phase I Schedule A. Volasertib 250 mg+LDAC0
Phase I Schedule A. Volasertib 300 mg+LDAC2
Phase I Schedule A. Volasertib 350 mg+LDAC3
Phase I Schedule A. Volasertib 400 mg+LDAC1
Total Phase I Combined. Schedule A.6
Phase I Schedule B. Volasertib 150 mg1
Phase I Schedule B. Volasertib 200 mg0
Phase I Schedule B. Volasertib 350 mg0
Phase I Schedule B. Volasertib 400 mg0
Phase I Schedule B. Volasertib 450 mg0
Progressive disease
GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC2
Phase I Schedule A. Volasertib 200 mg+LDAC0
Phase I Schedule A. Volasertib 250 mg+LDAC1
Phase I Schedule A. Volasertib 300 mg+LDAC3
Phase I Schedule A. Volasertib 350 mg+LDAC3
Phase I Schedule A. Volasertib 400 mg+LDAC1
Total Phase I Combined. Schedule A.10
Phase I Schedule B. Volasertib 150 mg6
Phase I Schedule B. Volasertib 200 mg2
Phase I Schedule B. Volasertib 350 mg1
Phase I Schedule B. Volasertib 400 mg1
Phase I Schedule B. Volasertib 450 mg7
Not evaluable
GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC0
Phase I Schedule A. Volasertib 200 mg+LDAC0
Phase I Schedule A. Volasertib 250 mg+LDAC0
Phase I Schedule A. Volasertib 300 mg+LDAC1
Phase I Schedule A. Volasertib 350 mg+LDAC0
Phase I Schedule A. Volasertib 400 mg+LDAC0
Total Phase I Combined. Schedule A.1
Phase I Schedule B. Volasertib 150 mg0
Phase I Schedule B. Volasertib 200 mg0
Phase I Schedule B. Volasertib 350 mg0
Phase I Schedule B. Volasertib 400 mg0
Phase I Schedule B. Volasertib 450 mg2
Phase I: Number of Patients With Objective Response: Complete Remission or Complete Remission With Incomplete Blood Count Recovery (CR+CRi) Secondary · The best overall response recorded during the time period from the start of the treatment until end of the treatment period, progression or death (whichever was earlier), up to 594 days.

Phase I: Number of patients with Objective Response (Complete remission (CR) + Complete remission with incomplete blood count recovery (CRi)). Complete remission (CR): morphologically leukaemia-free state (i.e. bone marrow with \<5% blasts by morphologic criteria and no Auer rods, no evidence of extramedullary leukaemia) and absolute neutrophil count ≥1,000/microliter (μL) and platelets \>100,000/μL. Complete remission with incomplete blood count recovery ("incomplete" CR, CRi): all of the above criteria for CR were met except that neutrophils \<1,000/μL or platelets \<100,000/μL in the bloo

GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC0
Phase I Schedule A. Volasertib 200 mg+LDAC2
Phase I Schedule A. Volasertib 250 mg+LDAC2
Phase I Schedule A. Volasertib 300 mg+LDAC1
Phase I Schedule A. Volasertib 350 mg+LDAC1
Phase I Schedule A. Volasertib 400 mg+LDAC0
Total Phase I Combined. Schedule A.6
Phase I Schedule B. Volasertib 150 mg0
Phase I Schedule B. Volasertib 200 mg0
Phase I Schedule B. Volasertib 350 mg1
Phase I Schedule B. Volasertib 400 mg2
Phase I Schedule B. Volasertib 450 mg2
Phase II: Event Free Survival Secondary · The patients that entered the trial, and measured from the date of randomization to the date of disease progression (treatment failure), relapse or death from any cause, whichever occurred first, up to 1000 days..

Event-free survival (EFS) \[days\] was the shortest duration of the following: (a) Date of assessment indicating PD on the response page of the eCRF (Electronic Case Report Form) - date of randomisation + 1 day (b) Date of assessment indicating clinical progressive disease (PD) on the disease or responses pages of the of eCRF- date of randomisation + 1 day (c) Date of assessment indicating PD on the patient status page of the eCRF - date of randomisation +1 day (for patients who had not been censored before this time point) (d) Death date - date of randomisation +1 day Patients not being asses

GroupValue95% CI
Phase II Schedule C. LDAC69.027 – 215
Phase II Schedule A. Volasertib 350 mg+LDAC169.039 – 470
Phase II: Overall Survival Secondary · The patients that entered the trial, and measured from the date of randomisation until death from any cause, up to 1100 days..

Overall survival \[days\] = (date of death - date of randomisation + 1 day), for patients with known date of death. Overall survival (censored) \[days\] = (date of last trial visit or follow-up - date of randomisation + 1 day), for patients who were still alive at time of database lock. Overall survival (OS) was analysed with the Kaplan-Meier method for each of the treatment arms.

GroupValue95% CI
Phase II Schedule C. LDAC158.078 – 347
Phase II Schedule A. Volasertib 350 mg+LDAC245.073 – 689
Phase II: Relapse - Free Survival Secondary · The patients who achieved CR or CRi, and was measured from the date of attaining CR or CRi until the date of disease recurrence or death from any cause, whichever occurred first, up to 900 days.

Relapse-free survival \[days\] = (date of first recurrence of disease or death after entering the trial - date of first occurrence of CR or CRi after entering the trial+ 1 day) for patients with a recurrence (this value should be positive). Relapse-free survival (censored) \[days\] = (date of last trial visit or follow-up - date of first occurrence of CR or CRi after entering the trial + 1 day) for patients who did not experience recurrence of disease or death at the time of analysis.

GroupValue95% CI
Phase II Schedule C. LDAC304.0113 – 367
Phase II Schedule A. Volasertib 350 mg+LDAC563.0427 – NA
Phase II: Remission Duration Secondary · The patients who achieved CR or CRi, and was measured from the date of attaining CR or CRi until the date of disease recurrence (relapse), up to 900 days.

Remission duration analysis was defined only for patients who achieved Complete remission (CR) or Complete remission with incomplete blood count recovery (CRi), and was measured from the date of attaining CR or CRi until the date of disease recurrence (relapse). For patients who died without report of relapse, remission duration was censored on the date of death, regardless of cause.

GroupValue95% CI
Phase II Schedule C. LDAC367.0113 – 367
Phase II Schedule A. Volasertib 350 mg+LDAC687.0427 – NA
Phase II: Time to Remission Secondary · The patients who achieved CR or CRi, and was measured from the date of attaining CR or CRi until the date of disease recurrence (relapse), up to 158 days.

Time to remission \[days\] = (date of first occurrence of CR or CRi after entering the trial-date of randomisation + 1 day) for patients with an objective response.

GroupValue95% CI
Phase II Schedule C. LDAC63.530 – 125
Phase II Schedule A. Volasertib 350 mg+LDAC71.029 – 158
Best Eastern Co-operative Oncology Group (ECOG) Performance Score From Baseline Until End of Treatment Secondary · Baseline and End of Treatment (up to 869 days).

ECOG performance score change from baseline to last visit of last cycle = ECOG performance score at last visit of the last cycle - ECOG performance score at baseline. ECOG performance score changes from baseline were also categorised on a 3-point categorical scale: deteriorated (-1), unchanged (0), and improved (1). The number of participants for category of ECOG score change is reported.

Unchanged
GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC3
Phase I Schedule A. Volasertib 200 mg+LDAC1
Phase I Schedule A. Volasertib 250 mg+LDAC5
Phase I Schedule A. Volasertib 300 mg+LDAC2
Phase I Schedule A. Volasertib 350 mg+LDAC5
Phase I Schedule A. Volasertib 400 mg+LDAC1
Total Phase I Combined. Schedule A.17
Phase I Schedule B. Volasertib 150 mg9
Phase I Schedule B. Volasertib 200 mg1
Phase I Schedule B. Volasertib 350 mg0
Phase I Schedule B. Volasertib 400 mg4
Phase I Schedule B. Volasertib 450 mg14
Improved
GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC0
Phase I Schedule A. Volasertib 200 mg+LDAC2
Phase I Schedule A. Volasertib 250 mg+LDAC0
Phase I Schedule A. Volasertib 300 mg+LDAC1
Phase I Schedule A. Volasertib 350 mg+LDAC0
Phase I Schedule A. Volasertib 400 mg+LDAC0
Total Phase I Combined. Schedule A.3
Phase I Schedule B. Volasertib 150 mg0
Phase I Schedule B. Volasertib 200 mg0
Phase I Schedule B. Volasertib 350 mg1
Phase I Schedule B. Volasertib 400 mg1
Phase I Schedule B. Volasertib 450 mg3
Deteriorated
GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC1
Phase I Schedule A. Volasertib 200 mg+LDAC0
Phase I Schedule A. Volasertib 250 mg+LDAC0
Phase I Schedule A. Volasertib 300 mg+LDAC2
Phase I Schedule A. Volasertib 350 mg+LDAC3
Phase I Schedule A. Volasertib 400 mg+LDAC1
Total Phase I Combined. Schedule A.7
Phase I Schedule B. Volasertib 150 mg1
Phase I Schedule B. Volasertib 200 mg1
Phase I Schedule B. Volasertib 350 mg4
Phase I Schedule B. Volasertib 400 mg1
Phase I Schedule B. Volasertib 450 mg5
Total Clearance (CL) of Volasertib in Plasma After i.v (Intravenous) Administration of Volasertib Secondary · Cycle 1: -0:05 hour (h), 0:30h, 1:00h, 1:30h, 2h, 3h, 4h, 24h, 96h, 216h, 335:55h, 336:30h, 337h, 337:30h, 338h, 339h, 340h, 648h after first drug administration.

Total Clearance (CL) of Volasertib in Plasma after Intravenous (i.v.) Administration of Volasertib.

GroupValue95% CI
Phase I Schedule A. Volasertib 150 mg+LDAC1280± 52.8
Phase I Schedule A. Volasertib 200 mg+LDAC972± 26.6
Phase I Schedule A. Volasertib 250 mg+LDAC864± 27.6
Phase I Schedule A. Volasertib 300 mg+LDAC1150± 34.4
Phase I Schedule A. Volasertib 350 mg+LDAC1000± 36.2
Phase I Schedule A. Volasertib 400 mg+LDAC852± 49.6
Phase I Schedule B. Volasertib 150 mg1330± 29.3
Phase I Schedule B. Volasertib 200 mgNA± NA
Phase I Schedule B. Volasertib 350 mg810± 35.1
Phase I Schedule B. Volasertib 400 mg1120± 62.1
Phase I Schedule B. Volasertib 450 mg920± 36.2
Phase I Schedule B. Volasertib 500 mg1140± 38.5

Adverse events — posted to ClinicalTrials.gov

Time frame: From first drug administration until 21 days after the last trial drug administration in the last treatment cycle, up to 3325 days.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase II Schedule C. LDAC
Serious: 29/45 (64%)
Deaths: 45/45
Phase I Schedule A. Volasertib 150 mg+LDAC
Serious: 2/4 (50%)
Deaths: 4/4
Phase I Schedule A. Volasertib 200 mg+LDAC
Serious: 3/3 (100%)
Deaths: 3/3
Phase I Schedule A. Volasertib 250 mg+LDAC
Serious: 3/5 (60%)
Deaths: 4/5
Phase I Schedule A. Volasertib 300 mg+LDAC
Serious: 7/9 (78%)
Deaths: 9/9
Phase I Schedule A. Volasertib 350 mg+LDAC
Serious: 6/8 (75%)
Deaths: 8/8
Phase II Schedule A. Volasertib 350 mg+LDAC
Serious: 34/42 (81%)
Deaths: 38/42
Phase I Schedule A. Volasertib 400 mg+LDAC
Serious: 3/3 (100%)
Deaths: 3/3
Phase I Schedule B. Volasertib 150 mg
Serious: 7/11 (64%)
Deaths: 11/11
Phase I Schedule B. Volasertib 200 mg
Serious: 1/2 (50%)
Deaths: 2/2
Phase I Schedule B. Volasertib 350 mg
Serious: 3/5 (60%)
Deaths: 3/5
Phase I Schedule B. Volasertib 400 mg
Serious: 3/6 (50%)
Deaths: 6/6
Phase I Schedule B. Volasertib 450 mg
Serious: 16/23 (70%)
Deaths: 21/23
Phase I Schedule B. Volasertib 500 mg
Serious: 3/5 (60%)
Deaths: 5/5
Phase I Schedule B. Volasertib 550 mg
Serious: 3/4 (75%)
Deaths: 4/4

Serious adverse events (132 terms)

ReactionSystemPhase II Schedule C. LDACPhase I Schedule A. Volase…Phase I Schedule A. Volase…Phase I Schedule A. Volase…Phase I Schedule A. Volase…Phase I Schedule A. Volase…Phase II Schedule A. Volas…Phase I Schedule A. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…
Febrile neutropeniaBlood and lymphatic system disorders
PyrexiaGeneral disorders
PneumoniaInfections and infestations
AnaemiaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
General physical health deteriorationGeneral disorders
SepsisInfections and infestations
C-reactive protein increasedInvestigations
DiarrhoeaGastrointestinal disorders
Mucosal inflammationGeneral disorders
CellulitisInfections and infestations
Escherichia sepsisInfections and infestations
Lung infectionInfections and infestations
Pneumonia fungalInfections and infestations
Subdural haematomaInjury, poisoning and procedural complications
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)
HeadacheNervous system disorders
Urinary retentionRenal and urinary disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
Bone marrow failureBlood and lymphatic system disorders
Febrile bone marrow aplasiaBlood and lymphatic system disorders
LeukocytosisBlood and lymphatic system disorders
LymphadenopathyBlood and lymphatic system disorders
NeutropeniaBlood and lymphatic system disorders
PancytopeniaBlood and lymphatic system disorders
Other adverse events (417 terms — click to expand)

ReactionSystemPhase II Schedule C. LDACPhase I Schedule A. Volase…Phase I Schedule A. Volase…Phase I Schedule A. Volase…Phase I Schedule A. Volase…Phase I Schedule A. Volase…Phase II Schedule A. Volas…Phase I Schedule A. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…Phase I Schedule B. Volase…
NauseaGastrointestinal disorders
ConstipationGastrointestinal disorders
VomitingGastrointestinal disorders
EpistaxisRespiratory, thoracic and mediastinal disorders
AnaemiaBlood and lymphatic system disorders
DiarrhoeaGastrointestinal disorders
General physical health deteriorationGeneral disorders
PyrexiaGeneral disorders
NeutropeniaBlood and lymphatic system disorders
ThrombocytopeniaBlood and lymphatic system disorders
Oedema peripheralGeneral disorders
AstheniaGeneral disorders
FatigueGeneral disorders
Mucosal inflammationGeneral disorders
Decreased appetiteMetabolism and nutrition disorders
HypokalaemiaMetabolism and nutrition disorders
Back painMusculoskeletal and connective tissue disorders
CoughRespiratory, thoracic and mediastinal disorders
DyspnoeaRespiratory, thoracic and mediastinal disorders
PetechiaeSkin and subcutaneous tissue disorders
Febrile neutropeniaBlood and lymphatic system disorders
LeukopeniaBlood and lymphatic system disorders
C-reactive protein increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
HeadacheNervous system disorders
PruritusSkin and subcutaneous tissue disorders
HypotensionVascular disorders
Blood creatinine increasedInvestigations
HypocalcaemiaMetabolism and nutrition disorders
Pain in extremityMusculoskeletal and connective tissue disorders
StomatitisGastrointestinal disorders
PainGeneral disorders
PneumoniaInfections and infestations
Aspartate aminotransferase increasedInvestigations
Electrocardiogram QT prolongedInvestigations
AnxietyPsychiatric disorders
HaemoptysisRespiratory, thoracic and mediastinal disorders
Oropharyngeal painRespiratory, thoracic and mediastinal disorders
HypertensionVascular disorders
LeukocytosisBlood and lymphatic system disorders

Most-reported serious reactions: Febrile neutropenia, Pyrexia, Pneumonia, Anaemia, Thrombocytopenia, General physical health deterioration, Sepsis, C-reactive protein increased.

Data from ClinicalTrials.gov NCT00804856 adverse events section.

Sponsor's own description

The trial will be performed in two parts, a phase I part and a phase IIa part. In the phase I part of the trial, BI 6727 will be investigated as monotherapy and in combination with low dose cytarabine (LD-Ara-C) in patients with relapsed/refractory AML that are not eligible for intensive treatment. The dose of BI 6727 will be escalated to determine the maximum tolerated dose (MTD) of BI 6727 monotherapy and BI 6727 in combination with LD-Ara-C in AML patients. In the phase IIa part, the combination of BI 6727 at MTD with LD-Ara-C and LD-Ara-C monotherapy will be investigated to explore the efficacy of the combination schedule in comparison to LD-Ara-C monotherapy in previously untreated AML patients that are not eligible for intensive treatment.

Publications & conference data

8 peer-reviewed publications reference this trial (live from Europe PMC):

  1. Cell cycle proteins as promising targets in cancer therapy.
    Otto T, Sicinski P. · · 2017 · cited 1412× · PMID 28127048 · DOI 10.1038/nrc.2016.138
  2. Randomized, phase 2 trial of low-dose cytarabine with or without volasertib in AML patients not suitable for induction therapy.
    Döhner H, Lübbert M, Fiedler W, Fouillard L, et al · · 2014 · cited 186× · PMID 25006120 · DOI 10.1182/blood-2014-03-560557
  3. Discovery and development of the Polo-like kinase inhibitor volasertib in cancer therapy.
    Gjertsen BT, Schöffski P. · · 2015 · cited 173× · PMID 25027517 · DOI 10.1038/leu.2014.222
  4. The two sides of chromosomal instability: drivers and brakes in cancer.
    Hosea R, Hillary S, Naqvi S, Wu S, et al · · 2024 · cited 102× · PMID 38553459 · DOI 10.1038/s41392-024-01767-7
  5. Present and Future Perspective on PLK1 Inhibition in Cancer Treatment.
    Chiappa M, Petrella S, Damia G, Broggini M, et al · · 2022 · cited 95× · PMID 35719948 · DOI 10.3389/fonc.2022.903016
  6. The balance between mitotic death and mitotic slippage in acute leukemia: a new therapeutic window?
    Ghelli Luserna di Rorà A, Martinelli G, Simonetti G. · · 2019 · cited 40× · PMID 31771633 · DOI 10.1186/s13045-019-0808-4
  7. Second-Generation Antimitotics in Cancer Clinical Trials.
    Novais P, Silva PMA, Amorim I, Bousbaa H. · · 2021 · cited 37× · PMID 34371703 · DOI 10.3390/pharmaceutics13071011
  8. The rocky road to personalized medicine in acute myeloid leukaemia.
    Brinda B, Khan I, Parkin B, Konig H. · · 2018 · cited 15× · PMID 29327808 · DOI 10.1111/jcmm.13478

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Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT00804856.

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