Phase I Dose-Finding Study of Eltrombopag Following High Dose Cytarabine and Mitoxantrone in Relapsed/Refractory Patients with Acute Myeloid Leukemia

Title Phase I Dose-Finding Study of Eltrombopag Following High Dose Cytarabine and Mitoxantrone in Relapsed/Refractory Patients with Acute Myeloid Leukemia
Contact WWendy
Principal Investigator Meir Wetzler, MD
Study Number 206111
Phase1
Summary After chemotherapy treatment, patients with AML will often have dangerously low blood counts (white cells, red cells, and platelets).  In this study, we want to find out whether Eltrombopaq can help to increase the number of platelets in the blood to lower the risk of bleeding in AML patients.  Patients will have received chemotherapy in the hospital  (days 1-6) and are having procedures performed that would normally be done for patients receiving chemotherapy treatment.  On day 14, patients will have a bone marrow biopsy that reveals that the marrow was without evidence of leukemia.  Patients will receive Eltrombopaq for at least two more weeks and up to nine weeks, as long as they are benefitting from the treatment.  After ending treatment patients will visit the clinic for an end of treatment visit.
Eligibility
  • Age greater than 18 years
  • Relapsed/refractory AML patients currently following treatment with cytarabine and mitoxantrone
  • Grade 4 thrombocytopenia (platelet counts < 25 x 109/L) due to chemotherapy unless transfusion within 24-72 hours
  • Adequate organ function
  • No treatment with an investigational drug within 30 days
  • No infection, no hepatitis, no HIV
  • No patients of East Asian ancestry (i.e., Chinese, Japanese, Taiwanese, or Korean) due to adverse reactions in those groups.
  • No history of heart problems