Description:
An open-label, dose-escalation study to assess the safety and pharmacokinetics (PK), to
determine the dose limiting toxicity (DLT) and the recommended Phase 2 dose (RPTD), and to
assess the preliminary efficacy of alvocidib with venetoclax when co-administered in
participants with relapsed or refractory (R/R) acute myeloid leukemia (AML).
Title
- Brief Title: A Study of Venetoclax and Alvocidib in Patients With Relapsed/Refractory Acute Myeloid Leukemia
- Official Title: Phase 1b Study of Venetoclax and Alvocidib in Patients With Relapsed/Refractory Acute Myeloid Leukemia
Clinical Trial IDs
- ORG STUDY ID:
M16-186
- SECONDARY ID:
2017-002531-42
- NCT ID:
NCT03441555
Conditions
- Acute Myeloid Leukemia (AML)
Interventions
Drug | Synonyms | Arms |
---|
Venetoclax | ABT-199 | Venetoclax + Alvocidib |
Alvocidib | Flavopiridol | Venetoclax + Alvocidib |
Purpose
An open-label, dose-escalation study to assess the safety and pharmacokinetics (PK), to
determine the dose limiting toxicity (DLT) and the recommended Phase 2 dose (RPTD), and to
assess the preliminary efficacy of alvocidib with venetoclax when co-administered in
participants with relapsed or refractory (R/R) acute myeloid leukemia (AML).
Trial Arms
Name | Type | Description | Interventions |
---|
Venetoclax + Alvocidib | Experimental | Venetoclax administered orally once daily (QD) and Alvocidib administered as an intravenous infusion on Days 1, 2, and 3 for all 28-day treatment cycles. Different combinations of dose levels for venetoclax and alvocidib may be explored. | |
Eligibility Criteria
Inclusion Criteria:
- Must have adequate coagulation, hematology, kidney, and liver function, per protocol.
- Diagnosis of relapsed or refractory (R/R) acute myeloid leukemia (AML)
- Meet the following disease activity criteria:
- an established, confirmed diagnosis of AML by World Health Organization criteria
excluding acute promyelocytic leukemia (APL)-M3; and
- an Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to
2.
- If male participant is sexually active, he must agree from day 1 through 6 months
after the last dose of alvocidib or 90 days after the last dose of venetoclax,
whichever is longer, to practice the protocol-specified protection.
Exclusion Criteria:
- History of any malignancy within the last 6 months except for those specified in this
protocol and low-grade malignancies not requiring active treatment such as
non-melanoma skin cancer, cervical intraepithelial neoplasia, or prostate cancer in
situ.
- Prior allogeneic stem cell transplant within 6 months of study drug administration and
no requirement for graft versus host therapy.
- History of previous enrollment in Studies NCT02993523 or NCT03069352.
- History of exposure to alvocidib or any other cyclin-dependent kinase 9 (CDK9)
inhibitor.
- History of Tumor Lysis Syndrome (TLS) due to previous exposure to venetoclax.
Maximum Eligible Age: | N/A |
Minimum Eligible Age: | 18 Years |
Eligible Gender: | All |
Healthy Volunteers: | No |
Primary Outcome Measures
Measure: | Tmax of venetoclax |
Time Frame: | Approximately 32 days after first dose of study drug |
Safety Issue: | |
Description: | Time to maximum plasma concentration (Tmax) of venetoclax |
Secondary Outcome Measures
Measure: | Complete Response (CR) Rate |
Time Frame: | Up to approximately 8 months |
Safety Issue: | |
Description: | CR is defined as the proportion of participants with documented complete response (CR) based on International Working Group (IWG) criteria. |
Measure: | Combined CR Rate |
Time Frame: | Up to approximately 8 months |
Safety Issue: | |
Description: | Combined CR rate is defined as CR + CRi (CR with incomplete blood count recovery) based on IWG criteria. |
Measure: | Objective Response Rate (ORR) |
Time Frame: | Up to approximately 18 months |
Safety Issue: | |
Description: | ORR is defined as the proportion of participants with documented partial response (PR) or better based on IWG criteria. |
Details
Phase: | Phase 1 |
Primary Purpose: | Interventional |
Overall Status: | Completed |
Lead Sponsor: | AbbVie |
Trial Keywords
- Cancer
- Acute Myeloid Leukemia (AML)
- relapsed Acute Myeloid Leukemia
- refractory Acute Myeloid Leukemia
Last Updated
February 16, 2021