Onvansertib in Combination With Either Low-dose Cytarabine or Decitabine in Adult Patients With Acute Myeloid Leukemia (AML)
Part of paid clinical trials in Los Angeles, California.
- Sponsor
- Cardiff Oncology
- Study ID
- NCT03303339
- Phase
- PHASE1/PHASE2
- Status
- Completed
Conditions
Eligibility Criteria
- Sex
- ALL
- Age
- 18 Years - N/A
- Healthy Volunteers
- Not accepted
Interventions
- Onvansertib — DRUGOnvansertib orally
- Cytarabine — DRUGsubcutaneously
- Decitabine — DRUGintravenously
Study Details
The purpose of the phase 1b/2 study is to determine whether Onvansertib given orally daily for 5 consecutive days every 28 days is safe and tolerable in adult patients who have relapsed/refractory Acute Myeloid Leukemia (AML), or are ineligible for intensive induction therapy, and to determine the maximum tolerated dose and recommended phase 2 dose of Onvansertib in combination with decitabine or Onvansertib in combination with low-dose cytarabine. In the phase 2 portion of the study, Onvansertib in combination with decitabine will be studied to provide further data on the safety profile of the combination and to preliminarily assess the activity of the chosen combination in patients with untreated AML who are not candidates for aggressive induction therapy, or who have received one prior treatment for their AML.
Key Dates
- Start date
- Nov 17, 2017
- Status verified
- Dec 2022
- Primary completion
- Nov 17, 2021
- Completion
- Nov 17, 2021
Study Design
- Enrollment
- 72 participants (actual)
- Allocation
- NON_RANDOMIZED
- Intervention model
- SINGLE_GROUP
- Primary purpose
- TREATMENT
Arms
- Experimental: Phase 1b: Onvansertib + low-dose cytarabineOnvansertib, administered in escalating doses orally Day 1 through Day 5 every 28 days (1 cycle) in combination with cytarabine, which will be administered in all cohorts as 20 mg/m\^2 subcutaneously, once daily on Day 1 through Day 10 every 28 days (1 cycle). Onvansertib administration, in combination with cytarabine, will be initiated at a starting dose of 12 mg/m\^2 orally, daily for 5 days. Onvansertib dose will be escalated in successive cohorts until the recommended phase 2 dose is achieved.
- Experimental: Phase 1b: Onvansertib + decitabineOnvansertib will be administered in escalating doses orally, Day 1 through Day 5 every 28 days (1 cycle) in combination with decitabine, administered consistently in all cohorts as 20 mg/m\^2 intravenously over 1 hour on Day 1 through Day 5 every 28 days (1 cycle). Onvansertib administration, in combination with decitabine, will be initiated at a starting dose of 12 mg/m\^2 orally, daily for 5 days (Day 1 through Day 5). Onvansertib dose will be escalated in successive cohorts until the recommended phase 2 dose is achieved.
- Experimental: Phase 2: Onvansertib + decitabineOnvansertib recommended phase 2 dose, orally Day 1 through Day 5 every 28 days (1 cycle) and decitabine, administered consistently as 20 mg/m\^2 intravenously over 1 hour on Day 1 through Day 5 every 28 days (1 cycle), with treatment modifications or delays based on return of hematopoietic function to baseline or Grade ≤1 toxicity for optimal subject management.
Primary Outcome Measure
Number of Participants Who Experienced Dose Limiting Toxicities (DLT) [ Time Frame: Up to Day 28 of Cycle 1 ]
Locations (9)
| Facility | City | State | ZIP | Site coordinators |
|---|---|---|---|---|
| University of California Los Angeles | Los Angeles | California | 90095 | - |
| Yale University | New Haven | Connecticut | 06510 | - |
| University of Kansas Cancer Center | Westwood | Kansas | 66205 | - |
| Allina Health Virginia Piper Cancer Institute | Minneapolis | Minnesota | 55407 | - |
| Roswell Park Cancer Institute | Buffalo | New York | 14263 | - |
| University of Texas Southwestern Medical Center | Dallas | Texas | 75390 | - |
| MD Anderson Cancer Center | Houston | Texas | 77030 | - |
| Virginia Cancer Specialists - Fairfax Office | Fairfax | Virginia | 22031 | - |
| Seattle Cancer Care Alliance | Seattle | Washington | 98109 | - |
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