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Study of Dasatinib and Bendamustine in Chronic Lymphocytic Leukemia

Primary Purpose

Chronic Lymphocytic Leukemia

Status
Withdrawn
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
Dasatinib
Combination of Bendamustine + Dasatinib
Dasatinib
Combination of Bendamustine + Dasatinib
Sponsored by
Bristol-Myers Squibb
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Lymphocytic Leukemia

Eligibility Criteria

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

Inclusion Criteria (Cohort #1):

  • Diagnosis of B-CLL by NCI criteria
  • Require chemotherapy and have fully recovered from previous administered chemotherapy
  • Subjects must have progressed, failed to achieve a meaningful response, or relapsed/intolerant to prior therapy. Failing at least one purine analogue regimen
  • Subjects have received three or fewer prior treatment regimens
  • ECOG status of 0 - 2

Inclusion Criteria (Cohort #2):

  • If dose level + 3 is reached, the criteria is the same as outlined for Cohort #1, however the subjects should not have a history of prior chemotherapy (treatment naive)

Exclusion Criteria:

  • Unwilling or unable to use an acceptable method to avoid pregnancy
  • Uncontrolled or significant cardiovascular disease, including prolonged QTc interval
  • History of significant bleeding disorder, unrelated to CLL
  • Prior concurrent malignancy
  • Drugs that generally accepted to have the risk of causing Torsades de Pointes
  • Autoimmune hemolytic anemia requiring therapy or transfusion support
  • Autoimmune thrombocytopenia requiring steroid therapy or transfusion support
  • Richter's Syndrome
  • Transformation to prolymphocytic leukemia

Sites / Locations

  • Local Institution
  • Local Institution
  • Local Institution

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

Cohort #1

Cohort #2

Arm Description

Outcomes

Primary Outcome Measures

Determine the maximum tolerated dose (MTD) as assessed by measuring dose limiting toxicities (DLT) at each dosing level

Secondary Outcome Measures

All response evaluable subjects Cohorts #1 and #2 are assessed for overall response rate(s): complete remission (CR); CR with incomplete marrow recovery (CRi); partial remission (PR); for progressive disease (PD) or stable disease (SD)
The effects of treatment on various biological correlates will also be assayed

Full Information

First Posted
March 31, 2009
Last Updated
July 19, 2013
Sponsor
Bristol-Myers Squibb
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1. Study Identification

Unique Protocol Identification Number
NCT00872976
Brief Title
Study of Dasatinib and Bendamustine in Chronic Lymphocytic Leukemia
Official Title
Phase 1 Trial of Dasatinib and Bendamustine in Chronic Lymphocytic Leukemia
Study Type
Interventional

2. Study Status

Record Verification Date
July 2013
Overall Recruitment Status
Withdrawn
Why Stopped
Business Objectives Changed
Study Start Date
May 2009 (undefined)
Primary Completion Date
December 2011 (Anticipated)
Study Completion Date
December 2011 (Anticipated)

3. Sponsor/Collaborators

Name of the Sponsor
Bristol-Myers Squibb

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine the recommended dose for the combination of dasatinib and bendamustine in chronic lymphocytic leukemia (CLL).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Chronic Lymphocytic Leukemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
0 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Cohort #1
Arm Type
Experimental
Arm Title
Cohort #2
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Dasatinib
Other Intervention Name(s)
BMS-354825, Sprycel
Intervention Description
One Week Initial Treatment for Cohort #1: Dasatinib - Tablets/Oral Solution, at assigned dose level, once daily (QD)
Intervention Type
Drug
Intervention Name(s)
Combination of Bendamustine + Dasatinib
Other Intervention Name(s)
Sprycel, Treanda
Intervention Description
Dasatinib, Tablets/Oral Solution, Oral, 50 mg, then at 80 mg, at 80 mg, and at 100 mg, once daily (QD), at assigned ascending dose, for 28 day cycles for a maximum of six cycles Bendamustine, injection, IV injection, 50 mg/m²/Day 1 and Day 2, then at 50 mg/m², at 70 mg/m², at 70 mg/m², at assigned ascending dose, once daily 30 minute IV infusion Day 1 and Day 2 for a maximum of six cycles
Intervention Type
Drug
Intervention Name(s)
Dasatinib
Other Intervention Name(s)
BMS-354825, Sprycel
Intervention Description
One Week Initial Treatment for Cohort #2: Dasatinib - Tablets/Oral Solution, at 100 mg, once daily (QD)
Intervention Type
Drug
Intervention Name(s)
Combination of Bendamustine + Dasatinib
Other Intervention Name(s)
Treanda, Sprycel
Intervention Description
Dasatinib, Tablets/Oral Solution, Oral, at 100 mg, once daily (QD), for 28 day cycles for maximum of six cycles Bendamustine, injection, IV injection, 100 mg/m²/Day 1 and Day 2, once daily 30 minute IV infusion Day 1 and Day 2 for maximum of six cycles
Primary Outcome Measure Information:
Title
Determine the maximum tolerated dose (MTD) as assessed by measuring dose limiting toxicities (DLT) at each dosing level
Time Frame
From initial dose to the end of three cycles of treatment at each dosing level. Each cycle is 28 days, so approximately 91 days
Secondary Outcome Measure Information:
Title
All response evaluable subjects Cohorts #1 and #2 are assessed for overall response rate(s): complete remission (CR); CR with incomplete marrow recovery (CRi); partial remission (PR); for progressive disease (PD) or stable disease (SD)
Time Frame
From initial dose to the end of six cycles of treatment. Each cycle is 28 days, so approximately 175 days
Title
The effects of treatment on various biological correlates will also be assayed
Time Frame
From initial dose to the end of six cycles of treatment. Each cycle is 28 days, so approximately 175 days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria (Cohort #1): Diagnosis of B-CLL by NCI criteria Require chemotherapy and have fully recovered from previous administered chemotherapy Subjects must have progressed, failed to achieve a meaningful response, or relapsed/intolerant to prior therapy. Failing at least one purine analogue regimen Subjects have received three or fewer prior treatment regimens ECOG status of 0 - 2 Inclusion Criteria (Cohort #2): If dose level + 3 is reached, the criteria is the same as outlined for Cohort #1, however the subjects should not have a history of prior chemotherapy (treatment naive) Exclusion Criteria: Unwilling or unable to use an acceptable method to avoid pregnancy Uncontrolled or significant cardiovascular disease, including prolonged QTc interval History of significant bleeding disorder, unrelated to CLL Prior concurrent malignancy Drugs that generally accepted to have the risk of causing Torsades de Pointes Autoimmune hemolytic anemia requiring therapy or transfusion support Autoimmune thrombocytopenia requiring steroid therapy or transfusion support Richter's Syndrome Transformation to prolymphocytic leukemia
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bristol-Myers Squibb
Organizational Affiliation
Bristol-Myers Squibb
Official's Role
Study Director
Facility Information:
Facility Name
Local Institution
City
New Hyde Park
State/Province
New York
ZIP/Postal Code
11040
Country
United States
Facility Name
Local Institution
City
Columbus
State/Province
Ohio
ZIP/Postal Code
43210
Country
United States
Facility Name
Local Institution
City
Nashville
State/Province
Tennessee
ZIP/Postal Code
37203
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Study of Dasatinib and Bendamustine in Chronic Lymphocytic Leukemia

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