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Sapacitabine, Arm A

Phase 3

Acute Myeloid Leukemia | Small molecule | Oncology |Cyclacel Pharmaceuticals, Inc.|Last Updated: Jun 4, 2024

Target and mechanism

ModalitySmall molecule

Also known as Sapacitabine

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLEDDMC
Total Trials2
Total Enrollment587

FDA Designations

No designations recorded

Clinical trial landscape

Sapacitabine, Arm A · 2 trials · 1 indication

Phase 3 1Phase 2 1
NCT01303796A Study of Oral Sapacitabine in Elderly Patients With Newly Diagnosed Acute Myeloid LeukemiaAcute Myeloid Leukemia
COMPLETED482 Analytics
PHASE3COMPLETED
A Study of Oral Sapacitabine in Elderly Patients With Newly Diagnosed Acute Myeloid Leukemia
Acute Myeloid LeukemiaUnlock trial analytics

Study Endpoints

Primary Endpoints

Overall Survival
up to 43 months

The distribution of overall survival was estimated by the method of Kaplan and Meier. A log-rank analysis stratified by randomization stratification factors was used to compare overall survival between Arm A (decitabine/sapacitabine) versus Arm C (decitabine). Cox proportional hazards models were used to identify predictive factors for overall survival.

Survival
up to 12 months from date of randomization

Percentage of patients alive for one year measured from the date of randomization

Secondary Endpoints

Complete Remission (CR)
up to 43 months
Complete Remission With Incomplete Platelet Count Recovery (CRp)
up to 43 months
Partial Remission (PR)
up to 43 months
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Sapacitabine-decitabine alternatingEXPERIMENTALArm A sapacitabine administered in alternating cycles with decitabine
DecitabineACTIVE_COMPARATORArm C Decitabine
A sapacitabineEXPERIMENTAL200 mg b.i.d. x 7 days every 3-4 weeks
B sapacitabineEXPERIMENTAL300 mg b.i.d. x 7 days every 3 - 4 weeks
C sapacitabineEXPERIMENTAL400 mg b.i.d. x 3 days/week x 2 weeks every 3 - 4 weeks
D sapacitabineEXPERIMENTAL200 mg b.i.d. x 7 consecutive days every 4 weeks
E sapacitabineEXPERIMENTAL300 mg q.d. x 7 consecutive days every 4 weeks
F sapacitabineEXPERIMENTAL300 mg b.i.d. x 3 consecutive days per week for 2 weeks every 4 weeks
G sapacitabineEXPERIMENTAL200 mg b.i.d. x 7 consecutive days every 4 weeks
H sapacitabineEXPERIMENTAL300 mg q.d. x 7 consecutive days every 4 weeks
I sapacitabineEXPERIMENTAL100 mg q.d. x 5 consecutive days per week for 2 weeks every 4 weeks

Interventions

NameTypeDescription
SapacitabineDRUGOral sapacitabine capsules
DecitabineDRUGDecitabine intravenous
Sapacitabine, Arm ADRUG200 mg b.i.d. x 7 days every 3-4 weeks
Sapacitabine, Arm BDRUG300 mg b.i.d. x 7 days every 3 - 4 weeks
Sapacitabine, Arm CDRUG400 mg b.i.d. x 3 days/week x 2 weeks every 3 - 4 weeks
Sapacitabine, Arm DDRUG200 mg b.i.d. x 7 consecutive days every 4 weeks
sapacitabine, Arm EDRUG300 mg q.d. x 7 consecutive days every 4 weeks
sapacitabine, Arm FDRUG300 mg b.i.d. x 3 consecutive days per week for 2 weeks every 4 weeks
Sapacitabine, Arm GDRUG200 mg b.i.d. x 7 consecutive days every 4 weeks
Sapacitabine, Arm HDRUG300 mg q.d. x 7 consecutive days every 4 weeks
Sapacitabine, Arm IDRUG100 mg q.d. x 5 consecutive days per week for 2 weeks every 4 weeks
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Eligibility Criteria

Age Range70 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites118

Inclusion Criteria: * Newly diagnosed AML based on WHO (World Health Organization) classification * Age 70 years or older for whom the treatment of choice is low-intensity therapy by investigator assessment or who has refused intensive induction therapy recommended by investigator * ECOG (Eastern C...

Countries:United StatesAustriaBelgiumFranceGermanyHungaryItalyPolandSpainSwedenSwitzerlandUnited Kingdom
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Frequently asked questions about Sapacitabine, Arm A

What is Sapacitabine used for?

Sapacitabine is an investigational small molecule being studied for the treatment of leukemias, acute myeloid leukemia, advanced solid tumors, and breast cancer. It is being developed by Cyclacel Pharmaceuticals, Inc. (CYCC) and is currently in Phase 1 clinical development.

What does Sapacitabine target?

Sapacitabine is a nucleoside analog that incorporates into DNA, leading to DNA damage and cell death. It is being studied in combination with other agents, such as olaparib, for the treatment of BRCA mutant breast cancer.

Who makes Sapacitabine?

Sapacitabine is being developed by Cyclacel Pharmaceuticals, Inc., a biopharmaceutical company focused on oncology. The company's stock ticker is CYCC.

What phase is Sapacitabine in?

Sapacitabine is currently in Phase 1 clinical development. It has completed Phase 1 and Phase 2 trials in leukemias and acute myeloid leukemia, and is now being studied in a Phase 1 trial for advanced solid tumors and breast cancer.

What clinical trials is Sapacitabine in?

Sapacitabine has been studied in several clinical trials, including NCT00380653 (Phase 1, advanced leukemias), NCT00590187 (Phase 2, acute myeloid leukemia), NCT00999401 (Phase 1, advanced solid tumors), and NCT03641755 (Phase 1, BRCA mutant breast cancer). The latter is currently active but not recruiting.

Is Sapacitabine the same as other drugs?

Sapacitabine is a distinct investigational drug and is not known to be the same as any other approved medication. It is being evaluated as a monotherapy and in combination with seliciclib and olaparib in clinical trials.