Clinical trial

An Open Label, Single Arm, Single-Center Exploratory Study to Evaluate the Efficacy and Safety of Selinexor and HAAG +/- HMA in Relapsed/Refractory Acute Leukemia (AML) Patients

Name
Selinexor+HAAG+HMA
Description
The purpose of this study is to evaluate the efficacy and safety of selinexor and HAAG +/- HMA in relapsed/refractory acute leukemia (AML) patients.
Trial arms
Trial start
2023-05-01
Estimated PCD
2024-06-30
Trial end
2024-06-30
Status
Not yet recruiting
Treatment
Selinexor
Selinexor 60 mg/day, orally on d1,4,8,11
Arms:
Selinexor+HAAG±HMA
Homoharringtonine
Homoharringtonine 1 mg/day intravenously on days 3 to 9
Arms:
Selinexor+HAAG±HMA
Cytarabine
cytarabine 10 mg/m2 q12h, intravenously on days 3 to 9
Arms:
Selinexor+HAAG±HMA
Aclacinomycin
aclacinomycin 10 mg/day intravenously on days 3 to 6
Arms:
Selinexor+HAAG±HMA
Granulocyte Colony-Stimulating Factor
granulocyte colony-stimulating factor 50-600 mcg/m2/day intravenously from days 2 to start, this dosage will be adjusted according to the hemogram,
Arms:
Selinexor+HAAG±HMA
Decitabine
Decitabine 20 mg/m2/day intravenously on days 1 to 5.
Arms:
Selinexor+HAAG±HMA
Azacitidine
Azacitidine 20 mg/m2/day subcutaneously on days 1 to 7
Arms:
Selinexor+HAAG±HMA
Size
20
Primary endpoint
Number of Participants With CR/CRi
End of cycle 1 and 2 (each cycle is 28 days)
Eligibility criteria
Inclusion Criteria: 1. Men and women aged ≥18 years. 2. Diagnosis of AML (defined according to the 5th of the World Health Organization \[WHO\] 2022 criteria) of any type except for acute promyelocytic leukemia (APL; AML M3)and the following conditions were met: Relapsing or refractory AML 3. Eastern Cooperative Oncology Group (ECOG) performance status of ≤ 2. 4. Female patients of child-bearing potential must have a negative serum pregnancy test at screening and agree to use two reliable methods of contraception for six months after their last dose of medication. 5. Patients whose expecting survival time will be more than 3 months. 6. Willingness and ability to comply with scheduled visits, treatment plans, laboratory tests and other study procedures. Exclusion Criteria: 1. AML transformed from chronic myeloid leukemia. 2. Patients with APL/AML M3. 3. Presence of CNS leukemia. 4. Uncontrolled infection or other serious disease. 5. Unstable cardiovascular function: Cardiac ejection fraction (EF)\<0.5, or congestive heart failure (CHF) of NYHA Class ≥ 2. 6. Unstable Liver and kidney function:TBLL≥2.0 mg/dl, AST≥3×ULN, Ccr≥50 ml/min, SpO2\<92%. 7. Known human immunodeficiency virus (HIV) infection. 8. Active hepatitis B or hepatitis C infection. 9. Pregnant and lactating women. Patients with other commodities that the investigators considered not suitable for the enrollment.
Protocol
{'studyType': 'INTERVENTIONAL', 'phases': ['NA'], 'designInfo': {'allocation': 'NA', 'interventionModel': 'SINGLE_GROUP', 'primaryPurpose': 'TREATMENT', 'maskingInfo': {'masking': 'NONE'}}, 'enrollmentInfo': {'count': 20, 'type': 'ESTIMATED'}}
Updated at
2023-05-06

1 organization

6 products

1 drug

1 indication

Product
Cytarabine
Product
Decitabine