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TerminatedNCT02341495EXJADEUpdated Feb 27, 2020Results posted

Deferasirox, Cholecalciferol, and Azacitidine in the Treatment of Newly Diagnosed AML Patients Over 65

A Phase 2 interventional study of Deferasirox and Cholecalciferol in Acute Myeloid Leukemia, sponsored by Elizabeth Henry. Terminated at 1 site in United States. Open to participants aged 65 Years to 89 Years. Per ClinicalTrials.gov, last updated 2020-02-27.

Sponsored by Elizabeth Henry · Phase 2, Interventional, and Treatment

Why this study was terminated
Study was terminated early due to low patient accrual.

From the registry’s dates

  • Registered 7 months after the study started (first participant enrolled Feb 2013, registered Sep 2013).
Phase
Phase 2
Study type
Interventional
Enrollment
4
Allocation
Not applicable
Ages
65 Years to 89 Years
Sex
All
01

Study summary

The purpose of this study is to find out if by giving a combination of 3 drugs the leukemia will go into complete remission (meaning the leukemia is completely gone), and to find out how long it stays away. The drugs used in this project are FDA approved and commercially available.

Read the detailed description

The majority of new cases of acute myeloid leukemia (AML) are diagnosed in patients older than 65 years of age. The median age of patients at time of diagnosis is 67 years. Standard therapies for AML often have significant toxicity and are poorly tolerated by this patient population. Treatment strategies for elderly patients with AML are limited. In those patients who do achieve complete remission, duration of remission tends to be short. Treatment at time of relapse is exceedingly difficult and outcomes are dismal. Thus, there is need for safer and more effective therapies for elderly patients with AML. This trial is a novel therapeutic combination of deferasirox (Exjade), cholecalciferol, and azacitidine in patients 65 years or older with newly diagnosed AML who are not fit for standard induction chemotherapy or hematopoietic stem-cell transplantation.

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Conditions studied

  • Acute Myeloid Leukemia

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Keywords

  • Azacitidine
  • Vidaza
  • Deferasirox
  • Exjade
  • Cholecalciferol
  • Vitamin D
03

In context

Leukemia

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

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

Browse Leukemia studies →

Lead sponsor

This is the only study on the registry with Elizabeth Henry as lead sponsor.

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

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Who can participate

Ages eligible
65 Years to 89 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • 65 or older (must have reached 65th birthday)
  • Morphologically confirmed diagnosis of AML, excluding AML-M3
  • Must have a Zubrod performance status of 0-3

Exclusion criteria

Exclusion Criteria:

  • Patients with known HIV infection are excluded. If HIV infection is suspected based on clinical condition, testing may be performed at the discretion of treatment team, but is not mandated prior to enrollment.
  • Patients with central nervous system involvement by AML are excluded
  • Patients with history of an active cancer (except basal cell and squamous cell cancers of the skin) within the previous 2 years are excluded
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Study design

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

Study arms

  • Experimental
    Drug Treatment

    Deferasirox (20mg/kg/day)on days 1-7 of protocol, repeated every four weeks for 8 cycles given PO Cholecalciferol(4,000 units/day), on days 1-7 of protocol, repeated every four weeks for 8 cycles given PO Azacitidine (75mg/m2 subcutaneous or IV administration) on days 1-7 of protocol, repeated every four weeks for 8 cycles given either subcutaneously or IV

    Drug: Deferasirox · Drug: Cholecalciferol · Drug: Azacitidine

Interventions

  • DrugDeferasirox

    Deferasirox (20mg/kg/day)on days 1-7 of protocol every 4 wks for 8 cycles PO

    Also known as: Exjade

  • DrugCholecalciferol

    Cholecalciferol(4,000 units/day) on days 1-7 of protocol every 4 wks for 8 cycles PO

    Also known as: Vitamin D

  • DrugAzacitidine

    Azacitidine (75mg/m2 subcutaneous or IV administration) on days 1-7 of protocol 28 days for 32 wks

    Also known as: Vidaza

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What researchers measure

Primary outcomes

  1. Complete Remission Rate

    The Complete Remission Rate for all evaluable patients will be reported for the following treatment: azacitadine, vitamin D, and deferasirox (Exjade). The proportion of patients experiencing per-protocol CR will be calculated with a 90% exact confidence interval.

    Time frame: up to 5 years

Secondary outcomes

  1. Number of Patients With Adverse Events

    Characterization of the safety of an induction regimen of azacitidine in combination with vitamin D and deferasirox (Exjade). The proportion of patients experiencing severe adverse events, and the number of patients experiencing severe adverse events probably or definitely related to treatment will be determined. Adverse events will be tabulated by category and graded by NCI CTCAE version 4.0

    Time frame: up to 5 years

  2. Survival

    The overall survival and relapse-free survival functions. Product-limit (Kaplan-Meier) estimate of the survival functions will be estimated, with 90% confidence intervals.

    Time frame: up to 5 years

  3. Duration of Remission

    The length of time for remission after achieving complete remission

    Time frame: up to 5 years

07

Results

Posted Feb 27, 2020
Limitations and caveats
There are no limitations or caveats to report as the study was terminated early due to low accrual.

Participant flow

Participant flow — Overall Study
MilestoneDrug Treatment
Started4
Completed4
Not completed0

Outcome measures

PrimaryComplete Remission Rate

The Complete Remission Rate for all evaluable patients will be reported for the following treatment: azacitadine, vitamin D, and deferasirox (Exjade). The proportion of patients experiencing per-protocol CR will be calculated with a 90% exact confidence interval.

Time frame:
up to 5 years

No measurements were reported for this outcome.

SecondaryNumber of Patients With Adverse Events

Characterization of the safety of an induction regimen of azacitidine in combination with vitamin D and deferasirox (Exjade). The proportion of patients experiencing severe adverse events, and the number of patients experiencing severe adverse events probably or definitely related to treatment will be determined. Adverse events will be tabulated by category and graded by NCI CTCAE version 4.0

Time frame:
up to 5 years

No measurements were reported for this outcome.

SecondarySurvival

The overall survival and relapse-free survival functions. Product-limit (Kaplan-Meier) estimate of the survival functions will be estimated, with 90% confidence intervals.

Time frame:
up to 5 years

No measurements were reported for this outcome.

SecondaryDuration of Remission

The length of time for remission after achieving complete remission

Time frame:
up to 5 years

No measurements were reported for this outcome.

Adverse events

Collected over Adverse event data were collected for 45 months. Non-serious events are listed at a 0% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Drug Treatment2/4 (50%)0/4 (0%)0/4 (0%)

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Drug Treatment
<=18 years0
Between 18 and 65 years0
>=65 years4
Sex: Female, Male
Sex: Female, Male(Participants)Drug Treatment
Female3
Male1
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Drug Treatment
White4
Region of Enrollment
Region of Enrollment(participants)Drug Treatment
United States4
08

Study locations

1 site
  • Loyola University Cardinal Bernardin Cancer Center
    Maywood, Illinois 60153, United States
09

References and documents

Individual participant data

Plan to share: No — There is no plan to share individuals participant data.

No publications or documents are linked to this record.

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Feb 27, 2020, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT02341495
Lead sponsor
Elizabeth Henry
Responsible party
Elizabeth Henry (Faculty, Loyola University) — Sponsor-investigator
First posted
Jan 19, 2015
Start date
Feb 2013
Primary completion
Nov 2016
Completion
Nov 2016
Results posted
Feb 27, 2020
Last update
Feb 27, 2020

Study contacts

Elizabeth Henry, MD
principal investigator · Faculty

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Feb 2020. You cannot join it, but the record below documents what was studied.

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