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Study Summary
No. 2012-0262:.......Leukemia......Hagop Kantarjian......Leukemia
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Study Summary Title
Study Summary
Number:
2012-0262
Study Title:A Phase I/II Study of DFP-10917 Given by Continuous Infusion in Patients with Relapsed or Refractory Acute Leukemia
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Physician New Patient Referral
Name:Hagop KantarjianPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:LeukemiaReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-792-7026
Contact us about clinical trials
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General Information
Disease Group:LeukemiaSupported By:Delta-Fly Pharma, Inc.
DFP-10917
Phase of Study:Phase I/Phase IIReturn
Visit:
Treatment
Agents:
DFP-10917Home Care:
Treatment Loc:Only at MDACC
Estimated
Length of Stay
in Houston:
Description/
Intervention:
The goal of this clinical research study is to find the highest tolerable dose
of DFP-10917 that can be given to patients with relapsed or refractory
leukemia. The safety of the study drug will also be tested.

DFP-10917 is designed to insert itself into the DNA of leukemia cells. It may
stop these cells from reproducing and may cause the DNA strands to break. This
may cause leukemia cells to die.
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Study Objectives / Outcomes
Phase I
Primary objective:
  • To determine the maximum tolerated dose (MTD), the dose recommended for Phase II study and the dose-limiting toxicity (DLT) of DFP-10917 given by continuous infusion in patients with relapsed or refractory acute leukemia.

Secondary objectives:
  • To assess the overall response rate (CR [complete response], CRp [complete response with incomplete platelet recovery], CRi [complete response with incomplete blood count recovery] or PR [partial response]) to DFP-10917 given by continuous infusion.
  • To perform pharmacokinetic (PK) studies of DFP-10917 when given by continuous infusion in relapsed or refractory acute leukemia patients.

Optional:
  • To perform pharmacodynamic (PD) and pharmacogenomic (PGx) analyses.

Phase II
Primary objective:
  • To evaluate the overall response rate of DFP-10917, as assessed by CR, CRp, CRi or PR, in patients with relapsed or refractory acute myeloid leukemia.

Secondary objectives:
  • To evaluate the complete remission rate (CR, CRp or CRi).
  • To evaluate duration of overall complete remission (CR, CRp or CRi).
  • To evaluate duration of overall response (CR, CRp, CRi, or PR).
  • To evaluate overall survival (OS).

Optional:
  • To perform pharmacodynamic (PD) and pharmacogenomic (PGx) analyses.
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Study Status Information
Study Activation / Registration Date:
IRB Review and Approval Date:09/28/2012
Study Type:Phase Ii Or Phase I/Ii
Recruitment Status:Open
Projected Accrual:N/A
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Enrollment Eligibility
If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

Inclusion Criteria:1) Phase I criteria

2) Patients must have pathologically-confirmed acute leukemia, refractory or relapsed after standard therapy for the disease or for which conventional systemic chemotherapy is not reliably effective or no effective therapy is available.

3) Aged >/= 18 years.

4) ECOG Performance Status of 0, 1 or 2.

5) Adequate clinical laboratory values (i.e., plasma creatinine </= 1.5 x upper limit of normal (ULN) for the institution, bilirubin </= 1.5 x ULN, alanine transaminase (ALT) and aspartate transaminase (AST) </= 2.5 x ULN).

6) Absence of CNS involvement by leukemia.

7) Absence of uncontrolled intercurrent illnesses, including uncontrolled infections, cardiac conditions, or other organ dysfunctions.

8) Signed informed consent prior to the start of any study specific procedures.

9) Women of child-bearing potential must have a negative serum or urine pregnancy test. Male and female patients must agree to use acceptable contraceptive methods for the duration of the study and for at least one month after the last drug administration.

10) Phase II Criteria

11) Same criteria as phase I, with the following exceptions to #1: Histologically or pathologically confirmed diagnosis of AML based on WHO classification that is refractory after standard therapy, or for which conventional systemic chemotherapy is not reliably effective, or no effective therapy is available. Patients aged 60 years or older with newly diagnosed AML who are not eligible for, or who refuse, standard care are also eligible.

Exclusion Criteria:1) The interval from prior treatment to time of study drug administration is < 2 weeks for cytotoxic agents or < 5 half-lives for noncytotoxic agents. Exceptions: Use of hydroxyurea is allowed before the start of study and may be administered up to day 5 of the first cycle

2) Any >grade 1 persistent clinically significant toxicities from prior chemotherapy.

3) Extensive prior radiotherapy to more than 30% of bone marrow reserves, or prior bone marrow/stem cell transplantation.

4) Any concomitant condition that in the opinion of the investigator could compromise the objectives of this study and the patient's compliance.

5) A pregnant or lactating woman.

6) Current malignancies of another type. Exceptions: Patients may participate if they have previously treated and currently controlled prostate cancer, adequately treated in situ cervical cancer and basal cell skin cancer or other malignancies with no evidence of disease for 2 years or more.

7) Patient has acute promyelocytic leukemia (APL).

8) Clinically evident HIV, HBV or HCV infection.

9) Documented or known clinically significant bleeding disorder.

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Links
Registration Number: NCT01702155
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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