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FR901228 in Treating Patients With Myelodysplastic Syndrome, Acute Myeloid Leukemia, or Non-Hodgkin's Lymphoma

Primary Purpose

Leukemia, Lymphoma, Myelodysplastic Syndromes

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
romidepsin
Sponsored by
Memorial Sloan Kettering Cancer Center
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leukemia focused on measuring recurrent adult acute myeloid leukemia, refractory anemia with excess blasts, refractory anemia with excess blasts in transformation, chronic myelomonocytic leukemia, recurrent grade 3 follicular lymphoma, previously treated myelodysplastic syndromes, secondary myelodysplastic syndromes, untreated adult acute myeloid leukemia, recurrent grade 1 follicular lymphoma, recurrent grade 2 follicular lymphoma, recurrent adult diffuse large cell lymphoma, recurrent adult diffuse mixed cell lymphoma, recurrent adult diffuse small cleaved cell lymphoma, atypical chronic myeloid leukemia, BCR-ABL1 negative, myelodysplastic/myeloproliferative neoplasm, unclassifiable, adult acute myeloid leukemia with t(8;21)(q22;q22), adult acute myeloid leukemia with t(16;16)(p13;q22), adult acute myeloid leukemia with inv(16)(p13;q22), adult acute myeloid leukemia with 11q23 (MLL) abnormalities, adult acute myeloid leukemia with t(15;17)(q22;q12)

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: One of the following diagnoses: Histologically confirmed refractory or relapsed acute myeloid leukemia (AML) Failed anthracycline-based chemotherapy Ineligible for or refused allogeneic stem cell transplantation Elderly patients with newly diagnosed AML Ineligible for or refused standard chemotherapy Histologically confirmed high-risk myelodysplastic syndromes Eligible subtypes include: Refractory anemia with excess blasts (RAEB) RAEB in transformation Chronic myelomonocytic leukemia Ineligible for or refused allogeneic bone marrow transplantation Histologically confirmed intermediate-grade non-Hodgkin's lymphoma (NHL) Relapsed after high-dose therapy OR Ineligible for allogeneic or autologous stem cell transplantation Evaluable lesions by radiologic study or physical examination Histologically confirmed follicular NHL Progressed after anthracycline-based chemotherapy and rituximab Evaluable lesions by radiologic study or physical examination NOTE: A new classification scheme for adult non-Hodgkin's lymphoma has been adopted by PDQ. The terminology of "indolent" or "aggressive" lymphoma will replace the former terminology of "low", "intermediate", or "high" grade lymphoma. However, this protocol uses the former terminology. PATIENT CHARACTERISTICS: Age 18 and over Performance status Karnofsky 60-100% Life expectancy Not specified Hematopoietic Not specified Hepatic Bilirubin no greater than 1.5 mg/dL (unless due to Gilbert's syndrome) SGOT and SGPT less than 2 times upper limit of normal Renal Creatinine no greater than 1.5 mg/dL OR Creatinine clearance at least 60 mL/min Cardiovascular Cardiac ejection fraction greater than 50% No cardiac hypertrophy No known conduction heart disease No New York Heart Association class III or IV heart disease that would make it difficult to assess patient during study participation No significant prior heart disease No significant prior secondary or tertiary heart block No significant prior atrial or ventricular arrhythmia requiring therapeutic intervention or antiarrhythmics for rate control Pulmonary No severe debilitating pulmonary disease that would make it difficult to assess patient during study participation Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 1 month after study participation Potassium ≥ 4.0 mmol/L (supplementation allowed) Magnesium ≥ 2.0 mg/dL (supplementation allowed) No other concurrent active malignancy except basal cell skin cancer No other concurrent significant co-morbidity that would make it difficult to assess patient during study participation PRIOR CONCURRENT THERAPY: Biologic therapy See Disease Characteristics At least 2 weeks since prior epoetin alfa or filgrastim (G-CSF) At least 4 weeks since prior cytokines No concurrent immunotherapy Chemotherapy See Disease Characteristics At least 4 weeks since prior systemic chemotherapy No other concurrent chemotherapy Endocrine therapy Not specified Radiotherapy At least 4 weeks since prior radiotherapy No concurrent radiotherapy Surgery Not specified Other No other concurrent investigational agents No concurrent drugs that may prolong the QTc interval FR901228 (depsipeptide) may be administered after a 5-half-life washout period following the use of these drugs

Sites / Locations

  • Memorial Sloan-Kettering Cancer Center

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
August 5, 2002
Last Updated
May 14, 2011
Sponsor
Memorial Sloan Kettering Cancer Center
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00042822
Brief Title
FR901228 in Treating Patients With Myelodysplastic Syndrome, Acute Myeloid Leukemia, or Non-Hodgkin's Lymphoma
Official Title
A Pilot Study Of FR901228, Or Depsipeptide (NSC #630176) For Adult Patients With Advanced Hematologic Cancers
Study Type
Interventional

2. Study Status

Record Verification Date
December 2009
Overall Recruitment Status
Completed
Study Start Date
May 2002 (undefined)
Primary Completion Date
March 2005 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Memorial Sloan Kettering Cancer Center
Collaborators
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. PURPOSE: Phase II trial to study the effectiveness of FR901228 in treating patients who have myelodysplastic syndrome, acute myeloid leukemia, or non-Hodgkin's lymphoma.
Detailed Description
OBJECTIVES: Determine the pattern of adverse clinical experience in patients with myelodysplastic syndrome, acute myeloid leukemia, or intermediate-grade or follicular non-Hodgkin's lymphoma treated with FR901228 (depsipeptide). Determine the disease response in patients treated with this drug. Determine the pharmacokinetic and pharmacodynamic correlates of this drug, including measurement of serum plasma levels, H3 and H4 acetylation, apoptosis induction, differentiation, and multidrug-resistant (MDR) phenotype expression in these patients. OUTLINE: Patients receive FR901228 (depsipeptide) IV over 4 hours on days 1 and 5. Courses repeat every 21 days in the absence of disease progression or unacceptable toxicity. Patients are followed monthly. PROJECTED ACCRUAL: A total of 12 patients will be accrued for this study within 1 year.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leukemia, Lymphoma, Myelodysplastic Syndromes, Myelodysplastic/Myeloproliferative Neoplasms
Keywords
recurrent adult acute myeloid leukemia, refractory anemia with excess blasts, refractory anemia with excess blasts in transformation, chronic myelomonocytic leukemia, recurrent grade 3 follicular lymphoma, previously treated myelodysplastic syndromes, secondary myelodysplastic syndromes, untreated adult acute myeloid leukemia, recurrent grade 1 follicular lymphoma, recurrent grade 2 follicular lymphoma, recurrent adult diffuse large cell lymphoma, recurrent adult diffuse mixed cell lymphoma, recurrent adult diffuse small cleaved cell lymphoma, atypical chronic myeloid leukemia, BCR-ABL1 negative, myelodysplastic/myeloproliferative neoplasm, unclassifiable, adult acute myeloid leukemia with t(8;21)(q22;q22), adult acute myeloid leukemia with t(16;16)(p13;q22), adult acute myeloid leukemia with inv(16)(p13;q22), adult acute myeloid leukemia with 11q23 (MLL) abnormalities, adult acute myeloid leukemia with t(15;17)(q22;q12)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
romidepsin

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: One of the following diagnoses: Histologically confirmed refractory or relapsed acute myeloid leukemia (AML) Failed anthracycline-based chemotherapy Ineligible for or refused allogeneic stem cell transplantation Elderly patients with newly diagnosed AML Ineligible for or refused standard chemotherapy Histologically confirmed high-risk myelodysplastic syndromes Eligible subtypes include: Refractory anemia with excess blasts (RAEB) RAEB in transformation Chronic myelomonocytic leukemia Ineligible for or refused allogeneic bone marrow transplantation Histologically confirmed intermediate-grade non-Hodgkin's lymphoma (NHL) Relapsed after high-dose therapy OR Ineligible for allogeneic or autologous stem cell transplantation Evaluable lesions by radiologic study or physical examination Histologically confirmed follicular NHL Progressed after anthracycline-based chemotherapy and rituximab Evaluable lesions by radiologic study or physical examination NOTE: A new classification scheme for adult non-Hodgkin's lymphoma has been adopted by PDQ. The terminology of "indolent" or "aggressive" lymphoma will replace the former terminology of "low", "intermediate", or "high" grade lymphoma. However, this protocol uses the former terminology. PATIENT CHARACTERISTICS: Age 18 and over Performance status Karnofsky 60-100% Life expectancy Not specified Hematopoietic Not specified Hepatic Bilirubin no greater than 1.5 mg/dL (unless due to Gilbert's syndrome) SGOT and SGPT less than 2 times upper limit of normal Renal Creatinine no greater than 1.5 mg/dL OR Creatinine clearance at least 60 mL/min Cardiovascular Cardiac ejection fraction greater than 50% No cardiac hypertrophy No known conduction heart disease No New York Heart Association class III or IV heart disease that would make it difficult to assess patient during study participation No significant prior heart disease No significant prior secondary or tertiary heart block No significant prior atrial or ventricular arrhythmia requiring therapeutic intervention or antiarrhythmics for rate control Pulmonary No severe debilitating pulmonary disease that would make it difficult to assess patient during study participation Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 1 month after study participation Potassium ≥ 4.0 mmol/L (supplementation allowed) Magnesium ≥ 2.0 mg/dL (supplementation allowed) No other concurrent active malignancy except basal cell skin cancer No other concurrent significant co-morbidity that would make it difficult to assess patient during study participation PRIOR CONCURRENT THERAPY: Biologic therapy See Disease Characteristics At least 2 weeks since prior epoetin alfa or filgrastim (G-CSF) At least 4 weeks since prior cytokines No concurrent immunotherapy Chemotherapy See Disease Characteristics At least 4 weeks since prior systemic chemotherapy No other concurrent chemotherapy Endocrine therapy Not specified Radiotherapy At least 4 weeks since prior radiotherapy No concurrent radiotherapy Surgery Not specified Other No other concurrent investigational agents No concurrent drugs that may prolong the QTc interval FR901228 (depsipeptide) may be administered after a 5-half-life washout period following the use of these drugs
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Virginia Klimek, MD
Organizational Affiliation
Memorial Sloan Kettering Cancer Center
Official's Role
Study Chair
Facility Information:
Facility Name
Memorial Sloan-Kettering Cancer Center
City
New York
State/Province
New York
ZIP/Postal Code
10021
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
18245545
Citation
Klimek VM, Fircanis S, Maslak P, Guernah I, Baum M, Wu N, Panageas K, Wright JJ, Pandolfi PP, Nimer SD. Tolerability, pharmacodynamics, and pharmacokinetics studies of depsipeptide (romidepsin) in patients with acute myelogenous leukemia or advanced myelodysplastic syndromes. Clin Cancer Res. 2008 Feb 1;14(3):826-32. doi: 10.1158/1078-0432.CCR-07-0318.
Results Reference
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FR901228 in Treating Patients With Myelodysplastic Syndrome, Acute Myeloid Leukemia, or Non-Hodgkin's Lymphoma

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