Acute Myeloid Leukemia Clinical Trial
Study of CEP-701 (Lestaurtinib) in Patients With Acute Myeloid Leukemia (AML)
Summary
The purpose of the study is to determine whether CEP-701 given in sequence with induction chemotherapy increases the proportion of patients with relapsed acute myeloid leukemia (AML) who achieve a second complete remission (CR).
Full Description
Patients randomly assigned to chemotherapy alone received the second course of induction chemotherapy as soon as clinically indicated; patients randomly assigned to receive chemotherapy plus sequential lestaurtinib had lestaurtinib withheld for 3 days (72 hours) before the start of the second 5-day course of chemotherapy and resumed lestaurtinib treatment 2 days (48 hours) after the final administration of the second course of chemotherapy.
Eligibility Criteria
Inclusion criteria:
cytological confirmation of AML;
relapsed disease following first CR of 1 month(30days)to 24 months(730days). The time from first relapse to study entry (start of first course of induction chemotherapy) must be no longer than 30days;
confirmation of FLT-3 activating mutation positive status after point of initial relapse;
aged 18 years or older;
written informed consent;
ability to understand and comply with study restrictions;
no comorbid conditions that would limit life expectancy to less than 3 months;
ECOG Performance Score of 0, 1,or 2;
women must be neither pregnant nor lactating, and either of non-childbearing potential or using adequate contraception with a negative pregnancy test at study entry
Exclusion criteria:
bilirubin > 2x ULN;
ALT/AST > 3x ULN;
serum creatinine > 1.5 mg/dL;
resting ejection fraction of left ventricle l < 45%(applies only to patients scheduled to receive mitoxantrone, etoposide, and cytarabine [MEC];
untreated or progressive infection;
any physical or psychiatric cdtn that may compromise participation in the study;
known CNS involvement with AML;
any previous treatment with a FLT-3 inhibitor;
requires current treatment for HIV with protease inhibitors;
active GI ulceration or bleeding;
use of an investigational drug that is not expected to be cleared by the start of CEP-701 treatment
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There are 81 Locations for this study
Birmingham Alabama, 35294, United States
Scottsdale Arizona, 85259, United States
Little Rock Arkansas, 72205, United States
Los Angeles California, 90033, United States
Stanford California, 94305, United States
Tampa Florida, 33606, United States
Atlanta Georgia, 30322, United States
Macon Georgia, 31201, United States
Chicago Illinois, 60611, United States
Chicago Illinois, 60637, United States
Beech Grove Indiana, 46107, United States
Indianapolis Indiana, 46202, United States
Iowa City Iowa, 52242, United States
Shreveport Louisiana, 71103, United States
Baltimore Maryland, 21201, United States
Baltimore Maryland, 21231, United States
Boston Massachusetts, 02111, United States
Boston Massachusetts, 02215, United States
Ann Arbor Michigan, 48109, United States
Detroit Michigan, 48201, United States
Minneapolis Minnesota, 55455, United States
Rochester Minnesota, 55905, United States
St. Louis Missouri, 63110, United States
Omaha Nebraska, 68198, United States
Buffalo New York, 14263, United States
New York New York, 10021, United States
Durham North Carolina, 27710, United States
Cleveland Ohio, 44195, United States
Philadelphia Pennsylvania, 19104, United States
Pittsburgh Pennsylvania, 15232, United States
Charleston South Carolina, 29425, United States
Memphis Tennessee, 38120, United States
Houston Texas, 77030, United States
Seattle Washington, 98195, United States
Sydney New South Wales, 2065, Australia
Herston Queensland, 4029, Australia
South Brisbane Queensland, 4101, Australia
Adelaide South Australia, 5000, Australia
Fitzroy Victoria, 3065, Australia
Melbourne Victoria, 3004, Australia
Perth Western Australia, 6000, Australia
Toronto Ontario, M5G2M, Canada
Quebec , G1J1Z, Canada
Chemnitz , 09113, Germany
Dresden , 01307, Germany
Frankfurt , 60590, Germany
Heidelberg , 69120, Germany
Munster , 48129, Germany
Stuttgart , 70376, Germany
Haifa , 31096, Israel
Petah-Tiqwa , 49100, Israel
Tel Hashomer , 52621, Israel
Bologna , 41038, Italy
Roma , 00133, Italy
Roma , 00161, Italy
Turin , 10043, Italy
Auckland , 1023, New Zealand
Bialystok , 15276, Poland
Gdansk , 80952, Poland
Katowice , 40032, Poland
Krakow , 31501, Poland
Lodz , 93510, Poland
Lublin , 20022, Poland
Poznan , 60569, Poland
Warszawa , 02097, Poland
Warszawa , 02776, Poland
Wroclaw , 50369, Poland
Bucharest , 03017, Romania
Iasi , 70011, Romania
Moscow , 12516, Russian Federation
Novosibirsk , 63009, Russian Federation
St. Petersburg , 19702, Russian Federation
St. Petersburg , 19711, Russian Federation
Barcelona , 08041, Spain
Valencia , 46009, Spain
Lund , SE-22, Sweden
Stockholm , SE-17, Sweden
Cherkassy , 18009, Ukraine
Kiev , 03115, Ukraine
Kiev , 04112, Ukraine
Lvov , 79044, Ukraine
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