Clinical Trial Detail

CWP232291 inhibits proliferation of cancer cells by blocking the Wnt signaling pathway through promoting the degradation of ß-catenin in cancer cells.

It is a small molecule that has demonstrated preclinical activity in a number of cancers including acute myeloid leukemia (AML).

Ages Eligible for Study: 18 Years and older

Genders Eligible for Study: Both

Able to understand and willing to sign an informed consent form (ICF) prior to initiation of any study-specific procedure and treatment

18 years of age

A pathologically confirmed diagnosis of AML by World Health Organization (WHO) classification that is relapsed or refractory or for which no current therapies are anticipated to result in a durable remission

Eastern Cooperative Oncology Group (ECOG) performance score 0-2

In the absence of rapidly progressing disease, the interval from prior treatment to time of study drug administration should be at least 2 weeks for cytotoxic agents or at least 5 half-lives for noncytotoxic agents. If a patient is on hydroxyurea to control peripheral blood leukemic cell counts, the patient must have discontinued hydroxyurea for at least 24 hours before initiation of treatment with study drug. Persistent clinically significant toxicities from prior chemotherapy must not be greater than grade 1

Adequate renal function:

- Serum creatinine =/< 2.0mg/dL

Adequate hepatic function:

- Total bilirubin <1.5 x upper limit of normal (ULN), unless considered due to Gilbert's syndrome

- Alkaline phosphatase (AP) =/< 2.5 x ULN

- Aspartate transaminase (AST) or alanine transaminase (ALT) =3 x ULN, unless considered due to organ leukemic involvement

Women of child-bearing potential (i.e., women who are pre menopausal or not surgically sterile) must use acceptable contraceptive methods (abstinence, intrauterine device [IUD], oral contraceptive, or double barrier device), and must have a negative serum or urine pregnancy test within 2 weeks prior to beginning treatment on this trial. Sexually active men must also use acceptable contraceptive methods for the duration of time on study

Able to adhere to the study visit schedule and other protocol requirements

Other eligibility criteria may apply.

Uncontrolled intercurrent illness including, but not limited to, uncontrolled infection, symptomatic congestive heart failure (CHF), cardiac arrhythmia, or psychiatric illness/social situation that would limit compliance with study requirements

Active heart disease including myocardial infarction (MI) within previous 3 months, symptomatic coronary artery disease (CAD), arrhythmias not controlled by medication, or uncontrolled CHF

Active central nervous system (CNS) disease

Therapy with any other standard or investigational treatment for hematologic malignancy (except hydroxyurea, as mentioned in the inclusion criteria)

Therapy with anticoagulant or antithrombotic agents (including aspirin) within 7 days prior to study drug administration

History of gastrointestinal (GI) hemorrhage

Known positive status for human immunodeficiency virus (HIV) and/or active hepatitis B or C

Pregnant or nursing women. Pregnant and nursing patients are excluded because the effects of CWP232291 on a fetus or nursing child are unknown.

Patients eligible for bone marrow transplant, regardless of age

Patients with FLT3 ITD positive AML or AML patients with other cytogenetic abnormalities who are eligible for trials of other targeted investigational agents from which the investigator feels there is greater benefit.

Other exclusion criteria may apply.