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NCT01411267

AC220 for Children With Relapsed/Refractory ALL or AML

Completed Phase 1 Results posted Last updated 4 April 2022
What this trial tests

Phase 1 trial testing AC220 in Lymphoblastic Leukemia, Acute, Childhood in 24 participants. Completed in 12 September 2013.

Timeline
1 September 2011
Primary endpoint
12 September 2013
12 September 2013

Quick facts

Lead sponsorTherapeutic Advances in Childhood Leukemia Consortium
PhasePhase 1
StatusCompleted
Study typeINTERVENTIONAL
Allocationnon randomized
Designsequential
Maskingnone
Primary purposetreatment
Enrollment24
Start date1 September 2011
Primary completion12 September 2013
Estimated completion12 September 2013
Sites11 locations across United States

Drugs / interventions tested

Conditions studied

Sponsor

Therapeutic Advances in Childhood Leukemia Consortium

Who can join

Adults 1 Month to 21, any sex, with Lymphoblastic Leukemia, Acute, Childhood or Myelogenous Leukemia, Acute, Childhood. 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.

The Dose of AC220 That is Safe and Biologically Active When Given in Sequential Combination With Ara-C/Etoposide Primary · 4 weeks from therapy start

The incidence of dose limiting toxicity (DLT) will be measured. The maximum tolerated dose will be the highest study dose at which 1 or fewer of six patients experience DLT during cycle 1 of therapy. Plasma inhibitor activity (PIA) will be measured Pre-treatment and on Days 7, 14, 21 and 28 of Course 1. For the MTD to be considered biologically active, we will require that 7 of 9 patients achieve PIA of \> 90% at 3 of 4 trough time points.

GroupValue95% CI
ALL AC220 @ 25mg/m^2/Day (Dose Level 1)0
AML AC220 @ 25mg/m^2/Day (Dose Level 1)3
ALL AC220 @ 40mg/m^2/Day (Dose Level 2)1
AML AC220 @ 40mg/m^2/Day (Dose Level 2)4
ALL AC220 @ 60mg/m^2/Day (Dose Level 3)0
AML AC220 @ 60mg/m^2/Day (Dose Level 3)8
ALL AC220 @ 25mg/m^2/Day (Dose Level 1)0
AML AC220 @ 25mg/m^2/Day (Dose Level 1)0
ALL AC220 @ 40mg/m^2/Day (Dose Level 2)1
AML AC220 @ 40mg/m^2/Day (Dose Level 2)0
ALL AC220 @ 60mg/m^2/Day (Dose Level 3)0
AML AC220 @ 60mg/m^2/Day (Dose Level 3)1
ALL AC220 @ 25mg/m^2/Day (Dose Level 1)0
AML AC220 @ 25mg/m^2/Day (Dose Level 1)0
ALL AC220 @ 40mg/m^2/Day (Dose Level 2)0
AML AC220 @ 40mg/m^2/Day (Dose Level 2)1
ALL AC220 @ 60mg/m^2/Day (Dose Level 3)2
AML AC220 @ 60mg/m^2/Day (Dose Level 3)3
Disease Response Secondary · 10 weeks

Possible outcomes are: Complete Remission (CR), Complete Remission without Platelet Recovery (CRp), complete response with incomplete hematologic recovery (CRi), Stable Disease, Progressive Disease, Induction Death, or Relapse

GroupValue95% CI
Patients With ALL0
Patients With AML Having FLT3-WT1
Patients With AML Having FLT3-ITD1
Patients With ALL0
Patients With AML Having FLT3-WT0
Patients With AML Having FLT3-ITD1
Patients With ALL0
Patients With AML Having FLT3-WT0
Patients With AML Having FLT3-ITD1
Patients With ALL1
Patients With AML Having FLT3-WT5
Patients With AML Having FLT3-ITD4
Count of Participants According to Inhibition of FLT3 Phosphorylation Secondary · 4 weeks from therapy start

PIA samples will be collected pre-treatment and on Days 7, 14, 21 and 28 of Course 1.

GroupValue95% CI
Patients Receiving Protocol Therapy9
Patients Receiving Protocol Therapy9
Patients Receiving Protocol Therapy1

Adverse events — posted to ClinicalTrials.gov

Time frame: Adverse events and suspected adverse reactions will be collected and reported on the electronic CRFs beginning with the first dose of study therapy until 30 days following the last dose of study therapy (a period of approximately 90 days).. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

ALL Dose Level 1
Serious: 0
Deaths: 0
AML Dose Level 1
Serious: 2/3 (67%)
Deaths: 2/3
ALL Dose Level 2
Serious: 1/2 (50%)
Deaths: 2/2
AML Dose Level 2
Serious: 3/5 (60%)
Deaths: 3/5
ALL Dose Level 3
Serious: 0/2 (0%)
Deaths: 1/2
AML Dose Level 3
Serious: 4/10 (40%)
Deaths: 3/10

Serious adverse events (21 terms)

ReactionSystemALL Dose Level 1AML Dose Level 1ALL Dose Level 2AML Dose Level 2ALL Dose Level 3AML Dose Level 3
Infections and infestations - Other, Not SpecifiedInfections and infestations
Skin infectionSkin and subcutaneous tissue disorders
AnaphylaxisImmune system disorders
Blood bilirubin increasedInvestigations
Febrile neutropeniaBlood and lymphatic system disorders
FeverGeneral disorders
HypokalemiaMetabolism and nutrition disorders
HypotensionVascular disorders
Lipase increasedInvestigations
Lung infectionInfections and infestations
PancreatitisGastrointestinal disorders
Pleural effusionRespiratory, thoracic and mediastinal disorders
Pulmonary edemaRespiratory, thoracic and mediastinal disorders
Respiratory failureRespiratory, thoracic and mediastinal disorders
SepsisInfections and infestations
Infection and Infestations - RhinovirusBlood and lymphatic system disorders
Infections and Infestations - Staphylococcus epidermidisBlood and lymphatic system disorders
Infections and Infestations - streptococcal pharyngitisBlood and lymphatic system disorders
Infections and Infestations - PseudomonasBlood and lymphatic system disorders
Chest wall painGeneral disorders
Skin & subcutaneous tissue disorder-OtherSkin and subcutaneous tissue disorders
Other adverse events (57 terms — click to expand)

ReactionSystemALL Dose Level 1AML Dose Level 1ALL Dose Level 2AML Dose Level 2ALL Dose Level 3AML Dose Level 3
HypokalemiaMetabolism and nutrition disorders
HypomagnesemiaMetabolism and nutrition disorders
Platelet count decreasedBlood and lymphatic system disorders
AnemiaBlood and lymphatic system disorders
Febrile neutropeniaBlood and lymphatic system disorders
Neutrophil count decreasedBlood and lymphatic system disorders
White blood cell decreasedInvestigations
Lymphocyte count decreasedBlood and lymphatic system disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
FeverGeneral disorders
HyperglycemiaMetabolism and nutrition disorders
Alanine aminotransferase increasedInvestigations
AnorexiaMetabolism and nutrition disorders
Aspartate aminotransferase increasedInvestigations
ConstipationGastrointestinal disorders
HypotensionVascular disorders
Mucositis oralGastrointestinal disorders
PainGeneral disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
Rectal painGastrointestinal disorders
Blood Culture infectionInfections and infestations
HeadacheGeneral disorders
Activated partial thromboplastin time prolongedInvestigations
Alkaline phosphatase increasedInvestigations
ArthralgiaMusculoskeletal and connective tissue disorders
Blood bilirubin increasedInvestigations
Catheter related infectionInfections and infestations
Creatinine increasedInvestigations
DiarrheaGastrointestinal disorders
DyspneaRespiratory, thoracic and mediastinal disorders
HypermagnesemiaMetabolism and nutrition disorders
HypertensionVascular disorders
HypoalbuminemiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
Infections and infestations - Other - Not otherwise SpecifiedInfections and infestations
Lung infectionInfections and infestations
NauseaGastrointestinal disorders
Pain in extremityMusculoskeletal and connective tissue disorders

Most-reported serious reactions: Infections and infestations - Other, Not Specified, Skin infection, Anaphylaxis, Blood bilirubin increased, Febrile neutropenia, Fever, Hypokalemia, Hypotension.

Data from ClinicalTrials.gov NCT01411267 adverse events section.

Sponsor's own description

This is a phase I study of the investigational drug AC220 combined with cytarabine and etoposide in pediatric patients with relapsed acute lymphoblastic leukemia (ALL) and acute myelogenous leukemia (AML).

Publications & conference data

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

  1. Recent advances in targeted therapies in acute myeloid leukemia.
    Bhansali RS, Pratz KW, Lai C. · · 2023 · cited 151× · PMID 36966300 · DOI 10.1186/s13045-023-01424-6
  2. Childhood acute lymphoblastic leukemia: Integrating genomics into therapy.
    Tasian SK, Loh ML, Hunger SP. · · 2015 · cited 54× · PMID 26194091 · DOI 10.1002/cncr.29573
  3. The Biology and Targeting of FLT3 in Pediatric Leukemia.
    Annesley CE, Brown P. · · 2014 · cited 51× · PMID 25295230 · DOI 10.3389/fonc.2014.00263
  4. Novel agents for the treatment of childhood acute leukemia.
    Annesley CE, Brown P. · · 2015 · cited 41× · PMID 25830014 · DOI 10.1177/2040620714565963
  5. Advances in biology of acute lymphoblastic leukemia (ALL) and therapeutic implications.
    Mohseni M, Uludag H, Brandwein JM. · · 2018 · cited 34× · PMID 30697448
  6. Molecular therapeutic approaches for pediatric acute myeloid leukemia.
    Tasian SK, Pollard JA, Aplenc R. · · 2014 · cited 29× · PMID 24672775 · DOI 10.3389/fonc.2014.00055
  7. Targeting FLT3 Signaling in Childhood Acute Myeloid Leukemia.
    Sexauer AN, Tasian SK. · · 2017 · cited 24× · PMID 29209600 · DOI 10.3389/fped.2017.00248
  8. Molecular profiling of childhood cancer: Biomarkers and novel therapies.
    Saletta F, Wadham C, Ziegler DS, Marshall GM, et al · · 2014 · cited 24× · PMID 26675306 · DOI 10.1016/j.bbacli.2014.06.003

Verify or expand the search:

Other recruiting trials for Lymphoblastic Leukemia, Acute, Childhood

Currently open trials in the same condition.

Other Therapeutic Advances in Childhood Leukemia Consortium trials

Trials by the same sponsor.

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Data sources for this page

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Primary sources · FDA · ClinicalTrials.gov · EMA · SEC EDGAR · ChEMBL · Wikidata · full sourcing