Safety, Tolerability Study of SG2000 in the Treatment of Advanced Chronic Lymphocytic Leukemia and Acute Myeloid Leukemia
Primary Purpose
Acute Myeloid Leukemia, Chronic Lymphocytic Leukemia
Status
Terminated
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
SG2000
Sponsored by
About this trial
This is an interventional treatment trial for Acute Myeloid Leukemia focused on measuring leukemia
Eligibility Criteria
Inclusion Criteria:
- male or female greater than or equal to 18 years of age
- have one of the following disease states: Acute Myeloid Leukemia (AML) (age <60 years) with relapsed/refractory disease; •Chronic Lymphocytic Leukemia (CLL) with relapsed disease following a fludarabine-based regimen or relapsed disease following an alkylator-based regimen
- are recovered from the acute adverse effects of prior therapies (excluding alopecia and Grade ≤2 neuropathy).
- have blast counts that can be controlled by the use of hydroxycarbamide (500 to 3000 mg daily).
- have adequate hepatic function and renal function
- have an estimated life expectancy of >3 months
- female subject must have a negative serum pregnancy result within 7 days before the start of the study; Both men and women must agree to use a medically acceptable form of contraception throughout the treatment period and for 3 months after discontinuation of treatment
Exclusion Criteria:
- are eligible for any standard therapy known to be life prolonging or life saving
- have diagnosis of AML French-American-British (FAB) classification (FAB) M3 (acute promyelocytic leukemia (APL))
- are receiving concurrent chemotherapy, radiotherapy, immunotherapy, biological or hormonal treatment for cancer.
- have undergone anticancer therapy including chemotherapy (except for hydroxycarbamide at a maximum daily dose of 3000 mg), endocrine therapy, immunotherapy, or the use of other investigational agents within 4 weeks before study entry.
- prior radiation therapy with volume of bone marrow treated over 25%.
- use of immunosuppressive therapy, including systemic steroids within 7 days before the first dose of SG2000.
- hyperleukocytosis (blast counts >30 000/mm3).
- history of allogeneic stem cell or solid organ transplantation.
- positive serology for human immunodeficiency virus (HIV), hepatitis B or hepatitis C or have HIV-AIDS, or active hepatitis B or C.
- history of other invasive malignancy within 3 years except for cervical carcinoma in situ, nonmelanomatous carcinoma of the skin or ductal carcinoma in situ of the breast that has been surgically cured.
- have any coexisting medical condition that will substantially increase the risk associated with the subject's participation in the study.
- have psychiatric disorders or altered mental status precluding understanding of the informed consent process and/or completion of necessary studies.
- have persistent Grade 2 or greater toxicities from any cause (except alopecia or peripheral neuropathy).
- are pregnant or breast-feeding.
Sites / Locations
- Duke University
- Medical University of South Carolina
Arms of the Study
Arm 1
Arm 2
Arm Type
Experimental
Experimental
Arm Label
SG2000 - 15 µg/m2/day
SG2000 - 30 µg/m2/day
Arm Description
Cohort 1 - will commence at 15 µg/m2/day intravenous doses of SG2000 until Maximum Tolerated Dose is determined.
Cohort 2 - will commence at 30 µg/m2/day intravenous doses of SG2000 until Maximum Tolerated Dose is determined.
Outcomes
Primary Outcome Measures
Maximum Tolerated Dose (MTD) of SG2000.
The Maximum Tolerated Dose (MTD) will be determined based on the assessment of the dose-limiting toxicity (DLT) during the DLT period; period is defined as the time from the first dose intravenous doses of SG2000 for 3 consecutive days every 21 days for 1 to 6 cycles until unacceptable toxicity, consent withdrawal, or another reason to discontinue therapy intervenes.
Secondary Outcome Measures
safety profile
Any subject who receives at least 1 dose of SG2000 will be evaluated for safety.
Subjects will be monitored for adverse events (AEs) and will undergo safety assessments including full physical examination, vital sign assessment, Eastern Cooperative Oncology Group (ECOG) performance status assessment, and laboratory testing.
area under the concentration-time curve (AUC)
pharmacokinetic (PK) parameter, noncompartmental analysis will be performed to estimate the plasma pharmacokinetic (PK) parameters of SG2000. Area under the concentration-time curve (AUC).
Maximum plasma concentration (Cmax)
pharmacokinetic (PK) parameter -Cmax is the observed maximum plasma or serum concentration after administration
time to reach Cmax
pharmacokinetic (PK) parameter - time to reach Cmax.
terminal half life (T1/2),
pharmacokinetic parameter - terminal half life
hematology and serum chemistry
predictors of Vascular Leak Syndrome (VLS)
Physical examination
predictors of Vascular Leak Syndrome (VLS)
Vital signs
predictors of Vascular Leak Syndrome (VLS)
bone marrow aspirate
pulse oximetry
monitoring for Vascular Leak Syndrome (VLS)
electrocardiogram
bone marrow aspirate
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02034227
Brief Title
Safety, Tolerability Study of SG2000 in the Treatment of Advanced Chronic Lymphocytic Leukemia and Acute Myeloid Leukemia
Official Title
An Open-Label, Phase 1/Phase 2 Study to Evaluate the Safety, Tolerability, and Antitumor Activity of the DNA Minor Groove Binding Agent SG2000 in the Treatment of Advanced Chronic Lymphocytic Leukemia and Acute Myeloid Leukemia
Study Type
Interventional
2. Study Status
Record Verification Date
November 2015
Overall Recruitment Status
Terminated
Study Start Date
April 2012 (undefined)
Primary Completion Date
June 2014 (Actual)
Study Completion Date
June 2014 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Spirogen
4. Oversight
5. Study Description
Brief Summary
The purpose of this study is to determine if the experimental drug, SG2000 is safe and tolerable in the treatment of participants with advanced chronic lymphocytic leukemia and acute myeloid leukemia whose standard treatment did not work, whose cancer came back or who are not candidates for other types of standard therapy.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Myeloid Leukemia, Chronic Lymphocytic Leukemia
Keywords
leukemia
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 1, Phase 2
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
6 (Actual)
8. Arms, Groups, and Interventions
Arm Title
SG2000 - 15 µg/m2/day
Arm Type
Experimental
Arm Description
Cohort 1 - will commence at 15 µg/m2/day intravenous doses of SG2000 until Maximum Tolerated Dose is determined.
Arm Title
SG2000 - 30 µg/m2/day
Arm Type
Experimental
Arm Description
Cohort 2 - will commence at 30 µg/m2/day intravenous doses of SG2000 until Maximum Tolerated Dose is determined.
Intervention Type
Drug
Intervention Name(s)
SG2000
Other Intervention Name(s)
DNA minor groove binding agent
Intervention Description
intravenous doses given on Days 1, 2, and 3 of each 21-day cycle (1 to 6 cycles).
Primary Outcome Measure Information:
Title
Maximum Tolerated Dose (MTD) of SG2000.
Description
The Maximum Tolerated Dose (MTD) will be determined based on the assessment of the dose-limiting toxicity (DLT) during the DLT period; period is defined as the time from the first dose intravenous doses of SG2000 for 3 consecutive days every 21 days for 1 to 6 cycles until unacceptable toxicity, consent withdrawal, or another reason to discontinue therapy intervenes.
Time Frame
From 1st dose of SG2000 given on days 1, 2 and 3, every 21-days, for six 21-day cycles (approximately 16 weeks).
Secondary Outcome Measure Information:
Title
safety profile
Description
Any subject who receives at least 1 dose of SG2000 will be evaluated for safety.
Subjects will be monitored for adverse events (AEs) and will undergo safety assessments including full physical examination, vital sign assessment, Eastern Cooperative Oncology Group (ECOG) performance status assessment, and laboratory testing.
Time Frame
day -1 to day- 21 for six 21-day cycles .
Title
area under the concentration-time curve (AUC)
Description
pharmacokinetic (PK) parameter, noncompartmental analysis will be performed to estimate the plasma pharmacokinetic (PK) parameters of SG2000. Area under the concentration-time curve (AUC).
Time Frame
day-1 of each 21-day cycle (cycles 1 and 3) at the following time points: predose, 15 minutes (middle of infusion), 30 minutes(end of infusion), and at 10 minutes, 20 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, and 24 hours after the end of infusion.
Title
Maximum plasma concentration (Cmax)
Description
pharmacokinetic (PK) parameter -Cmax is the observed maximum plasma or serum concentration after administration
Time Frame
day-1 of each 21-day cycle (cycles 1 and 3) at the following time points: predose, 15 minutes (middle of infusion), 30 minutes (end of infusion), and at 10 minutes, 20 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, and 24 hours after the end of infusion.
Title
time to reach Cmax
Description
pharmacokinetic (PK) parameter - time to reach Cmax.
Time Frame
day-1 of each 21-day cycle (cycles 1 and 3) at the following time points: predose, 15 minutes (middle of infusion), 30 minutes (end of infusion), and at 10 minutes, 20 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, and 24 hours after the end of infusion.
Title
terminal half life (T1/2),
Description
pharmacokinetic parameter - terminal half life
Time Frame
day-1 of each 21-day cycle (cycles 1 and 3) at the following time points: predose, 15 minutes (middle of infusion), 30 minutes (end of infusion), and at 10 minutes, 20 minutes, 30 minutes, 1 hour, 2 hours, 4 hours, and 24 hours after the end of infusion.
Title
hematology and serum chemistry
Description
predictors of Vascular Leak Syndrome (VLS)
Time Frame
baseline, days 1,2,3,4,8,15, and 21 for six 21-day cycles.
Title
Physical examination
Description
predictors of Vascular Leak Syndrome (VLS)
Time Frame
baseline, day-1 to day 21 for six 21-day cycles.
Title
Vital signs
Description
predictors of Vascular Leak Syndrome (VLS)
Time Frame
baseline, day-1 to day-21 for six 21-day cycles.
Title
bone marrow aspirate
Time Frame
day-1 (predose), and day 8 of Cycles 1 and 3 , and day 1 of Cycles 2 and 4
Title
pulse oximetry
Description
monitoring for Vascular Leak Syndrome (VLS)
Time Frame
baseline, day-1 to day-21 for six 21-day cycles.
Title
electrocardiogram
Time Frame
days 1, 8, 15, 21, and at Day 22 after the last cycle or early termination.
Title
bone marrow aspirate
Time Frame
day-1 (predose), and day- 8 of each 21-day cycle (cycles 1 and 3) and day -1 of cycles 2 and 4
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
60 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
male or female greater than or equal to 18 years of age
have one of the following disease states: Acute Myeloid Leukemia (AML) (age <60 years) with relapsed/refractory disease; •Chronic Lymphocytic Leukemia (CLL) with relapsed disease following a fludarabine-based regimen or relapsed disease following an alkylator-based regimen
are recovered from the acute adverse effects of prior therapies (excluding alopecia and Grade ≤2 neuropathy).
have blast counts that can be controlled by the use of hydroxycarbamide (500 to 3000 mg daily).
have adequate hepatic function and renal function
have an estimated life expectancy of >3 months
female subject must have a negative serum pregnancy result within 7 days before the start of the study; Both men and women must agree to use a medically acceptable form of contraception throughout the treatment period and for 3 months after discontinuation of treatment
Exclusion Criteria:
are eligible for any standard therapy known to be life prolonging or life saving
have diagnosis of AML French-American-British (FAB) classification (FAB) M3 (acute promyelocytic leukemia (APL))
are receiving concurrent chemotherapy, radiotherapy, immunotherapy, biological or hormonal treatment for cancer.
have undergone anticancer therapy including chemotherapy (except for hydroxycarbamide at a maximum daily dose of 3000 mg), endocrine therapy, immunotherapy, or the use of other investigational agents within 4 weeks before study entry.
prior radiation therapy with volume of bone marrow treated over 25%.
use of immunosuppressive therapy, including systemic steroids within 7 days before the first dose of SG2000.
hyperleukocytosis (blast counts >30 000/mm3).
history of allogeneic stem cell or solid organ transplantation.
positive serology for human immunodeficiency virus (HIV), hepatitis B or hepatitis C or have HIV-AIDS, or active hepatitis B or C.
history of other invasive malignancy within 3 years except for cervical carcinoma in situ, nonmelanomatous carcinoma of the skin or ductal carcinoma in situ of the breast that has been surgically cured.
have any coexisting medical condition that will substantially increase the risk associated with the subject's participation in the study.
have psychiatric disorders or altered mental status precluding understanding of the informed consent process and/or completion of necessary studies.
have persistent Grade 2 or greater toxicities from any cause (except alopecia or peripheral neuropathy).
are pregnant or breast-feeding.
Facility Information:
Facility Name
Duke University
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27705
Country
United States
Facility Name
Medical University of South Carolina
City
Charleston
State/Province
South Carolina
ZIP/Postal Code
29425
Country
United States
12. IPD Sharing Statement
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Safety, Tolerability Study of SG2000 in the Treatment of Advanced Chronic Lymphocytic Leukemia and Acute Myeloid Leukemia
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