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CompletedNCT02345382Updated Jun 25, 2018

Phase I Dose Escalation of BAY1143572 in Subjects With Acute Leukemia

A Phase 1 interventional study of Atuveciclib, BAY1143572 in Leukemia, sponsored by Bayer. Completed at 7 sites in 2 countries. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-06-25.

Sponsored by Bayer · Phase 1, Interventional, and Treatment

From the registry’s dates

  • Primary completion was Sep 2016, 10 years ago, and no results have been posted to the registry.
Phase
Phase 1
Study type
Interventional
Enrollment
42
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

To determine the safety, tolerability, pharmacokinetics, maximum tolerated dose, and recommended Phase II dose of BAY1143572 in a once-daily or an intermittent dosing schedule in subjects with advanced acute leukemia

02

Conditions studied

  • Leukemia

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Keywords

  • Advanced acute leukemia
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 42 is above the median of 38 across 4,247 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

Bayer is the lead sponsor of 1,643 studies on the registry; 57 are open to participants now.

Of its 209 completed or terminated interventional studies of FDA-regulated products, 129 (62%) have results posted.

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

Inclusion criteria

  • Male or female subjects aged >/=18 years
  • Subjects with a histologically or cytologically confirmed acute leukemia who are refractory to or have exhausted all available therapies
  • Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2
  • Life expectancy of at least 12 weeks
  • Adequate liver and renal functions as assessed by the following laboratory requirements to be conducted within 14 days before the first dose of study drug:

    • Total bilirubin \</=1.5 times the upper limit of normal (ULN)
    • Alanine aminotransferase (ALT) and aspartate aminotransferase (AST) \</=2.5 times ULN (\</=5 times ULN for subjects with liver involvement of their cancer)
    • International normalized ratio (INR) \</=1.5 times ULN
    • Estimated glomerular filtration rate (eGFR) >/=50 mL/min per 1.73 m2 according to the Modification of Diet in Renal Disease Study Group (MDRD) formula
  • Negative serum or urine pregnancy test must be obtained within 7 days before the first dose of study drug in women of childbearing potential. Negative results must be available before study drug administration
  • Women and men of reproductive potential must agree to use highly effective contraception when sexually active. This applies for the period between signing of the informed consent and 30 days after the last administration of study drug. Highly effective contraception includes a hormonal contraception with implants or combined oral contraceptives, certain intrauterine devices, bilateral tubal ligation, hysterectomy, or vasectomy of the partner. In addition, the use of condoms for subjects or their partners is required.

Exclusion criteria

Exclusion Criteria:

  • Known hypersensitivity to the study drug or excipients of the preparation or any agent given in association with this study
  • History of cardiac disease including congestive heart failure New York Heart Association (NYHA) Class >/=III, unstable angina (anginal symptoms at rest) or new-onset angina (within the last 6 months) or myocardial infarction within the past 6 months or cardiac arrhythmias requiring anti-arrhythmic therapy except for beta-blockers and digoxin; evidence for uncontrolled coronary artery disease (e.g. major regional wall motion abnormalities on baseline echocardiography or a left ventricular ejection fraction (LVEF) \<45%)
  • Previous pulmonary embolism within 12 months before study entry
  • Uncontrolled hypertension defined as systolic blood pressure >160 mmHg or diastolic blood pressure >100 mmHg, despite optimal medical management and stable antihypertensive treatment for more than 7 days before the first dose of study drug
  • Moderate or severe hepatic impairment, i.e. Child-Pugh class B or C
  • Known history of human immunodeficiency virus (HIV) infection
  • Chronic or active hepatitis B or C, requiring antiviral therapy
  • Serious, uncontrolled infection requiring systemic antibiotic, antifungal or antiviral therapy
  • Uncontrolled meningeal leukemia
  • Prior allogeneic hematopoietic stem cell transplant within \</=4 months before first dose of study drug (Subjects must have completed immunosuppressive therapy before enrollment.
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
42 participants (actual)

Study arms

  • Experimental
    20 mg BAY1143572

    Subjects received 20 milligram (mg) BAY1143572 tablet orally once daily from Cycle 1 Day 1 of each cycle.

    Drug: Atuveciclib, BAY1143572

  • Experimental
    40 mg BAY1143572

    Subjects received 40 mg BAY1143572 tablet orally once daily from Cycle 1 Day 1 of each cycle.

    Drug: Atuveciclib, BAY1143572

  • Experimental
    80 mg BAY1143572

    Subjects received BAY1143572 80 mg tablet orally once daily from Cycle 1 Day 1 of each cycle.

    Drug: Atuveciclib, BAY1143572

  • Experimental
    120 mg BAY1143572

    Subjects received BAY1143572 120 mg tablet orally once daily from Cycle 1 Day 1 of each cycle.

    Drug: Atuveciclib, BAY1143572

  • Experimental
    160 mg BAY1143572

    Subjects received BAY1143572 160 mg tablet orally once daily from Cycle 1 Day 1 of each cycle.

    Drug: Atuveciclib, BAY1143572

  • Experimental
    200 mg BAY1143572

    Subjects received BAY1143572 200 mg tablet orally once daily from Cycle 1 Day 1 of each cycle.

    Drug: Atuveciclib, BAY1143572

  • Experimental
    240 mg BAY1143572

    Subjects received BAY1143572 240 mg tablet orally once daily from Cycle 1 Day 1 of each cycle.

    Drug: Atuveciclib, BAY1143572

Interventions

  • DrugAtuveciclib, BAY1143572

    The starting dose was 20 mg BAY 1143572 once daily from Cycle 1 Day 1. Each cycle was defined as a period of 28 days. Dosing cycles continued until evidence of progression, unacceptable toxicity, consent withdrawal, or withdrawal from the study at the discretion of the investigator.

06

What researchers measure

Primary outcomes

  1. Maximum Tolerated Dose (MTD) of BAY1143572 in Advanced Acute Leukemia Subjects

    The MTD was defined as the highest dose that could be given such that not more than 20% of subjects experience a dose limiting toxicity (DLT) during Cycle 1. The study was terminated prior to the determination of MTD and hence no data was presented.

    Time frame: After the first 28 days of treatment (cycle 1)

  2. Maximum Total Observed Drug Concentration (Cmax) of BAY1143572 after Single Dose Administration in Plasma

    Maximum total observed drug concentration of BAY1143572 after single dose administration in plasma was measured.

    Time frame: Pre-dose up to 24 hours post-dose on Cycle1 Day 1

  3. Maximum Total Observed Drug Concentration of BAY1143572 after Multiple Dose Administration in Plasma (Cmax,md)

    Maximum total observed drug concentration of BAY1143572 after multiple dose administration in plasma was measured.

    Time frame: Pre-dose up to 24 hours post-dose on Cycle 1 Day 15

  4. Area Under the Concentration Versus Time Curve from Zero to 24 hours (AUC[0-24h]) of BAY1143572 in Plasma After Single Dose Administration

    Area under the concentration versus time curve from zero to 24 hours of BAY1143572 in plasma after single dose administration was measured.

    Time frame: Pre-dose up to 24 hours post-dose on Cycle1 Day 1

  5. Area Under the Concentration Versus Time Curve from Zero to 24 hours of BAY1143572 in Plasma after Multiple Dose Administration (AUC[O-24h]md)

    Area under the concentration versus time curve from zero to 24 hours of BAY1143572 in plasma after multiple dose administration was measured.

    Time frame: Pre-dose up to 24 hours post-dose on Cycle 1 Day 15

  6. Area Under the Concentration Versus Time Curve from Zero to Last Data Point Greater than Lower Limit of Quantitation (LLOQ) of BAY1143572 in Plasma (AUC[0-tlast]) after Single Dose Administration

    Area under the concentration versus time curve from zero to last data point greater than lower limit of quantitation of BAY1143572 in plasma after single dose administration was measured.

    Time frame: Pre-dose up to 24 hours post-dose on Cycle 1 Day 1

  7. Time to Reach Maximum Drug Concentration (tmax) of BAY1143572 in Plasma after Single Dose Administration

    Time to reach maximum drug concentration of BAY1143572 in plasma after single dose administration was measured.

    Time frame: pre-dose up to 24 hours post-dose on Cycle 1 Day 1

  8. Time to Reach Maximum Drug Concentration of BAY1143572 in Plasma after Multiple Dose Administration (tmax,md)

    Time to reach maximum drug concentration of BAY1143572 in plasma after multiple dose administration was measured.

    Time frame: Pre-dose up to 24 hours post-dose on Cycle 1 Day 15

Secondary outcomes

  1. Number of Subjects With Leukemia Response

    Bone marrow aspirates / biopsies / peripheral whole blood were taken and assessed for leukemia response evaluation. Assessment of response was made based on the revised recommendations of the International Working Group (Cheson 2003 criteria). Criteria proposed by Cheson 2003 for leukemia: complete remission (CR), morphological CR with incomplete blood count recovery (CRi), partial remission (PR), no response / treatment failure, relapse from CR, CRi, or PR.

    Time frame: From start of treatment of the first subject until 28 days

  2. Number of Subjects with Treatment Emergent Adverse Events (TEAEs) and Treatment Emergent Serious Adverse Events (TESAEs)

    An adverse event (AE) was any untoward medical occurrence in subject who received study drug without regard to possibility of causal relationship. AEs that started or worsened after first administration of study medication up to 30 days after end of treatment with study medication were considered to be treatment emergent (TE). A serious adverse event (SAE) was an AE resulting in any of following outcomes or deemed significant for any other reason: death; initial or prolonged inpatient hospitalization; life-threatening experience (immediate risk of dying); persistent or significant disability/incapacity; congenital anomaly and another medical important serious event as judged by investigator. SAEs that started or worsened after study drug treatment were recorded as TESAEs.

    Time frame: From start of study drug administration up to 30 days after the last dose of study drug administration (approximately 2.5 years)

  3. Area Under the Concentration Versus Time Curve from Zero to Infinity (AUC) of BAY1143572 after Single Dose Administration in Plasma

    Area under the concentration versus time curve from zero to infinity of BAY1143572 after single dose administration in plasma was measured.

    Time frame: Pre-dose up to 24 hours post-dose on C1D1

07

Study locations

7 sites
  • Dana-Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • Hackensack University Medical Center
    Hackensack, New Jersey 07601, United States
  • Columbia University Medical Center
    New York, New York 10032, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425, United States
  • Vanderbilt University Medical Center
    Nashville, Tennessee 37232, United States
  • Universitätsklinikum der Johann Wolfgang Goethe Universität
    Frankfurt, Hessen 60596, Germany
  • Medizinische Fakultät Carl Gustav Carus
    Dresden, Sachsen 01307, Germany
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 25, 2018, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT02345382
Lead sponsor
Bayer
Responsible party
Sponsor
First posted
Jan 26, 2015
Start date
Feb 19, 2015
Primary completion
Sep 14, 2016
Completion
Jul 30, 2017
Last update
Jun 25, 2018

Study contacts

Bayer Study Director
study director · Bayer

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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