Table 1.

Dose escalation schema, DLTs, and responses based on dose level in the CLAG-M/sorafenib phase 1 cohort (n = 46)

Dose levelMitoxantrone dose (mg/m2) Sorafenib dose (mg)ResponseDLT (n = 1)
1 (n = 6) 10 200, daily 3 MRD CR
2 MRD+ CR
1 MRD CRi 
None 
2 (n = 6) 12 200, bid 6 MRD CR Intracranial hemorrhage 
3 (n = 11) 15 200, bid 8 MRD CR
2 MLFS
1 resistant disease 
Prolonged marrow aplasia 
4 (n = 8) 18 200, bid 4 MRD CR
1 MRD CRi
3 Resistant disease 
Severe sepsis 
5 (n = 9) 18 400, qAM, 200, qPM 9 MRD CR None 
6 (n = 6) 18 400 mg bid 6 MRD CR Cardiomyopathy 
Dose levelMitoxantrone dose (mg/m2) Sorafenib dose (mg)ResponseDLT (n = 1)
1 (n = 6) 10 200, daily 3 MRD CR
2 MRD+ CR
1 MRD CRi 
None 
2 (n = 6) 12 200, bid 6 MRD CR Intracranial hemorrhage 
3 (n = 11) 15 200, bid 8 MRD CR
2 MLFS
1 resistant disease 
Prolonged marrow aplasia 
4 (n = 8) 18 200, bid 4 MRD CR
1 MRD CRi
3 Resistant disease 
Severe sepsis 
5 (n = 9) 18 400, qAM, 200, qPM 9 MRD CR None 
6 (n = 6) 18 400 mg bid 6 MRD CR Cardiomyopathy 

bid, twice daily; MLFS, morphologic leukemia–free state; qAM, every morning; qPM, every evening.

Dosing based on body surface area, using actual patient weight.

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