AMLM22/D1


AMLM22/D1: The International Acute myeloid leukaemia (AML) Platform Consortium (IAPC) trial is a randomised, multi-arm study platform to compare the efficacy of experimental therapies versus standard of care in patients with acute myeloid leukaemia in first complete remission

Trial summary:

AMLM22/D1: The International Acute myeloid leukaemia (AML) Platform Consortium (IAPC) trial is a randomised, multi-arm study platform to compare the efficacy of experimental therapies versus standard of care in patients with acute myeloid leukaemia in first complete remission.

Receptor status / problem studied:

Inclusion criteria

1) Provision of written informed consent.

2) Provision of written informed consent to the ALLG NBCR.

3) Age 18+ (Age 16-17 permitted if consent for minor PICF approved by the authorizing HREC).

4) AML (excluding APL) in first complete remission with bone marrow blasts <5%.

5) Meets inclusion criteria outlined in IAPC master protocol. (the above).

6) Platelet count =100 x109/L and neutrophil count =0.5 x 109/L.

Exclusion criteria

1) Chemotherapy or investigational agents within 28 days of planned study cycle 1 day.

2) Impaired hematologic recovery 8 weeks after last chemotherapy.
|— a) Grade 2 anemia (Hb <100g/L).
|— b) Grade 4 neutropenia (N <0.5 x 109/L).
|— c) Grade 3 thrombocyotopenia (Plt <50 x 109/L).

3) History of other malignancy requiring active systemic treatment or which is likely to result in an expected survival time of < 2 years.

4) Viral infection with known HIV or viral hepatitis type B or C not adequately controlled by antiviral medication.

5) Prior bone marrow or stem cell transplantation.

AMLM22/D1 specific exclusion criteria:

1) Presence of any general exclusion criteria outlined in in IAPC master protocol.

2) Prior solid organ transplant.

3) Cardiac abnormalities as evidenced by any of the following:
|— a) Clinically significant conduction abnormalities or uncontrolled arrhythmia.
|— b) Greater than or equal to New York Heart Association (NYHA) class II congestive cardiac failure and/or ejection fraction < 50% by echocardiogram (ECHO) or multi gated acquisition scan (MUGA).
|— c) Unstable angina or myocardial infarction with coronary angioplasty/stenting within the last 3 months.
|— d) ECG findings demonstrating baseline a QTcF interval greater than or equal to 480 ms.

4) Increased bleeding risk as a result of:
|— a) Use of anticoagulants at therapeutic levels within 7 days prior to the first dose of Molibresib (GSK525762).
|— b) Evidence of active bleeding or major bleed within the last 3 months.
|— c) Coagulation parameters (prothrombin time/international normalised ratio [PT/INR] and activated partial thromboplastin time [APTT]) greater than or equal to 1.2 x upper limit of normal (ULN)

5) Subject not able to comply with domain-specific contraception recommendations.

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Open for recruitment

Trial Title

AMLM22/D1

Diagnosis

Leukaemia

Type of trial

Collaborative

Type of treatement

Haematology

Phase

II

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