- ICH GCP
- Registro degli studi clinici negli Stati Uniti
- Sperimentazione clinica NCT00024180
FR901228 in Treating Patients With Hematologic Cancer
A Phase I Study of Depsipeptide in Selected Hematologic Malignancies (NSC 630176)
RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die.
PURPOSE: Phase I trial to study the effectiveness of FR901228 in treating patients who have hematologic cancer.
Panoramica dello studio
Descrizione dettagliata
OBJECTIVES:
- Determine the in vivo biologic effect of FR901228 (depsipeptide) in patients with chronic lymphocytic leukemia, small lymphocytic lymphoma, acute myeloid leukemia, or acute lymphoblastic leukemia.
- Determine the pharmacokinetics and cellular pharmacodynamics of this drug in these patients.
- Determine any preliminary anti-tumor activity of this drug in these patients.
OUTLINE: This is a dose-decreasing, multicenter study. Patients are stratified according to disease (chronic lymphocytic leukemia and small lymphocytic lymphoma vs acute myeloid leukemia and acute lymphoblastic leukemia).
Patients receive FR901228 (depsipeptide) IV over 4 hours on days 1, 8, and 15. Treatment repeats every 4 weeks for up to 1 year in the absence of disease progression or unacceptable toxicity.
Cohorts of 10 patients per stratum receive decreasing doses of FR901228 until the minimal active dose is determined. If 5 or more patients show clinical or biological response, the subsequent cohort is treated at a lower dose. If fewer than 5 patients respond, the subsequent cohort is treated at a higher dose.
PROJECTED ACCRUAL: A minimum of 20 patients (10 per stratum) will be accrued for this study.
Tipo di studio
Fase
- Fase 1
Contatti e Sedi
Luoghi di studio
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Ohio
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Columbus, Ohio, Stati Uniti, 43210-1240
- Arthur G. James Cancer Hospital - Ohio State University
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Criteri di partecipazione
Criteri di ammissibilità
Età idonea allo studio
Accetta volontari sani
Sessi ammissibili allo studio
Descrizione
DISEASE CHARACTERISTICS:
Diagnosis of one of the following hematologic malignancies:
- Chronic lymphocytic leukemia (CLL)
- Small lymphocytic lymphoma (SLL) (including Waldenstrom's macroglobulinemia)
- Acute myeloid leukemia (AML)
- Acute lymphoblastic leukemia (ALL)
Stratum I (CLL and SLL):
- Received at least one prior therapy containing a purine analog OR
- Received another form of therapy (including alkylating agents) due to history of severe autoimmune disease, requirement for chronic corticosteroid, or other contraindication to purine analog therapy
Stratum II (AML and ALL):
- Primary refractory or relapsed leukemia within the past year that is not amenable to curative therapy
- OR
Untreated or previously treated poor-risk leukemia defined by any of the following:
- 65 years of age and over
- Poor-risk candidates for aggressive chemotherapy
- Poor-risk cytogenetics (for AML, karyotype abnormalities other than t(8;21), inv(16), t(15;17))
PATIENT CHARACTERISTICS:
Age:
- 18 and over
Performance status:
- ECOG 0-2
Life expectancy:
- At least 12 weeks
Hematopoietic:
Stratum I only:
- No uncontrolled autoimmune hemolytic anemia
- No idiopathic thrombocytopenic purpura
Stratum II only:
- WBC no greater than 10,000/mm^3 OR
- WBC no greater than 40,000/mm^3 that is stable for at least 1 week (may be sustained by hydroxyurea through the first week of study)
Hepatic:
- Bilirubin no greater than 1.5 mg/dL
- ALT and AST no greater than 3 times upper limit of normal
Renal:
- Creatinine less than 2.0 mg/dL
Cardiovascular:
- Ejection fraction at least 50% by MUGA
- No myocardial infarction or unstable angina within the past 6 months
- No prior unstable ventricular or supraventricular cardiac arrhythmias
Other:
- HIV negative
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No other medical or psychiatric problem that would preclude study
Stratum I only:
- No active infection requiring oral or IV antibiotics
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- Not specified
Chemotherapy:
- See Disease Characteristics
- At least 28 days since prior chemotherapy (except hydroxyurea)
- At least 6 weeks since prior nitrosoureas
- At least 8 weeks since prior UCN-01 (unless plasma UCN-01 level less than 1 uM)
Endocrine therapy:
- See Disease Characteristics
Radiotherapy:
- At least 28 days since prior radiotherapy
Surgery:
- At least 28 days since prior major surgery
Piano di studio
Come è strutturato lo studio?
Dettagli di progettazione
- Scopo principale: Trattamento
Collaboratori e investigatori
Collaboratori
Investigatori
- Cattedra di studio: Guido Marcucci, MD, Ohio State University Comprehensive Cancer Center
Pubblicazioni e link utili
Studiare le date dei record
Studia le date principali
Inizio studio
Completamento dello studio (Effettivo)
Date di iscrizione allo studio
Primo inviato
Primo inviato che soddisfa i criteri di controllo qualità
Primo Inserito (Stima)
Aggiornamenti dei record di studio
Ultimo aggiornamento pubblicato (Stima)
Ultimo aggiornamento inviato che soddisfa i criteri QC
Ultimo verificato
Maggiori informazioni
Termini relativi a questo studio
Parole chiave
- leucemia mieloide acuta ricorrente dell'adulto
- leucemia mieloide acuta dell'adulto non trattata
- piccolo linfoma linfocitico ricorrente
- leucemia linfatica cronica refrattaria
- leucemia linfoblastica acuta ricorrente dell'adulto
- Macroglobulinemia di Waldenstrom
- leucemia linfoblastica acuta dell'adulto non trattata
Termini MeSH pertinenti aggiuntivi
Altri numeri di identificazione dello studio
- CDR0000068898
- OSU-00H0350
- NCI-27
Queste informazioni sono state recuperate direttamente dal sito web clinicaltrials.gov senza alcuna modifica. In caso di richieste di modifica, rimozione o aggiornamento dei dettagli dello studio, contattare register@clinicaltrials.gov. Non appena verrà implementata una modifica su clinicaltrials.gov, questa verrà aggiornata automaticamente anche sul nostro sito web .
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