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3-AP and Cytarabine in Treating Patients With Hematologic Cancer

Primary Purpose

Leukemia, Myelodysplastic Syndromes, Myelodysplastic/Myeloproliferative Neoplasms

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
cytarabine
triapine
Sponsored by
Vion Pharmaceuticals
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leukemia focused on measuring recurrent adult acute lymphoblastic leukemia, recurrent adult acute myeloid leukemia, blastic phase chronic myelogenous leukemia, refractory chronic lymphocytic leukemia, relapsing chronic myelogenous leukemia, chronic myelomonocytic leukemia, refractory anemia with excess blasts in transformation, refractory anemia with excess blasts, previously treated myelodysplastic syndromes, 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: Diagnosis of 1 of the following hematologic malignancies: Acute myeloid leukemia Acute lymphoblastic leukemia Chronic myelogenous leukemia (CML) CML in blast crisis Chronic lymphocytic leukemia High-risk* myelodysplastic syndromes, including the following: Refractory anemia with excess blasts (RAEB) RAEB in transformation Chronic myelomonocytic leukemia NOTE: *High-risk myelodysplasia defined as having an International Performance Scoring System score of at least 1.5, based on adverse cytogenetics, greater than 10% blasts in marrow, and cytopenias in at least 2 lineages Relapsed or refractory disease Ineligible for higher priority protocols PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy More than 2 months Hematopoietic See Disease Characteristics Hepatic Bilirubin no greater than 2.0 mg/dL (unless considered due to malignancy) ALT or AST no greater than 3 times upper limit of normal Chronic hepatitis allowed Renal Creatinine no greater than 2.0 mg/dL (unless considered due to malignancy) Cardiovascular No myocardial infarction within the past 3 months No symptomatic coronary artery disease No arrhythmias (other than atrial fibrillation or flutter) requiring treatment No uncontrolled congestive heart failure Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception Concurrent infections under active treatment with and controlled by antibiotics allowed No other concurrent life-threatening illness No mental deficit or psychiatric history that would preclude giving informed consent or complying with protocol PRIOR CONCURRENT THERAPY: Biologic therapy At least 1 week since prior growth factors, including the following: Epoetin alfa Filgrastim (G-CSF) Sargramostim (GM-CSF) Interleukin-3 Interleukin-11 No concurrent anticancer immunotherapy Chemotherapy At least 72 hours since prior hydroxyurea Recovered from prior chemotherapy No other concurrent anticancer chemotherapy Endocrine therapy Not specified Radiotherapy At least 2 weeks since prior radiotherapy No concurrent anticancer radiotherapy Surgery Not specified Other At least 3 weeks since prior myelosuppressive cytotoxic agents (in the absence of rapidly progressing disease) At least 1 week since prior nonmyelosuppressive therapy No other concurrent standard or investigational therapy for the malignancy

Sites / Locations

  • University of Texas - MD Anderson Cancer Center

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
July 8, 2003
Last Updated
July 17, 2013
Sponsor
Vion Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00064090
Brief Title
3-AP and Cytarabine in Treating Patients With Hematologic Cancer
Official Title
A Phase I Study of Triapine and Cytarabine in Patients With Hematologic Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
August 2008
Overall Recruitment Status
Completed
Study Start Date
March 2003 (undefined)
Primary Completion Date
September 2004 (Actual)
Study Completion Date
January 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Vion Pharmaceuticals

4. Oversight

5. Study Description

Brief Summary
RATIONALE: Drugs used in chemotherapy such as cytarabine use different ways to stop cancer cells from dividing so they stop growing or die. 3-AP may stop the growth of cancer cells by blocking the enzymes necessary for cancer cell growth and may help cytarabine kill more cancer cells by making them more sensitive to the drug. PURPOSE: Phase I trial to study the effectiveness of combining cytarabine with 3-AP in treating patients who have relapsed or refractory hematologic cancer.
Detailed Description
OBJECTIVES: Determine the feasibility, tolerability, and toxic effects of 3-AP in combination with cytarabine in patients with hematologic malignancies. Determine the maximum tolerated dose and phase II dose of cytarabine in this regimen in these patients. Determine the biological effects of 3-AP and its interaction with cytarabine in these patients. OUTLINE: This is a pilot, dose-escalation study of cytarabine. Patients receive 3-AP IV over 6 hours followed by cytarabine IV over 18 hours on days 1-5. Treatment repeats every 21 days for up to 6 courses in the absence of disease progression or unacceptable toxicity. Patients achieving a response may receive an additional course as consolidation therapy. Cohorts of 3-6 patients receive escalating doses of cytarabine 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. Once the MTD is determined, an additional 10 patients receive treatment at that dose. PROJECTED ACCRUAL: Approximately 20-25 patients will be accrued for this study.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leukemia, Myelodysplastic Syndromes, Myelodysplastic/Myeloproliferative Neoplasms
Keywords
recurrent adult acute lymphoblastic leukemia, recurrent adult acute myeloid leukemia, blastic phase chronic myelogenous leukemia, refractory chronic lymphocytic leukemia, relapsing chronic myelogenous leukemia, chronic myelomonocytic leukemia, refractory anemia with excess blasts in transformation, refractory anemia with excess blasts, previously treated myelodysplastic syndromes, 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 1

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
cytarabine
Intervention Type
Drug
Intervention Name(s)
triapine

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Diagnosis of 1 of the following hematologic malignancies: Acute myeloid leukemia Acute lymphoblastic leukemia Chronic myelogenous leukemia (CML) CML in blast crisis Chronic lymphocytic leukemia High-risk* myelodysplastic syndromes, including the following: Refractory anemia with excess blasts (RAEB) RAEB in transformation Chronic myelomonocytic leukemia NOTE: *High-risk myelodysplasia defined as having an International Performance Scoring System score of at least 1.5, based on adverse cytogenetics, greater than 10% blasts in marrow, and cytopenias in at least 2 lineages Relapsed or refractory disease Ineligible for higher priority protocols PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy More than 2 months Hematopoietic See Disease Characteristics Hepatic Bilirubin no greater than 2.0 mg/dL (unless considered due to malignancy) ALT or AST no greater than 3 times upper limit of normal Chronic hepatitis allowed Renal Creatinine no greater than 2.0 mg/dL (unless considered due to malignancy) Cardiovascular No myocardial infarction within the past 3 months No symptomatic coronary artery disease No arrhythmias (other than atrial fibrillation or flutter) requiring treatment No uncontrolled congestive heart failure Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception Concurrent infections under active treatment with and controlled by antibiotics allowed No other concurrent life-threatening illness No mental deficit or psychiatric history that would preclude giving informed consent or complying with protocol PRIOR CONCURRENT THERAPY: Biologic therapy At least 1 week since prior growth factors, including the following: Epoetin alfa Filgrastim (G-CSF) Sargramostim (GM-CSF) Interleukin-3 Interleukin-11 No concurrent anticancer immunotherapy Chemotherapy At least 72 hours since prior hydroxyurea Recovered from prior chemotherapy No other concurrent anticancer chemotherapy Endocrine therapy Not specified Radiotherapy At least 2 weeks since prior radiotherapy No concurrent anticancer radiotherapy Surgery Not specified Other At least 3 weeks since prior myelosuppressive cytotoxic agents (in the absence of rapidly progressing disease) At least 1 week since prior nonmyelosuppressive therapy No other concurrent standard or investigational therapy for the malignancy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Mario Sznol, MD
Organizational Affiliation
Vion Pharmaceuticals
Official's Role
Study Chair
Facility Information:
Facility Name
University of Texas - MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030-4095
Country
United States

12. IPD Sharing Statement

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3-AP and Cytarabine in Treating Patients With Hematologic Cancer

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