Study of NRX 195183 Therapy for Patients With Relapsed or Refractory Acute Promyelocytic Leukemia
Recruitment status was Recruiting
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Purpose
The purpose of this study is to determine whether NRX 195183 is effective in the treatment of relapsed or refractory Acute Promyelocytic Leukemia
| Condition | Intervention | Phase |
|---|---|---|
|
Acute Promyelocytic Leukemia |
Drug: NRX 195183 Soft Gelatin Capsule |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase II Study of NRX 195183 Therapy for Patients With Relapsed or Refractory Acute Promyelocytic Leukemia |
- Complete Remission [ Time Frame: 90 Days ] [ Designated as safety issue: No ]
- Molecular Complete Remission [ Time Frame: 9 months ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 65 |
| Study Start Date: | April 2008 |
| Estimated Primary Completion Date: | April 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: 1 |
Drug: NRX 195183 Soft Gelatin Capsule
Daily oral NRX 195183 administration for 90 days to assess CR rate. Patients with CR may continue maintenance therapy after a 2-week drug holiday. Maintenance therapy will consist of two 3-month daily oral NRX 195183 administration separated by a 2-week drug holiday.
|
Detailed Description:
A common current therapeutic approach to APL uses oral ATRA and chemotherapy in induction and consolidation. This approach has significantly improved survival in newly diagnosed APL patients. However, approximately 30% of patients relapse. Recently, an approach involving the combination of oral ATRA and arsenic trioxide has been tested. The prognosis for relapsed patients is very poor. This study seeks to investigate NRX 195183 monotherapy in patients who have failed or are resistant to or are intolerant of any prior therapy.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Clinical diagnosis of APL morphology or FAB M3 variant confirmed by RT-PCR assay or chromosome analysis/FISH showing t(15:17) translocation. Patients must also have relapse from, resistance to or intolerance of any one or more of the following therapies:
- ATRA
- Cytotoxic chemotherapy
- Arsenic trioxide
- Patients must be 18 or older.
- Bilirubin equal or less than 1.5 times the upper limit of normal.
- Creatinine equal or less than 1.5 times the upper limit of normal.
- Patients entered into this study should be non-pregnant and non-nursing and should not plan on becoming pregnant while on treatment. Treatment under this protocol would expose an unborn child to significant risks. Women and men of reproductive potential should agree to use an effective means of birth control. There is an extremely high risk that a severely deformed infant will result if NRX 195183 is administered during pregnancy.
Exclusion Criteria:
- Non-APL, AML patients should be excluded from the study.
- Other serious illnesses which would limit survival to 6 months.
- Psychiatric conditions which would prevent compliance with treatment or informed consent.
- Uncontrolled or severe cardiovascular disease. This would include history of a recent acute myocardial infarction, uncontrolled congestive heart failure, or active angina.
- AIDS or HIV positive patients, although HIV test is not required for accrual.
Contacts and Locations| Contact: Nonna Snider, BS/BA | 949-336-7111 | nsnider@nurxpharma.com |
| Contact: Linda Gero | 949-336-7111 | lgero@nurxpharma.com |
| United States, California | |
| Sarcoma Oncology Center | Recruiting |
| Santa Monica,, California, United States, 90403 | |
| Contact: Victoria Chua 310-552-9999 vikychua@aol.com | |
More Information
No publications provided
| Responsible Party: | Roshantha A. Chandraratna, PhD, MBA, Chief Scientific Officer, NuRx Pharmaceuticals, Inc. |
| ClinicalTrials.gov Identifier: | NCT00675870 History of Changes |
| Other Study ID Numbers: | 195183-202 |
| Study First Received: | May 7, 2008 |
| Last Updated: | May 9, 2008 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by NuRx Pharmaceuticals, Inc.:
|
Acute Promyelocytic Leukemia Relapsed or Refractory Acute Promyelocytic Leukemia Cancer Leukemia APL ATRA Tretinoid |
Vesanoid Retinoic Acid Receptor Alpha All Trans Retinoic Acid Arsenic Trioxide Trisenox Retinoid |
Additional relevant MeSH terms:
|
Leukemia Leukemia, Promyelocytic, Acute Neoplasms by Histologic Type Neoplasms Leukemia, Myeloid, Acute Leukemia, Myeloid |
Tretinoin Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Keratolytic Agents Dermatologic Agents |
ClinicalTrials.gov processed this record on May 23, 2013