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WithdrawnNCT03444649EICUpdated Sep 11, 2018

Epacadostat, Idarubicin and Cytarabine (EIC) in AML

A Phase 1 interventional study of Epacadostat and Idarubicin in AML, sponsored by Insel Gruppe AG, University Hospital Bern. Withdrawn at 1 site in Switzerland. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2018-09-11.

Sponsored by Insel Gruppe AG, University Hospital Bern · Phase 1, Interventional, and Treatment

Why this study was withdrawn
IMP will not be further developed
Phase
Phase 1
Study type
Interventional
Enrollment
0
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

This trial assess the maximum tolerated dose (MTD) and to characterize dose-limiting toxicities (DLTs) of epacadostat when added to the anthracycline/cytarabine combination as first-line induction treatment in AML patients fit for intensive treatment

Read the detailed description

Background and Rationale:

Epacadostat (INCB024360) is an Inhibitor of Indoleamine 2,3- dioxygenase 1 (IDO1). Indoleamine 2,3- dioxygenase 1 (IDO1) is a 403 amino acid cytosolic haem enzyme encoded by the INDO gene on human chromosome 8p22. IDO1 is responsible for the catabolism of the essential amino acid tryptophan (trp) to kynurenine (kyn) within immune cells and a subset of tumor cells resulting in inhibition of antitumor cell-mediated immune responses. Increased IDO activity correlates with lower CR rates and shorter OS in AML.

Objective:

The primary objective is to determine the maximum tolerated dose (MTD) and to characterize dose-limiting toxicities (DLTs) of epacadostat when added to the anthracycline/cytarabine combination as first-line induction treatment in AML patients fit for intensive Treatment.

Study Duration:

Phase I part will last from 3 to 18 months (permitting the enrolment of minimum of 3 and a maximum of 18 patients).

02

Conditions studied

  • AML

Keywords

  • AML
  • Epacadostat
  • Idarubicin
  • Cytarabine
03

Who can participate

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

Inclusion criteria

  • AML (according to the 2016 World Health Organization (WHO) classification definition of ≥ 20% blasts; Arber et al, 2016) suitable for intensive treatment (including stem cell transplantation) with a curative intent.
  • Patients must be aged > 18 years, and must have given voluntary written informed consent.
  • Women of childbearing potential having a negative serum pregnancy test at screening or at least within 48 hours before start with epacadostat, and willing to use an effective contraceptive method (intrauterine devices, hormonal contraceptives, contraceptive pill, implants, transdermal patches, hormonal vaginal devices, infusions with prolonged release) during the study and for at least 6 months after the last study drug administration
  • Men willing to use an effective contraceptive method (eg, condom, vasectomy) during the study and for at least 6 months after the last study drug administration.

Exclusion criteria

Exclusion Criteria:

  • Prior or concurrent malignancy, except for the following: adequately treated basal cell or squamous cell skin cancer, or any other cancer from which the subject has been disease-free for more than 6 months.
  • Any previous AML or MDS chemotherapy (with the exception of hydroxyurea/Litalir® for leukocyte control which should be discontinued by the first day of induction chemotherapy
  • Treatment with any investigational product within 4 weeks before the first administration of epacadostat (INCB024360)
  • Abnormal organ function if not caused by the underlying disease as considered by the treating physician
  • Use of immune-suppressive agents for the past 4 weeks before the first administration of epacadostat (INCB024360). For regular use of systemic corticosteroids, subjects may only be included after stepwise discontinuation to be free of steroids for a minimum of 5 days before the first administration of epacadostat (INCB024360)
04

Study design

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

Study arms

  • Experimental
    Dosis finding

    Epacadostat is given for 2 cycles of 28 days at a dose according to the titration design together with Standard chemotherapy (Idarubicin and Cytarabine)

    Drug: Epacadostat · Drug: Idarubicin · Drug: Cytarabine · Drug: Daunorubicin

Interventions

  • DrugEpacadostat

    Epacadostat orally two times daily (BID) for two cycles (28 days each) in combination with standard induction chemotherapy (Idarubicin and Cytarabine)

  • DrugIdarubicin

    Standard chemotherapy d1-d3 cycle 1

  • DrugCytarabine

    Standard chemotherapy d1-d7 cycle 1 and 2

  • DrugDaunorubicin

    Standard chemotherapy d1-3 cycle 2

05

What researchers measure

Primary outcomes

  1. Phase 1: Dose finding

    To determine the maximum tolerated dose (MTD) and to characterize dose-limiting toxicities (DLTs) of epacadostat

    Time frame: 30 days

Secondary outcomes

  1. Rate of morphologic complete remission (CR)

    Bone marrow blasts \< 5%; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count \> 1.0G/L (1000/μL); platelet count \> 100 x G/L (100.000/μL); independence of red cell transfusions.

    Time frame: 60 days

  2. Adverse events

    Number of patients experiencing toxicity (Adverse Events)

    Time frame: 90 days

  3. Overall survival

    Number of patients alive after 12 months

    Time frame: 12 months

06

Study locations

1 site
  • Departement of Medical Oncology, University Hospital Berne
    Berne, 3010, Switzerland
07

Registry details

Key details

Study ID
NCT03444649
Lead sponsor
Insel Gruppe AG, University Hospital Bern
Responsible party
Sponsor
First posted
Feb 23, 2018
Start date
Sep 2018 (estimated)
Primary completion
Aug 2019 (estimated)
Completion
Oct 2019 (estimated)
Last update
Sep 11, 2018

Oversight

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

Not currently enrolling

This study is withdrawn, as verified in Sep 2018. You cannot join it, but the record below documents what was studied.

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