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| ID | Type | Description | Link |
|---|---|---|---|
| 2025-524810-28-00 | EU Trial (CTIS) Number |
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This Phase 3 study in adult participants with newly diagnosed low-risk APL will evaluate the efficacy, safety, and PK of an oral capsule formulation of ATO, in combination with ATRA.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| QTX-2101 | Experimental | QTX-2101 (oral arsenic trioxide; ATO) All-trans-retinoic-acid (ATRA; oral) |
|
| IV ATO | Active Comparator | IV Arsenic Trioxide (ATO) All-trans-retinoic-acid (ATRA; oral) |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| QTX-2101 + ATRA | Drug | The experimental regimen consists of IV ATO administered once daily during induction, given continuously, for up to a maximum of 60 days. During consolidation, QTX-2101 is administered once daily, per investigator's protocol. ATRA is administered orally in two divided daily doses during induction, given continuously until bone marrow remission (not exceeding 60 days). During consolidation, ATRA is taken orally in two divided daily doses following a 2-weeks-on / 2-weeks-off schedule within each 8-week cycle. |
| Measure | Description | Time Frame |
|---|---|---|
| Maximum observed plasma (concentration (Cmax) of QTX-2101 for ASIII | Cmax is defined as the maximum observed plasma concentration following administration of [investigational product], determined from plasma concentration-time data. | Up to 1 cycle of consolidation therapy (each cycle is 8 weeks) |
| Molecular complete remission (molecular CR) rate | mCR is defined as the absence of detectable PML-RARA fusion transcript in bone marrow assessed by a validated quantitative reverse transcription polymerase chain reaction (RT-qPCR) assay .The mCR rate is defined as the proportion of participants achieving molecular remission at the specified assessment time point following induction and consolidation therapy. | Up to 60 days of induction and 3 8-week cycles of consolidation treatment |
| Measure | Description | Time Frame |
|---|---|---|
| To characterize the safety and tolerability of QTX-2101/ATRA and IV ATO/ATRA | Treatment emergent adverse events | Throughout approximately 10 months of study treatment |
| To characterize the event-free survival (EFS) of QTX-2101/ATRA |
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Inclusion Criteria:
Exclusion Criteria
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Quetzal Site 1 | Recruiting | Duarte | California | 91010 | United States |
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| Label | URL |
|---|---|
| Oral arsenic trioxide ORH-2014 pharmacokinetic and safety profile in patients with advanced hematologic disorders | View source |
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| IV arsenic trioxide (ATO) + ATRA | Drug | The comparator regimen consists of IV ATO administered once daily during induction, given continuously, for up to a maximum of 60 days. During consolidation, IV ATO is administered once daily, per investigator's protocol. ATRA is administered orally in two divided daily doses during induction, given continuously until bone marrow remission (not exceeding 60 days). During consolidation, ATRA is taken orally in two divided daily doses following a 2-weeks-on / 2-weeks-off schedule within each 8-week cycle. |
|
| Assessed for up to 3 years after the first dose of treatment, or until treatment failure (disease progression), death, or study completion, whichever occurs first |
| Area under the plasma concentration-time curve (AUC) of QTX-2101 for ASIII | AUC is defined as the area under the plasma concentration-time curve from time zero to the last measurable concentration (AUC₀-t) and/or extrapolated to infinity (AUC₀-∞), calculated using noncompartmental methods. | Up to 10 months |
| To complete a model-based concentration QT relationship evaluation | Time-matched difference in change from baseline in QTcF interval between active treatment and placebo, derived from triplicate 12-lead ECGs at each post-dose time point | Up to 10 months |
| EORTC QLQ-C30 domain unit of measure and measurement tool | Change from baseline in EORTC QLQ-C30 global health status (0-100 scale) | Up to 10 months |
| EQ-5D-5L domain unit of measure and measurement tool | Change from baseline in EQ-5D-5L index score (0-100) | Up to 10 months |
| Overall Survival | OS is defined as the time from randomization to death from any cause. Participants who are alive at the time of analysis will be censored at the date last known to be alive. | Assessed for up to 3 years after the first dose of treatment, or until treatment failure (disease progression), death, or study completion, whichever occurs first |
| Event Free Survival (EFS) | EFS is defined as the time from randomization to the first occurrence of any of the following events: failure to achieve hematologic or molecular remission, relapse (hematologic or molecular), or death from any cause. Participants without an event at the time of analysis will be censored at the date of last adequate disease assessment. | Assessed for up to 3 years after the first dose of treatment, or until treatment failure (disease progression), death, or study completion, whichever occurs first |
| Quetzal Site 7 | Recruiting | Los Angeles | California | 90033 | United States |
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| Quetzal Site 5 | Recruiting | Stanford | California | 94305 | United States |
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| Quetzal Site 4 | Recruiting | Buffalo | New York | 14203 | United States |
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| Quetzal Site 2 | Recruiting | The Bronx | New York | 10467 | United States |
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| Quetzal Site 8 | Recruiting | Columbus | Ohio | 43210 | United States |
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| Quetzal Site 6 | Recruiting | Houston | Texas | 77030 | United States |
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| Quetzal Site 3 | Recruiting | Charlottesville | Virginia | 22908 | United States |
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| Quetzal Site 11 | Recruiting | Palma de Mallorca | Balearic Islands | 07120 | Spain |
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| Quetzal Site 10 | Recruiting | Cáceres | 10003 | Spain |
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| Quetzal Site 9 | Recruiting | Valencia | 46026 | Spain |
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| ID | Term |
|---|---|
| D015473 | Leukemia, Promyelocytic, Acute |
| D009369 | Neoplasms |
| D007938 | Leukemia |
| D006402 | Hematologic Diseases |
| D019337 | Hematologic Neoplasms |
| ID | Term |
|---|---|
| D015470 | Leukemia, Myeloid, Acute |
| D007951 | Leukemia, Myeloid |
| D009370 | Neoplasms by Histologic Type |
| D006425 | Hemic and Lymphatic Diseases |
| D009371 | Neoplasms by Site |
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| ID | Term |
|---|---|
| D014212 | Tretinoin |
| D000077237 | Arsenic Trioxide |
| ID | Term |
|---|---|
| D014801 | Vitamin A |
| D012176 | Retinoids |
| D002338 | Carotenoids |
| D011090 | Polyenes |
| D000475 | Alkenes |
| D006839 | Hydrocarbons, Acyclic |
| D006838 | Hydrocarbons |
| D009930 | Organic Chemicals |
| D053138 | Cyclohexenes |
| D003510 | Cyclohexanes |
| D003516 | Cycloparaffins |
| D006840 | Hydrocarbons, Alicyclic |
| D006844 | Hydrocarbons, Cyclic |
| D013729 | Terpenes |
| D004224 | Diterpenes |
| D010860 | Pigments, Biological |
| D001685 | Biological Factors |
| D001152 | Arsenicals |
| D007287 | Inorganic Chemicals |
| D010087 | Oxides |
| D017601 | Oxygen Compounds |
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