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Study of XL228 in Subjects With Chronic Myeloid Leukemia or Philadelphia-Chromosome-Positive Acute Lymphocytic Leukemia
This study is currently recruiting participants.
Verified by Exelixis, October 2008
Sponsored by: Exelixis
Information provided by: Exelixis
ClinicalTrials.gov Identifier: NCT00464113
  Purpose

The purpose of this study is to determine the safest dose of the BCR-ABL inhibitor XL228, how often it should be taken, and how well people with leukemia tolerate XL228.


Condition Intervention Phase
Chronic Myeloid Leukemia
Leukemia, Lymphoblastic, Acute, Philadelphia-Positive
Drug: XL228
Phase I

MedlinePlus related topics: Leukemia, Adult Acute Leukemia, Adult Chronic
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety Study
Official Title: A Phase 1 Dose-Escalation Study of the Safety, Pharmacokinetics, and Pharmacodynamics of XL228 Administered Intravenously to Subjects With Chronic Myeloid Leukemia (CML) or Philadelphia-Chromosome-Positive Acute Lymphocytic Leukemia (Ph+ ALL)

Further study details as provided by Exelixis:

Primary Outcome Measures:
  • Safety, tolerability, and maximum tolerated dose of once-weekly and/or twice-weekly 1-hour intravenous (IV) infusion of XL228 [ Time Frame: Assessed at periodic visits ] [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Evaluate plasma pharmacokinetics and estimate renal elimination of once-weekly and twice-weekly 1-hour IV infusion of XL228 [ Time Frame: Assessed at periodic visits ] [ Designated as safety issue: No ]
  • Exploratory Outcomes: Evaluate hematologic and cytogenetic response and pharmacodynamic correlates of XL228 activity [ Time Frame: Assessed at periodic visits ] [ Designated as safety issue: No ]

Estimated Enrollment: 100
Study Start Date: April 2007
Estimated Primary Completion Date: April 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
1: Experimental
once-weekly dosing
Drug: XL228
1-hour IV infusion
2: Experimental
twice-weekly dosing
Drug: XL228
1-hour IV infusion

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. The subject has a confirmed pathologic diagnosis as evidenced by the presence of the BCR-Abl translocation [t(9;22)] by fluorescence in situ hybridization (FISH), cytogenetics, or quantitative polymerase chain reaction (QPCR) of one of the following:

    1. CML

      • Chronic phase (CP)
      • Accelerated phase (AP)
      • Blast phase (BP) OR
    2. Ph+ ALL
  2. The subject has one of the following:

    • Known T315I Abl mutation
    • Known resistance to or intolerance of imatinib and dasatinib
    • At least one prior anti-leukemia therapy, including, but not limited to, interferon, imatinib, or dasatinib
  3. The subject is at least 18 years old.
  4. The subject has an Eastern Cooperative Oncology Group (ECOG) performance status ≤2.
  5. The subject has adequate organ function.
  6. The subject is capable of understanding and complying with the protocol and has signed the informed consent document.
  7. Sexually active subjects must use an accepted method of contraception during the course of the study.
  8. Female subjects of childbearing potential must have a negative pregnancy test at enrollment.

Exclusion Criteria:

  1. The subject has received interferon, imatinib, or dasatinib within 7 days of the first dose of XL228.
  2. The subject has received an investigational agent or radiotherapy within 28 days of the first dose of XL228.
  3. The subject has received immunosuppressive therapy (eg, cyclosporine, steroids, tacrolimus for graft-versus-host disease [GVHD]) within 28 days prior to the first dose of XL228.
  4. The subject has not recovered to National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) v3.0 Grade ≤1 from toxicities related to peripheral stem cell or bone marrow transplant.
  5. The subject has not recovered to CTCAE v3.0 Grade ≤1 from adverse events (AEs) due to investigational drugs or other medications.
  6. The subject has known allergy or hypersensitivity to any component of the investigational drug product.
  7. The subject has uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, diabetes, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
  8. The subject is pregnant or breastfeeding.
  9. The subject is known to be positive for the human immunodeficiency virus (HIV).
  10. The subject has an inability or unwillingness to abide by the study protocol or cooperate fully with the investigator or designee.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00464113

Contacts
Contact: Exelixis Contact Line 1-866-939-4041

Locations
United States, California
University of California San Francisco Recruiting
San Francisco, California, United States, 94143-1270
Contact: Patty Olszynski     415-502-1564     POlszynski@medicine.ucsf.edu    
Principal Investigator: Neil P. Shah, MD, PhD            
UCLA School of Medicine Recruiting
Los Angeles, California, United States, 90095-1678
Contact: Kimhouy Tong     310-794-0738     ktong@mednet.ucla.edu    
Principal Investigator: Ronald Paquette, MD            
United States, District of Columbia
Georgetown University Medical Center, Lombardi Comprehensive Cancer Center Recruiting
Washington, District of Columbia, United States, 20007
Contact: Amanda Begley, RN, BSN     202-687-6185        
Principal Investigator: Khaled El-Shami, MD            
United States, Florida
H. Lee Moffitt Cancer Center & Research Institute Recruiting
Tampa, Florida, United States, 33612
Contact: Michelle Burton     813-745-4210     Michelle.Burton@moffitt.org    
Principal Investigator: Javier Pinilla-Ibarz, MD, PhD            
United States, Michigan
University of Michigan Health System Recruiting
Ann Arbor, Michigan, United States, 48109
Contact: Tonya Neil     734-764-6847        
Principal Investigator: Moshe Talpaz, MD            
United States, Texas
MD Anderson Cancer Center Recruiting
Houston, Texas, United States, 77030
Contact: Gwen Hunter     713-563-1681     dolhunter@mdanderson.org    
Principal Investigator: Jorge Cortes, MD            
Sponsors and Collaborators
Exelixis
  More Information

Responsible Party: Exelixis, Inc. ( Lynne Bui, MD/Senior Director, Clinical Research )
Study ID Numbers: XL228-001
Study First Received: April 18, 2007
Last Updated: October 20, 2008
ClinicalTrials.gov Identifier: NCT00464113  
Health Authority: United States: Food and Drug Administration

Keywords provided by Exelixis:
Myeloid Leukemia
Lymphocytic Leukemia
Ph+ ALL

Study placed in the following topic categories:
Chromosomal abnormalities
Philadelphia Chromosome
Leukemia, Lymphoid
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Immunoproliferative Disorders
Chronic myelogenous leukemia
Hematologic Diseases
Myeloproliferative Disorders
Leukemia, Myeloid
Leukemia
Lymphatic Diseases
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Chromosome Aberrations
Lymphoproliferative Disorders
Bone Marrow Diseases
Lymphoma

Additional relevant MeSH terms:
Neoplasms
Pathologic Processes
Neoplasms by Histologic Type
Immune System Diseases
Translocation, Genetic

ClinicalTrials.gov processed this record on January 16, 2009