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Open Label, Multi-center, Sequential Group Clinical Study to Determine the Safety and Efficacy of Escalating Dosing Regimens of Intravenous BAL8557 in the Prophylaxis of Patients Undergoing Chemotherapy for Acute Myeloid Leukemia


Phase 2/Phase 3
18 Years
N/A
Not Enrolling
Both
Acute Myeloid Leukemia

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Trial Information

Open Label, Multi-center, Sequential Group Clinical Study to Determine the Safety and Efficacy of Escalating Dosing Regimens of Intravenous BAL8557 in the Prophylaxis of Patients Undergoing Chemotherapy for Acute Myeloid Leukemia


Patients with Acute Myeloid Leukemia who undergo aggressive chemotherapy are due to
immunosuppression susceptible to infections, including fungal infections. As the failure
rate in the treatment of invasive fungal infections is high, prophylaxis is frequently
recommended. This open label study investigates the safety and tolerability of two different
dosages of a water soluble azole antifungal, as well as the efficacy in prevention of
invasive fungal infections and pharmacokinetic data.


Inclusion Criteria:



- diagnosis of acute myeloid leukemia

- patients entering first induction treatment; or subsequent chemotherapy if no prior
invasive fungal infection was observed

- expected to be neutropenic for >9 and <28 days after enrollment

- women of childbearing potential must have a negative pregnancy test

Exclusion Criteria:

- patients who received any systemic antifungal therapy for more than 72 hours prior to
first administration of study medication. Topical polyenes or nystatin are
acceptable but should be discontinued during the study

- patients who received systemic antifungal therapy for proven or probable fungal
infection in the last 12 months

- patients with fever defined as central body temperature of > 38°C

- known hypersensitivity to azoles or any component of the study medication

- concomitant use of rifampicin, rifabutin, ergots alkaloids, terfenadine, astemizole,
cisapride, pimozide, quinidine, long acting barbiturates, neostigmine, and
carbamazepine

- hepatic or severe renal dysfunction

- patients with a medical history of oliguria unresponsive to fluid challenge

- patients with a concomitant medical condition that may be an unacceptable additional
risk to the patient should he/she participate in the study

- treatment with any investigational drug within 30 days prior to the first
administration of study medication except open label chemotherapy protocols

- suspected other or additional cause for neutropenia or immunosuppression

Type of Study:

Interventional

Study Design:

Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Prevention

Outcome Measure:

Safety assessed by the recording of adverse events, laboratory tests, and electrocardiograms (ECGs)

Outcome Time Frame:

Up to Day 28

Safety Issue:

No

Principal Investigator

Oliver Cornely, MD

Investigator Role:

Principal Investigator

Investigator Affiliation:

University of Cologne, Germany

Authority:

Germany: Federal Institute for Drugs and Medical Devices

Study ID:

WSA-CS-002

NCT ID:

NCT00413439

Start Date:

May 2006

Completion Date:

June 2007

Related Keywords:

  • Acute Myeloid Leukemia
  • Isavuconazole
  • BAL8557
  • ASP9766
  • chemotherapy
  • prophylaxis
  • systemic fungal infection
  • Leukemia
  • Leukemia, Myeloid, Acute
  • Leukemia, Myeloid

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