ClinicalTrials.gg
CompletedNCT00079482Updated Jul 21, 2016

Study of CEP-701 (Lestaurtinib) in Patients With Acute Myeloid Leukemia (AML)

A Phase 2 interventional study of CEP-701 and high-dose cytarabine in Acute Myeloid Leukemia, sponsored by Cephalon. Completed at 81 sites in 13 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-07-21.

Sponsored by Cephalon (part of Teva Pharmaceutical Industries, Ltd.) · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
224
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of the study is to determine whether CEP-701 given in sequence with induction chemotherapy increases the proportion of patients with relapsed acute myeloid leukemia (AML) who achieve a second complete remission (CR).

Read the detailed description

Patients randomly assigned to chemotherapy alone received the second course of induction chemotherapy as soon as clinically indicated; patients randomly assigned to receive chemotherapy plus sequential lestaurtinib had lestaurtinib withheld for 3 days (72 hours) before the start of the second 5-day course of chemotherapy and resumed lestaurtinib treatment 2 days (48 hours) after the final administration of the second course of chemotherapy.

02

Conditions studied

  • Acute Myeloid Leukemia

Keywords

  • AML
03

In context

Leukemia, Myeloid, Acute

3,667 studies on the registry are indexed under Leukemia, Myeloid, Acute; 816 are open to participants now.

This study's enrollment of 224 is above the median of 40 across 3,005 interventional studies indexed under Leukemia, Myeloid, Acute.

Browse Leukemia, Myeloid, Acute studies →

Lead sponsor

Cephalon is the lead sponsor of 75 studies on the registry; none are open to participants now.

First submitted before Cephalon became part of Teva Pharmaceutical Industries, Ltd..

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • cytological confirmation of AML;
  • disease following first CR of 1 month(30days)to 24 months(730days). The time from first relapse to study entry (start of first course of induction chemotherapy) must be no longer than 30days;
  • confirmation of FLT-3 activating mutation positive status after point of initial relapse;
  • aged 18 years or older;
  • written ;
  • ability to understand and comply with study restrictions;
  • no comorbid conditions that would limit to less than 3 months;
  • Performance Score of 0, 1,or 2;
  • women must be neither pregnant nor lactating, and either of non- or using adequate with a negative pregnancy test at study entry

Exclusion criteria

Exclusion criteria:

  • > 2x ;
  • /AST > 3x ULN;
  • serum creatinine > 1.5 mg/dL;
  • resting of left ventricle l \< 45%(applies only to patients scheduled to receive mitoxantrone, etoposide, and cytarabine [MEC];
  • untreated or progressive infection;
  • any physical or psychiatric cdtn that may compromise participation in the study;
  • known CNS involvement with AML;
  • any previous treatment with a FLT-3 inhibitor;
  • requires current treatment for with protease inhibitors;
  • active GI ulceration or bleeding;
  • use of an drug that is not expected to be cleared by the start of CEP-701 treatment
Terms in these criteria, in plain language(12)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Relapsed and refractory

Relapsed: the illness came back after treatment had worked. Refractory: it did not respond to treatment, or stopped responding while still on it.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Life expectancy

The study doctor’s estimate of how long someone is likely to live. Criteria use it so that people can stay in the study long enough for it to answer its question.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Childbearing potential

Able to become pregnant: from the first period until menopause, unless permanently unable to through surgery (removal of the womb, or of both ovaries or both fallopian tubes).

Criteria for people of childbearing potential usually ask for a negative pregnancy test and for contraception during the study and for a time after it.

Contraception

Ways of preventing pregnancy. “Highly effective” methods fail less than 1% of the time a year when used correctly — for example an IUD or an implant.

Criteria usually say which methods count and how long to keep using them after the last dose, sometimes for male participants too. Some studies accept a partner’s vasectomy if it was confirmed successful and that person is the participant’s only sexual partner.

Bilirubin

A yellow substance made when red blood cells are broken down, which the liver clears. A high level can mean a problem with the liver or the bile ducts.

Criteria often allow more for people with Gilbert’s syndrome, a harmless inherited condition that raises bilirubin.

ULN (upper limit of normal)

The top of the normal range for a blood test, as set by the laboratory that runs it. Each lab prints its own range next to your result.

“≤ 2.5 × ULN” means the result can be up to two and a half times that top value.

ALT and AST (liver enzymes)

Two enzymes measured in a routine blood test of the liver. Higher levels can mean the liver is under strain or damaged. SGPT and SGOT are older names for ALT and AST.

Criteria usually give a limit as a multiple of the upper limit of normal (ULN), often higher when cancer has spread to the liver.

LVEF (left ventricular ejection fraction)

The share of blood the heart’s main pumping chamber (the left ventricle) pushes out with each beat, measured by an echocardiogram (heart ultrasound) or a MUGA scan. About 50–70% is normal.

HIV

The human immunodeficiency virus, which weakens the immune system.

Many studies now accept people whose HIV is controlled on treatment, judged by the viral load and the CD4 count. Check the limits this study sets.

Investigational drug or device

A drug or device being studied in a clinical trial.

It may be new, or already approved and being studied for another use, dose or form. Criteria often leave out people who took part in another study of one within a recent period, commonly 30 days or five half-lives.

05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
224 participants (actual)

Study arms

  • Active comparator
    1

    Induction chemotherapy with or without sequential treatment with oral CEP-701 at 80 mg bid. For patients with duration of first CR of 1 to 6 months, the induction regimen will be MEC.

    Drug: CEP-701 · Drug: Mitozantrone, Etoposide, Cytarabine (combination Chemotherapy)

  • Active comparator
    2

    Induction chemotherapy with or without sequential treatment with oral CEP-701 at 80 mg bid. For patients with duration of first CR of more than 6 months to 24 months, the induction regimen will be HiDAC.

    Drug: CEP-701 · Drug: high-dose cytarabine

Interventions

  • Also known as: lestaurtinib

  • Chemotherapy

    Also known as: HiDAC

  • DrugMitozantrone, Etoposide, Cytarabine (combination Chemotherapy)

    Chemotherapy

    Also known as: MEC

06

What researchers measure

Primary outcomes

  1. Determine whether CEP-701 given in sequence with induction chemotherapy increases the proportion of patients with relapsed AML who achieve a second complete remission or a complete remission with incomplete platelet count recovery.

    Time frame: 113 days

Secondary outcomes

  1. - overall survival - event-free survival - remission duration - safety and tolerability of CEP-701 - pharmacokinetics of CEP-701 - CEP-701 inhibitory activity

    Time frame: 113 days

07

Study locations

81 sites
  • University of Alabama
    Birmingham, Alabama 35294, United States
  • Mayo-Scottsdale
    Scottsdale, Arizona 85259, United States
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
  • USC/Norris Cancer Center
    Los Angeles, California 90033, United States
  • Stanford Medical Center
    Stanford, California 94305, United States
  • Moffitt Cancer Center
    Tampa, Florida 33606, United States
  • Emory University School of Medicine
    Atlanta, Georgia 30322, United States
  • ACORN-Central Georgia Hematology/Oncology
    Macon, Georgia 31201, United States
  • Northwestern University
    Chicago, Illinois 60611, United States
  • University of Chicago
    Chicago, Illinois 60637, United States
  • St. Francis Cancer Care Services
    Beech Grove, Indiana 46107, United States
  • Indiana Cancer Pavillion
    Indianapolis, Indiana 46202, United States
  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa 52242, United States
  • LSU Shreveport
    Shreveport, Louisiana 71103, United States
  • Univeristy of Maryland Medicine - Greenebaum Cancer Center
    Baltimore, Maryland 21201, United States
  • Johns Hopkins
    Baltimore, Maryland 21231, United States
  • Tufts New England Medical Center
    Boston, Massachusetts 02111, United States
  • Beth Israel Hospital
    Boston, Massachusetts 02215, United States
  • University of Michigan
    Ann Arbor, Michigan 48109, United States
  • Karmanos Cancer Institute Wayne State University
    Detroit, Michigan 48201, United States
  • University of Minnesota
    Minneapolis, Minnesota 55455, United States
  • The Mayo Clinic
    Rochester, Minnesota 55905, United States
  • Washington University
    St. Louis, Missouri 63110, United States
  • University of Nebraska
    Omaha, Nebraska 68198, United States
  • Roswell Park Cancer Institute
    Buffalo, New York 14263, United States
  • New York Presbyterian
    New York, New York 10021, United States
  • Duke University Medical Center
    Durham, North Carolina 27710, United States
  • The Cleveland Clinic Foundation
    Cleveland, Ohio 44195, United States
  • University of Pennsylvania
    Philadelphia, Pennsylvania 19104, United States
  • University of Pittsburgh
    Pittsburgh, Pennsylvania 15232, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • ACORN-The West Clinic
    Memphis, Tennessee 38120, United States
  • MD Anderson Cancer Center
    Houston, Texas 77030, United States
  • University of Washington Medical Center
    Seattle, Washington 98195, United States
  • Call For Information
    Sydney, New South Wales 2065, Australia
  • Call for Information
    Herston, Queensland 4029, Australia
  • Call For Information
    South Brisbane, Queensland 4101, Australia
  • Call For Information
    Adelaide, South Australia 5000, Australia
  • Call For Information
    Fitzroy, Victoria 3065, Australia
  • Call For Information
    Melbourne, Victoria 3004, Australia
  • Call For Information
    Perth, Western Australia 6000, Australia
  • Princess Margaret Hospital
    Toronto, Ontario M5G2M9, Canada
  • CHA Hospital Enfant-Jesus
    Quebec, G1J1Z4, Canada
  • Call For Information
    Chemnitz, 09113, Germany
  • Call For Information
    Dresden, 01307, Germany
  • Call For Information
    Frankfurt, 60590, Germany
  • Call For Information
    Heidelberg, 69120, Germany
  • Call For Information
    Munster, 48129, Germany
  • Call For Information
    Stuttgart, 70376, Germany
  • Call For Information
    Haifa, 31096, Israel
  • Call For Information
    Petah-Tiqwa, 49100, Israel
  • Call For Information
    Tel Hashomer, 52621, Israel
  • Call For Information
    Bologna, 41038, Italy
  • Call For Information
    Roma, 00133, Italy
  • Call For Information
    Roma, 00161, Italy
  • Call For Information
    Turin, 10043, Italy
  • Call For Information
    Auckland, 1023, New Zealand
  • Call For Information
    Bialystok, 15276, Poland
  • Call For Information
    Gdansk, 80952, Poland
  • Call For Information
    Katowice, 40032, Poland
  • Call For Information
    Krakow, 31501, Poland
  • Call For Information
    Lodz, 93510, Poland
  • Call For Information
    Lublin, 20022, Poland
  • Call For Information
    Poznan, 60569, Poland
  • Call For Information
    Warszawa, 02097, Poland
  • Call For Information
    Warszawa, 02776, Poland
  • Call For Information
    Wroclaw, 50369, Poland
  • Call For Information
    Bucharest, 030171, Romania
  • Call For Information
    Iasi, 700111, Romania
  • Call For Information
    Moscow, 125167, Russian Federation
  • Call For Information
    Novosibirsk, 630099, Russian Federation
  • Call For Information
    St. Petersburg, 197022, Russian Federation
  • Call For Information
    St. Petersburg, 197110, Russian Federation
  • Call For Information
    Barcelona, 08041, Spain
  • Call For Information
    Valencia, 46009, Spain
  • Call For Information
    Lund, SE-22185, Sweden
  • Call For Information
    Stockholm, SE-17176, Sweden
  • Call For Information
    Cherkassy, 18009, Ukraine
  • Call For Information
    Kiev, 03115, Ukraine
  • Call For Information
    Kiev, 04112, Ukraine
  • Call For Information
    Lvov, 79044, Ukraine
08

References and documents

Publications

  • Levis M, Ravandi F, Wang ES, Baer MR, Perl A, Coutre S, Erba H, Stuart RK, Baccarani M, Cripe LD, Tallman MS, Meloni G, Godley LA, Langston AA, Amadori S, Lewis ID, Nagler A, Stone R, Yee K, Advani A, Douer D, Wiktor-Jedrzejczak W, Juliusson G, Litzow MR, Petersdorf S, Sanz M, Kantarjian HM, Sato T, Tremmel L, Bensen-Kennedy DM, Small D, Smith BD. Results from a randomized trial of salvage chemotherapy followed by lestaurtinib for patients with FLT3 mutant AML in first relapse. Blood. 2011 Mar 24;117(12):3294-301. doi: 10.1182/blood-2010-08-301796. Epub 2011 Jan 26. PubMed 21270442 ↗
09

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2003, a primary completion of Mar 2009 and a completion of Jan 2010. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Mar 8, 2004
First posted
Mar 10, 2004
Start
Oct 2003
Primary completionActual
Mar 2009
CompletionActual
Jan 2010
Results delay requested
Aug 27, 2013
Last update
Jul 21, 2016
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 21, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00079482
Lead sponsor
Cephalon
Responsible party
Sponsor
First posted
Mar 10, 2004
Start date
Oct 2003
Primary completion
Mar 2009
Completion
Jan 2010
Last update
Jul 21, 2016
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jul 2016. You cannot join it, but the record below documents what was studied.

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