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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
Oshadi Drug Administration
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Acute Myeloid Leukemia

Eligibility Criteria

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

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

    First Posted
    May 26, 2015
    Last Updated
    April 16, 2018
    Sponsor
    Oshadi Drug Administration
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    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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