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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT03451084
Registration number
NCT03451084
Ethics application status
Date submitted
23/01/2018
Date registered
1/03/2018
Date last updated
6/07/2021
Titles & IDs
Public title
A Dose Optimisation Study of ASLAN003 in Acute Myeloid Leukemia
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Scientific title
A Phase IIA Dose Optimisation Study of ASLAN003 in Acute Myeloid Leukemia
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Secondary ID [1]
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ASLAN003-003
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute Myeloid Leukemia
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Condition category
Condition code
Cancer
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Leukaemia - Acute leukaemia
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Cancer
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Leukaemia - Chronic leukaemia
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Cancer
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Children's - Leukaemia & Lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - ASLAN003
Experimental: Part 1: Dose Level 1 -
Experimental: Part 1: Dose Level 2 -
Experimental: Part 1: Dose Level 3 -
Experimental: Part 1: Dose Level 4 -
Experimental: Part 2:ASLAN003 at Optinum Dose Level -1 & Azacitidine -
Experimental: Part 2:ASLAN003 at Optinum Dose Level & Azacitidine -
Treatment: Drugs: ASLAN003
Patients will be administered with the study drug, ASLAN003. The study drug is to be administered orally, QD or BID. It is recommended to administer the study drug with food or within 30 minutes after food intake.
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Overall Complete Remission Rate
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Assessment method [1]
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Defined as the proportion of patients with a best response of complete remission (CR) or complete remission with incomplete hematologic recovery (CRi), defined in accordance with the IWG Response Criteria in AML from day 29. Treatment failure is defined as not achieving any response 4 months after study treatment. IWG Response Criteria in AML defines CR or CRi as:
1. Complete remission (CR): Bone marrow blasts \<5 percent; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count \>1.0 x 109/L (1000/µL); platelet count \>100 x 109/L (100,000/µL); independence of red cell transfusions
2. CR with incomplete recovery (CRi): All CR criteria except for residual neutropenia (\<1.0 x 109/L (1000/µL)) or thrombocytopenia (\<100 x 109/L (100,000/µL))
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Timepoint [1]
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4 months after study treatment
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Primary outcome [2]
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Number of Participants With Adverse Events
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Assessment method [2]
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Number of Participants with Adverse Events reported through 28 days post last study medication administration
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Timepoint [2]
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Through 28 days post last study medication administration
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Primary outcome [3]
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Safety Assessments
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Assessment method [3]
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Safety Assessments - Clinical laboratory test: Hematology and Chemistry
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Timepoint [3]
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Through 28 days post last study medication administration
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Secondary outcome [1]
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Relapse Free Survival
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Assessment method [1]
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Defined as the time the criteria for remission (CR or CRi) are first met until there is evidence of patient relapse, regardless of whether the patient is still taking study drug. Relapse is defined as:
* The reappearance of leukemic blasts in the peripheral blood or \> 5% blasts in the bone marrow not attributable to any other cause;
* The appearance of new dysplastic changes;
* The reappearance of or development of cytologically proven extrameduallary disease;
* The reappearance of a cytogenetic or molecular abnormality.
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Timepoint [1]
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From 12 weeks post end of treatment (EOT) until the date of first documented relapse or date of death from any cause, whichever came first, assessed up to 24 months
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Secondary outcome [2]
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Clinical Benefit Rate
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Assessment method [2]
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Defined as the proportion of subjects with an AML IWG best response of CR, CRi or PR. IWG Response Criteria in AML defines CR, CRi or PR as:
1. Complete remission (CR): Bone marrow blasts \<5 percent; absence of blasts with Auer rods; absence of extramedullary disease; absolute neutrophil count \>1.0 x 109/L (1000/µL); platelet count \>100 x 109/L (100,000/µL); independence of red cell transfusions
2. CR with incomplete recovery (CRi): All CR criteria except for residual neutropenia (\<1.0 x 109/L (1000/µL)) or thrombocytopenia (\<100 x 109/L (100,000/µL))
3. Partial remission (PR): All hematologic criteria of CR; decrease of bone marrow blast percentage to 5 to 25 percent; and decrease of pre-treatment bone marrow blast percentage by at least 50 percent
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Timepoint [2]
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4 months after study treatment
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Secondary outcome [3]
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% Change From Baseline in BM Blasts at Day 29
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Assessment method [3]
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Percent Change from Baseline in BM Blasts at Day 29
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Timepoint [3]
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Baseline and day 29
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Eligibility
Key inclusion criteria
1. Patients who are of or older than 18 years old in the United States or are of or older than the legal age in the respective countries at the time when written informed consent is obtained
2. Patients who are able to understand and willing to sign the informed consent form (ICF)
3. Patients who are diagnosed with AML according to the 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia (refer to Appendix 1: WHO Classification of Acute Myeloid Leukemia)
4. Patients who have a sufficient archival or fresh BM aspiration sample for the evaluation of relevant exploratory endpoint.
Note: Patients who do not have sufficient archival BM aspiration sample and refuse to repeat the procedure may be enrolled in the trial only after written confirmation by ASLAN 5. Part 1: Patients who are ineligible for standard treatment of AML including to the following conditions:
* Patients who are ineligible for chemotherapy, and have exhausted any approved and available treatment options. More details on patients who are considered as ineligible or unfit for chemotherapy as per Ferrara et al, Leukemia, 2013 can be found in Appendix 4.
* Patients who have relapsed from prior remission;
* Patients who have failed to respond to prior therapy including chemotherapy, hypomethylating agents, and bone marrow transplantation.
5. Part 2A: Patients who have relapsed or refractory AML to treatments including chemotherapy, hypomethylating agents, bone marrow transplantation, and other anti-leukemic agents
* Relapsed patients who have bone marrow blasts =5%; or reappearance of blasts in the blood; or development of extramedullary disease after prior CR or CRi
* Refractory patients who have no CR or CRi after 2 courses of intensive induction treatment 5. Part 2B: Older patients (more than or equal to 60 years) AML patients who have exhausted any approved and available treatment options.
6. Patients who have an ECOG performance status of = 2 7. Patients with adequate renal and hepatic function, as defined below:
* Estimated Glomerular Filtration Rate (eGFR) or creatinine clearance (CrCl) (CrCl calculated by the Cockroft and Gault method) = 40 ml/min/1.73 m2
* Total bilirubin, AST, and ALT = 1.5 × ULN
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
1. Patients who are diagnosed with de novo myeloid sarcoma without BM involvement
2. Patients who are diagnosed with acute promyelocytic leukemia/retinoic acid receptor alpha (PML-RARA)
3. Patients who received any other standard or investigational treatment for their leukemia within the last 7 days before starting the first dose of study drug, with the exception of leukapheresis and hydroxyurea
4. Patients with unresolved serious toxicity (= CTCAE 4.03 Grade 2) from prior administration of standard or investigational treatment for their leukemia
5. Patients who have a positive test for human immunodeficiency virus (HIV), viral hepatitis C infection (patients with sustained viral response are not excluded), active viral hepatitis B infection (positive hepatitis B surface antigen [HBsAg]) with hepatitis B virus deoxyribonucleic acid (DNA) exceeding 2000 IU/ml
6. Patients who have a known history of liver cirrhosis Child-Pugh score B or C
7. Patients who have any history of other malignancy unless in remission for more than 1 year (skin carcinoma and carcinoma-in-situ of uterine cervix treated with curative intent is not exclusionary)
8. Female patients who are pregnant or breast-feeding
9. Patients with a known history of alcohol or drug addiction on the basis that there could be a higher risk of non-compliance to study treatment
10. Patients with a history or presence of a clinically significant condition which in the opinion of the Investigator could jeopardize the safety of the patient or the validity of the study results
11. Patients who have been previously treated with ASLAN003
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
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Phase
Phase 2
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
5/01/2018
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
13/12/2019
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Sample size
Target
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Accrual to date
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Final
24
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC
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Recruitment hospital [1]
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1 Site - Albury
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Recruitment hospital [2]
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3 Sites - Darlinghurst
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Recruitment hospital [3]
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1 Site - Waratah
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Recruitment hospital [4]
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1 Site - Douglas
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Recruitment hospital [5]
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1 Site - Adelaide
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Recruitment hospital [6]
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3 Sites - Melbourne
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Recruitment postcode(s) [1]
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- Albury
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Recruitment postcode(s) [2]
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- Darlinghurst
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Recruitment postcode(s) [3]
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- Waratah
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Recruitment postcode(s) [4]
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- Douglas
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Recruitment postcode(s) [5]
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- Adelaide
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Recruitment postcode(s) [6]
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- Melbourne
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Recruitment outside Australia
Country [1]
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United States of America
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State/province [1]
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Kentucky
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Country [2]
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Singapore
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State/province [2]
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Singapore
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Funding & Sponsors
Primary sponsor type
Other
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Name
ASLAN Pharmaceuticals
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
ASLAN003-003 is a multi-center, Phase IIA study to evalute the efficacy of ASLAN003 in AML patients who are ineligible for standard treatment with an expansion cohort in relapsed/refractory patients, and to determine the appropriate dose of ASLAN003 in combination with azacitidine in older (more than or equal to 60 years) AML patients who have exhausted any approved and available treatment options.
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Trial website
https://clinicaltrials.gov/study/NCT03451084
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Type
Other Details
Attachment
Study protocol
https://cdn.clinicaltrials.gov/large-docs/84/NCT03451084/Prot_002.pdf
Statistical analysis plan
https://cdn.clinicaltrials.gov/large-docs/84/NCT03451084/SAP_003.pdf
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT03451084
Download to PDF