Phase III MultiCenter Randomized Controlled Study to Assess Efficacy and Safety of ON 01910.Na 72-Hr Continuous IV Infusion in MDS Patients With Excess Blasts Relapsing After or Refractory to or Intolerant to Azacitidine or Decitabine
This is a Phase III open-label, randomized, controlled, multicenter study (up to 50
centers). Approximately 270 patients with MDS classified as RAEB-1 and RAEB-2 using the WHO
classification and as RAEB-t and chronic myelomonocytic leukemia (CMML) using the FAB
classification who failed, became intolerant to, or progressed after treatment with
5-azacitidine or decitabine administered during the past 2 years, will be randomized in a
2:1 ratio into the following 2 treatment regimens:
- Best Supportive Care (BSC) + ON 01910.Na 1800 mg/24 hr administered as a 72-hr
continuous intravenous (CIV) infusion on Days 1, 2, and 3 of a 2-week cycle (N =
approximately 180 patients)
- BSC (N = approximately 90 patients).
Patients will be stratified at entry by bone marrow (BM) blasts (5% to 19% vs. 20% to 30%).
After completing the first eight 2-week cycles (i.e., after 16 weeks of treatment), the
frequency of further 72-hr CIV infusions will be decreased to an administration on Days 1,
2, and 3 of a 4-week cycle.
Patients will remain treated on study until 2006 International Working Group (IWG)
progression criteria are met (i.e., 50% increase of BM blasts or worsening of cytopenias) or
until death from any cause, whichever comes first.
Patients who progress to Acute Myeloid Leukemia (AML) while on study should be offered
either standard treatment for AML or enrollment in an appropriate investigational study if
they are eligible. These treatments with their start and end dates should be documented and
patient survival time will be documented for all randomized patients.
Cross-over of BSC patients to ON 01910.Na after progression will not be allowed. However,
patients in the BSC-only group will be allowed, as medically justified, access to low-dose
cytarabine 20 mg/m2 subcutaneously (SC) once daily for the first consecutive 14 days of each
28-day cycle, up to 4 cycles, until progression or unacceptable toxicity develops. Low-dose
cytarabine will be delayed as needed until recovery of blood counts. All study participants
will be allowed, as medically justified, access to RBC and platelet transfusions and to
growth factors (erythropoietin, Filgrastim [G-CSF]). Hydroxyurea will be allowed to manage
blastic crisis with hyperleukocytosis when patients transition to leukemia.
Interventional
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Overall survival
Overall survival (OS) is defined as the time from randomization to death from any cause. All patients will be followed until death or progression, even if they have discontinued treatment for whatever cause. Patients lost to follow-up will be censored at the time last known alive. The OS primary analysis will compare the active ON 01910.Na regimen to BSC once a total number of 223 deaths has been reached.
Up to 18 months
No
Francois E. Wilhelm, MD, PhD
Study Director
Onconova Therapeutics, Inc.
United States: Food and Drug Administration
04-21
NCT01241500
November 2010
December 2013
Name | Location |
---|---|
Albert Einstein College of Medicine | Bronx, New York 10461 |
Mayo Clinic | Rochester, Minnesota 55905 |
Fred Hutchinson Cancer Research Center | Seattle, Washington 98109 |
University of Michigan Comprehensive Cancer Center | Ann Arbor, Michigan 48109-0752 |
Medical University of South Carolina | Charleston, South Carolina 29425-0721 |
Medical College of Wisconsin | Milwaukee, Wisconsin 53226 |
Mary Bird Perkins Cancer Center | Baton Rouge, Louisiana 70809 |
Rush University Medical Center | Chicago, Illinois 60612-3824 |
Dana-Farber Cancer Institute | Boston, Massachusetts 02115 |
University of Kansas Medical Center | Kansas City, Kansas 66160-7353 |
Hackensack University Medical Center | Hackensack, New Jersey 07601 |
Overlook Hospital | Summit, New Jersey 07902-0220 |
Yale Cancer Center | New Haven, Connecticut 06520-8028 |
Mount Sinai Medical Center | New York, New York 10029 |
University of Texas Southwestern Medical Center at Dallas | Dallas, Texas 75235-8897 |
Stanford Cancer Center | Stanford, California 94305-5824 |
Martin Memorial Cancer Center | Stuart, Florida 34995-9010 |
Integrated Community Oncology Network | Jacksonville Beach, Florida 32250 |
Innovative Medical Research of South Florida, Inc. | Miami, Florida 33138 |
Cleveland Clinic | Cleveland, Ohio 44195 |
University of Chicago Medical Center | Chicago, Illinois 60637 |
University of Texas M. D. Anderson Cancer Center | Houston, Texas 77030 |
Georgetown University Hospital | Washington, District of Columbia 20007 |
University of California San Diego Moores Cancer Center | La Jolla, California |
Providence Cancer Center | Southfield, Michigan 48075 |
Virginia G. Piper Cancer Center | Scottsdale, Arizona 85724 |
Cardinal Bernardin Cancer Center | Maywood, Illinois |
University of Maryland Greenebaum Cancer Center | Baltimore, Maryland 21201 |
Emory University Winship Cancer Institute | Atlanta, Georgia 30322 |
University of Oklahoma Health Science Center | Oklahoma City, Oklahoma 73104 |
Johns Hopkins Hospital | Baltimore, Maryland 21287 |
Cancer Care Centers of South Texas | San Antonio, Texas 78229 |
University of Pennsylvania Health System | Philadelphia, Pennsylvania 19104 |
Weill Cornell Medical College | New York, New York 10021 |
Cleveland Clinic Florida | Weston, Florida 33331 |
Woodlands Medical Specialists | Pensacola, Florida 32503 |
Mount Sinai Comprehensive Cancer Centers | Miami Beach, Florida 33140 |
Edward H. Kaplan MD & Associates | Skokie, Illinois 60076 |
North Shore - LIJ Health System | Lake Success, New York 11042 |
Bon Secours St. Francois Health System | Greenville, South Carolina 29601 |
North Shore Medical Center | Evanston, Illinois 60201 |