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Temozolomide and VNP40101M in Treating Patients With Relapsed or Refractory Leukemias

Primary Purpose

Leukemia

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
laromustine
temozolomide
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 myeloid leukemia, recurrent adult acute lymphoblastic leukemia, blastic phase chronic myelogenous leukemia, relapsing chronic myelogenous leukemia, secondary acute myeloid leukemia, adult acute myeloid leukemia with 11q23 (MLL) abnormalities, adult acute myeloid leukemia with inv(16)(p13;q22), adult acute myeloid leukemia with t(15;17)(q22;q12), adult acute myeloid leukemia with t(16;16)(p13;q22), adult acute myeloid leukemia with t(8;21)(q22;q22)

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Diagnosis of 1 of the following: Acute myeloid leukemia Acute lymphoblastic leukemia Chronic myelogenous leukemia in blast crisis Relapsed or refractory disease No known standard therapy that is anticipated to result in a durable remission exists CNS leukemia allowed PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy Not specified Hematopoietic Not specified Hepatic Bilirubin ≤ 1.5 times upper limit of normal (ULN) ALT or AST ≤ 3 times ULN Chronic hepatitis allowed Renal Creatinine ≤ 2.0 mg/dL Cardiovascular No active heart disease, including any of the following: Myocardial infarction within the past 3 months Symptomatic coronary artery disease Arrhythmias not controlled by medication Uncontrolled congestive heart failure Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study participation No uncontrolled active infection PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy Concurrent hydroxyurea allowed within the first 10 days of study drug administration for control of elevated blast levels or platelet counts Maximum hydroxyurea dose 5 g daily No persistent chronic toxic effects from prior chemotherapy > grade 1 Endocrine therapy Not specified Radiotherapy Not specified Surgery Not specified Other Recovered from all prior therapy At least 2 weeks since prior myelosuppressive cytotoxic agents (in the absence of rapidly progressive disease) No more than 2 leukapheresis procedures within the first 10 days of study drug administration for control of elevated blast levels or platelet counts No concurrent disulfiram No other concurrent anticancer drugs No other concurrent standard or investigational treatment for leukemia

Sites / Locations

  • American Health Network - North Illinois Street
  • Duke Comprehensive Cancer Center
  • Case Comprehensive Cancer Center
  • Cleveland Clinic Taussig Cancer Center

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
December 7, 2004
Last Updated
July 17, 2013
Sponsor
Vion Pharmaceuticals
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1. Study Identification

Unique Protocol Identification Number
NCT00098436
Brief Title
Temozolomide and VNP40101M in Treating Patients With Relapsed or Refractory Leukemias
Official Title
A Phase I Study Of Cloretazine™ (VNP40101M) And Temozolomide In Patients With Hematologic Malignancies
Study Type
Interventional

2. Study Status

Record Verification Date
August 2008
Overall Recruitment Status
Completed
Study Start Date
September 2004 (undefined)
Primary Completion Date
October 2006 (Actual)
Study Completion Date
August 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 temozolomide and VNP40101M, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Temozolomide may also help VNP40101M kill more cancer cells by making cancer cells more sensitive to the drug. Giving temozolomide together with VNP40101M may kill more cancer cells. PURPOSE: This phase I trial is studying the side effects and best dose of temozolomide and VNP40101M in treating patients with relapsed or refractory leukemias.
Detailed Description
OBJECTIVES: Determine the maximum tolerated dose of temozolomide and VNP40101M in patients with relapsed or refractory leukemias. Determine the toxic effects of this regimen in these patients. OUTLINE: This is an open-label, dose-escalation, multicenter study. Patients receive oral temozolomide twice daily on days 1-3 (for 5 doses) followed by VNP401010M IV over 15-60 minutes on day 3 (course 1). Patients achieving a complete or partial response or having ≥ 50% reduction in bone marrow blasts may receive a second course of therapy no earlier than day 43. Courses may be repeated approximately every 6 weeks at the discretion of the sponsor and in the absence of disease progression or unacceptable toxicity. Cohorts of 6 patients receive escalating doses of temozolomide until a dose that depletes leukemic blast AGT in at least 4 of 6 patients is determined. Once this dose is determined, cohorts of 3-6 patients receive escalating doses of VNP401010M until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Up to 10 patients are treated at the MTD. PROJECTED ACCRUAL: Approximately 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
Keywords
recurrent adult acute myeloid leukemia, recurrent adult acute lymphoblastic leukemia, blastic phase chronic myelogenous leukemia, relapsing chronic myelogenous leukemia, secondary acute myeloid leukemia, adult acute myeloid leukemia with 11q23 (MLL) abnormalities, adult acute myeloid leukemia with inv(16)(p13;q22), adult acute myeloid leukemia with t(15;17)(q22;q12), adult acute myeloid leukemia with t(16;16)(p13;q22), adult acute myeloid leukemia with t(8;21)(q22;q22)

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Masking
None (Open Label)
Enrollment
25 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
laromustine
Intervention Type
Drug
Intervention Name(s)
temozolomide

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: Acute myeloid leukemia Acute lymphoblastic leukemia Chronic myelogenous leukemia in blast crisis Relapsed or refractory disease No known standard therapy that is anticipated to result in a durable remission exists CNS leukemia allowed PATIENT CHARACTERISTICS: Age 18 and over Performance status ECOG 0-2 Life expectancy Not specified Hematopoietic Not specified Hepatic Bilirubin ≤ 1.5 times upper limit of normal (ULN) ALT or AST ≤ 3 times ULN Chronic hepatitis allowed Renal Creatinine ≤ 2.0 mg/dL Cardiovascular No active heart disease, including any of the following: Myocardial infarction within the past 3 months Symptomatic coronary artery disease Arrhythmias not controlled by medication Uncontrolled congestive heart failure Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 3 months after study participation No uncontrolled active infection PRIOR CONCURRENT THERAPY: Biologic therapy Not specified Chemotherapy Concurrent hydroxyurea allowed within the first 10 days of study drug administration for control of elevated blast levels or platelet counts Maximum hydroxyurea dose 5 g daily No persistent chronic toxic effects from prior chemotherapy > grade 1 Endocrine therapy Not specified Radiotherapy Not specified Surgery Not specified Other Recovered from all prior therapy At least 2 weeks since prior myelosuppressive cytotoxic agents (in the absence of rapidly progressive disease) No more than 2 leukapheresis procedures within the first 10 days of study drug administration for control of elevated blast levels or platelet counts No concurrent disulfiram No other concurrent anticancer drugs No other concurrent standard or investigational treatment for leukemia
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Bonny L. Johnson, RN, MSN
Organizational Affiliation
Vion Pharmaceuticals
Official's Role
Study Chair
Facility Information:
Facility Name
American Health Network - North Illinois Street
City
Indianapolis
State/Province
Indiana
ZIP/Postal Code
46202
Country
United States
Facility Name
Duke Comprehensive Cancer Center
City
Durham
State/Province
North Carolina
ZIP/Postal Code
27710
Country
United States
Facility Name
Case Comprehensive Cancer Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44106-5065
Country
United States
Facility Name
Cleveland Clinic Taussig Cancer Center
City
Cleveland
State/Province
Ohio
ZIP/Postal Code
44195
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
20511167
Citation
Rizzieri D, LoRusso S, Tse W, Khan K, Advani A, Moore J, Karsten V, Cahill A, Gerson SL. Phase I study of temozolomide and laromustine (VNP40101M) in patients with relapsed or refractory leukemia. Clin Lymphoma Myeloma Leuk. 2010 Jun;10(3):211-6. doi: 10.3816/CLML.2010.n.033.
Results Reference
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Temozolomide and VNP40101M in Treating Patients With Relapsed or Refractory Leukemias

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