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NCT03957876

CPX-351 Therapy for MDS After Hypomethylating Agent Failure

Terminated Phase 2 Results posted Last updated 15 August 2024
What this trial tests

Phase 2 trial testing CPX-351 in Myelodysplastic Syndrome (MDS) in 4 participants. Terminated before completion.

Timeline
25 July 2019
Primary endpoint
20 December 2022
20 December 2022

Quick facts

Lead sponsorCase Comprehensive Cancer Center
PhasePhase 2
StatusTerminated
Study typeINTERVENTIONAL
Allocationna
Designsingle group
Maskingnone
Primary purposetreatment
Enrollment4
Start date25 July 2019
Primary completion20 December 2022
Estimated completion20 December 2022
Sites1 location across United States

Drugs / interventions tested

Conditions studied

Sponsor

Case Comprehensive Cancer Center — full company profile →

Who can join

18 and older, any sex, with Myelodysplastic Syndrome (MDS). 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.

Efficacy of CPX-351 as Measured by Overall Response Rate (ORR) Primary · day 28 +/- 7 days of induction

Efficacy of CPX as measured by ORR as defined by IWG 2006 criteria for MDS participants at end of induction. IWG 2006 responses that must be for at least 4 weeks include Complete Remission (CR), Partial Remission (PR), Marrow CR, Stable Disease (SD), Failure, Relapse after CR or PR (PD), or cytogenetic response. Hematologic Improvement (HI), which must be for at least 8 weeks, includes erythroid response (pretreatment, \< 11 g/dL), Platelet response (pretreatment, \< 100x109/L), Neutrophil response (pretreatment, \< 1 x109/L), or Progression or relapse after HI.

GroupValue95% CI
Intravenous CPX-351 With Potential Maintenance Therapy1
Intravenous CPX-351 With Potential Maintenance Therapy0
Intravenous CPX-351 With Potential Maintenance Therapy0
Intravenous CPX-351 With Potential Maintenance Therapy0
Time to Response (TTR) Associated With CPX-351 Secondary · day 28 +/- 7 days of induction

TTR associated with CPX-351 in participant with MDS at the end of induction. TTR defined by the time between starting the treatment and the time of achieving best response.

GroupValue95% CI
Intravenous CPX-351 With Potential Maintenance Therapy28
Duration of Response (DOR) in Participants Achieving a Response Secondary · up to 1 year after end of treatment

DOR in participants achieving a response defined by the time between first response (day C1 D28 +/-7 days from induction) and the day of loss of response

GroupValue95% CI
Intravenous CPX-351 With Potential Maintenance Therapy458
Event-free Survival (EFS) Secondary · up to 1 year after end of treatment

EFS probability of all participants enrolled in this trial from start of treatment and up to 1 year after the end of treatment.

GroupValue95% CI
Intravenous CPX-351 With Potential Maintenance Therapy1
Overall Survival (OS) Secondary · up to 1 year after end of treatment

OS probability of all participants enrolled in this trial from start of treatment and up to 1 year after the end of treatment.

GroupValue95% CI
Intravenous CPX-351 With Potential Maintenance Therapy1

Adverse events — posted to ClinicalTrials.gov

Time frame: 2.5 years or until death, whichever occurs first.. Reporting threshold: 2%. Adverse-event reports describe events observed during the trial — not all are caused by the drug.

Intravenous CPX-351 With Potential Maintenance Therapy
Serious: 2/4 (50%)
Deaths: 4/4

Serious adverse events (2 terms)

ReactionSystemIntravenous CPX-351 With P…
AnemiaRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Other adverse events (67 terms — click to expand)

ReactionSystemIntravenous CPX-351 With P…
AnemiaBlood and lymphatic system disorders
OtherInfections and infestations
Febrile neutropenoaBlood and lymphatic system disorders
DiarrheaGastrointestinal disorders
Platelet count decreasedInvestigations
White blood cell descreasedInvestigations
HypokalemiaMetabolism and nutrition disorders
HeadacheNervous system disorders
Cardiac disordersBlood and lymphatic system disorders
Abdominal painGastrointestinal disorders
Edema limbsGeneral disorders
Alanine aminotransferase increasedInvestigations
Aspartate aminotransferase increasedInvestigations
Blood biliruib increasedInvestigations
Lymphocyte count decreasedInvestigations
HypoalbuminemiaMetabolism and nutrition disorders
HypophosphatemiaMetabolism and nutrition disorders
CoughRespiratory, thoracic and mediastinal disorders
HypoxiaRespiratory, thoracic and mediastinal disorders
Rash maculo-papularSkin and subcutaneous tissue disorders
HypertensionVascular disorders
Chest pain - cardiacBlood and lymphatic system disorders
Sinus TachycardiaBlood and lymphatic system disorders
ConstipationGastrointestinal disorders
Fecal incontinenceGastrointestinal disorders
FlatulenceGastrointestinal disorders
Gum bleedingGastrointestinal disorders
HemorrhoidsGastrointestinal disorders
Oral hemorrhageGastrointestinal disorders
Lip painGastrointestinal disorders
NauseaGastrointestinal disorders
ChillsGeneral disorders
Edema faceGeneral disorders
FatigueGeneral disorders
Lung infectionInfections and infestations
SepsisInfections and infestations
Skin infectionInfections and infestations
Sputum pseudomonasInfections and infestations
FallInjury, poisoning and procedural complications
Alkaline phosphatase increasedInvestigations

Most-reported serious reactions: Anemia, Hypoxia.

Data from ClinicalTrials.gov NCT03957876 adverse events section.

Sponsor's own description

The purpose of this study is to evaluate the efficacy of treatment with CPX-351 (an FDA approved drug for the treatment of AML) in individuals with MDS while using a new stratification tool to predict outcomes of participants following HMA failure. This approach is intended to gain a better understanding and insight into identifying new opportunities for drug approvals in this setting.

Publications & conference data

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

  1. Current challenges and unmet medical needs in myelodysplastic syndromes.
    Platzbecker U, Kubasch AS, Homer-Bouthiette C, Prebet T. · · 2021 · cited 67× · PMID 34045662 · DOI 10.1038/s41375-021-01265-7
  2. Emerging treatment options for patients with high-risk myelodysplastic syndrome.
    Bewersdorf JP, Carraway H, Prebet T. · · 2020 · cited 24× · PMID 33240476 · DOI 10.1177/2040620720955006
  3. Risk-Adapted, Individualized Treatment Strategies of Myelodysplastic Syndromes (MDS) and Chronic Myelomonocytic Leukemia (CMML).
    Bewersdorf JP, Zeidan AM. · · 2021 · cited 21× · PMID 33807279 · DOI 10.3390/cancers13071610
  4. In MDS, is higher risk higher reward?
    Sanz GF. · · 2019 · cited 7× · PMID 31808894 · DOI 10.1182/hematology.2019000042

Verify or expand the search:

Other trials of CPX-351

Trials testing the same drug.

Other recruiting trials for Myelodysplastic Syndrome (MDS)

Currently open trials in the same condition.

Other Case Comprehensive Cancer Center 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/NCT03957876.

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