The purpose of this research study is to determine if plerixafor can make cells more sensitive to killing by cytarabine and daunorubicin, an anti-cancer drug regimen referred to as "7+3" that is commonly used in treating acute myeloid leukemia (AML). In this study, plerixafor is used with treatments cytarabine and daunorubicin and with and without granulocyte-colony stimulating factor (GCSF). Subjects will be monitored to see how well they tolerate the use of these drugs together and how well they work to treat the leukemia. The purpose of the study is to determine the maximum tolerated dose (MTD) per plerixafor dosing schedule (once daily \[QD\] or twice daily \[BID\]), and/or recommended phase 2 dose (RP2D), by assessing safety and tolerability of plerixafor (Mozobil®) when used in combination with cytarabine and daunorubicin, and with and without granulocyte-colony stimulating factor (G-CSF)
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
36
240 mcg/kg/dose and proceeding to escalating dose levels for determination of the single-dose maximum tolerated dose (MTD) provided that there are no unacceptable dose limiting toxicities
Unnamed facility
Duarte, California, United States
Unnamed facility
Boston, Massachusetts, United States
Unnamed facility
Ann Arbor, Michigan, United States
Unnamed facility
St Louis, Missouri, United States
Unnamed facility
Rochester, New York, United States
Unnamed facility
Cleveland, Ohio, United States
Unnamed facility
Houston, Texas, United States
Unnamed facility
Seattle, Washington, United States
Determine the maximum tolerated dose of plerixafor when used in combination with cytarabine and daunorubicin and with and without GCSF
Time frame: 28 days from first dose and up to 42 days following last dose
Anti-leukemia activity of plerixafor when used with cytarabine and daunorubicin
Time frame: Beginning at Day 14 and then until complete remission (CR), complete remission with incomplete count recovery (CRi), or treatment failure (TF)
Maximal plasma concentration (Cmax) of plerixafor when used with cytarabine and daunorubicin
Time frame: Cycle 1 (1 week)
Time to maximal plasma concentration (Tmax) of Plerixafor when used with cytarabine and daunorubicin
Time frame: Cycle 1 (1 week)
Area under the concentration-time curve from time zero to the last observed concentration (AUC 0-last) of plerixafor when used with cytarabine and daunorubicin
Time frame: Cycle 1 (1 week)
Area under the concentration-time curve over the dosing interval (τ) (AUC 0-τ) of plerixafor when used with cytarabine and daunorubicin
Time frame: Cycle 1 (1 week)
Area under the concentration-time curve from time zero to infinity (AUC 0-∞ ) of plerixafor when used with cytarabine and daunorubicin
Time frame: Cycle 1 (1 week)
Half-life (T½) of plerixafor when used with cytarabine and daunorubicin
Time frame: Cycle 1 (1 week)
Volume of distribution (Vz/F for SC administration; Vz for IV administration); in the case of multiexponential disposition, volume of distribution at steady-state (Vss) will be calculated of plerixafor when used with cytarabine and daunorubicin
Time frame: Cycle 1 (1 week)
Obtain preliminary data on safety , tolerability, PK, leukemia cell mobilization and anti-leukemia activity of plerixafor when used in conjunction with G-CSF, cytarabine and daunorubicin.
Time frame: Cycle 1 (1 week) and then until complete remission (CR), complete remission with incomplete count recovery (CRi), or treatment failure (TF)
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