A Phase I Study of Venetoclax Combined With Vyxeos (CPX-351) for Children, Adolescents and Young Adults With Relapsed or Refractory Acute Leukemia
This study evaluates the safety and tolerability of combining venetoclax with Vyxeos (CPX-351) in pediatric and young adult patients with acute leukemia that has come back or not responded to treatment.
• Ages 1 Year to 39 Years
• Diagnosis of one of the following:
‣ Acute myeloid leukemia (AML), any subtype except
• Patients with acute promyelocytic leukemia (APML) are NOT eligible
∙ Patients with ML-DS are NOT eligible
⁃ Myeloid sarcoma
⁃ Acute leukemia of ambiguous lineage (ALAL)
• Acute undifferentiated leukemia (AUL)
∙ T/myeloid mixed phenotype acute leukemia (MPAL)
∙ B/myeloid MPAL
∙ MPAL with KMT2A-rearrangement MPAL with t (9;22) are NOT eligible
⁃ T-cell acute lymphoblastic leukemia (T ALL)
⁃ Early thymocyte precursor (ETP) ALL
⁃ KMT2A-rearranged ALL
• Disease Status
‣ Relapsed/Refractory AML, MPA, and AUL
⁃ Untreated therapy related AML
⁃ Relapsed/Refractory KMT2A-rearranged ALL, T-cell ALL, ETEP ALL
• Karnofsky/Lanksy performance level score of greater than or equal to 50 percent.
• Prior therapy requirements
‣ Fully recovered from acute toxicities of Hematopoietic Stem Cell Transplant (HSCT) or Anthracycline Exposure
⁃ 14 days must have elapsed since the completion of systemic cytotoxic therapy other than hydroxyurea, decitabine or azacitidine
⁃ 2 weeks must have elapsed for local palliative radiotherapy (RT); 6 months must have elapsed if prior craniospinal RT or if 50% radiation of pelvis, and at least 6 weeks must have elapsed if other substantial bone marrow radiation
• Adequate renal, liver, cardiac, and central nervous system (CNS) function