Trial Outcomes & Findings for Cytarabine and Daunorubicin Hydrochloride in Treating Patients With Newly Diagnosed Acute Myeloid Leukemia (NCT NCT02971397)

NCT ID: NCT02971397

Last Updated: 2026-03-23

Results Overview

Incidence of cardiac toxicity, defined as reduction in LVEF of \>= 10% compared to baseline LVEF and EF =\< 50% on the follow-up scan, assessed using MRI.

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

40 participants

Primary outcome timeframe

Baseline up to 3 months

Results posted on

2026-03-23

Participant Flow

Participant milestones

Participant milestones
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Overall Study
STARTED
40
Overall Study
COMPLETED
12
Overall Study
NOT COMPLETED
28

Reasons for withdrawal

Reasons for withdrawal
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Overall Study
Lack of Efficacy
5
Overall Study
Adverse Event
3
Overall Study
Death
7
Overall Study
Withdrawal by Subject
1
Overall Study
Physician Decision
12

Baseline Characteristics

Cytarabine and Daunorubicin Hydrochloride in Treating Patients With Newly Diagnosed Acute Myeloid Leukemia

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=40 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Race (NIH/OMB)
Asian
0 Participants
n=10 Participants
Age, Continuous
60.1 years
STANDARD_DEVIATION 15.5 • n=10 Participants
Sex: Female, Male
Female
22 Participants
n=10 Participants
Sex: Female, Male
Male
18 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
40 Participants
n=10 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=10 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=10 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=10 Participants
Race (NIH/OMB)
Black or African American
7 Participants
n=10 Participants
Race (NIH/OMB)
White
33 Participants
n=10 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=10 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=10 Participants

PRIMARY outcome

Timeframe: Baseline up to 3 months

Population: Patients with both a baseline and a 3 month follow-up MRI

Incidence of cardiac toxicity, defined as reduction in LVEF of \>= 10% compared to baseline LVEF and EF =\< 50% on the follow-up scan, assessed using MRI.

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=21 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Number of Participants With Cardiac Toxicity, Defined as Reduction in LVEF of >= 10% Compared to Baseline LVEF and EF =< 50% on the Follow-up Scan, Assessed Using MRI
3 Participants

PRIMARY outcome

Timeframe: Up to 30 days after last dose of study drug

Unexpected toxicities (exclude hematologic and infectious) ≥ grade 3, as measured by CTCAE v 4.0

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=40 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Alkalosis
3 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Anxiety
2 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Atrial fibrillation
3 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Atrial flutter
1 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Bone pain
2 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Cardiac arrest
2 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Encephalopathy
2 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Hyperglycemia
14 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Hypertension
25 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Hypoglycemia
2 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Pain
2 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Ventricular fibrillation
1 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Ventricular tachycardia
2 events
Unexpected Toxicities (Exclude Hematologic and Infectious) ≥ Grade 3, as Measured by CTCAE v 4.0
Blood and lymphatic system disorders - Other: Acute blood loss
1 events

PRIMARY outcome

Timeframe: 72 hours

Will report these proportions with 95% confidence intervals.

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=40 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Proportion of Patients Who Complete the Infusion Therapy
40 Participants

PRIMARY outcome

Timeframe: Approximately 1 year, 5 months

Will report these proportions with 95% confidence intervals.

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=40 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Proportion of Patients With Study-related Deviations
1 Participants

PRIMARY outcome

Timeframe: Baseline up to 3 months after last dose of study drug

Population: Patients with both baseline and 3 month ECHO evaluations

Incidence of cardiac toxicity, defined as reduction in LVEF of \>= 10% compared to baseline LVEF and EF =\< 50% on the follow-up scan, assessed using ECHO.

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=23 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Incidence of Cardiac Toxicity, Defined as Reduction in LVEF of >= 10% Compared to Baseline LVEF and EF =< 50% on the Follow-up Scan, Assessed Using ECHO
4 Participants

SECONDARY outcome

Timeframe: Baseline and 3 months

Population: The sample size at each time point is restricted from the initial sample size due to loss to follow-up and some invalid/incomplete tests.

Ejection Fraction at baseline, 3 months, and change from baseline to 3 months

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=40 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
EF, Assessed by MRI and ECHO
3 months ECHO
53.6 percentage of ejection fraction
Standard Deviation 8.8
EF, Assessed by MRI and ECHO
Change from baseline to 3 months ECHO
-3.5 percentage of ejection fraction
Standard Deviation 8.6
EF, Assessed by MRI and ECHO
Baseline MRI
59.8 percentage of ejection fraction
Standard Deviation 6.3
EF, Assessed by MRI and ECHO
3 months MRI
56.7 percentage of ejection fraction
Standard Deviation 7.9
EF, Assessed by MRI and ECHO
Change from baseline to 3 months MRI
-4.0 percentage of ejection fraction
Standard Deviation 8.0
EF, Assessed by MRI and ECHO
Baseline ECHO
56.3 percentage of ejection fraction
Standard Deviation 5.2

SECONDARY outcome

Timeframe: Baseline up to 6 months after last dose of study drug

Population: Patients with baseline and 6 month MRI data

Incidence of cardiac toxicity, defined as reduction in LVEF of \>= 10% compared to baseline LVEF and EF =\< 50% on the follow-up scan, assessed using MRI.

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=9 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Incidence of Cardiac Toxicity, Defined as Reduction in LVEF of >= 10% Compared to Baseline LVEF and EF =< 50% on the Follow-up Scan, Assessed Using MRI
1 Participants

SECONDARY outcome

Timeframe: Baseline up to 6 months after last dose of study drug

Population: The sample size at each time point is restricted from the initial sample size due to loss to follow-up and some invalid/incomplete tests.

Left ventricular end diastolic volume assessed by MRI and ECHO at baseline, 3 months, and change from baseline to 3 months.

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=40 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Change in Left Ventricular End Diastolic Volume, Assessed by MRI and ECHO
Baseline ECHO
98.6 ml
Standard Deviation 31.2
Change in Left Ventricular End Diastolic Volume, Assessed by MRI and ECHO
3 month ECHO
99.0 ml
Standard Deviation 35.6
Change in Left Ventricular End Diastolic Volume, Assessed by MRI and ECHO
Change from baseline to 3 months ECHO
-5.2 ml
Standard Deviation 35.3
Change in Left Ventricular End Diastolic Volume, Assessed by MRI and ECHO
Change from baseline to 3 months MRI
2.5 ml
Standard Deviation 28.4
Change in Left Ventricular End Diastolic Volume, Assessed by MRI and ECHO
Baseline MRI
140.4 ml
Standard Deviation 33.2
Change in Left Ventricular End Diastolic Volume, Assessed by MRI and ECHO
3 months MRI
141.3 ml
Standard Deviation 46.5

SECONDARY outcome

Timeframe: Baseline, 3 months

Population: The sample size at each time point is restricted from the initial sample size due to loss to follow-up and some invalid/incomplete tests.

Left ventricular end systolic volume assessed by MRI and ECHO at baseline, 3 months, and change from baseline to 3 months.

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=40 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Left Ventricular End Systolic Volume, Assessed by MRI and ECHO
Baseline MRI
56.9 ml
Standard Deviation 17.7
Left Ventricular End Systolic Volume, Assessed by MRI and ECHO
3 month MRI
60.7 ml
Standard Deviation 22.0
Left Ventricular End Systolic Volume, Assessed by MRI and ECHO
Change from baseline to 3 months MRI
6.0 ml
Standard Deviation 14.1
Left Ventricular End Systolic Volume, Assessed by MRI and ECHO
Baseline ECHO
40.1 ml
Standard Deviation 15.7
Left Ventricular End Systolic Volume, Assessed by MRI and ECHO
3 months ECHO
40.5 ml
Standard Deviation 14.1
Left Ventricular End Systolic Volume, Assessed by MRI and ECHO
Change from baseline to 3 months ECHO
-2.0 ml
Standard Deviation 17.1

SECONDARY outcome

Timeframe: Baseline and 3 months

Population: GLS was not collected in the majority of the patients at both baseline and 3 months due to observed significant variations in image quality and processing, rendering any comparisons to be suboptimal.

Myocardial strain (Global Longitudinal Strain %) assessed by ECHO at baseline, 3 months, and change from baseline to 3 months. GLS was not measured with MRI.

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=13 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Myocardial Strain, Assessed by MRI and ECHO
Baseline
-20.2 percentage of original length
Standard Deviation 2.2
Myocardial Strain, Assessed by MRI and ECHO
3 months
-18.5 percentage of original length
Standard Deviation 2.4
Myocardial Strain, Assessed by MRI and ECHO
Change: 3 months - baseline
1.7 percentage of original length
Standard Deviation 3.2

SECONDARY outcome

Timeframe: From the date of CR until relapse from CR or death, approximately 1 year, 9 months

Population: Restricted to patients that had CR.

Disease-free survival is calculated for patients who achieve CR and measured from the date of CR until relapse from CR or death. Observation is censored at the date of last follow-up for patients last known to be alive without report of relapse.

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=23 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Disease-free Survival for Those Patients Who Achieve Remission
16.5 months
Interval 2.4 to 24.0

SECONDARY outcome

Timeframe: Up to 28 days

Number of patients who had an induction death

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=40 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Induction Death Rate
5 Participants

SECONDARY outcome

Timeframe: Approximately 1 year and 9 months

Overall response rate, defined as CR + CRi. Per Response Evaluation Criteria In Solid Tumors Criteria (RECIST v1.0) for target lesions and assessed by MRI: Complete Response (CR), Disappearance of all target lesions; Partial Response (PR), \>=30% decrease in the sum of the longest diameter of target lesions; Overall Response (OR) = CR + PR.", or similar definition that is accurate and appropriate.

Outcome measures

Outcome measures
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=40 Participants
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Overall Response Rate, Defined as CR + CRi
23 Participants

Adverse Events

Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)

Serious events: 40 serious events
Other events: 40 other events
Deaths: 9 deaths

Serious adverse events

Serious adverse events
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=40 participants at risk
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Blood and lymphatic system disorders
Anemia
17.5%
7/40 • Number of events 8 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Blood and lymphatic system disorders
Leukocytosis
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other: Acute blood loss
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Cardiac arrest
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Ventricular fibrillation
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Ventricular tachycardia
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Cardiac disorders - Other: Cardiomegaly
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Diarrhea
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
General disorders and administration site conditions - Other: Died from disease
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
General disorders and administration site conditions - Other: Hypovolemic shock
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Hepatobiliary disorders
Hepatic failure
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Lung infection
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Sepsis
20.0%
8/40 • Number of events 8 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Infections and infestations - Other:
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Infections and infestations - Other: Influenza A
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Alanine aminotransferase increased
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Aspartate aminotransferase increased
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Blood bilirubin increased
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Electrocardiogram QT corrected interval prolonged
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Lymphocyte count decreased
80.0%
32/40 • Number of events 50 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Neutrophil count decreased
97.5%
39/40 • Number of events 86 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Platelet count decreased
100.0%
40/40 • Number of events 105 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
White blood cell decreased
92.5%
37/40 • Number of events 94 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Acidosis
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Dehydration
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hyperkalemia
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hypoalbuminemia
5.0%
2/40 • Number of events 2 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hypoglycemia
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Tumor lysis syndrome
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Musculoskeletal and connective tissue disorders
Back pain
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Renal and urinary disorders
Acute kidney injury
5.0%
2/40 • Number of events 2 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Renal and urinary disorders
Chronic kidney disease
5.0%
2/40 • Number of events 2 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Adult respiratory distress syndrome
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Pneumonitis
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Respiratory failure
10.0%
4/40 • Number of events 4 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Vascular disorders
Hypotension
2.5%
1/40 • Number of events 1 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.

Other adverse events

Other adverse events
Measure
Treatment (Cytarabine, Daunorubicin Hydrochloride, Biopsy)
n=40 participants at risk
INDUCTION: Patients receive cytarabine IV continuously over 24 hours on days 1-7 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-3 in the absence of disease progression or unacceptable toxicity. Patients then undergo bone marrow aspirate and biopsy on day 14. Patients with bone marrow cellularity \>= 10% and \> 5% leukemic blasts, may receive a second induction of cytarabine IV continuously over 24 hours on days 1-5 and daunorubicin hydrochloride IV continuously over 24 hours on days 1-2 in the absence of disease progression or unacceptable toxicity. CONSOLIDATION: Patients achieving remission receive cytarabine IV over 3 hours every 12 hours on days 1, 3, and 5. Treatment repeats every 28 days for up to 3 courses in the absence of disease progression or unacceptable toxicity. Patients with CBF AML may receive 4 courses of therapy. Bone Marrow Aspiration and Biopsy: Undergo bone marrow aspiration and biopsy Cytarabine: Given IV Daunorubicin Hydrochloride: Given IV Laboratory Biomarker Analysis: Correlative studies
Eye disorders
Blurred vision
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Eye disorders
Dry eye
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Eye disorders
Eye pain
15.0%
6/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Ear and labyrinth disorders
Ear pain
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Blood and lymphatic system disorders
Anemia
80.0%
32/40 • Number of events 101 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Blood and lymphatic system disorders
Disseminated intravascular coagulation
70.0%
28/40 • Number of events 44 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Blood and lymphatic system disorders
Febrile neutropenia
52.5%
21/40 • Number of events 30 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Blood and lymphatic system disorders
Lymph node pain
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Blood and lymphatic system disorders
Blood and lymphatic system disorders - Other:
10.0%
4/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Atrial fibrillation
12.5%
5/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Chest pain - cardiac
15.0%
6/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Heart failure
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Left ventricular systolic dysfunction
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Palpitations
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Pericardial effusion
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Sinus bradycardia
15.0%
6/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Sinus tachycardia
52.5%
21/40 • Number of events 30 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Ventricular tachycardia
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Cardiac disorders
Cardiac disorders - Other:
25.0%
10/40 • Number of events 14 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Eye disorders
Photophobia
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Eye disorders
Watering eyes
7.5%
3/40 • Number of events 4 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Eye disorders
Eye disorders - Other:
10.0%
4/40 • Number of events 4 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Abdominal distension
20.0%
8/40 • Number of events 8 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Abdominal pain
65.0%
26/40 • Number of events 38 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Anal hemorrhage
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Ascites
10.0%
4/40 • Number of events 4 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Bloating
7.5%
3/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Constipation
60.0%
24/40 • Number of events 42 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Diarrhea
77.5%
31/40 • Number of events 54 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Dry mouth
32.5%
13/40 • Number of events 15 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Dysphagia
27.5%
11/40 • Number of events 12 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Fecal incontinence
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Flatulence
15.0%
6/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Gastroesophageal reflux disease
35.0%
14/40 • Number of events 16 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Hemorrhoids
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Lip pain
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Mucositis oral
27.5%
11/40 • Number of events 16 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Nausea
77.5%
31/40 • Number of events 65 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Oral hemorrhage
25.0%
10/40 • Number of events 15 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Oral pain
47.5%
19/40 • Number of events 37 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Rectal hemorrhage
10.0%
4/40 • Number of events 4 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Rectal pain
10.0%
4/40 • Number of events 4 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Vomiting
65.0%
26/40 • Number of events 36 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Gastrointestinal disorders
Gastrointestinal disorders - Other:
47.5%
19/40 • Number of events 41 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
Chills
40.0%
16/40 • Number of events 20 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
Edema face
17.5%
7/40 • Number of events 7 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
Edema limbs
70.0%
28/40 • Number of events 51 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
Fatigue
87.5%
35/40 • Number of events 65 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
Fever
72.5%
29/40 • Number of events 48 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
Injection site reaction
17.5%
7/40 • Number of events 8 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
Localized edema
7.5%
3/40 • Number of events 4 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
Malaise
22.5%
9/40 • Number of events 10 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
Non-cardiac chest pain
27.5%
11/40 • Number of events 12 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
Pain
47.5%
19/40 • Number of events 37 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
General disorders
General disorders and administration site conditions - Other:
45.0%
18/40 • Number of events 31 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Catheter related infection
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Lung infection
27.5%
11/40 • Number of events 13 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Mucosal infection
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Skin infection
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Upper respiratory infection
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Urinary tract infection
10.0%
4/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Vaginal infection
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Infections and infestations
Infections and infestations - Other:
30.0%
12/40 • Number of events 19 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Injury, poisoning and procedural complications
Bruising
35.0%
14/40 • Number of events 19 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Injury, poisoning and procedural complications
Fall
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Injury, poisoning and procedural complications
Injury, poisoning and procedural complications - Other:
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Activated partial thromboplastin time prolonged
35.0%
14/40 • Number of events 15 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Alanine aminotransferase increased
60.0%
24/40 • Number of events 40 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Alkaline phosphatase increased
42.5%
17/40 • Number of events 24 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Aspartate aminotransferase increased
65.0%
26/40 • Number of events 41 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Blood bilirubin increased
72.5%
29/40 • Number of events 56 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Cardiac troponin I increased
25.0%
10/40 • Number of events 10 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Creatinine increased
27.5%
11/40 • Number of events 15 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Ejection fraction decreased
10.0%
4/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Electrocardiogram QT corrected interval prolonged
22.5%
9/40 • Number of events 12 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Lymphocyte count decreased
17.5%
7/40 • Number of events 57 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Weight gain
47.5%
19/40 • Number of events 30 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
Weight loss
55.0%
22/40 • Number of events 33 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Investigations
White blood cell decreased
7.5%
3/40 • Number of events 13 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Alkalosis
15.0%
6/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Anorexia
90.0%
36/40 • Number of events 59 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Dehydration
15.0%
6/40 • Number of events 8 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hyperglycemia
97.5%
39/40 • Number of events 108 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hyperkalemia
27.5%
11/40 • Number of events 12 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hypermagnesemia
32.5%
13/40 • Number of events 13 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hypernatremia
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hyperuricemia
17.5%
7/40 • Number of events 10 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hypoalbuminemia
92.5%
37/40 • Number of events 88 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hypocalcemia
80.0%
32/40 • Number of events 45 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hypoglycemia
15.0%
6/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hypokalemia
87.5%
35/40 • Number of events 67 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hypomagnesemia
90.0%
36/40 • Number of events 76 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hyponatremia
75.0%
30/40 • Number of events 59 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Hypophosphatemia
62.5%
25/40 • Number of events 32 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Metabolism and nutrition disorders
Tumor lysis syndrome
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Musculoskeletal and connective tissue disorders
Arthralgia
17.5%
7/40 • Number of events 7 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Musculoskeletal and connective tissue disorders
Back pain
42.5%
17/40 • Number of events 25 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Musculoskeletal and connective tissue disorders
Bone pain
22.5%
9/40 • Number of events 14 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Musculoskeletal and connective tissue disorders
Chest wall pain
15.0%
6/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Musculoskeletal and connective tissue disorders
Generalized muscle weakness
42.5%
17/40 • Number of events 23 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Musculoskeletal and connective tissue disorders
Muscle weakness lower limb
10.0%
4/40 • Number of events 4 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Musculoskeletal and connective tissue disorders
Myalgia
15.0%
6/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Musculoskeletal and connective tissue disorders
Neck pain
20.0%
8/40 • Number of events 10 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Musculoskeletal and connective tissue disorders
Pain in extremity
30.0%
12/40 • Number of events 20 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Musculoskeletal and connective tissue disorders
Musculoskeletal and connective tissue disorder - Other:
25.0%
10/40 • Number of events 16 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Nervous system disorders
Dizziness
35.0%
14/40 • Number of events 20 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Nervous system disorders
Dysgeusia
50.0%
20/40 • Number of events 32 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Nervous system disorders
Encephalopathy
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Nervous system disorders
Headache
72.5%
29/40 • Number of events 51 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Nervous system disorders
Lethargy
22.5%
9/40 • Number of events 9 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Nervous system disorders
Peripheral sensory neuropathy
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Nervous system disorders
Presyncope
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Nervous system disorders
Somnolence
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Nervous system disorders
Tremor
15.0%
6/40 • Number of events 8 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Nervous system disorders
Nervous system disorders - Other:
10.0%
4/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Psychiatric disorders
Agitation
10.0%
4/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Psychiatric disorders
Anxiety
42.5%
17/40 • Number of events 28 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Psychiatric disorders
Confusion
15.0%
6/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Psychiatric disorders
Delirium
10.0%
4/40 • Number of events 4 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Psychiatric disorders
Depression
20.0%
8/40 • Number of events 10 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Psychiatric disorders
Hallucinations
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Psychiatric disorders
Insomnia
30.0%
12/40 • Number of events 20 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Renal and urinary disorders
Acute kidney injury
15.0%
6/40 • Number of events 8 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Renal and urinary disorders
Chronic kidney disease
32.5%
13/40 • Number of events 16 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Renal and urinary disorders
Hematuria
25.0%
10/40 • Number of events 10 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Renal and urinary disorders
Proteinuria
27.5%
11/40 • Number of events 13 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Renal and urinary disorders
Urinary frequency
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Renal and urinary disorders
Urinary incontinence
10.0%
4/40 • Number of events 4 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Renal and urinary disorders
Urinary tract pain
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Renal and urinary disorders
Urinary urgency
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Renal and urinary disorders
Renal and urinary disorders - Other:
10.0%
4/40 • Number of events 6 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Reproductive system and breast disorders
Menorrhagia
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Reproductive system and breast disorders
Vaginal hemorrhage
10.0%
4/40 • Number of events 10 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Reproductive system and breast disorders
Reproductive system and breast disorders - Other:
12.5%
5/40 • Number of events 7 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Atelectasis
25.0%
10/40 • Number of events 11 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Bronchopulmonary hemorrhage
10.0%
4/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Cough
57.5%
23/40 • Number of events 25 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Dyspnea
70.0%
28/40 • Number of events 38 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Epistaxis
47.5%
19/40 • Number of events 29 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Hypoxia
37.5%
15/40 • Number of events 15 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
30.0%
12/40 • Number of events 17 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Pleural effusion
37.5%
15/40 • Number of events 18 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Postnasal drip
12.5%
5/40 • Number of events 8 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Productive cough
22.5%
9/40 • Number of events 12 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Pulmonary edema
22.5%
9/40 • Number of events 10 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Sore throat
32.5%
13/40 • Number of events 16 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Wheezing
25.0%
10/40 • Number of events 10 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Respiratory, thoracic and mediastinal disorders
Respiratory, thoracic and mediastinal disorders - Other:
32.5%
13/40 • Number of events 24 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Skin and subcutaneous tissue disorders
Alopecia
15.0%
6/40 • Number of events 10 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Skin and subcutaneous tissue disorders
Dry skin
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Skin and subcutaneous tissue disorders
Pruritus
37.5%
15/40 • Number of events 29 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Skin and subcutaneous tissue disorders
Purpura
22.5%
9/40 • Number of events 10 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Skin and subcutaneous tissue disorders
Rash acneiform
7.5%
3/40 • Number of events 3 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Skin and subcutaneous tissue disorders
Rash maculo-papular
25.0%
10/40 • Number of events 17 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Skin and subcutaneous tissue disorders
Urticaria
10.0%
4/40 • Number of events 4 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Skin and subcutaneous tissue disorders
Skin and subcutaneous tissue disorders - Other:
65.0%
26/40 • Number of events 55 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Vascular disorders
Hematoma
15.0%
6/40 • Number of events 7 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Vascular disorders
Hot flashes
10.0%
4/40 • Number of events 8 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Vascular disorders
Hypertension
47.5%
19/40 • Number of events 37 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Vascular disorders
Hypotension
25.0%
10/40 • Number of events 14 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Vascular disorders
Superficial thrombophlebitis
12.5%
5/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.
Vascular disorders
Thromboembolic event
10.0%
4/40 • Number of events 5 • From start of treatment until 30 days post treatment. Average time of 3.4 months with a maximum of 9.4 months.

Additional Information

Principal Investigator

Wake Forest Baptist Comprehensive Cancer Center

Phone: 336-716-4464

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place