Status:
TERMINATED
Efficacy and Safety of Decitabine as Epigenetic Priming With Induction Chemotherapy in Pediatric Acute Myelogenous Leukemia (AML) Subjects
Lead Sponsor:
Eisai Inc.
Conditions:
Pediatric Acute Myelogenous Leukemia (AML)
Eligibility:
All Genders
1-16 years
Phase:
PHASE2
Brief Summary
The purpose of this study is to provide data on the activity of a standard daunorubicin, cytarabine, and etoposide (ADE) induction plus epigenetic priming with decitabine as assessed by standard measu...
Eligibility Criteria
Inclusion
- Inclusion Criteria
- Males and females, age 1 to 16 years, inclusive
- Females of childbearing potential must have a negative serum beta human chorionic gonadotropin ( B-hCG) at Visit 1 (Screening) and a negative urine pregnancy test prior to starting study drugs (Visit 2). Female subjects of childbearing potential must agree to be abstinent or to use a highly effective method of contraception (eg, condom + spermicide, condom + diaphragm with spermicide, intrauterine devise (IUD), or have a vasectomised partner) for at least one menstrual cycle prior to starting study drug(s) and throughout the Randomization Phase or 30 days after the last dose of study drug. Those females using hormonal contraceptives must also be using an additional approved method of contraception (as described previously)
- Sexually mature male patients who are not abstinent or have not undergone a successful vasectomy, who are partners of women of childbearing potential must use, or their partners must use a highly effective method of contraception (eg, condom + spermicide, condom + diaphragm with spermicide, IUD) starting for at least one menstrual cycle prior to starting study drug(s) and throughout the Randomization Phase and for 30 days (longer if appropriate) after the last dose of study drug. Those with partners using hormonal contraceptives must also be using an additional approved method of contraception (as described previously)
- Diagnosis of acute myelogenous leukemia ( AML) (bone marrow or peripheral blood blasts greater than or equal to 20%)
- Adequate cardiac function as defined by an echocardiogram or multiple gated acquisition (MUGA) scan demonstrating an ejection fraction greater than 50%
- Are willing and able to comply with all aspects of the protocol
- Provide written informed consent from subject's guardian or legally authorized representative and child assent (if applicable).
- Exclusion Criteria
- Females who are pregnant (positive B-hCG test) or lactating
- History of chronic myelogenous leukemia (CML) \[t(9;22)\]
- Acute promyelocytic leukemia (M3 subtype in French-American-British \[FAB\] classification)
- Known central nervous system (CNS) leukemia
- AML associated with congenital syndromes such as Down syndrome, Fanconi anemia, Bloom syndrome, Kostmann syndrome, or Diamond-Blackfan anemia
- White blood cell (WBC) count greater than 100,000/mm3
- Serum creatinine greater than 2.5 mg/dL
- Alanine aminotransferase (ALT) greater than 5 x upper limit of normal (ULN) and/or total bilirubin greater than 3 x ULN
- Prior chemotherapy (other than hydroxyurea) or radiation therapy for AML
- Known to be human immunodeficiency virus (HIV) positive
- Any history of or concomitant medical condition that, in the opinion of the Investigator, would compromise the subject's ability to safely complete the study
- The Investigator believes the subject to be medically unfit to receive the study drug or unsuitable for any other reason
- Subject with hypersensitivity to decitabine, daunorubicin, cytarabine, or etoposide
- Has participated in a drug trial in the last 4 weeks.
Exclusion
Key Trial Info
Start Date :
March 3 2011
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 19 2013
Estimated Enrollment :
25 Patients enrolled
Trial Details
Trial ID
NCT01177540
Start Date
March 3 2011
End Date
July 19 2013
Last Update
June 28 2022
Active Locations (22)
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1
Phoenix, Arizona, United States
2
Madera, California, United States
3
Aurora, Colorado, United States
4
Miami, Florida, United States