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Acute Myeloid LeukemiaPhase 2NCT02873338

Dociparstat Sodium (CX-01) Combined With Standard Induction Therapy for Newly Diagnosed Acute Myeloid Leukemia

A Phase 2 study testing Dociparstat sodium, Idarubicin and Cytarabine in people with Acute Myeloid Leukemia, run by Jazz Pharmaceuticals at 23 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This was an exploratory Phase 2, open label, randomized, multicenter, parallel group study to determine whether there was evidence that the addition of dociparstat (CX-01) at 2 different does levels to standard induction therapy (cytarabine+idarubicin, "7+3") and consolidation therapy had an additive therapeutic… Read more about this study

Who is it for?
Ages 60 years and older
Conditions the study is for
Acute Myeloid Leukemia
What is being tested?
Dociparstat sodium, Idarubicin and Cytarabine
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
75 participants
Where
23 sitesUnited States
Study dates
Aug 2016to Jun 2019
Phase
Phase 2
Are there results?
Yes, posted in the registrySummary in the doctors' view

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Subjects had to meet all the following criteria to be eligible for enrollment in this study:
  • Had newly diagnosed, de novo or secondary, previously untreated acute myeloid leukemia (AML).
  • Had an Eastern Cooperative Oncology Group (ECOG) performance status of 0 to 2.

Who cannot join

  • Subjects who met any of the following criteria were not eligible for enrollment in this study:
  • Had acute promyelocytic leukemia
  • Had prior chemotherapy for AML.
  • Had prior intensive chemotherapy or stem cell transplantation for the treatment of myelodysplastic syndrome.
  • Had central nervous system (CNS) leukemia.

Trial locations and contacts

23 sites in 1 country.

23 sites in 1 country

United States23 sites
  • New Mexico Cancer Care Alliance

    Albuquerque, New Mexico, 87131

  • Medical University of South Carolina

    Charleston, South Carolina, 29425

  • University of Cincinnati

    Cincinnati, Ohio, 45267

  • Baylor Research Institute/Baylor Sammons Cancer Center/Baylor University Medical Center

    Dallas, Texas, 75246

  • Colorado Blood Cancer Institute

    Denver, Colorado, 80218

  • Karmanos Cancer Institute

    Detroit, Michigan, 48201

  • Franciscan St. Francis Health

    Indianapolis, Indiana, 46237

  • University of California, San Diego, Moores Cancer Center

    La Jolla, California, 92093

  • Northwell Health, Monter Cancer Center

    Lake Success, New York, 11042

  • Norton Cancer Institute

    Louisville, Kentucky, 40207

  • Allina Health - Virginia Piper Cancer Institute

    Minneapolis, Minnesota, 55407

  • Tennessee Oncology/Sarah Cannon Research Institute

    Nashville, Tennessee, 37203

  • Tulane University/Tulane Cancer Center

    New Orleans, Louisiana, 70112

  • Oregon Health & Science University Knight Cancer Institute

    Portland, Oregon, 97239

  • Rhode Island Hospital

    Providence, Rhode Island, 02903

  • Huntsman Cancer Institute

    Salt Lake City, Utah, 84112

  • LDS Hospital

    Salt Lake City, Utah, 84143

  • Methodist Healthcare System of San Antonio

    San Antonio, Texas, 78229

  • June E. Nylen Cancer Center

    Sioux City, Iowa, 51101

  • Avera Cancer Institute

    Sioux Falls, South Dakota, 57105

  • Washington University School of Medicine in St. Louis

    St Louis, Missouri, 63110

  • Montefiore Medical Center

    The Bronx, New York, 10467

  • George Washington University

    Washington D.C., District of Columbia, 20037

Other trials in United States

About this study

Official title: A Randomized, Phase II Study of CX-01 Combined With Standard Induction Therapy for Newly Diagnosed Acute Myeloid Leukemia

This was an exploratory Phase 2, open label, randomized, multicenter, parallel group study to determine whether there was evidence that the addition of dociparstat (CX-01) at 2 different does levels to standard induction therapy (cytarabine+idarubicin, "7+3") and consolidation therapy had an additive therapeutic effect for subjects newly diagnosed with acute myeloid leukemia (AML) when compared with subjects receiving standard induction chemotherapy alone.

Read the detailed description

The primary efficacy endpoint was to assess whether dociparstat in conjunction with standard induction therapy for AML increased the complete remission rate based on the International Working Group AML response criteria.

A total of 75 subjects were to be randomized in a 1:1:1 ratio to 1 of the following treatment groups:

  • Group 1: cytarabine + idarubicin
  • Group 2: cytarabine + idarubicin + dociparstat 0.125 mg/kg/hr
  • Group 3: cytarabine + idarubicin + dociparstat 0.25 mg/kg/hr

Subjects received up to 2 induction cycles and up to 2 consolidation cycles and participated in the study for up to 18 months. Clinical laboratory tests were conducted routinely, and bone marrow aspirates and biopsies were performed during the induction cycles. Safety was monitored through adverse events and clinical laboratory results.

Being tested
Dociparstat sodium, Idarubicin, Cytarabine
Medical subject headings
Leukemia, Myeloid, Acute

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Dociparstat sodiumDrug

    Also called 2-O, 3-O desulfated heparin, ODSH, PGX-100, CX-01

    Subjects received 4 mg/kg dociparstat intravenous (IV) bolus followed by doses of 0.125 or 0.25 mg/kg/hr dociparstat given on Days 1 through 7 with standard induction therapy, on Days 1 through 5 or 7 with standard re-induction therapy, and on Days 1, 3, and 5 with standard consolidation therapy.

  • IdarubicinDrug

    Also called Idamycin

    Subjects received 12 mg/m2/day idarubicin by slow (10 to 15 minutes) intravenous (IV) injection daily on Days 1, 2 and 3 of induction therapy, and on Days 1 and 2 of re-induction therapy.

  • CytarabineDrug

    Subjects received 100 mg/m2/day cytarabine by continuous intravenous (IV) infusion on Days 1 through 7 of induction therapy and on Days 1 through 5 of re-induction therapy. During consolidation therapy, subjected received 1.0 g/m2 cytarabine IV infusion given over 3 hours every 12 hours on Days 1, 3, and 5.

Study groups in NCT02873338
Study groupRoleWhat they receive
Control (idarubicin+cytarabine)Active comparatorInduction: * Idarubicin 12 mg/m2/day by slow (10 to 30 minutes) intravenous (IV) injection/infusion daily (Days 1, 2, and 3) * Cytarabine 100 mg/m2/day continuous 24-hour IV infusion (Days 1 to 7) Re-induction: * Idarubicin 12 mg/m2/day slow (10 to 30 minutes) IV injection/infusion daily (Days 1 and 2) * Cytarabine 100 mg/m2/day continuous 24-hour IV infusion (Days 1 to 5) Consolidation: • Cytarabine 1.0 g/m2 over 3 hours, every 12 hours (Days 1, 3, and 5)
Receives: Drug: Idarubicin; Drug: Cytarabine
Dociparstat 0.125 mg/kgExperimentalInduction: * Dociparstat 4 mg/kg initial bolus 30 minutes post-idarubicin dose (Day 1), followed by dociparstat 0.125 mg/kg/hr continuous 24-hour intravenous (IV) infusion (Days 1 to 7) * Idarubicin 12 mg/m2/day slow IV injection/infusion daily (Days 1, 2, and 3) * Cytarabine 100 mg/m2/day continuous 24-hour IV infusion (Days 1 to 7) Re-induction: * Dociparstat 4 mg/kg initial bolus 30 minutes post-idarubicin dose (Day 1), followed by dociparstat 0.125 mg/kg/hr continuous 24-hour IV infusion (Days 1 to 5) * Idarubicin 12 mg/m2/day slow IV injection/infusion daily (Days 1 and 2) * Cytarabine 100 mg/m2/day continuous 24-hour IV infusion (Days 1 to 5) Consolidation: * Dociparstat 4 mg/kg initial bolus 30 minutes post-3-hour cytarabine infusion (Day 1), followed by dociparstat 0.125 mg/kg/hr continuous 24-hour IV infusion on (Days 1 to 5; total 120 hours) * Cytarabine 1.0 g/m2 over 3 hours, every 12 hours (Days 1, 3, and 5)
Receives: Drug: Dociparstat sodium; Drug: Idarubicin; Drug: Cytarabine
Dociparstat 0.25 mg/kgExperimentalInduction: * Dociparstat 4 mg/kg initial bolus 30 minutes post-idarubicin dose (Day 1), followed by dociparstat 0.25 mg/kg/hr continuous 24-hour intravenous (IV) infusion (Days 1 to 7) * Idarubicin 12 mg/m2/day slow IV injection/infusion daily (Days 1, 2, and 3) * Cytarabine 100 mg/m2/day continuous 24-hour IV infusion (Days 1 to 7) Re-induction: * Dociparstat 4 mg/kg initial bolus 20 minutes post-idarubicin dose (Day 1), followed by dociparstat 0.25 mg/kg/hr continuous 24-hour IV infusion (Days 1 to 5) * Idarubicin 12 mg/m2/day slow IV injection/infusion daily (Days 1 and 2) * Cytarabine 100 mg/m2/day continuous 24-hour IV infusion (Days 1 to 5) Consolidation: * Dociparstat 4 mg/kg initial bolus 30 minutes post-3-hour cytarabine infusion (Day 1), followed by dociparstat 0.25 mg/kg/hr continuous 24-hour IV infusion (Days 1 to 5; total 120 hours) * Cytarabine 1.0 g/m2 over 3 hours, every 12 hours (Days 1, 3, and 5)
Receives: Drug: Dociparstat sodium; Drug: Idarubicin; Drug: Cytarabine

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Number of Subjects Who Achieved Morphologic Complete Remission

    Morphologic complete remission (CR) was evaluated by International Working Group (IWG) criteria and defined as absolute neutrophil count (ANC) >1000/microliter; platelet count >100,000, <5% blasts in bone marrow aspirate, no blasts with Auer rods, and no evidence of extramedullary disease.

    Measured: During induction and re-induction phases of treatment (up to 60 days after the start of each treatment cycle)

Secondary outcomes (10)
  1. Duration of Event-free Survival

    Event-free survival was measured as date of randomization until treatment failure. Treatment failure was defined as failure to achieve composite completed morphological remission during the induction and re-induction phase of the study lasting up to 60 days, relapse from complete response, or death from any cause, whichever occurred first.

    Measured: Randomization up to 30 months

  2. Time to Leukemia-free Survival

    Leukemia-free survival was assessed as a secondary endpoint only in subjects who achieved composite complete remission and was measured from randomization until disease relapse or death from any cause, whichever occurred first. Assessments were performed every 3 months until death or 18 months after the last subject was randomized, whichever occurred first.

    Measured: Randomization until disease relapse or patient death from any cause, whichever occurs first, assessed up to 30 months

  3. Number of Subjects Who Achieved Overall Survival

    Overall survival was measured from the date of randomization until death from any cause. Assessments were performed every 3 months and continued until death or 18 months after the last patient was randomized, whichever came first.

    Measured: Randomization to end of study (18 months)

  4. Number of Subjects Who Achieved Composite Complete Remission

    The composite complete remission (CR) rate included CR, CR without recovery of platelets (CRp), and CR without recovery of neutrophils and/or platelets (CRi), as defined by the International Working Group criteria during the induction and re-induction phases of treatment. CR was defined as an Absolute Neutrophil Count (ANC) >1000/μL, platelet count >100,000/μL, <5% blasts in bone marrow aspirate, no blasts with Auer rods, and no evidence of extramedullary disease. CRi was defined as an ANC <1000/μL and/or platelet count <100,000/, <5% blasts in bone marrow aspirate, no blasts with Auer rods, and no evidence of extramedullary disease.

    Measured: Up to 60 days after the start of each treatment cycle

  5. Duration of Morphologic Complete Remission

    The duration of morphologic complete remission was assessed only in subjects who had achieved morphologic complete remission and was defined as the time from achievement of complete response to the detection or relapse. Relapse was defined as the reappearance of leukemia blasts in the peripheral blood, >5% blasts in the bone marrow not attributable to another cause, or appearance/reappearance of extramedullary disease and with a bone marrow blast percentage of >5% but ≤20%. If the latter, a repeat bone marrow examination was performed at least 7 days after the first marrow examination; documentation of the bone marrow blast percentage of >5% was necessary to establish relapse. Assessments were performed every 3 months and continued until death or 18 months after the last subject was randomized, whichever occurred first.

    Duration of morphologic complete remission (time from the achievement of complete response to the detection of relapse)

    Measured: Randomization to end of study (18 months)

  6. Time to Recovery of Neutrophils

    Neutrophil recovery was assessed from randomization to Absolute Neutrophil Count (ANC) recovery (ANC >500/µL and >1000/µL) for up to 60 days after the start of each treatment cycle.

    Measured: Randomization to ANC recovery, for up to 60 days after the start of each treatment cycle

  7. Time to Platelet Recovery

    Platelet recovery was measured from randomization to platelet recovery (platelet count >20,000/µL and >100,000/µL)

    Measured: Randomization to platelet recovery, for up to 60 days after the start of each treatment cycle

  8. Number of Subjects Who Died by Day 30

    Mortality (rate of death) of subjects by Day 30, measured from the first day of induction treatment to 30 days post-induction.

    Measured: 30 days (from first day of induction treatment to 30 days after)

  9. Number of Subjects Who Died by Day 60.

    Mortality (rate of death) of subjects by Day 60, measured from the first day of induction treatment to 60 days post-induction.

    Measured: 60 days (from the first day of induction treatment to 60 days after)

  10. Number of Subjects Who Died by Day 90

    Mortality (rate of death) of subjects at Day 90, measured from the first day of induction treatment to 90 days post-induction.

    Measured: 90 days (from the first day of induction treatment to 90 days after)

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted19 Aug 2016 (estimated)
  2. Study startAug 2016
  3. Primary completionJun 2019
  4. Study completionJun 2019

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
75 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT02873338
Sponsor's protocol ID
CNTX-CX-01-2015-AML-1
Status last verified
Aug 2023
First submitted
12 Aug 2016
Last updated
7 Sep 2023
Data monitoring committee
Yes

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing Dociparstat sodium, Idarubicin and Cytarabine in people with Acute Myeloid Leukemia, run by Jazz Pharmaceuticals at 23 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 7 Sep 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 23 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

Yes. Results are posted in the registry (first posted 29 Oct 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Number of Subjects Who Achieved Morphologic Complete Remission (time frame: During induction and re-induction phases of treatment (up to 60 days after the start of each treatment cycle)). It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 7 Sep 2023; AzTrials last refreshed its copy on 3 Nov 2026.

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