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XK469R in Treating Patients With Refractory Hematologic Cancer
This study has been completed.
First Received: November 9, 2004   Last Updated: January 23, 2009   History of Changes
Sponsors and Collaborators: M.D. Anderson Cancer Center
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00095797
  Purpose

RATIONALE: Drugs used in chemotherapy, such XK469R, work in different ways to stop cancer cells from dividing so they stop growing or die.

PURPOSE: Phase I trial to study the effectiveness of XK469R in treating patients who have refractory hematologic cancer.


Condition Intervention Phase
Leukemia
Myelodysplastic Syndromes
Drug: R(+)XK469
Phase I

MedlinePlus related topics: Cancer Leukemia, Adult Acute Leukemia, Adult Chronic
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Open Label
Official Title: A Phase I Study of XK469R (NSC 698215) in Patients With Refractory Hematologic Malignancies

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

Primary Outcome Measures:
  • Maximum tolerated dose [ Designated as safety issue: Yes ]
  • Dose limiting toxicity [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Genetic variations affecting XK469R disposition [ Designated as safety issue: No ]

Estimated Enrollment: 60
Study Start Date: October 2004
Primary Completion Date: March 2007 (Final data collection date for primary outcome measure)
Detailed Description:

OBJECTIVES:

Primary

  • Determine the dose-limiting toxicity, maximum tolerated dose, and recommended phase II dose of XK469R in patients with refractory hematologic malignancies.
  • Determine the pharmacokinetics of this drug in these patients.

Secondary

  • Determine the presence of genetic variations potentially affecting XK469R disposition in patients treated with this drug.

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

Patients receive XK469R IV over 30-60 minutes on days 1, 3, and 5. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity.

Cohorts of 3-6 patients receive escalating doses of XK469R until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which at least 2 of 6 patients experience dose-limiting toxicity. A total of 12 patients receive treatment at the MTD.

PROJECTED ACCRUAL: A total of 60 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 1 of the following relapsed or refractory hematologic malignancies for which all potentially curative therapy options have been exhausted:

    • Acute myeloid leukemia* (AML) (non-M3)
    • Acute lymphoblastic leukemia*
    • Myelodysplastic syndromes*, including the following:

      • Refractory anemia with excess blasts (RAEB)
      • RAEB in transformation
    • Chronic myelomonocytic leukemia in transformation* (CMML-t) with ≥ 10% peripheral blood/bone marrow blasts
    • Chronic myelogenous leukemia in blast crisis* (CML-BC)
    • Chronic lymphocytic leukemia

      • Rai stage III-IV
      • Failed prior fludarabine-based therapy and ≥ 1 other therapy

        • Fludarabine failure defined as failure to achieve partial response or complete response (CR) to at least 1 fludarabine-containing regimen; disease progression while on fludarabine; or disease progression within 6 months of response to fludarabine NOTE: *Relapsed disease defined as first (with an initial CR duration of < 12 months) or subsequent relapse after standard chemotherapy, autologous SCT, or imatinib mesylate-based therapy (for CML-BC); refractory disease defined as the failure to induce complete remission after 2 courses of standard induction therapy (for AML, ALL, MDS, or CMML-t) OR 1 course of induction therapy containing high-dose cytarabine (for AML) or high-dose imatinib mesylate therapy (for CML-BC)
  • Not a candidate for autologous or allogeneic stem cell transplantation (SCT)
  • Patients with previously untreated AML, MDS, or CMML-t who are considered inappropriate candidates for, or refused, standard induction chemotherapy due to older age or concurrent medical conditions are eligible
  • No known CNS disease

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • ECOG 0-2

Life expectancy

  • Not specified

Hematopoietic

  • See Disease Characteristics

Hepatic

  • Bilirubin < 1.5 times upper limit of normal (ULN)
  • AST and ALT < 5 times ULN

Renal

  • Creatinine < 1.5 times ULN

Cardiovascular

  • No symptomatic congestive heart failure
  • No unstable angina pectoris
  • No cardiac arrhythmia

Other

  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • No ongoing or active infection
  • No psychiatric illness or social situation that would preclude study compliance
  • No history of allergic reactions attributed to compounds of similar chemical or biologic composition to XK469R
  • No other uncontrolled illness
  • HIV-positive patients allowed provided CD4 counts are normal with no AIDS-defining disease

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • See Disease Characteristics
  • No prior allogeneic SCT
  • No concurrent prophylactic hematopoietic colony-stimulating factors

Chemotherapy

  • See Disease Characteristics
  • More than 7 days since prior cytotoxic chemotherapy (except hydroxyurea)

Endocrine therapy

  • Not specified

Radiotherapy

  • More than 7 days since prior radiotherapy

Surgery

  • Not specified

Other

  • No concurrent combination antiretroviral therapy for HIV-positive patients
  • No other concurrent investigational agents
  • No other concurrent anti-leukemia agents
  • No other concurrent anticancer therapy
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00095797

Locations
United States, Illinois
University of Chicago Cancer Research Center
Chicago, Illinois, United States, 60637-1470
United States, Texas
M.D. Anderson Cancer Center at University of Texas
Houston, Texas, United States, 77030-4095
Sponsors and Collaborators
M.D. Anderson Cancer Center
Investigators
Principal Investigator: Francis J. Giles, MD M.D. Anderson Cancer Center
  More Information

Additional Information:
Publications:
Study ID Numbers: CDR0000393836, MDA-2004-0154, NCI-6939
Study First Received: November 9, 2004
Last Updated: January 23, 2009
ClinicalTrials.gov Identifier: NCT00095797     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
adult acute myeloid leukemia with 11q23 (MLL) abnormalities
adult acute myeloid leukemia with inv(16)(p13;q22)
adult acute myeloid leukemia with t(16;16)(p13;q22)
adult acute myeloid leukemia with t(8;21)(q22;q22)
recurrent adult acute myeloid leukemia
untreated adult acute myeloid leukemia
blastic phase chronic myelogenous leukemia
relapsing chronic myelogenous leukemia
recurrent adult acute lymphoblastic leukemia
chronic myelomonocytic leukemia
refractory anemia with excess blasts in transformation
refractory anemia with excess blasts
adult acute basophilic leukemia
adult acute eosinophilic leukemia
de novo myelodysplastic syndromes
previously treated myelodysplastic syndromes
secondary myelodysplastic syndromes
refractory chronic lymphocytic leukemia
stage III chronic lymphocytic leukemia
stage IV chronic lymphocytic leukemia
adult acute megakaryoblastic leukemia (M7)
adult acute minimally differentiated myeloid leukemia (M0)
adult acute monoblastic leukemia (M5a)
adult acute monocytic leukemia (M5b)
adult acute myeloblastic leukemia with maturation (M2)
adult acute myeloblastic leukemia without maturation (M1)
adult acute myelomonocytic leukemia (M4)
adult erythroleukemia (M6a)
adult pure erythroid leukemia (M6b)

Study placed in the following topic categories:
Leukemia, Monocytic, Acute
Chronic Myelomonocytic Leukemia
Blast Crisis
Leukemia, Lymphoid
Hematologic Neoplasms
Precancerous Conditions
Acute Myelomonocytic Leukemia
Acute Monoblastic Leukemia
Leukemia, Myeloid, Acute
Refractory Anemia
Leukemia
Acute Erythroblastic Leukemia
Acute Myelocytic Leukemia
Preleukemia
Anemia, Refractory
Acute Myeloid Leukemia, Adult
Leukemia, Lymphocytic, Chronic, B-Cell
Neoplasm Metastasis
Leukemia, B-cell, Chronic
Congenital Abnormalities
Acute Lymphoblastic Leukemia
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Hematologic Diseases
Leukemia, Myelomonocytic, Chronic
Myelodysplastic Syndromes
Anemia
Leukemia, Myeloid
Recurrence
Leukemia, Myelomonocytic, Acute
Chronic Lymphocytic Leukemia

Additional relevant MeSH terms:
Leukemia
Neoplasms
Preleukemia
Pathologic Processes
Disease
Neoplasms by Histologic Type
Precancerous Conditions
Hematologic Diseases
Syndrome
Myelodysplastic Syndromes
Bone Marrow Diseases

ClinicalTrials.gov processed this record on May 07, 2009