Safety and Tolerance Study of Oral Doses of CT53518 to Treat Patients With Acute Myelogenous Leukemia (AML)

Inclusion Criteria:

Each patient must meet the following inclusion criteria to be eligible to participate in the study.

Men and women who are over 18 years of age and have one of the following conditions:

AML with relapse within 12 months of the completion of consolidation therapy who are not to receive gemtuzumab-ozogamicin; or
AML with relapse after 12 months of the completion of consolidation therapy for whom, in the opinion of the investigator, the risk of alternative therapy outweighs the possible benefit; or
newly diagnosed AML refractory to conventional remission-induction chemotherapy ("refractory" is defined as >10% blasts in blood and/or bone marrow upon recovery from two cycles of standard cytarabine-based induction chemotherapy); or
newly diagnosed, or previously treated AML, greater than 60 years of age and not or no longer a candidate for conventional remission-induction chemotherapy or gemtuzumab-ozogamicin
No reproductive potential (surgically, post- menopausal, or using two methods of contraception)
Demonstrated FLT-3 gene, internal tandem duplication mutation
ECOG performance status of 0 to 2
Has not received cytoreductive drug therapy for at least 4 weeks, and has not received hydroxyurea within 24 hours prior to first dose of the study drug
Has not received a bone marrow transplant or peripheral blood stem cell transplant within the last two months
Able to read and give written informed consent and has signed a consent form approved by the Investigator's Institutional Review Board (IRB)

Exclusion Criteria:

Patients meeting any of the following criteria are not eligible to participate in the study:

Participated in an investigational drug study in the last 30 days
Serum Creatinine >2 mg/dL
Evidence of a clinically significant liver disease by history, physical examination and/or laboratory data (e.g. transaminases exceeding 3 x ULN and/or total bilirubin > 2 mg/dL
Known to have used illicit drugs within the last 30 days
Has an uncontrolled active infection
Pregnant or nursing mother
Candidate for conventional chemotherapy (except hydroxyurea), including growth factors or hormonal therapy for cancer
Any concomitant disease or condition which could interfere with or for which the treatment might interfere with the conduct of the study the, or which would, in the opinion of the Investigator and/or Sponsor, increase the risk of the patient's participation in the study. This includes but is not limited to alcoholism, drug dependency or abuse, psychiatric disease.