Study of NRX 195183 Therapy for Patients With Relapsed or Refractory Acute Promyelocytic Leukemia
Primary Purpose
Acute Promyelocytic Leukemia
Status
Unknown status
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
NRX 195183 Soft Gelatin Capsule
Sponsored by
About this trial
This is an interventional treatment trial for Acute Promyelocytic Leukemia focused on measuring Acute Promyelocytic Leukemia, Cancer, Leukemia, APL, ATRA, Tretinoid, Vesanoid, Retinoic Acid Receptor Alpha, All Trans Retinoic Acid, Arsenic Trioxide, Trisenox, Retinoid, Relapsed or Refractory Acute Promyelocytic Leukemia
Eligibility Criteria
Inclusion Criteria:
Clinical diagnosis of APL morphology or FAB M3 variant confirmed by RT-PCR assay or chromosome analysis/FISH showing t(15:17) translocation. Patients must also have relapse from, resistance to or intolerance of any one or more of the following therapies:
- ATRA
- Cytotoxic chemotherapy
- Arsenic trioxide
- Patients must be 18 or older.
- Bilirubin equal or less than 1.5 times the upper limit of normal.
- Creatinine equal or less than 1.5 times the upper limit of normal.
- Patients entered into this study should be non-pregnant and non-nursing and should not plan on becoming pregnant while on treatment. Treatment under this protocol would expose an unborn child to significant risks. Women and men of reproductive potential should agree to use an effective means of birth control. There is an extremely high risk that a severely deformed infant will result if NRX 195183 is administered during pregnancy.
Exclusion Criteria:
- Non-APL, AML patients should be excluded from the study.
- Other serious illnesses which would limit survival to 6 months.
- Psychiatric conditions which would prevent compliance with treatment or informed consent.
- Uncontrolled or severe cardiovascular disease. This would include history of a recent acute myocardial infarction, uncontrolled congestive heart failure, or active angina.
- AIDS or HIV positive patients, although HIV test is not required for accrual.
Sites / Locations
- Sarcoma Oncology CenterRecruiting
Arms of the Study
Arm 1
Arm Type
Experimental
Arm Label
1
Arm Description
Outcomes
Primary Outcome Measures
Complete Remission
Secondary Outcome Measures
Molecular Complete Remission
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT00675870
Brief Title
Study of NRX 195183 Therapy for Patients With Relapsed or Refractory Acute Promyelocytic Leukemia
Official Title
Phase II Study of NRX 195183 Therapy for Patients With Relapsed or Refractory Acute Promyelocytic Leukemia
Study Type
Interventional
2. Study Status
Record Verification Date
May 2008
Overall Recruitment Status
Unknown status
Study Start Date
April 2008 (undefined)
Primary Completion Date
April 2010 (Anticipated)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Name of the Sponsor
NuRx Pharmaceuticals, Inc.
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
The purpose of this study is to determine whether NRX 195183 is effective in the treatment of relapsed or refractory Acute Promyelocytic Leukemia
Detailed Description
A common current therapeutic approach to APL uses oral ATRA and chemotherapy in induction and consolidation. This approach has significantly improved survival in newly diagnosed APL patients. However, approximately 30% of patients relapse. Recently, an approach involving the combination of oral ATRA and arsenic trioxide has been tested. The prognosis for relapsed patients is very poor. This study seeks to investigate NRX 195183 monotherapy in patients who have failed or are resistant to or are intolerant of any prior therapy.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Acute Promyelocytic Leukemia
Keywords
Acute Promyelocytic Leukemia, Cancer, Leukemia, APL, ATRA, Tretinoid, Vesanoid, Retinoic Acid Receptor Alpha, All Trans Retinoic Acid, Arsenic Trioxide, Trisenox, Retinoid, Relapsed or Refractory Acute Promyelocytic 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
65 (Anticipated)
8. Arms, Groups, and Interventions
Arm Title
1
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
NRX 195183 Soft Gelatin Capsule
Intervention Description
Daily oral NRX 195183 administration for 90 days to assess CR rate. Patients with CR may continue maintenance therapy after a 2-week drug holiday. Maintenance therapy will consist of two 3-month daily oral NRX 195183 administration separated by a 2-week drug holiday.
Primary Outcome Measure Information:
Title
Complete Remission
Time Frame
90 Days
Secondary Outcome Measure Information:
Title
Molecular Complete Remission
Time Frame
9 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Clinical diagnosis of APL morphology or FAB M3 variant confirmed by RT-PCR assay or chromosome analysis/FISH showing t(15:17) translocation. Patients must also have relapse from, resistance to or intolerance of any one or more of the following therapies:
ATRA
Cytotoxic chemotherapy
Arsenic trioxide
Patients must be 18 or older.
Bilirubin equal or less than 1.5 times the upper limit of normal.
Creatinine equal or less than 1.5 times the upper limit of normal.
Patients entered into this study should be non-pregnant and non-nursing and should not plan on becoming pregnant while on treatment. Treatment under this protocol would expose an unborn child to significant risks. Women and men of reproductive potential should agree to use an effective means of birth control. There is an extremely high risk that a severely deformed infant will result if NRX 195183 is administered during pregnancy.
Exclusion Criteria:
Non-APL, AML patients should be excluded from the study.
Other serious illnesses which would limit survival to 6 months.
Psychiatric conditions which would prevent compliance with treatment or informed consent.
Uncontrolled or severe cardiovascular disease. This would include history of a recent acute myocardial infarction, uncontrolled congestive heart failure, or active angina.
AIDS or HIV positive patients, although HIV test is not required for accrual.
Central Contact Person:
First Name & Middle Initial & Last Name or Official Title & Degree
Nonna Snider, BS/BA
Phone
949-336-7111
Email
nsnider@nurxpharma.com
First Name & Middle Initial & Last Name or Official Title & Degree
Linda Gero
Phone
949-336-7111
Email
lgero@nurxpharma.com
Facility Information:
Facility Name
Sarcoma Oncology Center
City
Santa Monica,
State/Province
California
ZIP/Postal Code
90403
Country
United States
Individual Site Status
Recruiting
Facility Contact:
First Name & Middle Initial & Last Name & Degree
Victoria Chua
Phone
310-552-9999
Email
vikychua@aol.com
12. IPD Sharing Statement
Learn more about this trial
Study of NRX 195183 Therapy for Patients With Relapsed or Refractory Acute Promyelocytic Leukemia
We'll reach out to this number within 24 hrs