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A Phase II Study of Crenolanib in Relapsed/Refractory Acute Myeloid Leukemia Patients With Activating FLT3 Mutations


Phase 2
18 Years
N/A
Open (Enrolling)
Both
Acute Myeloid Leukemia With FLT3 Activating Mutations That Has Relapsed or Been Refractory After One or More Prior Therapies

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Trial Information

A Phase II Study of Crenolanib in Relapsed/Refractory Acute Myeloid Leukemia Patients With Activating FLT3 Mutations


This is a Phase II open label study of crenolanib besylate. This study will enroll subjects
with relapsed Acute Myeloid Leukemia (AML) with FLT3 activating mutations. Two cohorts of
patients will be enrolled: those whose AML has recurred after prior chemotherapy (not
including a FLT3 TKI), and those whose AML has progressed after prior therapy with a FLT3
TKI. Subjects will take 100mg (one tablet) of crenolanib three times a day until disease
progression, death, or the patient discontinues treatment for adverse events, investigator's
judgment, or other reasons.


Inclusion Criteria:



- Confirmed primary AML diagnosis with presence of either FLT3 ITD and/or other FLT3
activating mutations

- Males and females age ≥ 18 years

- ECOG PS 0-2

- Adequate liver function, defined as bilirubin ≤ 1.5x ULN, ALT ≤ 3.0x ULN, and AST ≤
3.0x ULN.

- Adequate renal function, defined as serum creatinine ≤ 1.5x ULN

- Recovery from non-hematological toxicities of prior therapy (including HSCT) to no
more than grade 1 (except alopecia)

- In the absence of rapidly progressing leukemia, subjects should have received no
anti-leukemic therapy (except hydroxyurea) prior to the first dose of crenolanib for
2 weeks (for classical cytotoxic agents and FLT3 inhibitors; 4 weeks for radiation).

- Negative serum pregnancy test for WOCBP.

- Able and willing to provide written informed consent.

Exclusion Criteria:

- Absence of a FLT3 activating mutation

- Secondary AML or AML in the setting of antecedent hematological disorders

- < 5% blasts in blood or marrow at screening

- Concurrent chemotherapy, systemic immuno-suppressants, or targeted anti-cancer
agents, other than hydroxyurea.

- Patient with concurrent severe and/or uncontrolled medical conditions that in the
opinion of the investigator may impair the participation in the study or the
evaluation of safety and/or efficacy.

- HIV infection or active hepatitis B or C

- Known clinically active central nervous system (CNS) leukemia

- Patients who have had HSCT and are within 180 days of an allogeneic transplant or 90
days of an autologous transplant, and/or have received immunosuppressive drugs for
management or prophylaxis of GVHD within 30 days of enrollment, and/or have
clinically significant graft-versus-host disease requiring treatment, and/or have >
Grade 1 persistent non hematological toxicity related to the transplant

- Major surgical procedures within 14 days of Day 1 administration of crenolanib.

- Unwillingness or inability to comply with protocol.

Type of Study:

Interventional

Study Design:

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

Outcome Measure:

Response rate of patients receiving crenolanib therapy

Outcome Description:

To determine the response rate to crenolanib, including the rates of complete remission (CR), CR with incomplete blood count recovery (CRi), and partial remission (PR), in relapsed/refractory AML patients with FLT3 activating mutations after first cycle (28-days).

Outcome Time Frame:

1 year

Safety Issue:

No

Authority:

United States: Food and Drug Administration

Study ID:

ARO-005

NCT ID:

NCT01657682

Start Date:

October 2012

Completion Date:

December 2013

Related Keywords:

  • Acute Myeloid Leukemia With FLT3 Activating Mutations That Has Relapsed or Been Refractory After One or More Prior Therapies
  • FLT3
  • Crenolanib
  • Acute
  • Myeloid
  • AML
  • Leukemia
  • Leukemia, Myeloid, Acute
  • Leukemia, Myeloid

Name

Location

MD Anderson Cancer Center Houston, Texas  77030-4096