Study of Carfilzomib in Combination With Induction Chemotherapy in Children With Relapsed or Refractory Acute Lymphoblastic Leukemia



Status:Recruiting
Conditions:Blood Cancer
Therapuetic Areas:Oncology
Healthy:No
Age Range:Any
Updated:12/9/2018
Start Date:December 2014
End Date:October 18, 2019
Contact:Amgen Call Center
Email:medinfo@amgen.com
Phone:866-572-6436

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Phase 1b Study of Carfilzomib in Combination With Induction Chemotherapy in Children With Relapsed or Refractory Acute Lymphoblastic Leukemia

The purpose of the study is to determine the maximum tolerated dose and assess the safety,
tolerability and activity of carfilzomib, alone and in combination with induction
chemotherapy, in children with relapsed or refractory acute lymphoblastic leukemia (ALL).


Key Inclusion Criteria:

1. Age 21 years or younger at the time of initial ALL diagnosis and age > 1 year at the
time of study treatment initiation.

2. Subjects must have a diagnosis of relapsed or refractory ALL with ≥ 5% blasts in the
bone marrow (M2 or M3 disease), with or without extramedullary disease.

-To be eligible, subjects must have had 1 or more prior therapeutic attempts, defined
as:

- Early first relapse (< 36 months from original diagnosis) after achieving a CR
(B-ALL) or first relapse any time following the original diagnosis after
achieving a CR (T-ALL)

- Relapse after achieving a CR following the first or subsequent relapse (i.e., ≥ 2
relapses) OR

- Failing to achieve a CR from original diagnosis after at least 1 induction
attempt

3. Subjects must have fully recovered from the acute toxic effects of all previous
chemotherapy, immunotherapy, or radiotherapy treatment before enrollment.

4. Subjects must have a serum creatinine level that is ≤ 1.5 × institutional upper limit
of normal (ULN) according to age. If serum creatinine level is > 1.5 × ULN, the
subject must have a calculated creatinine clearance or radioisotope glomerular
filtration rate (GFR) ≥ 70 mL/min/1.73 m2, or for children<2 years of age, ≥
50mL/min/1.73 m2.

5. Adequate liver function, defined as both of the following:

- Total bilirubin ≤ 1.5 × institutional ULN except in the presence of Gilbert
Syndrome

- Alanine aminotransferase (ALT) ≤ 5 × institutional ULN

6. Performance status: Karnofsky or Lansky scores ≥ 50 for subjects > 16 years old or ≤
16 years old, respectively.

Key Exclusion Criteria:

1. Known allergy to any of the drugs used in the study. (Subjects who have had a previous
allergy to PEG-asparaginase but can receive Erwinia are eligible.)

2. Known allergy to Captisol (a cyclodextrin derivative used to solubilize carfilzomib)

3. Left ventricular fractional shortening < 30%

4. History of ≥ Grade 2 pancreatitis

5. Active graft‑versus‑host disease requiring systemic treatment

6. Positive culture for or other clinical evidence of infection with bacteria or fungus
within 14 days of the initiation of study treatment

7. Down Syndrome

8. Prior therapy restrictions:

- Subjects must have completed therapy with granulocyte‑colony stimulating factor
(G‑CSF) or other myeloid growth factors at least 7 days before study treatment
initiation, or at least 14 days before study treatment initiation, if pegylated
myeloid growth factors were administered.

- Subjects must have completed any type of active immunotherapy (e.g., tumor
vaccines) at least 42 days before study treatment initiation.

- At least 3 antibody half‑lives must have elapsed since the last dose of
monoclonal antibody (e.g., 66 days for rituximab, 69 days for epratuzumab and 30
days for inotuzumab) before subjects may initiate study treatment.

- Subjects must have completed any type of active immunotherapy (e.g., tumor
vaccines) at least 42 days before study treatment initiation.

- Subjects must not have received other antineoplastic agents with therapeutic
intent, excluding hydroxyurea and antimetabolites administered as part of
maintenance chemotherapy, within 7 days prior to study treatment initiation
We found this trial at
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Minneapolis, Minnesota 55404
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3400 N Charles St
Baltimore, Maryland 21205
410-516-8000
Johns Hopkins University The Johns Hopkins University opened in 1876, with the inauguration of its...
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3333 Burnet Avenue # Mlc3008
Cincinnati, Ohio 45229
 1-513-636-4200 
Cincinnati Children's Hospital Medical Center Patients and families from across the region and around the...
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700 Childrens Drive
Columbus, Ohio 43205
(616) 722-2000
Nationwide Children's Hospital At Nationwide Children’s, we are creating the future of pediatric health care....
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4650 Sunset Blvd
Los Angeles, California 90027
 (323) 660-2450
Childrens Hospital Los Angeles Children's Hospital Los Angeles is a 501(c)(3) nonprofit hospital for pediatric...
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262 Danny Thomas Pl
Memphis, Tennessee 38105
(901) 495-3300
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Ann Arbor, Michigan 48109
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13123 E 16th Ave
Aurora, Colorado 80045
(720) 777-1234
Children's Hospital Colorado At Children's Hospital Colorado, we see more, treat more and heal more...
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Chicago, Illinois 60614
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1935 Medical District Dr
Dallas, Texas 75235
(214) 456-7000
Children's Medical Center of Dallas Children's Medical Center is private, not-for-profit, and is the fifth-largest...
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8701 W Watertown Plank Rd
Milwaukee, Wisconsin
(414) 955-8296
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Saint Petersburg, Florida 33701
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Salt Lake City, Utah 84143
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111 Michigan Ave NW
Washington, District of Columbia
(202) 476-5000
Childrens National Medical Center As the nation’s children’s hospital, the mission of Children’s National Medical...
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