Induction Therapy for Patients With FLT3 Mutated Acute Myeloid Leukemia
NCT04982354 · Status: WITHDRAWN · Phase: PHASE1/PHASE2 · Type: INTERVENTIONAL
Last updated 2024-10-01
Summary
This is a pilot study designed to identify the effect of daunorubicin-cytarabine liposome (CPX-351) in combination with a FLT3-inhibitor (midostaurin) as induction and consolidation therapy for patients with high-risk FLT3 mutated acute myeloid leukemia (AML) and subsequent CD34+-selected allogeneic stem cell transplant from HLA compatible related or unrelated donors.
Conditions
Interventions
- DRUG
-
CPX-351
For this trial, patients will be treated with CPX-351 100 (daunorubicin 44 mg/m2 and cytarabine 100 mg/m2) for 3 doses on days 1, 3 and 5 of one and on days 1 + 3 of a second cycle of induction therapy, depending on response obtained following the first induction. Thereafter, up to 2 cycles of consolidation therapy of 2 doses on days 1 and 3 of daunorubicin 29 mg/m2 and cytarabine 65 mg/m2 will be administered to the patients.
- DRUG
-
Midostaurin
The FLT3 directed inhibitor, midostaurin, will be given at a dose of 50mg twice daily, starting on day 8 through day 21 of each cycle of CPX-351 until admission for allogeneic stem cell transplant.
- DRUG
-
Busulfan
0.8 mg/kg/dose every six hours x 12 doses administered intravenously
- DRUG
-
Melphalan
70 mg/m2/day x 2 doses administered intravenously
- DRUG
-
25 mg/m2/day x 5 doses administered intravenously
- BIOLOGICAL
-
CD34+ selected allogeneic stem cell transplant from an HLA-compatible donor
Allogeneic stem cell transplant infused intravenously
Sponsors & Collaborators
- collaborator INDUSTRY
-
Guenther Koehne
lead OTHER
Principal Investigators
-
Guenther Koehne, MD. PhD · Miami Cancer Institute at Baptist Health of South Florida
Study Design
- Allocation
- NA
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- SINGLE_GROUP
Eligibility
- Min Age
- 18 Years
- Max Age
- 74 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-07-05
- Primary Completion
- 2031-08-01
- Completion
- 2032-08-01
- FDA Drug
- Yes
Countries
- United States
Study Locations
More Related Trials
-
Myeloablative Haploidentical BMT With Post-transplant Cyclophosphamide for Pediatric Patients With Hematologic Malignancies
NCT02120157 ·Status: COMPLETED ·Phase: PHASE2
-
Alemtuzumab, Fludarabine, and Busulfan Followed By Donor Stem Cell Transplant in Treating Young Patients With Hematologic Disorders
NCT00301834 ·Status: COMPLETED ·Phase: PHASE2
-
Sibling and Unrelated Donor Hematopoietic Cell Transplant in Hematologic Malignancies
NCT00186342 ·Status: COMPLETED ·Phase: NA
-
Intensity Modulated Total Marrow Irradiation in Fully Human Leukocyte Antigen (HLA)-Matched and Partially-HLA Mismatched Allogeneic Transplantation Patients With High-Risk Acute Myeloid Leukemia (AML), Chronic Myeloid Leukemia (CML), and Myelodysplastic Syndrome (MDS)
NCT06802315 ·Status: RECRUITING ·Phase: PHASE2
-
Targeted Marrow Irradiation, Fludarabine Phosphate, and Busulfan Before Donor Progenitor Cell Transplant in Treating Patients With Hematologic Malignancies
NCT02129582 ·Status: COMPLETED ·Phase: PHASE1
-
Treosulfan and Fludarabine in Treating Younger Patients Who Are Undergoing a Donor Stem Cell Transplant for Acute Myeloid Leukemia, Acute Lymphoblastic Leukemia, or Myelodysplastic Syndrome
NCT00253513 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Busulfan-fludarabine Conditioning and T-cell Depleted Allogeneic Stem Cell Transplantation for Patients With Advanced Hematologic Malignancies
NCT00943319 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Fludarabine and Busulfan Followed by Donor Peripheral Stem Cell Transplant and Antithymocyte Globulin, Tacrolimus, and Methotrexate in Treating Patients With Myeloid Cancer
NCT00346359 ·Status: COMPLETED ·Phase: PHASE2
-
Combined Haploidentical-Cord Blood Transplantation for Adults and Children
NCT00943800 ·Status: COMPLETED ·Phase: NA
-
Allogeneic Hematopoietic Cell Transplantation for Patients With Busulfex-based Regimen
NCT00448357 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
HLA-Mismatched Unrelated Donor Peripheral Blood Stem Cell Transplantation With Reduced Dose Post Transplantation Cyclophosphamide GvHD Prophylaxis
NCT06001385 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
CD34 Selected Allogeneic HCT w/ Myeloablative Conditioning Plus CD8+ Memory TCell Infusion in MDS, AL and CML
NCT04151706 ·Status: COMPLETED ·Phase: PHASE2
-
Hyperbaric Oxygen Therapy and Allogeneic Peripheral Blood Stem Cell (PBSC) Transplant
NCT03964506 ·Status: RECRUITING ·Phase: EARLY_PHASE1
-
CD123 Redirected T Cells for AML in Pediatric Subjects
NCT04678336 ·Status: TERMINATED ·Phase: PHASE1
-
Fludarabine Phosphate, Busulfan, and Anti-Thymocyte Globulin Followed By Donor Peripheral Blood Stem Cell Transplant, Tacrolimus, and Methotrexate in Treating Patients With Myeloid Malignancies
NCT01056614 ·Status: COMPLETED ·Phase: PHASE2
-
Stem Cell Transplantation for Hematological Malignancies
NCT00176839 ·Status: TERMINATED ·Phase: PHASE2/PHASE3
-
T-cell Receptor α/β Depleted Donor Lymphocyte Infusion
NCT05350163 ·Status: TERMINATED ·Phase: PHASE1
-
Stem Cell Transplant to Treat Patients With Favorable or Intermediate Risk Minimal Residual Disease Negative Acute Myeloid Leukemia
NCT03515707 ·Status: WITHDRAWN ·Phase: PHASE2
-
Busulfan, Cyclophosphamide, and Melphalan or Busulfan and Fludarabine Phosphate Before Donor Hematopoietic Cell Transplant in Treating Younger Patients With Juvenile Myelomonocytic Leukemia
NCT01824693 ·Status: COMPLETED ·Phase: PHASE2
-
Fludarabine, Cyclophosphamide, and Total-Body Irradiation in Treating Patients Who Are Undergoing a Donor Bone Marrow Transplant for Hematologic Cancer
NCT00134004 ·Status: COMPLETED ·Phase: PHASE2
-
Allogeneic Transplantation for Pediatric Leukemias With Unrelated Donors
NCT00679536 ·Status: UNKNOWN ·Phase: PHASE1/PHASE2
-
Busulfan, Etoposide, and Total-Body Irradiation in Treating Patients Undergoing Donor Stem Cell or Bone Marrow Transplant for Advanced Hematologic Cancer
NCT00534430 ·Status: ACTIVE_NOT_RECRUITING ·Phase: PHASE2
-
Anti-Third Party T Lymphocytes With Nonmyeloablative Stem Cell Transplantation for Indolent Lymphoid Malignancies
NCT00473551 ·Status: TERMINATED ·Phase: PHASE1
-
Fludarabine and Cyclophosphamide in Treating Patients Who Are Undergoing Donor Stem Cell Transplant for Chronic Lymphocytic Leukemia or Waldenstrom's Macroglobulinemia
NCT00281983 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Gemcitabine Plus Busulfan, Melphalan and Hematopoietic Cell Transplant for Advanced Lymphoid Malignancies
NCT00410982 ·Status: COMPLETED ·Phase: PHASE1