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Flavopiridol and Vorinostat in Treating Patients With Relapsed or Refractory Acute Leukemia or Chronic Myelogenous Leukemia or Refractory Anemia
This study is currently recruiting participants.
Verified by National Cancer Institute (NCI), December 2008
First Received: January 16, 2006   Last Updated: January 28, 2009   History of Changes
Sponsors and Collaborators: Massey Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00278330
  Purpose

RATIONALE: Flavopiridol and vorinostat may cause leukemia cells to look more like normal cells, and to grow and spread more slowly. Vorinostat may also stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving flavopiridol together with vorinostat may be an effective treatment for leukemia or refractory anemia.

PURPOSE: This phase I trial is studying the side effects and best dose of flavopiridol when given together with vorinostat in treating patients with relapsed or refractory acute leukemia or chronic myelogenous leukemia or refractory anemia.


Condition Intervention Phase
Leukemia
Myelodysplastic Syndromes
Drug: alvocidib
Drug: vorinostat
Phase I

MedlinePlus related topics: Anemia Cancer Leukemia, Adult Acute Leukemia, Adult Chronic
Drug Information available for: Alvocidib Flavopiridol Suberoylanilide hydroxamic acid
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment
Official Title: Phase I Trial of Vorinostat (SAHA) in Combination With Flavopiridol in Patients With Relapsed, Refractory, or (Selected) Poor Prognosis Acute Leukemia or Refractory Anemia With Excess Blasts-2

Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment: 24
Study Start Date: January 2006
Estimated Primary Completion Date: April 2007 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Determine recommended phase II doses for the combination of flavopiridol and vorinostat in patients with acute leukemia, chronic myelogenous leukemia in blast crisis, or refractory anemia with excess blasts-2.

Secondary

  • Determine the safety, toxicity, tolerability, and maximum tolerated dose of this drug regimen.
  • Determine the pharmacodynamic and clinical anti-leukemic effects of this drug regimen.
  • Correlate leukemia gene expression patterns with response in patients treated with this regimen.

OUTLINE: This is an open-label, dose-escalation study of flavopiridol.

Patients receive flavopiridol IV over 1 hour on days 1-5 and oral vorinostat three times daily on days 1-14. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of flavopiridol until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity.

PROJECTED ACCRUAL: A total of 24 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of one of the following:

    • Relapsed or refractory acute leukemia (acute myeloid leukemia [AML], acute lymphoblastic leukemia [ALL], or acute leukemia unclassifiable) following at least one prior systemic treatment
    • Acute leukemia in a patient 60 years or older (no requirement for prior treatment)
    • Acute leukemia that has evolved from a prior myelodysplastic syndrome
    • Chronic myelogenous leukemia (CML) in blast crisis following prior imatinib mesylate therapy
    • Refractory anemia with excess blasts-2 (RAEB-2)
  • No known CNS leukemia

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-2
  • WBC < 50,000µL

    • Hydroxyurea and/or leukaphereses may be used to lower WBC
  • Creatinine ≤ 1.5 times upper limit of normal (ULN) OR creatinine clearance ≥ 50 mL/min
  • Total bilirubin ≤ 2 times ULN
  • AST/ALT ≤ 2.5 times ULN
  • QTc interval ≤ 0.470 seconds
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 3 months after study participation
  • No other condition that would preclude study participation

PRIOR CONCURRENT THERAPY:

  • At least 3 weeks since prior treatment (expect leukaphereses)
  • No valproic acid therapy within the past 2 weeks
  • No prior autologous or allogeneic bone marrow or stem cell transplantation
  • No hydroxyurea use within the past 24 hours
  • No concurrent treatment with other anti-cancer agents or investigational agents
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00278330

Locations
United States, Ohio
Case Comprehensive Cancer Center Recruiting
Cleveland, Ohio, United States, 44106-5065
Contact: Clinical Trials Office - Case Comprehensive Cancer Center     800-641-2422        
United States, Virginia
Virginia Commonwealth University Massey Cancer Center Recruiting
Richmond, Virginia, United States, 23298-0037
Contact: Clinical Trials Office -Virginia Commonwealth University Masse     804-628-1939        
Sponsors and Collaborators
Massey Cancer Center
Investigators
Study Chair: Steven Grant, MD Massey Cancer Center
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000454998, MCV-MCC-6637, NCI-6637
Study First Received: January 16, 2006
Last Updated: January 28, 2009
ClinicalTrials.gov Identifier: NCT00278330     History of Changes
Health Authority: Unspecified

Keywords provided by National Cancer Institute (NCI):
recurrent adult acute myeloid leukemia
blastic phase chronic myelogenous leukemia
refractory anemia with excess blasts
relapsing chronic myelogenous leukemia
recurrent adult acute lymphoblastic leukemia
untreated adult acute lymphoblastic leukemia
untreated adult acute myeloid leukemia

Study placed in the following topic categories:
Anticarcinogenic Agents
Anti-Inflammatory Agents
Blast Crisis
Leukemia, Lymphoid
Precancerous Conditions
Leukemia, Myeloid, Acute
Protein Kinase Inhibitors
Refractory Anemia
Leukemia
Preleukemia
Acute Myelocytic Leukemia
Anemia, Refractory
Acute Myeloid Leukemia, Adult
Anti-Inflammatory Agents, Non-Steroidal
Analgesics
Acute Lymphoblastic Leukemia
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Hematologic Diseases
Myelodysplastic Syndromes
Vorinostat
Anemia
Myeloproliferative Disorders
Leukemia, Myeloid
Recurrence
Flavopiridol
Analgesics, Non-Narcotic
Leukemia, Myelogenous, Chronic, BCR-ABL Positive
Peripheral Nervous System Agents
Anemia, Refractory, with Excess of Blasts
Chronic Myelogenous Leukemia

Additional relevant MeSH terms:
Anticarcinogenic Agents
Anti-Inflammatory Agents
Precancerous Conditions
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Protein Kinase Inhibitors
Leukemia
Preleukemia
Anemia, Refractory
Pathologic Processes
Sensory System Agents
Therapeutic Uses
Syndrome
Anti-Inflammatory Agents, Non-Steroidal
Analgesics
Growth Inhibitors
Neoplasms by Histologic Type
Disease
Hematologic Diseases
Growth Substances
Myelodysplastic Syndromes
Vorinostat
Anemia
Myeloproliferative Disorders
Enzyme Inhibitors
Leukemia, Myeloid
Protective Agents
Pharmacologic Actions
Flavopiridol

ClinicalTrials.gov processed this record on May 07, 2009