A Trial to Evaluate the Potential Impact of Renal Impairment on the Pharmacokinetics and Safety of CPX-351
Primary Purpose
Hematologic Malignancy, Acute Myeloid Leukemia, Acute Lymphocytic Leukemia
Status
Completed
Phase
Phase 1
Locations
International
Study Type
Interventional
Intervention
CPX-351
CPX-351
Sponsored by
About this trial
This is an interventional treatment trial for Hematologic Malignancy
Eligibility Criteria
Inclusion Criteria:
- Ability to understand and voluntarily give informed consent.
- Male or female patients, age ≥18 years at the time of consent.
- Diagnosis of hematologic malignancy including, but not limited to, AML, ALL, and MDS. Patients may be newly diagnosed, refractory to initial treatment, or in relapse.
- Patients with normal renal function, or moderate or severe renal impairment as categorized by creatinine clearance (CrCl)) using the Cockcroft-Gault Formula.
- Consent of female patients to use a medically acceptable method of contraception for at least 2 months prior to the first dose of CPX-351 and consent of female patients to use a medically acceptable method of contraception throughout the entire study period and for 6 months following the last dose of CPX-351.
- Male patients must be willing to refrain from sperm donation for 6 months following the last dose of CPX-351and must use adequate contraception throughout the entire study period and for 6 months following the last dose of CPX-351.
Exclusion Criteria:
- Prior treatment with CPX-351 ≤ to 1 month before the start of CPX-351 in this study.
- Patients with active (uncontrolled, metastatic) second malignancies are excluded.
- Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent obtaining informed consent.
- Patients with known hypersensitivity to cytarabine, daunorubicin, or liposomal products.
- Female patients who are pregnant, nursing, or lactating.
- Participation in another clinical trial of an investigational drug or medical device within 30 days or 5 half-lives (whichever is longer) prior to enrollment in this study.
- Any other condition that would cause a risk to patients if they participate in the trial.
Sites / Locations
- Georgetown University Medical Center
- Northside Hospital - Blood and Bone Marrow Transplant Group of Georgia
- University of Kansas Cancer Center
- Hackensack University Medical Center
- Weill Cornell Medical College
- New York Medical/Westchester
- Wake Forest Baptist Health
- Oregon Health and Science University
- Baylor University Medical Center
- Fred Hutchinson Cancer Research Center
- Medical College of Wisconsin
- Vancouver General Hospital
- University Health Network/Princess Margaret Cancer Center
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm Type
Experimental
Experimental
Experimental
Arm Label
Cohort 1
Cohort 2
Cohort 3
Arm Description
Normal renal function
Moderate renal impairment
Severe renal impairment
Outcomes
Primary Outcome Measures
Pharmacokinetics (PK) of CPX-351
The key PK parameter AUCtau will be assessed
Secondary Outcome Measures
PK parameter of the individual components of CPX-351, and their respective metabolites
The key PK parameter AUCtau will be assessed
Incidence of Treatment Emergent Adverse Events (TEAEs)
TEAEs are defined as any AE starting after the initiation of the first infusion.
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT03555955
Brief Title
A Trial to Evaluate the Potential Impact of Renal Impairment on the Pharmacokinetics and Safety of CPX-351
Official Title
A Phase 1 Trial to Evaluate the Potential Impact of Renal Impairment on the Pharmacokinetics and Safety of CPX-351 (Daunorubicin and Cytarabine) Liposome for Injection Treatment in Adult Patients With Hematologic Malignancies
Study Type
Interventional
2. Study Status
Record Verification Date
July 2021
Overall Recruitment Status
Completed
Study Start Date
November 20, 2018 (Actual)
Primary Completion Date
May 26, 2021 (Actual)
Study Completion Date
May 26, 2021 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Jazz Pharmaceuticals
4. Oversight
Studies a U.S. FDA-regulated Drug Product
Yes
Studies a U.S. FDA-regulated Device Product
No
5. Study Description
Brief Summary
This study evaluates the pharmacokinetics and safety of CPX-351 in patients with moderate or severe renal impairment.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Hematologic Malignancy, Acute Myeloid Leukemia, Acute Lymphocytic Leukemia, Acute Lymphoblastic Leukemia, Myelodysplastic Syndromes
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
21 (Actual)
8. Arms, Groups, and Interventions
Arm Title
Cohort 1
Arm Type
Experimental
Arm Description
Normal renal function
Arm Title
Cohort 2
Arm Type
Experimental
Arm Description
Moderate renal impairment
Arm Title
Cohort 3
Arm Type
Experimental
Arm Description
Severe renal impairment
Intervention Type
Drug
Intervention Name(s)
CPX-351
Other Intervention Name(s)
Vyxeos™
Intervention Description
CPX-351 is administered as an intravenous (IV) infusion over approximately 90 minutes.
Intervention Type
Drug
Intervention Name(s)
CPX-351
Other Intervention Name(s)
Vyxeos
Intervention Description
CPX-351 is administered as an intravenous (IV) infusion over approximately 90 minutes.
Primary Outcome Measure Information:
Title
Pharmacokinetics (PK) of CPX-351
Description
The key PK parameter AUCtau will be assessed
Time Frame
Blood samples will be collected during first induction on Day 1 predose, Day 5 predose, 45 and 90 minutes post infusion start, 2, 3, 4, 6, 8, 24, 48, 96, 168, and 216 hours post Day 5 infusion start.
Secondary Outcome Measure Information:
Title
PK parameter of the individual components of CPX-351, and their respective metabolites
Description
The key PK parameter AUCtau will be assessed
Time Frame
Blood samples will be collected during first induction on Day 1 predose, Day 5 predose, 45 and 90 minutes post infusion start, 2, 3, 4, 6, 8, 24, 48, 96, 168, and 216 hours post Day 5 infusion start.
Title
Incidence of Treatment Emergent Adverse Events (TEAEs)
Description
TEAEs are defined as any AE starting after the initiation of the first infusion.
Time Frame
Up to 31 months.
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Ability to understand and voluntarily give informed consent.
Male or female patients, age ≥18 years at the time of consent.
Diagnosis of hematologic malignancy including, but not limited to, AML, ALL, and MDS. Patients may be newly diagnosed, refractory to initial treatment, or in relapse.
Patients with normal renal function, or moderate or severe renal impairment as categorized by creatinine clearance (CrCl)) using the Cockcroft-Gault Formula.
Consent of female patients to use a medically acceptable method of contraception for at least 2 months prior to the first dose of CPX-351 and consent of female patients to use a medically acceptable method of contraception throughout the entire study period and for 6 months following the last dose of CPX-351.
Male patients must be willing to refrain from sperm donation for 6 months following the last dose of CPX-351and must use adequate contraception throughout the entire study period and for 6 months following the last dose of CPX-351.
Exclusion Criteria:
Prior treatment with CPX-351 ≤ to 1 month before the start of CPX-351 in this study.
Patients with active (uncontrolled, metastatic) second malignancies are excluded.
Any serious medical condition, laboratory abnormality, or psychiatric illness that would prevent obtaining informed consent.
Patients with known hypersensitivity to cytarabine, daunorubicin, or liposomal products.
Female patients who are pregnant, nursing, or lactating.
Participation in another clinical trial of an investigational drug or medical device within 30 days or 5 half-lives (whichever is longer) prior to enrollment in this study.
Any other condition that would cause a risk to patients if they participate in the trial.
Facility Information:
Facility Name
Georgetown University Medical Center
City
Washington
State/Province
District of Columbia
ZIP/Postal Code
20007
Country
United States
Facility Name
Northside Hospital - Blood and Bone Marrow Transplant Group of Georgia
City
Atlanta
State/Province
Georgia
ZIP/Postal Code
30342
Country
United States
Facility Name
University of Kansas Cancer Center
City
Westwood
State/Province
Kansas
ZIP/Postal Code
66205
Country
United States
Facility Name
Hackensack University Medical Center
City
Hackensack
State/Province
New Jersey
ZIP/Postal Code
07601
Country
United States
Facility Name
Weill Cornell Medical College
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States
Facility Name
New York Medical/Westchester
City
Valhalla
State/Province
New York
ZIP/Postal Code
10595
Country
United States
Facility Name
Wake Forest Baptist Health
City
Winston-Salem
State/Province
North Carolina
ZIP/Postal Code
27157
Country
United States
Facility Name
Oregon Health and Science University
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States
Facility Name
Baylor University Medical Center
City
Dallas
State/Province
Texas
ZIP/Postal Code
75246
Country
United States
Facility Name
Fred Hutchinson Cancer Research Center
City
Seattle
State/Province
Washington
ZIP/Postal Code
98109
Country
United States
Facility Name
Medical College of Wisconsin
City
Milwaukee
State/Province
Wisconsin
ZIP/Postal Code
53226
Country
United States
Facility Name
Vancouver General Hospital
City
Vancouver
State/Province
British Columbia
ZIP/Postal Code
V5Z 1M9
Country
Canada
Facility Name
University Health Network/Princess Margaret Cancer Center
City
Toronto
State/Province
Ontaro
ZIP/Postal Code
M5G 1Z5
Country
Canada
12. IPD Sharing Statement
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A Trial to Evaluate the Potential Impact of Renal Impairment on the Pharmacokinetics and Safety of CPX-351
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