Maximum tolerated dose of vosaroxin for short IV infusion in INT-2 or high-risk MDS
| Group | Value | 95% CI |
|---|---|---|
| All Study Participants | 200 |
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Vosaroxin for Intermediate 2 or High-risk MDS After Failure With Hypomethylating Agent-based Therapy
Phase 1, PHASE2 trial testing Vosaroxin in Myelodysplastic Syndrome in 10 participants. Completed in 19 January 2015.
| Lead sponsor | Weill Medical College of Cornell University |
|---|---|
| Phase | Phase 1, PHASE2 |
| Status | Completed |
| Study type | INTERVENTIONAL |
| Design | sequential |
| Masking | none |
| Primary purpose | treatment |
| Enrollment | 10 |
| Start date | 25 October 2013 |
| Primary completion | 19 January 2015 |
| Estimated completion | 19 January 2015 |
| Sites | 1 location across United States |
Weill Medical College of Cornell University
18 and older, any sex, with Myelodysplastic Syndrome. Patients with the condition only — healthy volunteers not accepted.
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Maximum tolerated dose of vosaroxin for short IV infusion in INT-2 or high-risk MDS
| Group | Value | 95% CI |
|---|---|---|
| All Study Participants | 200 |
Evaluate the clinical activity of vosaroxin in MDS subjects by observing number of patients who achieve complete remission.
| Group | Value | 95% CI |
|---|---|---|
| Vosaroxin: Dose Level 1: Vosaroxin 50 mg/m^2 IV on Days 1 & 4 | 0 | |
| Dose Level 2: Vosaroxin 72 mg/m^2 IV on Days 1 and 4 of 28 Day | 0 | |
| Dose Level 3: Vosaroxin 50 mg/m^2 IV on Days 1, 4, 8 and 11 of | 0 |
Characterize the blood product transfusion requirements in this patient population when treated with vosaroxin
| Group | Value | 95% CI |
|---|---|---|
| Vosaroxin: Dose Level 1: Vosaroxin 50 mg^m2 IV on Days 1 and 4 | 19.8 | 2 – 44 |
| Dose Level 2: Vosaroxin 72 mg^m2 IV on Days 1 and 4 of 28 Day | 22.5 | 12 – 33 |
| Dose Level 3: Vosaroxin 50 mg^m2 IV on Days 1, 4, 8 and 11 of | 22 | 17 – 27 |
Time frame: Adverse events were collected over a period of 15 months.. Reporting threshold: 5%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.
| Reaction | System | Dose Level 1: Vosaroxin 50… | Dose Level 2: Vosaroxin 72… | Dose Level 3: Vosaroxin 50… |
|---|---|---|---|---|
| Febrile Neutropenia | Blood and lymphatic system disorders | — | — | — |
| Non- Cardiogenic Shock | General disorders | — | — | — |
| Sudden Death | General disorders | — | — | — |
| Respiratory Distress | Respiratory, thoracic and mediastinal disorders | — | — | — |
| Disease Progression | Blood and lymphatic system disorders | — | — | — |
| Reaction | System | Dose Level 1: Vosaroxin 50… | Dose Level 2: Vosaroxin 72… | Dose Level 3: Vosaroxin 50… |
|---|---|---|---|---|
| Fatigue | General disorders | — | — | — |
| Febrile Neutropenia | Blood and lymphatic system disorders | — | — | — |
| Constipation | Gastrointestinal disorders | — | — | — |
| Nausea | Gastrointestinal disorders | — | — | — |
| Diarrhea | Gastrointestinal disorders | — | — | — |
| Epistaxis | General disorders | — | — | — |
| Vomiting | Gastrointestinal disorders | — | — | — |
| Mucositis | Gastrointestinal disorders | — | — | — |
| Bacterimia | Infections and infestations | — | — | — |
| Oral Thrush | Infections and infestations | — | — | — |
Most-reported serious reactions: Febrile Neutropenia, Non- Cardiogenic Shock, Sudden Death, Respiratory Distress, Disease Progression.
Data from ClinicalTrials.gov NCT01980056 adverse events section.
Study WCMC IST/VOS/MDS evaluates the safety and tolerability of escalating doses of vosaroxin in adult patients with pathologically confirmed Myelodysplastic Syndrome, or MDS, (\< 20% blasts in bone marrow, peripheral blood, or both) by World Health Organization (WHO) classification with an intermediate 2 (INT-2) or high-risk score (ie, ≥ 1.5) as assessed by the International Scoring System (IPSS) after failure of hypomethylating agent-based therapy. Based on 3 completed studies and xenograft models, Vosaroxin is hypothesized to be safe and will effective in this patient population.
3 peer-reviewed publications reference this trial (live from Europe PMC):
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