Oshadi D & Oshadi R Combined With Salvage Chemotherapy for Relapsed Acute Myeloid Leukemia or Lymphoid Leukemia Patients
Primary Purpose
Acute Myeloid Leukemia, Lymphoid Leukemia
Status
Suspended
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
Oshadi D & Oshadi R;
salvage therapy cytosar and mitoxantrone
Sponsored by
About this trial
This is an interventional treatment trial for Acute Myeloid Leukemia
Eligibility Criteria
Inclusion Criteria:
- Patients is diagnosed as AML or ALL
- Relapse defined as the presence of disease after the achievement of complete remission(CR). Refractory disease is defined as progression from or no response while treated with a previous line chemotherapy regimen, or progression within 30 days of last bone marrow assessment.
- Male or female ≥ 18 years of age
- Minimal performance status (ECOG 0, ≤2)
- Patients must have a measurable disease by bone marrow blast counts of > 5 % of nucleated cells.
- Written informed consent
- Adequate hepatic function (LFTs up to X4 the normal limits), renal function calculated Creatinine clearance (CrCl) for Adverse Effects of >30)
- Ability to swallow the medications.
- Females of childbearing potential and males must be willing to use an effective method of contraception (hormonal or barrier method of birth control; abstinence) from the time consent is signed until 6 weeks after treatment discontinuation.
- Females of childbearing potential must have a negative pregnancy test within 7 days prior to being registered for protocol therapy.
Exclusion Criteria:
- Active infectious disease uncontrolled by antibiotics.
- Partially treated induction patients (i.e. day 14 non responding patients).
- Inability to receive high dose salvage chemotherapy.
- Patient with known positive HIV serology at screening.
- Female patient who are breastfeeding or have a positive pregnancy test at screening or at any time during the study.
- Evidence of ongoing cardiac dysrhythmias of NCI Common Toxicity Criteria for Adverse Effects (CTCAE ) Version 3.0 grade 2.
- Pre-existing mal absorption syndrome, irritable bowel syndrome or other clinical situation which could affect oral absorption.
- Mental disorders.
- Inability to give written informed consent.
Sites / Locations
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
'Oshadi D & Oshadi R; salvage therapy'
Arm Description
Oshadi D (180mg/tid) & Oshadi R (180mg/tid) will be administrated orally; Salvage therapy - HAM: Hi dose cytosar (5 or 6 days) and mitoxantrone (2 or 3 days) will be administrated
Outcomes
Primary Outcome Measures
Percentage of bone marrow blasts aspirate before treatment initiation and at day 28 following treatment initiation.
Percentage of bone marrow blasts aspirate before treatment initiation and at day 28 following treatment initiation.
Secondary Outcome Measures
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Full Information
NCT ID
NCT02462265
First Posted
May 26, 2015
Last Updated
April 16, 2018
Sponsor
Oshadi Drug Administration
1. Study Identification
Unique Protocol Identification Number
NCT02462265
Brief Title
Oshadi D & Oshadi R Combined With Salvage Chemotherapy for Relapsed Acute Myeloid Leukemia or Lymphoid Leukemia Patients
Official Title
A Phase II, Open-Label, Single- Center Study to Assess the Activity of Oshadi D and Oshadi R in Combination With Salvage Chemotherapy for Relapsed or Refractory Acute Myeloid Leukemia (AML) or Lymphoid Leukemia (ALL) Patients
Study Type
Interventional
2. Study Status
Record Verification Date
April 2018
Overall Recruitment Status
Suspended
Study Start Date
January 2017 (undefined)
Primary Completion Date
June 2018 (Anticipated)
Study Completion Date
December 2018 (Anticipated)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Oshadi Drug Administration
4. Oversight
Data Monitoring Committee
Yes
5. Study Description
Brief Summary
The study will be a prospective open-label single-center study in previously treated patients with Acute Myeloid Leukemia (AML) or Acute Lymphoid Leukemia (ALL). Treatment efficacy and safety of the combination of Oshadi D (DNase in Oshadi carrier) and Oshadi R (RNase in Oshadi carrier) with Salvage Chemotherapy will be evaluated. Oshadi D and Oshadi R were shown to have anti-tumor activity and good safety profile.
Patients will receive Oshadi D and Oshadi R oral treatment combined with salvage chemotherapy. Patient will be evaluated throughout the study for safety and tolerance to multiple dose regimens of Oshadi D and Oshadi R.
Efficacy will be determined by percentage of bone marrow blasts assessment at day 28 post therapy initiation.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Myeloid Leukemia, Lymphoid Leukemia
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
15 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
'Oshadi D & Oshadi R; salvage therapy'
Arm Type
Experimental
Arm Description
Oshadi D (180mg/tid) & Oshadi R (180mg/tid) will be administrated orally; Salvage therapy - HAM: Hi dose cytosar (5 or 6 days) and mitoxantrone (2 or 3 days) will be administrated
Intervention Type
Drug
Intervention Name(s)
Oshadi D & Oshadi R;
Other Intervention Name(s)
Anti cancer agents
Intervention Description
Oshadi D (180mg/TID) & Oshadi R (180mg TID) will be administrated;
Intervention Type
Drug
Intervention Name(s)
salvage therapy cytosar and mitoxantrone
Other Intervention Name(s)
anti cancer agents
Intervention Description
Salvage therapy - HAM: Hi dose cytosar (5 or 6 days) and mitoxantrone (2 or 3 days)
Primary Outcome Measure Information:
Title
Percentage of bone marrow blasts aspirate before treatment initiation and at day 28 following treatment initiation.
Description
Percentage of bone marrow blasts aspirate before treatment initiation and at day 28 following treatment initiation.
Time Frame
28 days
Secondary Outcome Measure Information:
Title
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Description
Number of Participants with Adverse Events as a Measure of Safety and Tolerability
Time Frame
28 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Patients is diagnosed as AML or ALL
Relapse defined as the presence of disease after the achievement of complete remission(CR). Refractory disease is defined as progression from or no response while treated with a previous line chemotherapy regimen, or progression within 30 days of last bone marrow assessment.
Male or female ≥ 18 years of age
Minimal performance status (ECOG 0, ≤2)
Patients must have a measurable disease by bone marrow blast counts of > 5 % of nucleated cells.
Written informed consent
Adequate hepatic function (LFTs up to X4 the normal limits), renal function calculated Creatinine clearance (CrCl) for Adverse Effects of >30)
Ability to swallow the medications.
Females of childbearing potential and males must be willing to use an effective method of contraception (hormonal or barrier method of birth control; abstinence) from the time consent is signed until 6 weeks after treatment discontinuation.
Females of childbearing potential must have a negative pregnancy test within 7 days prior to being registered for protocol therapy.
Exclusion Criteria:
Active infectious disease uncontrolled by antibiotics.
Partially treated induction patients (i.e. day 14 non responding patients).
Inability to receive high dose salvage chemotherapy.
Patient with known positive HIV serology at screening.
Female patient who are breastfeeding or have a positive pregnancy test at screening or at any time during the study.
Evidence of ongoing cardiac dysrhythmias of NCI Common Toxicity Criteria for Adverse Effects (CTCAE ) Version 3.0 grade 2.
Pre-existing mal absorption syndrome, irritable bowel syndrome or other clinical situation which could affect oral absorption.
Mental disorders.
Inability to give written informed consent.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Moshe Gatt, MD
Organizational Affiliation
Hadassah Medical Center, Jrusalem, Israel
Official's Role
Principal Investigator
12. IPD Sharing Statement
Learn more about this trial
Oshadi D & Oshadi R Combined With Salvage Chemotherapy for Relapsed Acute Myeloid Leukemia or Lymphoid Leukemia Patients
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