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    Clinical Trial Results:
    Open-label, dose-escalating trial to evaluate the tolerability, toxicity, safety, pharmacokinetics, pharmacodynamics and activity of volasertib added to the standard intensive salvage chemotherapy regimen with liposomal daunorubicine, fludarabine and cytarabine (DNX-FLA) followed by fludarabine and cytarabine (FLA) in children from 3 months to less than 18 years of age with acute myeloid leukaemia after failure of the front-line therapy

    Summary
    EudraCT number
    2015-004625-14
    Trial protocol
    DE   BE   DK   CZ   FR   NL   IT  
    Global end of trial date
    28 Mar 2016

    Results information
    Results version number
    v1(current)
    This version publication date
    30 Sep 2018
    First version publication date
    30 Sep 2018
    Other versions
    Summary report(s)
    Statement

    Trial information

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    Trial identification
    Sponsor protocol code
    01230.28
    Additional study identifiers
    ISRCTN number
    -
    US NCT number
    -
    WHO universal trial number (UTN)
    -
    Sponsors
    Sponsor organisation name
    Boehringer Ingelheim
    Sponsor organisation address
    Binger Strasse 173, Ingelheim am Rhein, Germany, 55216
    Public contact
    QRPE Processes and Systems Coordination, Clinical Trial Information Disclosure,, QRPE Processes and Systems Coordination, Clinical Trial Information Disclosure,, +1 8002430127, clintriage.rdg@boehringer-ingelheim.com
    Scientific contact
    QRPE Processes and Systems Coordination, Clinical Trial Information Disclosure,, Boehringer Ingelheim, +1 8002430127, clintriage.rdg@boehringer-ingelheim.com
    Paediatric regulatory details
    Is trial part of an agreed paediatric investigation plan (PIP)
    No
    Does article 45 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Does article 46 of REGULATION (EC) No 1901/2006 apply to this trial?
    No
    Results analysis stage
    Analysis stage
    Final
    Date of interim/final analysis
    28 Mar 2016
    Is this the analysis of the primary completion data?
    No
    Global end of trial reached?
    Yes
    Global end of trial date
    28 Mar 2016
    Was the trial ended prematurely?
    No
    General information about the trial
    Main objective of the trial
    To define the MTD and/or dose to be used for further development by evaluation of DLT in course 1 and the safety of volasertib when added to standard intensive salvage chemotherapy with DNX-FLA in paediatric patients with AML after failure of first-line therapy
    Protection of trial subjects
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial
    Background therapy
    -
    Evidence for comparator
    -
    Actual start date of recruitment
    28 Mar 2016
    Long term follow-up planned
    No
    Independent data monitoring committee (IDMC) involvement?
    No
    Population of trial subjects
    Number of subjects enrolled per country
    Country: Number of subjects enrolled
    Netherlands: 99999
    Worldwide total number of subjects
    99999
    EEA total number of subjects
    99999
    Number of subjects enrolled per age group
    In utero
    0
    Preterm newborn - gestational age < 37 wk
    0
    Newborns (0-27 days)
    0
    Infants and toddlers (28 days-23 months)
    0
    Children (2-11 years)
    99999
    Adolescents (12-17 years)
    0
    Adults (18-64 years)
    0
    From 65 to 84 years
    0
    85 years and over
    0

    Subject disposition

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    Recruitment
    Recruitment details
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial

    Pre-assignment
    Screening details
    All subjects had to be screened for eligibility to participate in the trial. Subjects had to attend specialist sites which would then ensure that they (the subjects) met all inclusion/exclusion criteria. Subjects were not to be randomised to trial treatment if any one of the specific entry criteria were violated

    Period 1
    Period 1 title
    Overall Trial (overall period)
    Is this the baseline period?
    Yes
    Allocation method
    Not applicable
    Blinding used
    Not blinded
    Blinding implementation details
    This is an open-label, dose-escalating trial

    Arms
    Arm title
    Volasertib
    Arm description
    Patients were to be administered Volasertib when added to standard intensive salvage chemotherapy with DNX-FLA in paediatric patients with AML after failure of first-line therapy.
    Arm type
    Experimental

    Investigational medicinal product name
    Volasertib
    Investigational medicinal product code
    Other name
    Pharmaceutical forms
    Solution for injection/infusion
    Routes of administration
    Intravenous use
    Dosage and administration details
    Single Group Assignment Volasertib Added to the Standard Intensive Salvage Chemotherapy Regimen With Liposomal Daunorubicine, Fludarabine and Cytarabine (DNX-FLA) Followed by Fludarabine and Cytarabine (FLA)

    Number of subjects in period 1
    Volasertib
    Started
    99999
    Completed
    99999

    Baseline characteristics

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    Baseline characteristics reporting groups
    Reporting group title
    Volasertib
    Reporting group description
    Patients were to be administered Volasertib when added to standard intensive salvage chemotherapy with DNX-FLA in paediatric patients with AML after failure of first-line therapy.

    Reporting group values
    Volasertib Total
    Number of subjects
    99999 99999
    Age categorical
    Units: Subjects
    Age continuous
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial
    Units: years
        arithmetic mean (standard deviation)
    0 ± 0 -
    Gender categorical
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial
    Units: Subjects
        Female
    99999 99999
        Male
    0 0

    End points

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    End points reporting groups
    Reporting group title
    Volasertib
    Reporting group description
    Patients were to be administered Volasertib when added to standard intensive salvage chemotherapy with DNX-FLA in paediatric patients with AML after failure of first-line therapy.

    Primary: Determination of the maximal tolerated dose of volasertib or the recommended volasertib dose for further studies in combination with standard salvage therapy in paediatric patients with AML after failure of the front-line intensive chemotherapy regimen

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    End point title
    Determination of the maximal tolerated dose of volasertib or the recommended volasertib dose for further studies in combination with standard salvage therapy in paediatric patients with AML after failure of the front-line intensive chemotherapy regimen [1]
    End point description
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
    End point type
    Primary
    End point timeframe
    4 weeks
    Notes
    [1] - No statistical analyses have been specified for this primary end point. It is expected there is at least one statistical analysis for each primary end point.
    Justification: No subjects were enrolled in the trial hence results are not available
    End point values
    Volasertib
    Number of subjects analysed
    99999 [2]
    Units: Not available
        number (not applicable)
    99999
    Notes
    [2] - 99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants
    No statistical analyses for this end point

    Secondary: Anti-leukaemic activity of volasertib in combination with standard salvage therapy

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    End point title
    Anti-leukaemic activity of volasertib in combination with standard salvage therapy
    End point description
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
    End point type
    Secondary
    End point timeframe
    8 weeks
    End point values
    Volasertib
    Number of subjects analysed
    99999 [3]
    Units: not available
        number (not applicable)
    99999
    Notes
    [3] - 99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants
    No statistical analyses for this end point

    Secondary: Event-free survival (EFS)

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    End point title
    Event-free survival (EFS)
    End point description
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
    End point type
    Secondary
    End point timeframe
    up to 5 years
    End point values
    Volasertib
    Number of subjects analysed
    99999 [4]
    Units: not available
        median (full range (min-max))
    99999 (99999 to 99999)
    Notes
    [4] - 99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants
    No statistical analyses for this end point

    Secondary: Overall survival (OS)

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    End point title
    Overall survival (OS)
    End point description
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
    End point type
    Secondary
    End point timeframe
    up to 5 years
    End point values
    Volasertib
    Number of subjects analysed
    99999 [5]
    Units: not available
        median (full range (min-max))
    99999 (99999 to 99999)
    Notes
    [5] - 99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants
    No statistical analyses for this end point

    Secondary: Number of patients with clinically relevant lab value changes of calcium (hyperand/ or hypocalcaemia) as judged by the investigator and reported as adverse events (Common Terminology Criteria for Adverse Events (CTCAE) grade 3 or higher)

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    End point title
    Number of patients with clinically relevant lab value changes of calcium (hyperand/ or hypocalcaemia) as judged by the investigator and reported as adverse events (Common Terminology Criteria for Adverse Events (CTCAE) grade 3 or higher)
    End point description
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
    End point type
    Secondary
    End point timeframe
    8 weeks
    End point values
    Volasertib
    Number of subjects analysed
    99999 [6]
    Units: not available
        number (not applicable)
    99999
    Notes
    [6] - 99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants
    No statistical analyses for this end point

    Secondary: Number of patients with changes in cardiac activity (prolonged QTc interval) reported as clinically relevant observations (i.e. Adverse Events)

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    End point title
    Number of patients with changes in cardiac activity (prolonged QTc interval) reported as clinically relevant observations (i.e. Adverse Events)
    End point description
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
    End point type
    Secondary
    End point timeframe
    8 weeks
    End point values
    Volasertib
    Number of subjects analysed
    99999 [7]
    Units: not available
        number (not applicable)
    99999
    Notes
    [7] - 99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants
    No statistical analyses for this end point

    Secondary: Predose concentration of volasertib before administration of second dose

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    End point title
    Predose concentration of volasertib before administration of second dose
    End point description
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
    End point type
    Secondary
    End point timeframe
    8 weeks
    End point values
    Volasertib
    Number of subjects analysed
    99999 [8]
    Units: not available
        arithmetic mean (standard deviation)
    99999 ± 99999
    Notes
    [8] - 99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants
    No statistical analyses for this end point

    Secondary: Area under the concentration-time curve of volasertib

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    End point title
    Area under the concentration-time curve of volasertib
    End point description
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
    End point type
    Secondary
    End point timeframe
    8 weeks
    End point values
    Volasertib
    Number of subjects analysed
    99999 [9]
    Units: not available
        geometric mean (geometric coefficient of variation)
    99999 ± 99999
    Notes
    [9] - 99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants
    No statistical analyses for this end point

    Secondary: Terminal half-life of volasertib in plasma

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    End point title
    Terminal half-life of volasertib in plasma
    End point description
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
    End point type
    Secondary
    End point timeframe
    8 weeks
    End point values
    Volasertib
    Number of subjects analysed
    99999 [10]
    Units: not available
        median (full range (min-max))
    99999 (99999 to 99999)
    Notes
    [10] - 99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants
    No statistical analyses for this end point

    Secondary: Maximum concentration of volasertib

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    End point title
    Maximum concentration of volasertib
    End point description
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
    End point type
    Secondary
    End point timeframe
    8 weeks
    End point values
    Volasertib
    Number of subjects analysed
    99999 [11]
    Units: not available
        geometric mean (geometric coefficient of variation)
    99999 ± 99999
    Notes
    [11] - 99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants
    No statistical analyses for this end point

    Adverse events

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    Adverse events information [1]
    Timeframe for reporting adverse events
    All adverse events occurring during the course of the clinical trial (i.e., from signing the informed consent onwards through the observational phase) were to be collected
    Adverse event reporting additional description
    99999 is "Not applicable" value or 0 participants, this trial was discontinued with no participants enrolled in the trial.
    Assessment type
    Systematic
    Dictionary used for adverse event reporting
    Dictionary name
    MedDRA
    Dictionary version
    0
    Frequency threshold for reporting non-serious adverse events: 5%
    Notes
    [1] - There are no non-serious adverse events recorded for these results. It is expected that there will be at least one non-serious adverse event reported.
    Justification: No subjects were enrolled in the trial hence results are not available

    More information

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    Substantial protocol amendments (globally)

    Were there any global substantial amendments to the protocol? No

    Interruptions (globally)

    Were there any global interruptions to the trial? No

    Limitations and caveats

    Limitations of the trial such as small numbers of subjects analysed or technical problems leading to unreliable data.
    None reported
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    The status and protocol content of GB trials is no longer updated since 1 January 2021. For the UK, as of 31 January 2021, EU Law applies only to the territory of Northern Ireland (NI) to the extent foreseen in the Protocol on Ireland/NI. Legal notice
    As of 31 January 2023, all EU/EEA initial clinical trial applications must be submitted through CTIS . Updated EudraCT trials information and information on PIP/Art 46 trials conducted exclusively in third countries continues to be submitted through EudraCT and published on this website.

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