search
Back to results

A Study of SKLB1028 in Subjects With Relapsed/Refractory Acute Myeloid Leukemia

Primary Purpose

Acute Myeloid Leukemia

Status
Unknown status
Phase
Phase 1
Locations
China
Study Type
Interventional
Intervention
SKLB1028
Sponsored by
CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Myeloid Leukemia focused on measuring AML

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Written informed consent must be provided.
  • Males and females age ≥ 18 years;
  • Histopathologically documented primary or secondary AML, as defined by WHO criteria, confirmed by pathology review at treating institution, meeting at least one of the following:

    1. Refractory to at least 1 cycle of induction chemotherapy, or
    2. Relapsed after at least 1 cycle of induction chemotherapy, or
    3. Patient is not, according to the clinical judgment of the Principal Investigator, a candidate for induction chemotherapy due to age, comorbidity, or other factors;
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0-3;
  • In the absence of rapidly progressing disease, the interval from prior treatment to time of SKLB1028 administration should be at least 2 weeks for cytotoxic agents, or at least 5 half-lives for noncytotoxic agents;
  • Serum creatinine ≤1.5 × ULN;
  • Total serum bilirubin ≤ 1.5 × ULN unless considered due to Gilbert's syndrome or leukemic organ involvement;
  • Serum AST or ALT ≤ 3.0 × ULN unless considered due to leukemic organ involvement;
  • Females of childbearing potential and sexually mature males must agree to use a medically accepted method of contraception throughout the study;

Exclusion Criteria:

  • Histologic diagnosis of acute promyelocytic leukemia;
  • Clinically active central nervous system leukemia;
  • Persistent clinically significant toxicity from prior chemotherapy that is Grade 2 or higher;
  • Bone marrow transplant within 100 days prior to study;
  • Active, uncontrolled infection;
  • Major surgery within 4 weeks prior to study;
  • Radiation therapy within 4 weeks prior to study;
  • Left ventricular ejection fraction ≤1 × ULN,or﹤50%. Clinically significant ECG QTc prolongation (Male: >450ms, Female: >470ms).Significant cardiac disease.
  • Human immunodeficiency virus positivity;
  • Active hepatitis B or C or other active liver disease;
  • Women who are pregnant, lactating;
  • Medical condition, serious intercurrent illness, or other extenuating circumstance that, in the judgment of the Principal Investigator, could jeopardize patient safety or interfere with the objectives of the study.

Sites / Locations

  • West China Hospital,Sichuan UniversityRecruiting

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

SKLB1028

Arm Description

SKLB1028 capsules in six doses beginning at 20 mg and rising to 200 mg.

Outcomes

Primary Outcome Measures

Safety: Incidence of dose limiting toxicity (DLT)and Adverse Event (AE)

Secondary Outcome Measures

Maximum serum concentration (Cmax)
Area under the plasma concentration-time curve (AUC) from time zero to the time point of t (AUC0-tn)
Area under the plasma concentration-time curve (AUC) from time zero to infinity (AUC0-inf)
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Apparent volume of distribution at equilibrium after oral administration(Vss/F)
Plasma Decay Half-Life (t1/2z)
Apparent Oral Clearance (CLz/F)
Average plasma or serum concentration(Cav)
changes in FLT3 mutation status in plasma
Rate of Complete Remission (CR)
Rate of partial remission (PR)

Full Information

First Posted
June 28, 2016
Last Updated
August 4, 2016
Sponsor
CSPC ZhongQi Pharmaceutical Technology Co., Ltd.
search

1. Study Identification

Unique Protocol Identification Number
NCT02859948
Brief Title
A Study of SKLB1028 in Subjects With Relapsed/Refractory Acute Myeloid Leukemia
Official Title
Phase I Open-Label, Sequential Dose Escalation Study Investigating the Safety, Tolerability, Pharmacokinetics, and Pharmacodynamics of SKLB1028 When Administered Daily to Patients With Relapsed or Refractory Acute Myeloid Leukemia
Study Type
Interventional

2. Study Status

Record Verification Date
June 2016
Overall Recruitment Status
Unknown status
Study Start Date
May 2016 (undefined)
Primary Completion Date
December 2017 (Anticipated)
Study Completion Date
January 2018 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
CSPC ZhongQi Pharmaceutical Technology Co., Ltd.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Patients will receive oral SKLB1028 for 28 days to study the side effects, tolerability and best dose for treating relapsed or refractory acute myeloid leukemia With FLT3 Mutations.
Detailed Description
It is open-label, dose escalation study designed to characterize the safety, tolerability, pharmacokinetics (PK) and pharmacodynamics (PD) of orally administered SKLB1028 as a single agent given daily for 28 days. Cohorts of 3 patients receive SKLB1028 until dose limiting toxicity is noted (DLT). At that point cohorts will expand to 6 patients until MTD is determined. Patients not experiencing DLT or significant disease progression could continue receiving SKLB1028 up to 1 year.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Myeloid Leukemia
Keywords
AML

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
18 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
SKLB1028
Arm Type
Experimental
Arm Description
SKLB1028 capsules in six doses beginning at 20 mg and rising to 200 mg.
Intervention Type
Drug
Intervention Name(s)
SKLB1028
Intervention Description
SKLB1028 capsules in six doses beginning at 20 mg and rising to 200 mg.
Primary Outcome Measure Information:
Title
Safety: Incidence of dose limiting toxicity (DLT)and Adverse Event (AE)
Time Frame
28 Days
Secondary Outcome Measure Information:
Title
Maximum serum concentration (Cmax)
Time Frame
28 Days
Title
Area under the plasma concentration-time curve (AUC) from time zero to the time point of t (AUC0-tn)
Time Frame
28 Days
Title
Area under the plasma concentration-time curve (AUC) from time zero to infinity (AUC0-inf)
Time Frame
28 Days
Title
Time to Reach Maximum Observed Plasma Concentration (Tmax)
Time Frame
28 Days
Title
Apparent volume of distribution at equilibrium after oral administration(Vss/F)
Time Frame
28 Days
Title
Plasma Decay Half-Life (t1/2z)
Time Frame
28 Days
Title
Apparent Oral Clearance (CLz/F)
Time Frame
28 Days
Title
Average plasma or serum concentration(Cav)
Time Frame
28 Days
Title
changes in FLT3 mutation status in plasma
Time Frame
28 Days
Title
Rate of Complete Remission (CR)
Time Frame
28 Days
Title
Rate of partial remission (PR)
Time Frame
28 Days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Written informed consent must be provided. Males and females age ≥ 18 years; Histopathologically documented primary or secondary AML, as defined by WHO criteria, confirmed by pathology review at treating institution, meeting at least one of the following: Refractory to at least 1 cycle of induction chemotherapy, or Relapsed after at least 1 cycle of induction chemotherapy, or Patient is not, according to the clinical judgment of the Principal Investigator, a candidate for induction chemotherapy due to age, comorbidity, or other factors; Eastern Cooperative Oncology Group (ECOG) performance status of 0-3; In the absence of rapidly progressing disease, the interval from prior treatment to time of SKLB1028 administration should be at least 2 weeks for cytotoxic agents, or at least 5 half-lives for noncytotoxic agents; Serum creatinine ≤1.5 × ULN; Total serum bilirubin ≤ 1.5 × ULN unless considered due to Gilbert's syndrome or leukemic organ involvement; Serum AST or ALT ≤ 3.0 × ULN unless considered due to leukemic organ involvement; Females of childbearing potential and sexually mature males must agree to use a medically accepted method of contraception throughout the study; Exclusion Criteria: Histologic diagnosis of acute promyelocytic leukemia; Clinically active central nervous system leukemia; Persistent clinically significant toxicity from prior chemotherapy that is Grade 2 or higher; Bone marrow transplant within 100 days prior to study; Active, uncontrolled infection; Major surgery within 4 weeks prior to study; Radiation therapy within 4 weeks prior to study; Left ventricular ejection fraction ≤1 × ULN,or﹤50%. Clinically significant ECG QTc prolongation (Male: >450ms, Female: >470ms).Significant cardiac disease. Human immunodeficiency virus positivity; Active hepatitis B or C or other active liver disease; Women who are pregnant, lactating; Medical condition, serious intercurrent illness, or other extenuating circumstance that, in the judgment of the Principal Investigator, could jeopardize patient safety or interfere with the objectives of the study.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Ting Liu, Dr.
Phone
86-028-85422364
Email
liuting@scu.edu.cn
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ting Liu, Dr.
Organizational Affiliation
West China Hospital
Official's Role
Principal Investigator
Facility Information:
Facility Name
West China Hospital,Sichuan University
City
Chengdu
State/Province
Sichuan
Country
China
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Ting Liu, Dr.
Phone
86-028-85422364
Email
liuting@scu.edu.cn

12. IPD Sharing Statement

Plan to Share IPD
No

Learn more about this trial

A Study of SKLB1028 in Subjects With Relapsed/Refractory Acute Myeloid Leukemia

We'll reach out to this number within 24 hrs