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lestaurtinib

Phase 2

Polycythemia Vera | Small molecule | Hematology |Teva Pharmaceutical Industries Limited|Trials Updated: Jul 21, 2016

lestaurtinib development status

Highest phase Phase 2
Registered trials 3 across 1 sponsor since Jan 2001

lestaurtinib target and mechanism

Molecular targetNTRK1, NTRK2, FLT3, NTRK3, JAK2, RET
Target classInhibitor
ModalitySmall molecule

Also known as CEP-701

Success Probability

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Market & Valuation

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Trial Design

UNCONTROLLEDBiomarker
Total Trials5
Total Enrollment376

FDA Designations

No designations recorded

lestaurtinib clinical trials

lestaurtinib · 5 trials · 6 indications

Phase 2 5
NCT00079482Study of CEP-701 (Lestaurtinib) in Patients With Acute Myeloid Leukemia (AML)Acute Myeloid Leukemia
COMPLETED224 Analytics
NCT00236119Study of the Efficacy, Safety and Tolerability of Oral CEP-701 in Patients With Severe PsoriasisPsoriasis
COMPLETED46 Analytics
NCT00030186Open Study of CEP-701 in Patients With Refractory Acute Myeloid Leukemia With FLT-3 MutationLeukemia, Myeloid
COMPLETED37 Analytics
NCT00586651Open-Label Study of Oral CEP-701 (Lestaurtinib) in Patients With Polycythemia Vera or Essential ThrombocytosisPolycythemia Vera
COMPLETED39 Analytics
NCT00081601Study of CEP-701 in Treatment of Prostate CancerProstate Cancer
COMPLETED30 Analytics
PHASE2COMPLETED
Study of CEP-701 (Lestaurtinib) in Patients With Acute Myeloid Leukemia (AML)
Acute Myeloid LeukemiaUnlock trial analytics
PHASE2COMPLETED
Study of the Efficacy, Safety and Tolerability of Oral CEP-701 in Patients With Severe Psoriasis
PsoriasisUnlock trial analytics
PHASE2COMPLETED
Open Study of CEP-701 in Patients With Refractory Acute Myeloid Leukemia With FLT-3 Mutation
Leukemia, MyeloidUnlock trial analytics
PHASE2COMPLETED
Open-Label Study of Oral CEP-701 (Lestaurtinib) in Patients With Polycythemia Vera or Essential Thrombocytosis
Polycythemia VeraUnlock trial analytics
PHASE2COMPLETED
Study of CEP-701 in Treatment of Prostate Cancer
Prostate CancerUnlock trial analytics

Study Endpoints

Primary Endpoints

Determine whether CEP-701 given in sequence with induction chemotherapy increases the proportion of patients with relapsed AML who achieve a second complete remission or a complete remission with incomplete platelet count recovery.
113 days
Physicians Static Global (PSGA) Score
87 Days

The primary objective of the study is to evaluate the efficacy of oral escalating dosages of CEP-701 at 20, 40, 60, and 80 mg given twice daily (bid) in achieving complete or nearly clearing of psoriasis in patients with severe, recalcitrant, plaque-type psoriasis, as assessed by the Physicians Static Global (PSGA) at baseline and at the end of treatment. A PSGA score of 0 is defined as no evidence of plaque elevation, no evidence of erythema, and no evidence of scaling. A PSGA score of 5 is defined as plaque elevation (2.5 mm or greater)dusky to deep red coloration, very thick tenacious scale predominates.

Blood Samples and/or bone marrow assessments for complete remission (CR), complete tumor clearance (CTC), or hematologic response (HR) from bone marrow
56 days

Response rate of patients with refactory, relapsed, or poor risk acute myeloid leukemia (AML) expressing Fms-like tyrosine kinase 3 (FLT-3) activating mutations. CR is defined as presence of less than 5% myeloblasts in bone marrow with normalized peripheral blood cell counts. HR is defined as a 50% or more decrease in the absolute number of peripheral blast count or at least a 50% reduction in bone marrow blasts.

Determine whether a specific reduction in the JAK2 V617F allele has been indicated in this study.
18 weeks +

Secondary Endpoints

- overall survival - event-free survival - remission duration - safety and tolerability of CEP-701 - pharmacokinetics of CEP-701 - CEP-701 inhibitory activity
113 days
PSGA Change from Baseline
87 days
Psoriasis Area and Severity Index (PASI)
87 Days
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1ACTIVE_COMPARATORInduction chemotherapy with or without sequential treatment with oral CEP-701 at 80 mg bid. For patients with duration of first CR of 1 to 6 months, the induction regimen will be MEC.
2ACTIVE_COMPARATORInduction chemotherapy with or without sequential treatment with oral CEP-701 at 80 mg bid. For patients with duration of first CR of more than 6 months to 24 months, the induction regimen will be HiDAC.
CEP-701 20mgEXPERIMENTALPatient Cohort 1
CEP-701 40mgEXPERIMENTALPatient Cohort 2
CEP-701 60mgEXPERIMENTALPatient Cohort 3
CEP-701 80mgEXPERIMENTALPatient Cohort 4
Cycle 1EXPERIMENTAL60mg
Cycle 2EXPERIMENTAL80mg dependent upon response to Cycle 1
Cycle 2bEXPERIMENTAL40mg dependent upon response to Cycle 1
lestaurtinibEXPERIMENTAL -

Interventions

NameTypeDescription
CEP-701DRUG -
high-dose cytarabineDRUGChemotherapy
Mitozantrone, Etoposide, Cytarabine (combination Chemotherapy)DRUGChemotherapy
CEP-701 20mgDRUGDosages of oral CEP-701 20mg will be given twice daily. Escalation to the next higher dosage, CEP-701 40mg, may occur once the first 8 patients at the current dosage have completed 8 weeks of treatment without adverse events or laboratory abnormalities. Patients who remain in Cohort 1 will continue on the 20mg dosage until study completion.
CEP-701 40mgDRUGDosages of oral CEP-701 40mg will be given twice daily.Escalation to the next higher dosage, CEP-701 60mg, may occur once 8 weeks of treatment at the current dosage is completed without adverse events or laboratory abnormalities. Patients who remain in Cohort 2 will continue on the 40mg dosage until study completion.
CEP-701 60mgDRUGDosages of oral CEP-701 60mg will be given twice daily. Escalation to the next higher dosage, CEP-701 80mg, may occur once 8 weeks of treatment at the current dosage is completed without adverse events or laboratory abnormalities. Patients who remain in Cohort 3 will continue on the 60mg dosage until study completion.
CEP-701 80mgDRUGDosages of oral CEP-701 80mg will be given twice daily. Patients who have moved to Cohort 4 will continue on the 80mg dosage until study completion.
lestaurtinibDRUG60 mg bid - 120 mg bid for an 18 weeks (126 days) treatment duration
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Eligibility Criteria

Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites81

Inclusion criteria: * cytological confirmation of AML; * relapsed disease following first CR of 1 month(30days)to 24 months(730days). The time from first relapse to study entry (start of first course of induction chemotherapy) must be no longer than 30days; * confirmation of FLT-3 activating mutati...

Countries:United StatesAustraliaCanadaGermanyIsraelItalyNew ZealandPolandRomaniaRussiaSpainSwedenUkraine
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Competitive Landscape -Polycythemia Vera 19 trials

Frequently asked questions about lestaurtinib

What is lestaurtinib used for?

Lestaurtinib is an investigational small molecule being studied for polycythemia vera, a myeloproliferative blood disorder. It has also been evaluated in essential thrombocytosis. It is not approved for any indication and remains in clinical development.

What does lestaurtinib target?

Lestaurtinib is an inhibitor of NTRK1, NTRK2, NTRK3, FLT3, JAK2, and RET. By blocking these kinases, it aims to interfere with signaling pathways that drive abnormal blood cell production in myeloproliferative neoplasms such as polycythemia vera.

Who is developing lestaurtinib?

Lestaurtinib is being developed by Teva Pharmaceutical Industries Limited, which trades under the ticker TEVA. The company holds the asset as part of its hematology pipeline.

What phase is lestaurtinib in?

Lestaurtinib is in Phase 2 clinical development. It is an investigational agent and has not been approved by the FDA for any indication.

What clinical trials is lestaurtinib in?

Lestaurtinib has been studied in one completed Phase 2 trial, NCT00586651, an open-label study in patients with polycythemia vera or essential thrombocytosis. The trial enrolled 39 participants in the United States and is now completed.

Is lestaurtinib biomarker selected?

Yes, the lestaurtinib Phase 2 trial NCT00586651 was biomarker selected, meaning participants were chosen based on specific biological markers. The study was open label, uncontrolled, and enrolled 39 adults with polycythemia vera or essential thrombocytosis.