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NCT01980056

Vosaroxin for Intermediate 2 or High-risk MDS After Failure With Hypomethylating Agent-based Therapy

Completed Phase 1, PHASE2 Results posted Last updated 19 February 2019
What this trial tests

Phase 1, PHASE2 trial testing Vosaroxin in Myelodysplastic Syndrome in 10 participants. Completed in 19 January 2015.

Timeline
25 October 2013
Primary endpoint
19 January 2015
19 January 2015

Quick facts

Lead sponsorWeill Medical College of Cornell University
PhasePhase 1, PHASE2
StatusCompleted
Study typeINTERVENTIONAL
Designsequential
Maskingnone
Primary purposetreatment
Enrollment10
Start date25 October 2013
Primary completion19 January 2015
Estimated completion19 January 2015
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Weill Medical College of Cornell University

Who can join

18 and older, any sex, with Myelodysplastic Syndrome. 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.

Dosage Determination for IV-infusion of Vosaroxin in Int-2 or High-risk Mds Primary · 1 year

Maximum tolerated dose of vosaroxin for short IV infusion in INT-2 or high-risk MDS

GroupValue95% CI
All Study Participants200
Number of Subjects Who Experience a Response Secondary · 15 months

Evaluate the clinical activity of vosaroxin in MDS subjects by observing number of patients who achieve complete remission.

GroupValue95% CI
Vosaroxin: Dose Level 1: Vosaroxin 50 mg/m^2 IV on Days 1 & 40
Dose Level 2: Vosaroxin 72 mg/m^2 IV on Days 1 and 4 of 28 Day0
Dose Level 3: Vosaroxin 50 mg/m^2 IV on Days 1, 4, 8 and 11 of0
Number of Transfusions Required During Treatment With Vosaroxin Secondary · 15 months

Characterize the blood product transfusion requirements in this patient population when treated with vosaroxin

GroupValue95% CI
Vosaroxin: Dose Level 1: Vosaroxin 50 mg^m2 IV on Days 1 and 419.82 – 44
Dose Level 2: Vosaroxin 72 mg^m2 IV on Days 1 and 4 of 28 Day22.512 – 33
Dose Level 3: Vosaroxin 50 mg^m2 IV on Days 1, 4, 8 and 11 of2217 – 27

Adverse events — posted to ClinicalTrials.gov

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.

Dose Level 1: Vosaroxin 50 mg/m2 IV on Days 1 and 4 of 28 Day
Serious: 3/4 (75%)
Deaths: 1/4
Dose Level 2: Vosaroxin 72 mg/m2 IV on Days 1 and 4 of 28 Day
Serious: 1/4 (25%)
Deaths: 1/4
Dose Level 3: Vosaroxin 50 mg/m2 IV on Days 1, 4, 8 and 11 of
Serious: 2/2 (100%)
Deaths: 0/2

Serious adverse events (5 terms)

ReactionSystemDose Level 1: Vosaroxin 50…Dose Level 2: Vosaroxin 72…Dose Level 3: Vosaroxin 50…
Febrile NeutropeniaBlood and lymphatic system disorders
Non- Cardiogenic ShockGeneral disorders
Sudden DeathGeneral disorders
Respiratory DistressRespiratory, thoracic and mediastinal disorders
Disease ProgressionBlood and lymphatic system disorders
Other adverse events (10 terms — click to expand)

ReactionSystemDose Level 1: Vosaroxin 50…Dose Level 2: Vosaroxin 72…Dose Level 3: Vosaroxin 50…
FatigueGeneral disorders
Febrile NeutropeniaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
NauseaGastrointestinal disorders
DiarrheaGastrointestinal disorders
EpistaxisGeneral disorders
VomitingGastrointestinal disorders
MucositisGastrointestinal disorders
BacterimiaInfections and infestations
Oral ThrushInfections 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.

Sponsor's own description

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.

Publications & conference data

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

  1. New drugs in acute myeloid leukemia.
    Kadia TM, Ravandi F, Cortes J, Kantarjian H. · · 2016 · cited 67× · PMID 26802152 · DOI 10.1093/annonc/mdw015
  2. Treatment options for patients with myelodysplastic syndromes after hypomethylating agent failure.
    Carraway HE. · · 2016 · cited 7× · PMID 27913518 · DOI 10.1182/asheducation-2016.1.470
  3. 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 Myelodysplastic Syndrome

Currently open trials in the same condition.

Other Weill Medical College of Cornell University trials

Trials by the same sponsor.

Verify against primary sources

Data sources for this page

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/NCT01980056.

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