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Trial · NCT03772925

Registered outcomes20

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryRecommended Phase 2 Dose (RP2D) for the Combination of MLN4924 (Pevonedistat) and BelinostatUp to the end of cycle 1, 21 days.
Determined by the number of patients with treatment dosing level toxicities (DLT's). DLT's will be defined in cycle 1 as pre-specified adverse events that are considered by the investigator to be related to therapy with MLN4924 (pevonedistat) and/or belinostat.
SecondaryIncidence of Adverse Events (AEs)Adverse Events (AE's) were collected starting Cycle 1 Day 1 through 30 days following treatment up to 1 year, 6 months.Number of graded Adverse Events (AEs) reported using National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version (v) 5.0.
SecondaryTreatment ResponseFrom day 1 until final response measured, up to 188 days.
The percentage of participants that experience a decrease in tumor size (partial response), or disappearance of tumor (complete response), classified according to International Working Group (IWG) and European Leukemia Net (ELN) criteria for response assessment in acute myeloid leukemia (AML) and myelodysplastic syndrome (MDS).
SecondaryDuration of Stable and Complete ResponseFrom documentation of tumor response to disease progression or death assessed up to 188 days.Number of days patients remained in stable or complete response.
SecondaryTime to ResponseFrom Day 1 of protocol treatment to the time of documentation of tumor response, assessed up to 188 days.Number of days from day 1 of therapy to best response.
SecondaryChange in MLN4924 Belinostat Plasma ConcentrationsBaseline up to cycle 1 day 1Pharmacokinetic parameters in MLN4924 belinostat will be calculated using standard non-compartmental methods and summarized as geometric mean and geometric coefficient of variation.
SecondaryChange in MLN4924 Pevonedistat Plasma ConcentrationsBaseline up to cycle 1 day 1Pharmacokinetic (PK) parameters in MLN4924 pevonedistat will be calculated using standard non-compartmental methods and summarized as geometric mean and geometric coefficient of variation.
SecondaryChange in MLN4924 Belinostat Glucuronide Plasma ConcentrationsBaseline up to cycle 1 day 1Pharmacokinetic parameters in MLN4924 belinostat glucuronide will be calculated using standard non-compartmental methods and summarized as geometric mean and geometric coefficient of variation.
OtherDetermine What Relationship, if Any, Exists Between Such Responses and TP53/FLT3 Mutational Status.Screening
TP53 and FLT3 mutational status by NGS compared to best clinical response classified according to International Working Group (IWG) and European Leukemia Net (ELN) criteria for response assessment in AML and MDS using a specific hematologic and blast count thresholds to define outcomes like Complete Remission (CR) or Hematologic Improvement (HI), focusing on blood counts (Hb, ANC, Platelets) and bone marrow (BM) blasts, with recent updates (IWG 2023/2024) emphasizing clearer definitions, limited recovery categories (CRi, CRL), and incorporating transfusion dependency/independence for better clinical relevance. Scoring isn't a single number but categorizing responses (CR, CRi, HI, Failure).
OtherChange in Candidate Biomarker Levels in Bone Marrow and/or Blood Samples gH2A.XBaseline up to 24 hours post-treatment with the first doses of study drugs
Paired t-tests will be used to determine if there is a significant change in each of the candidate biomarker between the pre- and 24-hour post-treatment assessments, in bone marrow samples and/or blood samples.
OtherChange in Candidate Biomarker Levels in Bone Marrow and/or Blood Samples Phosphorylated Checkpoint Kinase 1 (p-Chk1)Baseline up to 24 hours post-treatment with the first doses of study drugs
Paired t-tests will be used to determine if there is a significant change in each of the candidate biomarker between the pre- and 24-hour post-treatment assessments, in bone marrow samples and/or blood samples.
OtherChange in Candidate Biomarker Levels in Bone Marrow and/or Blood Samples Phosphorylated FANCD2 (p-FANCD2)Baseline up to 24 hours post-treatment with the first doses of study drugs
Paired t-tests will be used to determine if there is a significant change in each of the candidate biomarker between the pre- and 24-hour post-treatment assessments, in bone marrow samples and/or blood samples.
OtherChange in Candidate Biomarker Levels in Bone Marrow and/or Blood Samples Myeloid Cell Leukemia Sequence 1 (MCL-1)Baseline up to 24 hours post-treatment with the first doses of study drugs
Paired t-tests will be used to determine if there is a significant change in each of the candidate biomarker between the pre- and 24-hour post-treatment assessments, in bone marrow samples and/or blood samples.
OtherChange in Candidate Biomarker Levels in Bone Marrow and/or Blood Samples Protein BCL-xLBaseline up to 24 hours post-treatment with the first doses of study drugs
Paired t-tests will be used to determine if there is a significant change in each of the candidate biomarker between the pre- and 24-hour post-treatment assessments, in bone marrow samples and/or blood samples.
OtherChange in Candidate Biomarker Levels in Bone Marrow and/or Blood Samples Anti-apoptotic Protein BCL-2Baseline up to 24 hours post-treatment with the first doses of study drugs
Paired t-tests will be used to determine if there is a significant change in each of the candidate biomarker between the pre- and 24-hour post-treatment assessments, in bone marrow samples and/or blood samples.
OtherChange in Candidate Biomarker Levels in Bone Marrow and/or Blood Samples p-Wee1 KinaseBaseline up to 24 hours post-treatment with the first doses of study drugs
Paired t-tests will be used to determine if there is a significant change in each of the candidate biomarker between the pre- and 24-hour post-treatment assessments, in bone marrow samples and/or blood samples.
OtherChange in Candidate Biomarker Levels in Bone Marrow and/or Blood Samples Histone H4 Acetylation at Lysine 16Baseline up to 24 hours post-treatment with the first doses of study drugs
Paired t-tests will be used to determine if there is a significant change in each of the candidate biomarker between the pre- and 24-hour post-treatment assessments, in bone marrow samples and/or blood samples.
OtherChange in Candidate Biomarker Levels in Bone Marrow and/or Blood Samples Bcl-2 Interacting Mediator of Cell Death (BIM)Baseline up to 24 hours post-treatment with the first doses of study drugs
Paired t-tests will be used to determine if there is a significant change in each of the candidate biomarker between the pre- and 24-hour post-treatment assessments, in bone marrow samples and/or blood samples.
OtherChange in Candidate Biomarker Levels in Bone Marrow and/or Blood Samples Chromatin Licensing and DNA Replication Factor 1 (Cdt-1)Baseline up to 24 hours post-treatment with the first doses of study drugs
Paired t-tests will be used to determine if there is a significant change in each of the candidate biomarker between the pre- and 24-hour post-treatment assessments, in bone marrow samples and/or blood samples.
OtherChange in Candidate Biomarker Levels in Bone Marrow and/or Blood Samples C-terminal Binding Protein Interacting Protein (CtlP)Baseline up to 24 hours post-treatment with the first doses of study drugs
Paired t-tests will be used to determine if there is a significant change in each of the candidate biomarker between the pre- and 24-hour post-treatment assessments, in bone marrow samples and/or blood samples.

Source ClinicalTrials.govtrials-2026-11-12-0.5.0

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

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