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Phase II Study of Metoclopramide in Patients With Anemia Due to Myelodysplastic Syndromes
Alternate Title Basic Trial Information Objectives Entry Criteria Expected Enrollment Outcomes Outline Trial Contact Information Registry Information
Alternate Title
Metoclopramide in Treating Patients With Anemia Due to Myelodysplastic Syndromes
Basic Trial Information
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Phase
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Status
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Age
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Protocol IDs
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Phase II
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Treatment
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Active
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18 to 72
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NHLBI
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NHLBI-05-H-0201 UWCC-6440, UWCC-05-9470-A 01, NCT00238134
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Special Category:
NIH Clinical Center trial Objectives - Determine the effectiveness of metoclopramide, as measured by stimulation of erythropoiesis, in patients with anemia due to myelodysplastic syndromes.
- Determine any negative effects of transfusional iron-overload, as measured by serum ferritin, on the stimulation of prolactin release in patients treated with this drug.
- Correlate clinical response with elevated prolactin levels in patients treated with this drug.
Entry Criteria Disease Characteristics:
- Diagnosis of myelodysplastic syndromes (MDS), meeting 1 of the following criteria:
- International Prognostic Scoring System (IPSS) risk group low or intermediate-1
- IPSS risk group intermediate-2 allowed provided patient is > 60 years of age and is not eligible for high intensity therapies (i.e., intensive combination chemotherapy or hematopoietic stem cell transplantation)
- Anemia, defined as hemoglobin < 11 g/dL
- No secondary MDS
Prior/Concurrent Therapy:
Biologic therapy Chemotherapy Endocrine therapy Radiotherapy Surgery Other - At least 4 months since prior metoclopramide
- At least 4 weeks since prior treatment for MDS except red blood cell transfusion
- No concurrent drug with high risk of extrapyramidal side effects (e.g., antipsychotic drugs, such as haloperidol, trifluoperazine, fluphenazine, thiothixiene, perphenazine, or pimozide)
Patient Characteristics:
Age Performance status Life expectancy Hematopoietic - See Disease Characteristics
- Absolute reticulocyte count < 31,700/mm3
- Absolute neutrophil count > 200/mm3
- Platelet count > 10,000/mm3
Hepatic Renal - Creatinine clearance > 50 mL/min
Cardiovascular - No hypertension due to pheochromocytoma
Other - Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No history of dystonic reaction and/or anaphylactic reaction to metoclopramide
- No history of gastrointestinal obstruction/perforation
- No history of pheochromocytoma
- No history of seizure disorders
- No history of Parkinson's disease
- No history of breast cancer
- No history of clinically active depression
Expected Enrollment 60A total of 44-60 patients will be accrued for this study. Outcomes Primary Outcome(s)Erythroid response (major and minor response) at 5 months
Secondary Outcome(s)Prolactin response at study entry Transfusion requirement response
Outline Patients receive oral metoclopramide three times daily for up to 20 weeks in the absence of disease progression or unacceptable toxicity. After completion of study treatment, patients are followed at approximately 1 month.
Trial Contact Information
Trial Lead Organizations NHLBI - Hematology Branch | | | Andre Larochelle, MD, PhD, Principal investigator | | | | Trial Sites
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U.S.A. |
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Maryland |
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Bethesda |
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| | | | | | | | NIH - Warren Grant Magnuson Clinical Center |
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Registry Information | | Official Title | | Metoclopramide to Treat Anemia in Patients with Myelodysplastic Syndrome (MDS) | | Trial Start Date | | 2005-07-12 | | Trial Completion Date | | 2008-12-30 (estimated) | | Registered in ClinicalTrials.gov | | NCT00238134 | | Date Submitted to PDQ | | 2005-08-09 | | Information Last Verified | | 2008-03-30 |
Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol. Back to Top |
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