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CompletedNCT00850382Updated Mar 1, 2016

Dasatinib (Sprycel™) in Patients With Newly Diagnosed Core Binding Factor (CBF) Acute Myeloid Leukemia (AML)

A Phase 1/2 interventional study of Dasatinib and daunorubicin in Acute Myeloid Leukemia (AML), sponsored by University of Ulm. Completed at 50 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2016-03-01.

Sponsored by University of Ulm · Phase 1/2, Interventional, and Treatment

Phase
Phase 1/2
Study type
Interventional
Enrollment
89
Allocation
Not applicable
Ages
18 Years and older
Sex
All
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Study summary

This is a Phase Ib/IIa open-labeled multi-center trial evaluating the feasibility of dasatinib given after standard induction therapy with daunorubicin (DNR) and cytarabine (ARA-C), after consolidation therapy with high-dose cytarabine (HDAC), and as single agent in a one-year maintenance therapy in patients with newly diagnosed CBF AML.

82 patients with newly diagnosed CBF AML will be enrolled at AMLSG study centers.

All AML patients will be assessed for the CBF fusion genes via the central laboratory of the AMLSG within 48 hours of diagnosis of AML, and only patients with CBF AML will be enrolled into the study.

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Conditions studied

  • Acute Myeloid Leukemia (AML)

Keywords

  • CBF AML
  • Dasatinib
  • Core Binding Factor (CBF)
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In context

Leukemia

5,441 studies on the registry are indexed under Leukemia; 636 are open to participants now.

This study's enrollment of 89 is above the median of 38 across 4,247 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

University of Ulm is the lead sponsor of 141 studies on the registry; 26 are open to participants now.

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

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Who can participate

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

Inclusion criteria

  • Core binding factor (CBF) AML with molecular diagnosis of RUNX1-RUNX1T1 fusion transcript resulting from t(8;21)(q22;q22) (or a variant form) or of CBFB-MYH11 fusion transcript resulting from inv(16)(p13.1q22)/t(16;16)(p13.1;q22) as assessed in one of the central AMLSG reference laboratories.
  • Age ≥ 18; there is no upper age limit.
  • No prior chemotherapy for leukemia except hydroxyurea for up to 5 days during the diag-nostic screening phase.
  • Non-pregnant and non-nursing. Due to the unknown teratogenic potential of dasatinib in humans, pregnant or nursing patients may not be enrolled. Women of childbearing poten-tial (WOCBP) must have a negative serum or urine pregnancy test within a sensitivity of at least 25 mIU/mL within 72 hours prior to registration. Women of child-bearing potential must either commit to continued abstinence from heterosexual intercourse or begin TWO acceptable methods of birth control - one highly effective method (e.g., IUD, hormonal, tubal ligation, or partner's vasectomy), and one additional effective method (e.g., latex condom, diaphragm, or cervical cap) - AT THE SAME TIME, at least four weeks before she begins dasatinib therapy. "Women of childbearing potential" is defined as a sexually active mature woman who has not undergone a hysterectomy or who has had menses at any time in the preceding 24 consecutive months.
  • Men must agree not to father a child and must use a latex condom during any sexual con-tact with women of childbearing potential while taking dasatinib and for 4 weeks after therapy is stopped, even if they have undergone a successful vasectomy.
  • Signed written informed consent

Exclusion criteria

Exclusion Criteria:

  • Performance status WHO >2
  • Pulmonary edema and/or pleural/pericardial effusion within 14 days of Day 1. If edema/effusion resolves to CTC Grade ≤ 1, patients can be treated with dasatinib.
  • Patients with ejection fraction \< 50% by echocardiography within 14 days of day 1
  • Organ insufficiency (creatinine >1.5x upper normal serum level; bilirubin, AST or AP >2.5x upper normal serum level; heart failure NYHA III/IV; severe obstructive or restrictive ventilation disorder)
  • Uncontrolled infection
  • Severe neurological or psychiatric disorder interfering with ability of giving an informed consent
  • Known positive for HIV
  • Bleeding disorder independent of leukemia
  • No consent for registration, storage and processing of the individual disease-characteristics and course
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Study design

Phase
Phase 1 / Phase 2
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
89 participants (actual)

Study arms

  • Experimental
    Dasatinib

    Induction cycle(s): Patients will receive in cycle 1 induction therapy with daunorubicin 60 mg/m2/day administered on days 1 through 3 and cytarabine 200 mg/m2/day administered by continuous IV infusion daily for 7 days (days 1 through 7). Patients will receive dasatinib 100 mg QD on days 8-21. Patients not achieving CR or CRi at the end of cycle 1 will be evaluable to receive a second induction cycle identical in schedule and dosage to the first induction cycle. Consolidation Cycles 1, 2, 3, 4: Patients achieving CR or CRi at the end of cycle 1 will receive consolidation therapy for 4 cy-cles. Consolidation therapy consists of high-dose cytarabine 3 g/m2 (\>60 years: 1 g/m2) q12h, d 1, 3, 5, administered intravenously over three hours. Patients will receive dasatinib 100 mg QD on days 6-28. Maintenance therapy: Patients completing consolidation therapy will continue to receive single agent dasatinib 100 mg QD for one year (or until relapse).

    Drug: Dasatinib · Drug: daunorubicin · Drug: Cytarabine

Interventions

  • DrugDasatinib

    Induction cycle(s): Dasatinib 100 mg QD on days 8-21. Consolidation Cycles 1, 2, 3, 4: Patients will receive dasatinib 100 mg QD on days 6-28. Maintenance therapy: Patients completing consolidation therapy will continue to receive single agent dasatinib 100 mg QD for one year (or until relapse).

  • Drugdaunorubicin

    Induction cycle(s): Daunorubicin 60 mg/m2/day administered on days 1 through 3

  • DrugCytarabine

    Induction cycle(s): Cytarabine 200 mg/m2/day administered by continuous IV infusion daily for 7 days (days 1 through 7). Consolidation cycles 1, 2, 3, 4: Consolidation therapy consists of high-dose cytarabine 3 g/m2 (\>60 years: 1 g/m2) q12h, d 1, 3, 5, administered intravenously over three hours.

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What researchers measure

Primary outcomes

  1. Feasibility as combined endpoint: Rate of ED/HD Rate of pleural/pericardial effusion grade 3/4 Rate of liver toxicity grade 3/4 that does not improve to <= grade 2 within 14 days after discontinuing responsible medication Rate of refractory disease

    Time frame: after 4 weeks

Secondary outcomes

  1. Cumulative incidence of relapse (CIR) and death (CID)

    Time frame: After follow-up period of two years

  2. Overall survival (os)

    Time frame: After follow-up period of two years

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Study locations

50 sites
  • Universitätsklinikum Innsbruck
    Innsbruck, 6020, Austria
  • Krankenhaus der Barmherzigen Schwestern
    Linz, 4010, Austria
  • Elisabethinen Krankenhaus
    Linz, 4020, Austria
  • Landeskliniken Salzburg
    Salzburg, 5020, Austria
  • Hanuschkrankenhaus Wien
    Wien, 1140, Austria
  • Ubbo-Emmius Klinik Aurich
    Aurich, 26603, Germany
  • Charité Universitätsmedizin Berlin
    Berlin, 13353, Germany
  • Universitätsklinikum Bonn
    Bonn, 53105, Germany
  • Städtisches Klinikum Braunschweig
    Braunschweig, 38114, Germany
  • Klinikum Bremen-Mitte gGmbH
    Bremen, 28177, Germany
  • Klinikum Darmstadt
    Darmstadt, 64283, Germany
  • Universitätsklinikum Duesseldorf
    Duesseldorf, 40225, Germany
  • Kliniken Essen-Sued
    Essen, 45239, Germany
  • Klinikum Esslingen
    Esslingen, 73730, Germany
  • Städtische Kliniken Frankfurt Höchst
    Frankfurt-Höchst, 65929, Germany
  • Medizinische Universitätsklinik
    Freiburg, 79106, Germany
  • Medizinisches Versorgungszentrum Osthessen GmbH
    Fulda, 36043, Germany
  • Klinik der Justus Liebig Universität
    Gießen, 35385, Germany
  • Wilhelm- Anton- Hospital gGmbH
    Goch, 47574, Germany
  • Universitätsmedizin Göttingen
    Göttingen, 37075, Germany
  • Universitätsklinikum Hamburg-Eppendorf
    Hamburg, 20246, Germany
  • Asklepios Klinik Altona
    Hamburg, 22763, Germany
  • Evangelisches Krankenhaus Hamm
    Hamm, 59063, Germany
  • Klinikum Hanau gGmbH
    Hanau, 63450, Germany
  • Klinikum Hannover Siloah
    Hannover, 30449, Germany
  • Medizinische Hochschule Hannover
    Hannover, 30625, Germany
  • SLK-Kliniken Heilbronn GmbH
    Heilbronn, 74078, Germany
  • Universitätsklinikum des Saarlandes
    Homburg Saar, 66424, Germany
  • Staedtisches Klinikum Karlsruhe
    Karlsruhe, 76133, Germany
  • Staedtisches Krankenhaus Kiel GmbH
    Kiel, 24116, Germany
  • Caritas Krankenhaus Lebach
    Lebach, 66822, Germany
  • Klinikum Lippe-Lemgo
    Lemgo, 32657, Germany
  • Klinikum Luedenscheid
    Luedenscheid, 58515, Germany
  • Univ-Klinikum der Otto- von Guericke- Universität
    Magdeburg, 39120, Germany
  • Universitätsklinikum der Johannes Gutenberguniversität Mainz
    Mainz, 55131, Germany
  • Johannes Wesling Klinikum
    Minden, 32429, Germany
  • Klinikum rechts der Isar der TU Muenchen
    Muenchen, 81675, Germany
  • Klinikum Oldenburg
    Oldenburg, 26133, Germany
  • Klinikum Passau
    Passau, 94032, Germany
  • Elisabeth Krankenhaus
    Recklinghausen, 45661, Germany
  • Krankenhaus der Barmherzigen Brueder
    Regensburg, 93049, Germany
  • Caritas-Klinik St. Theresia
    Saarbrücken, 66113, Germany
  • Klinikum Sindelfingen-Böblingen
    Sindelfingen, 71065, Germany
  • Klinikum Stuttgart
    Stuttgart, 70174, Germany
  • Diakonie-Klinikum Stuttgart
    Stuttgart, 70176, Germany
  • Krankenhaus der Barmherzigen Brüder Trier
    Trier, 54292, Germany
  • Medizinische Universitätsklinik Tuebingen
    Tuebingen, 72076, Germany
  • Universitätsklinik Ulm
    Ulm, 89081, Germany
  • Schwarzwald-Baar Klinikum
    Villingen-Schwenningen, 78050, Germany
  • Helios Klinikum Wuppertal
    Wuppertal, 42283, Germany
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References and documents

Publications

  • Paschka P, Schlenk RF, Weber D, Benner A, Bullinger L, Heuser M, Gaidzik VI, Thol F, Agrawal M, Teleanu V, Lubbert M, Fiedler W, Radsak M, Krauter J, Horst HA, Greil R, Mayer K, Kundgen A, Martens U, Heil G, Salih HR, Hertenstein B, Schwanen C, Wulf G, Lange E, Pfreundschuh M, Ringhoffer M, Girschikofsky M, Heinicke T, Kraemer D, Gohring G, Ganser A, Dohner K, Dohner H. Adding dasatinib to intensive treatment in core-binding factor acute myeloid leukemia-results of the AMLSG 11-08 trial. Leukemia. 2018 Jul;32(7):1621-1630. doi: 10.1038/s41375-018-0129-6. Epub 2018 Apr 17. PubMed 29720733 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 1, 2016, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00850382
Lead sponsor
University of Ulm
Responsible party
Prof. Dr. Hartmut Doehner (Prof. Dr., University of Ulm) — Principal investigator
First posted
Feb 25, 2009
Start date
Jun 2009
Primary completion
Nov 2015
Completion
Nov 2015
Last update
Mar 1, 2016

Study contacts

Hartmut Doehner, MD
principal investigator · University Hospital of Ulm

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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