Pevonedistat, Cytarabine, and Idarubicin in Treating Patients With Acute Myeloid Leukemia

Exclusion Criteria

• •Known cardiopulmonary disease defined as one of the following:
• •* Uncontrolled high blood pressure (ie, systolic blood pressure \> 180 mm Hg, diastolic blood pressure \> 95 mm Hg)
• •* Cardiomyopathy or history of ischemic heart disease
• •* Arrhythmia (eg, history of polymorphic ventricular fibrillation or torsade de pointes); however, patients with \< grade 3 atrial fibrillation (a fib) for a period of at least 6 months may enroll; grade 3 a fib is symptomatic and incompletely controlled medically, or controlled with device (e.g., pacemaker), or ablation; patients with paroxysmal a fib are permitted to enroll
• •* Implantable cardioverter defibrillator
• •* Congestive heart failure (New York Heart Association \[NYHA\] class III or IV; or class II with a recent decompensation requiring hospitalization or referral to a heart failure clinic within 4 weeks before screening), myocardial infarction and/or revascularization (eg, coronary artery bypass graft, stent) within 6 months of first dose of study drug
• •* Patients who had ischemic heart disease who have had acute coronary syndrome (ACS), myocardial infarction (MI), and/or revascularization greater than 6 months before screening and who are without cardiac symptoms may enroll
• •* Moderate to severe aortic and/or mitral stenosis or other valvulopathy (ongoing)
• •* Pulmonary hypertension
• •Prolonged rate corrected QT (QTc) interval \>= 500 msec, calculated according to institutional guidelines
• •Left ventricular ejection fraction (LVEF) \< 50% as assessed by echocardiogram or radionuclide angiography
• •Known moderate to severe chronic obstructive pulmonary disease (COPD), interstitial lung disease, and pulmonary fibrosis
• •Any serious medical or psychiatric illness that could, in the investigator?s opinion, potentially interfere with the completion of study procedures
• •Treatment with any investigational products within 14 days before the first dose of any study drug
• •Patients receiving any other investigational or commercial agents or therapies administered with the intention to treat their malignancy within 14 days of first receipt of study drug with the exception of: hydroxyurea (HU) in patients who need to continue this agent to maintain WBC count =\< 50,000/mm\^3
• •Active uncontrolled infection or severe infectious disease, such as severe pneumonia, meningitis, septicemia, or methicillin resistant staphylococcus aureus infection
• •Major surgery within 14 days before the first dose of any study drug or a scheduled surgery during study period
• •Diagnosed or treated for another malignancy within 2 years before randomization or previously diagnosed with another malignancy and have any evidence of residual disease; patients with nonmelanoma skin cancer or carcinoma in situ of any type are not excluded if they have undergone resection
• •Life-threatening illness unrelated to cancer
• •Patients with uncontrolled coagulopathy or bleeding disorder
• •Known central nervous system (CNS) involvement
• •Known human immunodeficiency virus (HIV) seropositive
• •Known hepatitis B surface antigen seropositive or known or suspected active hepatitis C infection
• •* Note: patients who have isolated positive hepatitis B core antibody (ie, in the setting of negative hepatitis B surface antigen and negative hepatitis B surface antibody) must have an undetectable hepatitis B viral load
• •Known hepatic cirrhosis or severe pre-existing hepatic impairment
• •Systemic antineoplastic therapy or radiotherapy within 14 days before the first dose of any study drug, except for hydroxyurea
• •Treatment with clinically significant metabolic enzyme inducers within 14 days before the first dose of the study drug; clinically significant metabolic enzyme inducers are not permitted during this study
• •Patients who refuse to potentially receive blood products and/or have a hypersensitivity to blood products
• •Patients with history of allergic or toxic reactions attributed to cytarabine or a history of allergic reactions to components of the formulated product
• •Patients with history of allergic or toxic reactions attributed to anthracyclines or a history of allergic reactions to components of the formulated product
• •Patients who have had prior chemotherapy for AML
• •Female patients who intend to donate eggs (ova) during the course of this study or 4 months after receiving their last dose of study drug(s)
• •Female patients who are both lactating and breastfeeding or have a positive serum pregnancy test during the screening period or a positive urine pregnancy test on day 1 before first dose of study drug (if applicable)
• •Male patients who intend to donate sperm during the course of this study or 4 months after receiving their last dose of study drug(s)