Study on CPX-351 and Glasdegib for Newly Diagnosed Acute Myelogenous Leukemia with MDS-Related Changes or Therapy-Related AML

Sponsor: University of California, Irvine

Sponsor score: 40

ClinicalTrials ID:NCT04231851

This clinical trial is testing a new treatment using CPX-351 and Glasdegib for adults with a specific type of acute myelogenous leukemia (AML) that is either related to previous myelodysplastic syndrome (MDS) changes or caused by earlier cancer treatments.

Patient Parameters

Program Overview

The purpose of this study is to evaluate the effectiveness of a combination of two drugs, CPX-351 and Glasdegib, in treating adults who have been newly diagnosed with a type of acute myelogenous leukemia (AML) that is linked to changes from myelodysplastic syndrome (MDS) or is therapy-related. This is a phase 2 trial, meaning it focuses on how well the treatment works and its safety.

Eligibility Criteria

Inclusion Criteria

  • Adults aged 18 or older with newly diagnosed AML related to MDS changes or therapy-related AML.
  • Must not have received any prior treatment for AML, except for managing high white blood cell counts.
  • Good overall health with a performance status score of 0 to 2, meaning fully active or restricted in physically strenuous activity but ambulatory.
  • Adequate heart, liver, and kidney function as determined by specific medical tests.
  • No unstable heart conditions, such as recent heart attacks or uncontrolled heart failure.
  • Ability to understand and sign a consent form, or have a representative do so if necessary.
  • Women and men of childbearing potential must agree to use two forms of birth control or abstain from sex during the study and for 120 days after the last dose.
  • Certain medications to manage high white blood cell counts are allowed for up to 7 days after starting the study treatment.

Exclusion Criteria

  • Previous treatment with CPX-351 or Glasdegib.
  • Prior treatment for AML, except for managing high white blood cell counts.
  • Active leukemia in the brain or testicles.
  • History of certain neurological disorders, such as seizures or strokes.
  • Heart rhythm issues with a QTcF interval over 450 ms.
  • Recent severe heart conditions, like a heart attack in the past year.
  • Known copper metabolism disorders, like Wilson's disease.
  • Digestive disorders affecting absorption.
  • Other active cancers requiring treatment, except for certain skin cancers or cervical cancer.
  • Known HIV or active hepatitis B or C infections.
  • Uncontrolled infections or fungal infections.
  • Pregnant or breastfeeding women, or those planning to conceive during the study.
  • Severe medical conditions that could interfere with the study.
  • Use of other experimental treatments.
  • For those with prior anthracycline exposure, the total lifetime dose must not exceed a certain limit.

Locations

FACILITYZIPCITYSTATE
University of California, Los Angeles90095Los AngelesCalifornia
Chao Family Comprehensive Cancer Center, University of California, Irvine92868OrangeCalifornia
University of California, Davis95817SacramentoCalifornia
University of California, San Francisco94143San FranciscoCalifornia

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