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 Withdrawn at 1 site in Switzerland.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
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
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).
Exclusion Criteria:
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
Epacadostat orally two times daily (BID) for two cycles (28 days each) in combination with standard induction chemotherapy (Idarubicin and Cytarabine)
Standard chemotherapy d1-d3 cycle 1
Standard chemotherapy d1-d7 cycle 1 and 2
Standard chemotherapy d1-3 cycle 2
Phase 1: Dose finding
To determine the maximum tolerated dose (MTD) and to characterize dose-limiting toxicities (DLTs) of epacadostat
Time frame: 30 days
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
Adverse events
Number of patients experiencing toxicity (Adverse Events)
Time frame: 90 days
Overall survival
Number of patients alive after 12 months
Time frame: 12 months
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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Insel Gruppe AG, University Hospital Bern