Phase IB/II Study of CPX-351 for Preventing Relapse in Acute Myeloid Leukemia (AML)

Sponsor: Georgetown University

Sponsor score: 40
Inactive

ClinicalTrials ID:NCT04990102

This clinical trial is testing a treatment called CPX-351 to see if it can help prevent relapse in patients with Acute Myeloid Leukemia (AML) who are in remission. The study will determine the safest dose and evaluate its effectiveness over six treatment cycles.

Patient Parameters

Program Overview

The study aims to find out if CPX-351 can help prevent the return of Acute Myeloid Leukemia (AML) in patients who are currently in remission. The treatment will be given in cycles, and researchers will adjust the dose to find the safest and most effective amount. Patients will receive the treatment every 28 days, as long as they remain in remission. The study will expand to more patients once the best dose is determined.

Eligibility Criteria

Inclusion Criteria

  • Adults over 18 years old who have been newly diagnosed with AML.
  • Must be in complete remission (CR) or partial remission with some blood count recovery (CRh).
  • Must have received initial treatment with standard chemotherapy or a combination of hypomethylating agents and venetoclax, for up to 6 cycles or no more than one year.
  • Able to start the study treatment within 3 months of achieving remission.
  • Have AML that is either newly developed or secondary, including AML with changes related to myelodysplasia, confirmed by tests.
  • Not eligible for a bone marrow transplant for various reasons, such as health status, personal choice, or other medical conditions.
  • Heart function must be adequate, with a pumping ability of 50% or more.
  • Liver and kidney function must be within acceptable limits based on specific blood tests.
  • Must have a performance status score of 3 or less, indicating the ability to perform daily activities with some limitations.
  • Women who cannot become pregnant or have undergone procedures to prevent pregnancy, or women of childbearing potential with a negative pregnancy test.
  • Agree to use effective birth control methods during the study and for at least 6 months after the last dose.

Exclusion Criteria

  • Have had a previous bone marrow transplant.
  • Have received a high cumulative dose of certain chemotherapy drugs.
  • Have a specific type of leukemia called acute promyelocytic leukemia.
  • Unable to provide informed consent due to serious medical or psychiatric conditions.
  • Have uncontrolled heart problems, such as severe heart disease or arrhythmias.
  • Have a history of Wilson's disease or other copper-related disorders.
  • Have allergies to similar drugs used in the study.
  • Have had other cancers, unless treated successfully and inactive for at least 3 years.
  • Have unresolved side effects from previous cancer treatments, except for hair loss.
  • Have known bleeding disorders or active infections with hepatitis B or C.
  • Have any uncontrolled infections or serious medical conditions that could affect safety or study results.
  • Have significant heart disease or recent heart attacks.
  • Have leukemia that has spread to the central nervous system.
  • Have severe skin reactions or conditions like Stevens-Johnson syndrome.
  • Are pregnant or breastfeeding.
  • Unwilling or unable to participate in all study procedures and evaluations.
  • Unable to understand the study's purpose and risks or provide informed consent.
  • Have significant liver impairment according to specific medical classifications.

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