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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.
Studie Overzicht
Gedetailleerde beschrijving
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.
Studietype
Fase
- Fase 1
Contacten en locaties
Studie Locaties
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Ohio
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Columbus, Ohio, Verenigde Staten, 43210-1240
- Arthur G. James Cancer Hospital - Ohio State University
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
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
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
Medewerkers en onderzoekers
Medewerkers
Onderzoekers
- Studie stoel: Guido Marcucci, MD, Ohio State University Comprehensive Cancer Center
Publicaties en nuttige links
Studie record data
Bestudeer belangrijke data
Studie start
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
- recidiverende volwassen acute myeloïde leukemie
- onbehandelde volwassen acute myeloïde leukemie
- terugkerend klein lymfocytisch lymfoom
- refractaire chronische lymfatische leukemie
- recidiverende volwassen acute lymfatische leukemie
- Waldenström macroglobulinemie
- onbehandelde volwassen acute lymfatische leukemie
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- CDR0000068898
- OSU-00H0350
- NCI-27
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .
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