A Safety and Efficacy Study of Eltrombopag in Subjects With AML



Status:Active, not recruiting
Conditions:Other Indications, Blood Cancer, Blood Cancer
Therapuetic Areas:Oncology, Other
Healthy:No
Age Range:18 - Any
Updated:4/21/2016
Start Date:September 2013
End Date:March 2017

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A Randomized, Blinded, Placebo-Controlled, Dose Finding Study to Assess the Safety and Efficacy of the Oral Thrombopoietin Receptor Agonist, Eltrombopag, Administered to Subjects With Acute Myelogenous Leukaemia (AML) Receiving Induction Chemotherapy

The purpose of this randomized, blinded, placebo-controlled study is to provide clinical
safety and exploratory efficacy data on the use of Eltrombopag in adult subjects with Acute
Myeloid Leukemia (AML) receiving standard induction chemotherapy with daunorubicin plus
cytarabine. These safety data are considered necessary to further development of Eltrombopag
in both adult and paediatric patients suffering from malignant diseases with secondary
thrombocytopenia. A minimum of 120 evaluable subjects with newly diagnosed with AML will be
stratified by antecedent malignant hematologic disorder and age.


Inclusion Criteria

- Age >=18 years

- Diagnosed with AML according to the WHO 2008 classification. Note: subjects with
secondary AML following Myelodysplastic syndrome or secondary to previous
leukemogenic therapy are allowed provided that a record of previous MDS history or
leukemogenic therapy history is available.

- Eligible for induction by daunorubicin + cytarabine.

- Eligible to give informed consent to participate in the study.

- Have adequate baseline organ function defined by the following criteria:

Total bilirubin <=1.5 x upper limit of normal (ULN) except for Gilbert's syndrome, or
other conditions that are not indicative of inadequate liver function (i.e. elevation of
indirect bilirubin (haemolytic) in the absence of alanine aminotransferase [ALT]
abnormality).

ALT <=3 x ULN. Serum Creatinine <=2.5 x ULN.

- Adequate cardiac function with LVEF >=50% as assessed by echocardiogram (ECHO) or
Multi Gated Acquisition Scan (MUGA.

- Subjects with a QT interval corrected for heart rate according to Bazett's formula
(QTcB) <450millisecond (msec) or <480msec for subjects with bundle branch block. The
QTc should be based on single or averaged QTc values of triplicate electrocardiograms
(ECGs) obtained over a brief recording period.

- Women must be either of non-childbearing potential or women with child-bearing
potential and men with reproductive potential must be willing to practice acceptable
methods of birth control during the study.

- Men with a female partner of childbearing potential must have either had a prior
vasectomy or agree to use effective contraception from time of randomization until 30
days after the last dose of investigational product.

- Women of childbearing potential must have a negative serum pregnancy test within 7
days of first dose of study treatment and agree to use effective contraception during
the study and for 30 days following the last dose of investigational product.

Exclusion Criteria

- A diagnosis of acute promyelocytic (M3) or acute megakaryocytic leukaemia (M7).

- Previous history of exposure to an anthracycline compound.

- Previous AML treatment (other than hydroxyurea).

- Any serious medical condition, laboratory abnormality, or psychiatric illness that,
in the view of the treating physician, would place the participant at an unacceptable
risk if he or she were to participate in the study or would prevent that person from
giving informed consent.

- History of thromboembolic event or other condition requiring ongoing use of
anticoagulation either with warfarin or low molecular-weight heparin. Note: Occlusion
of a central line is not exclusion.

- Treatment with an investigational drug within 30 days or 5 half lives, whichever is
longer, preceding the first dose of study medication.

- Current and continued use during study treatment period of known Breast cancer
resistance protein (BCRP) inhibitors or known P-gp inhibitors.

- Known active hepatitis B, hepatitis C or Human Immunodeficiency Virus (HIV)
infection.

- Known hypersensitivity to any of the study drugs or its excipients.
We found this trial at
16
sites
Ames, Iowa 50010
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Ames, IA
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Atlanta, Georgia 30341
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Atlanta, GA
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Burlington, Massachusetts 01805
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Burlington, MA
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Canton, Ohio 44708
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Canton, OH
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Durham, North Carolina 27705
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Durham, NC
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Farmington, Connecticut 06030
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Farmington, CT
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Kansas City, Missouri 64128
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Kansas City, MO
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Kogarah, New South Wales 2217
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Kogarah,
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Miami, Florida 33136
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Miami, FL
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Nashville, Tennessee 37203
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Nashville, TN
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Orlando, Florida 32806
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Orlando, FL
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Philadelphia, Pennsylvania 19104
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Philadelphia, PA
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Providence, Rhode Island 02903
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Providence, RI
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Providence, Rhode Island 02903
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Providence, RI
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Rochester, New York 14642
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Rochester, NY
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Sioux City, Iowa 51101
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Sioux City, IA
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