Details

Details

Title A Safety and Tolerability Trial of Crenolanib and Chemotherapy with Cytarabine and Anthracyclines in Patients with Newly Diagnosed Acute Myeloid Leukemia with FLT3 Activating Mutations

IRB AROG1915

CC 15-742

Hospital Main Campus

Disease Leukemia - Acute Myeloid (AML)

Drug Crenolanib , Cytarabine

Description

Description

Primary Objective
  • To determine the safety and tolerability of crenolanib given sequentially with cytarabine and anthracycline chemotherapy for newly diagnosed FLT3 mutant AML.
Secondary Objectives
  • To determine the response rate to induction therapy in newly diagnosed AML subjects with FLT3 activating mutations when crenolanib is given sequentially with standard induction/consolidation chemotherapy, including the rates of complete remission (CR), CR with incomplete blood count recovery (CRi) and partial remission (PR).
  • In those patients achieving response with crenolanib, assess parameters of response including remission duration and Relapse-free survival (RFS)
  • Pharmacokinetic analysis of crenolanib when given with chemotherapy
Inclusion Criteria

Inclusion Criteria

  1. Unequivocal diagnosis of AML based on WHO classification, excluding acute promyelocytic leukemia.
  2. No prior therapy for AML, except for hydroxyurea, in this setting is allowed.
  3. Subjects with AML evolving from MDS may have received prior MDS-directed therapy with demethylating agents.
  4. Subjects must have tested positive for FLT3-ITD and/or other FLT3 activating mutations.
  5. Age ≥18 years
  6. ECOG PS 0 - 2
  7. Adequate liver function, defined as normal bilirubin, ALT ≤2.0x ULN, and AST ≤2.0x ULN measured within 24 hours prior to crenolanib commencement.
  8. Adequate renal function, defined as serum creatinine ≤1.5x ULN or GFR >50 mL/min
  9. Negative pregnancy test (serum or urine) for women of childbearing potential (WOCBP). Women considered not of childbearing potential include any of the following: no menses for at least 2 years or menses within 2 years but amenorrheic for at least 2 months and luteinizing hormone (LH) and follicular stimulating hormone (FSH) values within normal range (according to definition of postmenopausal for laboratory used) or bilateral oophorectomy or radiation castration and amenorrheic for at least 3 months or with bilateral tubal ligation.
  10. WOCBP must practice contraception. Acceptable methods of contraception are double barrier methods (condoms with spermicidal jelly or foam and diaphragm with spermicidal jelly or foam), oral, depo provera, or injectable contraceptives, intrauterine devices, tubal ligations, and abstention.
  11. Male patients (except those with prior surgical contraceptive procedures) with female partners who are of childbearing potential: Recommendation is for male and partner to use effective contraceptive methods, such as latex condoms, during the study.
  12. Able and willing to provide written informed consent.
Exclusion Criteria

Exclusion Criteria

  1. Pre-existing liver diseases (i.e., cirrhosis, chronic hepatitis B or C, nonalcoholic steatohepatitis, and sclerosing cholangitis, etc.)
  2. Active CNS leukemia
  3. Subjects with concurrent severe and/or uncontrolled medical conditions that in the opinion of the investigator may impair the participation in the study or the evaluation of safety and/or efficacy.
  4. NYHA Class III-IV heart failure, myocardial infarction <6 months prior to study entry, and/or serious arrhythmia requiring anti-arrhythmic therapy
  5. Unable to swallow pills
  6. Major surgical procedures within 14 days of administration of crenolanib does not include line placement as needed for chemotherapy administration.
  7. Unwillingness or inability to comply with protocol.
  8. Concurrent use of other investigational agents.