Purpose

This is a randomized, multi-center, double-blind, placebo-controlled study designed to evaluate the efficacy of crenolanib administered following salvage chemotherapy, consolidation chemotherapy, post bone marrow transplantation and as maintenance in relapsed/refractory AML subjects with FLT3 activating mutation.

Condition

Eligibility

Eligible Ages
Between 18 Years and 75 Years
Eligible Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  1. Confirmed diagnosis of AML according to World Health Organization (WHO) 2016 classification 2. Presence of FLT3-ITD and/or D835 mutation(s) 3. Subjects must be primary refractory or relapsed to 1st line intensive treatment for AML or refractory or relapsed after second line of treatment for AML 4. Age ≥ 18 years and ≤ 75 years 5. Adequate hepatic function 6. Adequate renal functions 7. ECOG performance status ≤ 3

Exclusion Criteria

  1. Known clinically active central nervous system(CNS) leukemia 2. Severe liver disease 3. Known, active infection with hepatitis B virus (HBV) or hepatitis C virus (HCV) 4. Prior anti-leukemia therapy within the 14 days prior to randomization. Prior use of quizartinib or gilteritinib must be discontinued 21 days prior to randomization. Prior use of hydroxyurea or other palliative treatment for leukocytosis is allowed. 5. Previous treatment with crenolanib or prior participation in clinical trial involving crenolanib.

Study Design

Phase
Phase 3
Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel Assignment
Primary Purpose
Treatment
Masking
Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)

Arm Groups

ArmDescriptionAssigned Intervention
Experimental
Crenolanib
Crenolanib following salvage chemotherapy
  • Drug: Crenolanib
    Crenolanib will be administered orally
    Other names:
    • Crenolanib besylate
  • Drug: Cytarabine
    HAM regimen FLAG-Ida
  • Drug: Mitoxantrone
    HAM regimen
  • Drug: Fludarabine
    FLAG-Ida regimen
  • Drug: Idarubicin
    FLAG-Ida regimen
  • Drug: G-CSF
    FLAG-Ida regimen
Placebo Comparator
Placebo
Placebo following salvage chemotherapy
  • Drug: Cytarabine
    HAM regimen FLAG-Ida
  • Drug: Mitoxantrone
    HAM regimen
  • Drug: Placebo Oral Tablet
    Placebo will be administered orally
  • Drug: Fludarabine
    FLAG-Ida regimen
  • Drug: Idarubicin
    FLAG-Ida regimen
  • Drug: G-CSF
    FLAG-Ida regimen

Recruiting Locations

City of Hope National Medical Center
Sacramento 5389489, California 5332921 95817
Contact:
Chatchada Karanes, MD
626-218-2405
CKaranes@coh.org

UC Davis Comprehensive Cancer Center
Sacramento 5389489, California 5332921 95817
Contact:
Brian Jonas, MD
916-734-5959

University of Florida
Gainesville 4156404, Florida 4155751 32610
Contact:
Jack Hsu, MD
352-273-7832
jack.hsu@medicine.ufl.edu

University of Chicago
Chicago 4887398, Illinois 4896861 60637
Contact:
Hongtao Liu, MD
hliu@medicine.bsd.uchicago.edu

Kansas University
Kansas City 4273837, Kansas 4273857 666160
Contact:
Sunil Abhyankar, MD

Karmanos Cancer Center
Detroit 4990729, Michigan 5001836 48201
Contact:
Jay Yang, MD
yangj@karmanos.org

Henry Ford Health System
Detroit 4990729, Michigan 5001836 48202
Contact:
Yue Guo, MD

Roswell Park Cancer Institute
Buffalo 5110629, New York 5128638 14263
Contact:
Eunice Wang, MD

Wake Forest Baptist Medical Center
Winston-Salem 4499612, North Carolina 4482348 27104
Contact:
Rupali Bhave, MD
336-716-5487
rbhave@wakehealth.edu

More Details

NCT ID
NCT03250338
Status
Unknown status
Sponsor
Arog Pharmaceuticals, Inc.

Study Contact

General Contact
214-593-0500
info@arogpharma.com

Notice

Study information shown on this site is derived from ClinicalTrials.gov (a public registry operated by the National Institutes of Health). The listing of studies provided is not certain to be all studies for which you might be eligible. Furthermore, study eligibility requirements can be difficult to understand and may change over time, so it is wise to speak with your medical care provider and individual research study teams when making decisions related to participation.