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NCT01893320

Study of Vosaroxin and Decitabine in Older Patients With Acute Myeloid Leukemia and High-risk Myelodysplastic Syndrome

Completed Phase 1, PHASE2 Results posted Last updated 9 February 2022
What this trial tests

Phase 1, PHASE2 trial testing Vosaroxin in Leukemia in 66 participants. Completed in 11 January 2021.

Timeline
18 July 2013
Primary endpoint
11 January 2021
11 January 2021

Quick facts

Lead sponsorM.D. Anderson Cancer Center
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment66
Start date18 July 2013
Primary completion11 January 2021
Estimated completion11 January 2021
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

M.D. Anderson Cancer Center — full company profile →

Who can join

60 and older, any sex, with Leukemia. 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.

Maximum Tolerated Dose (MTD) of Vosaroxin in Combination With Decitabine Primary · 21 days

Maximum tolerated dose (MTD) defined as highest daily oral dose evaluated at which \<33% of patients experience a dose limiting toxicity (DLT). A non-hematologic dose-limiting toxicity (DLT) defined as a clinically significant grade 3 or 4 adverse event or abnormal laboratory value (according to CTCAE criteria) assessed by treating physician as related to study drug (and unrelated to disease progression, intercurrent illness, or concomitant medications) occurring during the first 28 days on study. A hematologic DLT defined as severe myelosuppression with a hypoplastic marrow with less than 5%

GroupValue95% CI
Phase I MTD Vosaroxin70
Participants With a Response Secondary · 21 days

A Response is defined as: Complete response (CR) + Complete response without platelet recovery (CRp) + CR with insufficient hematological recovery (platelets or neutrophils (CRi). CR is Neutrophil count 2: 1.0 x 10\^9/L, platelet count 2: 100 x 10\^9/L and bone marrow aspirate and biopsy: S5% blasts. CRp is same as CR but with Platelets \< 100 x 10\^/L. CRi is same as CR but platelets \< 100 x 10(/L or neutrophils \< 1 x 10\^9.

GroupValue95% CI
Phase I MTD Vosaroxin7
Vosaroxin + Decitabine42

Adverse events — posted to ClinicalTrials.gov

Time frame: Up to 2 years 11 months. Reporting threshold: 0%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Phase I MTD Vosaroxin
Serious: 6/7 (86%)
Deaths: 0/7
Vasoroxin + Decitabine
Serious: 48/59 (81%)
Deaths: 7/59

Serious adverse events (38 terms)

ReactionSystemPhase I MTD VosaroxinVasoroxin + Decitabine
Febrile NeutropeniaBlood and lymphatic system disorders
Lung InfectionInfections and infestations
SepsisInfections and infestations
InfectionInfections and infestations
Mucositis OralGastrointestinal disorders
Catheter Related InfectionInfections and infestations
Respiratory FailureRespiratory, thoracic and mediastinal disorders
Blood Bilirubin IncreasedInvestigations
DehydrationMetabolism and nutrition disorders
PharyngitisInfections and infestations
Rectal HemorrhageGastrointestinal disorders
Urinary Tract InfectionInfections and infestations
Abdominal PainGastrointestinal disorders
Acute Kidney InjuryRenal and urinary disorders
Back PainGeneral disorders
Bone InfectionInfections and infestations
Bone PainMusculoskeletal and connective tissue disorders
DeliriumPsychiatric disorders
Edema FaceGeneral disorders
Enterocolitis InfectionInfections and infestations
FatigueGeneral disorders
Gastrointestinal Disorders - OtherGastrointestinal disorders
Generalized WeaknessGeneral disorders
HypomagnesemiaMetabolism and nutrition disorders
IleusGastrointestinal disorders
Other adverse events (30 terms — click to expand)

ReactionSystemPhase I MTD VosaroxinVasoroxin + Decitabine
HypokalemiaMetabolism and nutrition disorders
FallInjury, poisoning and procedural complications
Blood Bilirubin IncreaseInvestigations
Gait disturbanceGeneral disorders
Acute Kidney InjuryRenal and urinary disorders
Alanine Aminotransferase IncreasedInvestigations
ArthritisMusculoskeletal and connective tissue disorders
Aspartate Aminotransferase IncreaseInvestigations
BurnSkin and subcutaneous tissue disorders
ConjunctivitisEye disorders
DysarthariaNervous system disorders
Erythema multiformeSkin and subcutaneous tissue disorders
HallucinationsNervous system disorders
Hearing ImpairedEar and labyrinth disorders
Heart FailureCardiac disorders
HoarsnessRespiratory, thoracic and mediastinal disorders
HyperglycemiaMetabolism and nutrition disorders
HyperkalemiaMetabolism and nutrition disorders
HypernatremiaMetabolism and nutrition disorders
HypocalcemiaMetabolism and nutrition disorders
HyponatremiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
IleusGastrointestinal disorders
InfectionInfections and infestations
Postnasal dripRespiratory, thoracic and mediastinal disorders
SeizureNervous system disorders
Soft Tissue InfectionInfections and infestations
ToothacheGastrointestinal disorders
Urine discolorationRenal and urinary disorders
Wound ComplicationInjury, poisoning and procedural complications

Most-reported serious reactions: Febrile Neutropenia, Lung Infection, Sepsis, Infection, Mucositis Oral, Catheter Related Infection, Respiratory Failure, Blood Bilirubin Increased.

Data from ClinicalTrials.gov NCT01893320 adverse events section.

Sponsor's own description

The goal of this clinical research study is to learn if the combination of vosaroxin and decitabine can help to control AML or MDS. The safety of these drugs will also be studied.

Publications & conference data

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

  1. Emerging therapies for acute myeloid leukemia.
    Saygin C, Carraway HE. · · 2017 · cited 110× · PMID 28420416 · DOI 10.1186/s13045-017-0463-6
  2. Epigenetic regulation in hematopoiesis and its implications in the targeted therapy of hematologic malignancies.
    Zhao A, Zhou H, Yang J, Li M, et al · · 2023 · cited 81× · PMID 36797244 · DOI 10.1038/s41392-023-01342-6
  3. New drugs in acute myeloid leukemia.
    Kadia TM, Ravandi F, Cortes J, Kantarjian H. · · 2016 · cited 67× · PMID 26802152 · DOI 10.1093/annonc/mdw015
  4. Defining and Treating Older Adults with Acute Myeloid Leukemia Who Are Ineligible for Intensive Therapies.
    Pettit K, Odenike O. · · 2015 · cited 30× · PMID 26697412 · DOI 10.3389/fonc.2015.00280
  5. The Potential of Vitamin D-Regulated Intracellular Signaling Pathways as Targets for Myeloid Leukemia Therapy.
    Gocek E, Studzinski GP. · · 2015 · cited 14× · PMID 26239344 · DOI 10.3390/jcm4040504
  6. Vosaroxin in combination with decitabine in newly diagnosed older patients with acute myeloid leukemia or high-risk myelodysplastic syndrome.
    Daver N, Kantarjian H, Garcia-Manero G, Jabbour E, et al · · 2017 · cited 13× · PMID 28729302 · DOI 10.3324/haematol.2017.168732
  7. Targeting acute myeloid leukemia with TP53-independent vosaroxin.
    Benton CB, Ravandi F. · · 2017 · cited 3× · PMID 27615555 · DOI 10.2217/fon-2016-0300

Verify or expand the search:

Other trials of Vosaroxin

Trials testing the same drug.

Other recruiting trials for Leukemia

Currently open trials in the same condition.

Other M.D. Anderson Cancer Center trials

Trials by the same sponsor.

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