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AML assess. of response in Part B patients find treatment failure in all 8 evaluable for marrow response following a maximum of 2 induction courses of therapy
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The primary purpose of this study is to find out what the maximum tolerated dose is for an experimental drug called AZD4877 based on the side effects experienced by patients that receive AZD4877 on a daily times 3 schedule in acute myelogenous leukemia (AML).
For enrollment information see the Central Contact information below
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| AZD4877 | Drug | intravenous infusion administered on days 1, 2 and 3 |
| Measure | Description | Time Frame |
|---|---|---|
| To Identify a Maximum Tolerated Dose (MTD) of AZD4877 by Assessment of the Incidence of Dose-limiting Toxicities (DLTs) | To identify a maximum tolerated dose (MTD) of AZD4877 by assessment of the incidence of dose-limiting toxicities (DLTs) | Dose-limiting toxicities (DLTs) are evaluated during the first induction treatment course administered during the initial 15-day treatment period. |
| To Assess the Effect of AZD4877 on the Rate of Complete Remission (CR) | Marrow response is assessed by modified Cheson criteria for Acute Myelogenous Leukemia (AML). Possible outcomes for marrow response are CR (Complete Remission), CRi (Complete Remission with incomplete blood count recovery), PR (Partial Remission), and treatment failure. | Response is evaluated after a maximum of 2 courses of induction therapy. |
| To Determine the PK Profile of AZD4877 [ Time Frame: Daily x 3 Schedule ] | Maximum plasma concentration, Cmax | PK samples are collected on Days 1, 2, 3, 24 and 48 hours following the end of Day 3 AZD4877 infusion and Day 8. |
| Measure | Description | Time Frame |
|---|---|---|
| To Assess the Effect of AZD4877 on Rate and Duration of CR, CRi, PR and Overall Response (CR,CRi, or PR) | Marrow response is assessed by modified Cheson criteria for Acute Myelogenous Leukemia (AML). Possible outcomes for marrow response are CR (Complete Remission), CRi (Complete Remission with incomplete blood count recovery), PR (Partial Remission), and treatment failure. | Response is evaluated after a maximum of 2 courses of induction therapy. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Gregory A Curt, MD | AstraZeneca | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Research Site | Chicago | Illinois | United States | |||
| Research Site |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 21494838 | Derived | Kantarjian HM, Padmanabhan S, Stock W, Tallman MS, Curt GA, Li J, Osmukhina A, Wu K, Huszar D, Borthukar G, Faderl S, Garcia-Manero G, Kadia T, Sankhala K, Odenike O, Altman JK, Minden M. Phase I/II multicenter study to assess the safety, tolerability, pharmacokinetics and pharmacodynamics of AZD4877 in patients with refractory acute myeloid leukemia. Invest New Drugs. 2012 Jun;30(3):1107-15. doi: 10.1007/s10637-011-9660-2. Epub 2011 Apr 15. |
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Following enrolment there was screening period of up to 28 days, after which if all inclusion/exclusion criteria were met, patients were dosed with AZD4877
Participants were recruited at 4 study sites in the United States and 1 study site in Canada between July 2007 and February 2009 [Part A] and between March 2009 and July 2009 [Part B].
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| ID | Title | Description |
|---|---|---|
| FG000 | AZD4877 | AZD4877 [ Time Frame: administered on days 1,2 and 3] |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| To Evaluate the Safety and Tolerability of AZD4877 on a Daily x 3 Schedule by Assessment of Adverse Events, Non-hematologic Labs and Vital Signs | Patients were followed for safety from the date of first dose of AZD4877 up to 30-days after the last administration of AZD4877, where possible. |
| Houston |
| Texas |
| United States |
| Research Site | San Antonio | Texas | United States |
| Research Site | Toronto | Ontario | Canada |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | AZD4877 | AZD4877 [ Time Frame: administered on days 1,2 and 3] |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Number | Participants |
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| Sex: Female, Male | Count of Participants | Participants |
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| Race/Ethnicity, Customized | Number | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | To Identify a Maximum Tolerated Dose (MTD) of AZD4877 by Assessment of the Incidence of Dose-limiting Toxicities (DLTs) | To identify a maximum tolerated dose (MTD) of AZD4877 by assessment of the incidence of dose-limiting toxicities (DLTs) | Not Posted | Number | Participants | Dose-limiting toxicities (DLTs) are evaluated during the first induction treatment course administered during the initial 15-day treatment period. | ||||||||||||||||||||||||||||||
| Primary | To Assess the Effect of AZD4877 on the Rate of Complete Remission (CR) | Marrow response is assessed by modified Cheson criteria for Acute Myelogenous Leukemia (AML). Possible outcomes for marrow response are CR (Complete Remission), CRi (Complete Remission with incomplete blood count recovery), PR (Partial Remission), and treatment failure. | 8 of 9 patients in Part B were evaluable for response following a maximum of 2 courses of induction therapy. | Posted | Number | Participants | Response is evaluated after a maximum of 2 courses of induction therapy. |
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| Primary | To Determine the PK Profile of AZD4877 [ Time Frame: Daily x 3 Schedule ] | Maximum plasma concentration, Cmax | Not Posted | Geometric Mean | Standard Deviation | ng/mL | PK samples are collected on Days 1, 2, 3, 24 and 48 hours following the end of Day 3 AZD4877 infusion and Day 8. | |||||||||||||||||||||||||||||
| Secondary | To Assess the Effect of AZD4877 on Rate and Duration of CR, CRi, PR and Overall Response (CR,CRi, or PR) | Marrow response is assessed by modified Cheson criteria for Acute Myelogenous Leukemia (AML). Possible outcomes for marrow response are CR (Complete Remission), CRi (Complete Remission with incomplete blood count recovery), PR (Partial Remission), and treatment failure. | Not Posted | Number | Participants | Response is evaluated after a maximum of 2 courses of induction therapy. | ||||||||||||||||||||||||||||||
| Secondary | To Evaluate the Safety and Tolerability of AZD4877 on a Daily x 3 Schedule by Assessment of Adverse Events, Non-hematologic Labs and Vital Signs | Not Posted | Number | Participants | Patients were followed for safety from the date of first dose of AZD4877 up to 30-days after the last administration of AZD4877, where possible. |
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | AZD4877 | AZD4877 [ Time Frame: administered on days 1,2 and 3] | 3 | 9 | 9 | 9 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Mucosal Inflammation | General disorders | MedDRA 10.0 | Systematic Assessment |
| |
| Stevens-Johnson Syndrome | Skin and subcutaneous tissue disorders | MedDRA 10.0 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Anaemia | Blood and lymphatic system disorders | MedDRA 10.0 | Systematic Assessment |
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| Leukopenia | Blood and lymphatic system disorders | MedDRA (10.0) | Systematic Assessment |
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| Neutropenia | Blood and lymphatic system disorders | MedDRA (10.0) | Systematic Assessment |
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| Thrombocytopenia | Blood and lymphatic system disorders | MedDRA (10.0) | Systematic Assessment |
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| Sinus Tachycardia | Cardiac disorders | MedDRA (10.0) | Systematic Assessment |
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| Hypophosphatasia | Congenital, familial and genetic disorders | MedDRA (10.0) | Systematic Assessment |
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| Ear Pain | Ear and labyrinth disorders | MedDRA (10.0) | Systematic Assessment |
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| Dry Eye | Eye disorders | MedDRA (10.0) | Systematic Assessment |
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| Constipation | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
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| Diarrhoea | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
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| Nausea | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
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| Abdominal Pain | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
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| Dysphagia | Gastrointestinal disorders | MedDRA (10.0) | Systematic Assessment |
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| Mucosal Inflammation | General disorders | MedDRA (10.0) | Systematic Assessment |
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| Fatigue | General disorders | MedDRA (10.0) | Systematic Assessment |
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| Oedema Peripheral | General disorders | MedDRA (10.0) | Systematic Assessment |
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| Asthenia | General disorders | MedDRA (10.0) | Systematic Assessment |
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| Chills | General disorders | MedDRA (10.0) | Systematic Assessment |
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| Oedema | General disorders | MedDRA (10.0) | Systematic Assessment |
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| Hepatic Cyst | Hepatobiliary disorders | MedDRA (10.0) | Systematic Assessment |
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| Hepatic Lesion | Hepatobiliary disorders | MedDRA (10.0) | Systematic Assessment |
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| Hyperbilirubinaemia | Hepatobiliary disorders | MedDRA (10.0) | Systematic Assessment |
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| Ear Infection | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
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| Pneumonia | Infections and infestations | MedDRA (10.0) | Systematic Assessment |
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| Limb Injury | Injury, poisoning and procedural complications | MedDRA (10.0) | Systematic Assessment |
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| Transfusion Reaction | Injury, poisoning and procedural complications | MedDRA (10.0) | Systematic Assessment |
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| Activated Partial Thromboplastin Time Prolonged | Investigations | MedDRA (10.0) | Systematic Assessment |
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| Alanine Aminotransferase Increased | Investigations | MedDRA (10.0) | Systematic Assessment |
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| Aspartate Aminotransferase Increased | Investigations | MedDRA (10.0) | Systematic Assessment |
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| Blood Creatinine Increased | Investigations | MedDRA (10.0) | Systematic Assessment |
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| Blood Phosphorus Increased | Investigations | MedDRA (10.0) | Systematic Assessment |
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| Blood Pressure Orthostatic Decreased | Investigations | MedDRA (10.0) | Systematic Assessment |
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| Transaminases Increased | Investigations | MedDRA (10.0) | Systematic Assessment |
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| Hypokalaemia | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
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| Hypomagnesaemia | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
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| Hypocalcaemia | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
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| Hypoalbuminaemia | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
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| Hyponatraemia | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
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| Decreased Appetite | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
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| Hyperglycaemia | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
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| Hyperuricaemia | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
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| Hypophosphataemia | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
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| Hyperphosphataemia | Metabolism and nutrition disorders | MedDRA (10.0) | Systematic Assessment |
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| Back Pain | Musculoskeletal and connective tissue disorders | MedDRA (10.0) | Systematic Assessment |
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| Pain In Extremity | Musculoskeletal and connective tissue disorders | MedDRA (10.0) | Systematic Assessment |
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| Pain In Jaw | Musculoskeletal and connective tissue disorders | MedDRA (10.0) | Systematic Assessment |
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| Haemangioma Of Liver | Neoplasms benign, malignant and unspecified (incl cysts and polyps) | MedDRA (10.0) | Systematic Assessment |
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| Headache | Nervous system disorders | MedDRA (10.0) | Systematic Assessment |
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| Neuropathy Peripheral | Nervous system disorders | MedDRA (10.0) | Systematic Assessment |
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| Dizziness | Nervous system disorders | MedDRA (10.0) | Systematic Assessment |
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| Syncope | Nervous system disorders | MedDRA (10.0) | Systematic Assessment |
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| Insomnia | Psychiatric disorders | MedDRA (10.0) | Systematic Assessment |
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| Depression | Psychiatric disorders | MedDRA (10.0) | Systematic Assessment |
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| Mood Altered | Psychiatric disorders | MedDRA (10.0) | Systematic Assessment |
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| Dysuria | Renal and urinary disorders | MedDRA (10.0) | Systematic Assessment |
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| Haematuria | Renal and urinary disorders | MedDRA (10.0) | Systematic Assessment |
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| Proteinuria | Renal and urinary disorders | MedDRA (10.0) | Systematic Assessment |
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| Renal Cyst | Renal and urinary disorders | MedDRA (10.0) | Systematic Assessment |
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| Cough | Respiratory, thoracic and mediastinal disorders | MedDRA (10.0) | Systematic Assessment |
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| Dyspnoea | Respiratory, thoracic and mediastinal disorders | MedDRA (10.0) | Systematic Assessment |
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| Oropharyngeal Pain | Respiratory, thoracic and mediastinal disorders | MedDRA (10.0) | Systematic Assessment |
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| Pulmonary Oedema | Respiratory, thoracic and mediastinal disorders | MedDRA (10.0) | Systematic Assessment |
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| Rash | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment |
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| Dry Skin | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment |
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| Skin Irritation | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment |
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| Stevens-Johnson Syndrome | Skin and subcutaneous tissue disorders | MedDRA (10.0) | Systematic Assessment |
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| Hypotension | Vascular disorders | MedDRA (10.0) | Systematic Assessment |
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On 16 June 2009, the study was terminated for a lack of efficacy. None of the 8 patients had experienced CR or CRi. The secondary efficacy outcome measures were not evaluated due to early termination and small number of participants.
The PI agrees to provide a copy of the publication to AZ for review at least 60 days in advance of submission for publication. Investigators in multicenter (MC) studies agree to postpone MC publications until the earlier of the date of the first AZ authorized MC publication or a period up to 18 months from study completion at all sites. AZ has the right to request delays: up to 60 days for confidential information, and an additional 90 days to protect intellectual property.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Gerard Lynch | AstraZeneca | aztrial_results_posting@astrazeneca.com |
| ID | Term |
|---|---|
| D015470 | Leukemia, Myeloid, Acute |
| D009369 | Neoplasms |
| ID | Term |
|---|---|
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
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| ID | Term |
|---|---|
| C568512 | N-(3-aminopropyl)-N-(1-(5-benzyl-3-methyl-4-oxo-(1,2)thiazolo(5,4-d)pyrimidin-6-yl)-2-methylpropyl)-4-methylbenzamide |
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| Title | Measurements |
|---|---|
|
| >=75 Yrs |
|