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PHA-739358 in Treating Patients With Chronic Myelogenous Leukemia That Relapsed After Imatinib Mesylate or c-ABL Therapy

Primary Purpose

Leukemia

Status
Unknown status
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
danusertib
laboratory biomarker analysis
pharmacological study
Sponsored by
Jonsson Comprehensive Cancer Center
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leukemia focused on measuring accelerated phase chronic myelogenous leukemia, blastic phase chronic myelogenous leukemia, chronic phase chronic myelogenous leukemia, relapsing chronic myelogenous leukemia

Eligibility Criteria

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

DISEASE CHARACTERISTICS: Diagnosis of chronic myelogenous leukemia confirmed by bone marrow biopsy Chronic, accelerated, or blastic phase disease May have T315I mutation in BCR-ABL kinase Relapsed after prior imatinib mesylate or c-ABL therapy No CNS leukemia PATIENT CHARACTERISTICS: ECOG performance status 0-2 Blood pressure ≤ 140/90 mm Hg (with or without hypertension treatment for ≥ 1 week) Transaminases ≤ 2.5 times upper limit of normal (ULN) Bilirubin ≤ 1.5 times ULN Creatinine ≤ 1.5 times ULN No known history of HIV infection No active uncontrolled infection No grade 3 or 4 bleeding LVEF ≥ 45% by MUGA or ≥ 40% by transthoracic echocardiography No medical or psychiatric condition or laboratory abnormalities that would limit study compliance or increase risk during study participation Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 90 (female) or 180 (male) days after completion of study treatment No significant cardiovascular disease (i.e., uncontrolled arrhythmias or unstable angina) within the past 6 months No major thromboembolic event within the past 6 months, including any of the following: Myocardial infarction Stroke Transient ischemic attack Pulmonary embolism Noncatheter-related deep-vein thrombosis PRIOR CONCURRENT THERAPY: Recovered from all acute toxic effects (excluding alopecia) of prior therapy More than 2 weeks since prior chemoimmunotherapy Hydroxyurea must be discontinued 1 day prior to study therapy More than 4 weeks since prior major surgery No other concurrent approved or investigational anticancer treatment, including chemotherapy, biologic response modifiers, hormones, or immunotherapy No other concurrent investigational drugs No concurrent participation in another treatment clinical trial

Sites / Locations

  • Jonsson Comprehensive Cancer Center at UCLA

Outcomes

Primary Outcome Measures

Antileukemic response in terms of complete hematological response, no evidence of leukemia, or return to chronic phase
Overall safety profile of PHA-739358 by type, severity, timing, and relatedness of adverse events and laboratory abnormalities
Pharmacokinetics of this drug and its N-oxide metabolite PHA-816359 by measuring their plasma concentration at different times after dosing
Changes in histone H3 and CRKL phosphorylation
Correlation between changes in degree of histone H3 and CRKL phosphorylation and concurrent PHA-739358 concentrations and/or hematological response
Complete, partial, or minor cytogenetic response in bone marrow

Secondary Outcome Measures

Full Information

First Posted
June 8, 2006
Last Updated
December 17, 2013
Sponsor
Jonsson Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00335868
Brief Title
PHA-739358 in Treating Patients With Chronic Myelogenous Leukemia That Relapsed After Imatinib Mesylate or c-ABL Therapy
Official Title
A Pilot Phase II Study of PHA-739358 in Patients With Chronic Myeloid Leukemia Relapsing on Gleevec or c-ABL Therapy
Study Type
Interventional

2. Study Status

Record Verification Date
July 2009
Overall Recruitment Status
Unknown status
Study Start Date
March 2007 (undefined)
Primary Completion Date
December 2009 (Anticipated)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Name of the Sponsor
Jonsson Comprehensive Cancer Center
Collaborators
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
RATIONALE: PHA-739358 may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. PURPOSE: This phase II trial is studying how well PHA-739358 works in treating patients with chronic myelogenous leukemia that relapsed after imatinib mesylate or c-ABL therapy.
Detailed Description
OBJECTIVES: Explore the clinical efficacy of PHA-739358, in terms of hematological response lasting ≥ 4 weeks, in patients with chronic myelogenous leukemia that relapsed after imatinib mesylate or c-ABL therapy. Explore the safety profile of this drug in these patients. Explore the pharmacokinetic profile of this drug and its N-oxide metabolite PHA-816359 in plasma. Explore the modulation of histone H3 and CRKL phosphorylation after PHA-739358 administration. Explore the relationship between plasma drug levels and the modulation of histone H3 and CRKL phosphorylation. Explore the clinical efficacy of this drug, in terms of cytogenetic response in bone marrow. Explore response depending on status of T315I mutation in BCR-ABL kinase. OUTLINE: This is a pilot, open-label, multicenter study. Patients receive PHA-739358 IV over 6 hours on days 1, 8, and 15. Treatment repeats every 28 days for 6 courses in the absence of disease progression or unacceptable toxicity. Patients benefitting from treatment may receive additional courses at the discretion of the investigator. Patients undergo blood collection and bone marrow biopsies periodically for pharmacologic and biomarker correlative studies. After completion of study treatment, patients are followed every 3 months for 1 year. PROJECTED ACCRUAL: A total of 16 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
accelerated phase chronic myelogenous leukemia, blastic phase chronic myelogenous leukemia, chronic phase chronic myelogenous leukemia, relapsing chronic myelogenous leukemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Masking
None (Open Label)
Enrollment
16 (Anticipated)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
danusertib
Intervention Type
Other
Intervention Name(s)
laboratory biomarker analysis
Intervention Type
Other
Intervention Name(s)
pharmacological study
Primary Outcome Measure Information:
Title
Antileukemic response in terms of complete hematological response, no evidence of leukemia, or return to chronic phase
Title
Overall safety profile of PHA-739358 by type, severity, timing, and relatedness of adverse events and laboratory abnormalities
Title
Pharmacokinetics of this drug and its N-oxide metabolite PHA-816359 by measuring their plasma concentration at different times after dosing
Title
Changes in histone H3 and CRKL phosphorylation
Title
Correlation between changes in degree of histone H3 and CRKL phosphorylation and concurrent PHA-739358 concentrations and/or hematological response
Title
Complete, partial, or minor cytogenetic response in bone marrow

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Diagnosis of chronic myelogenous leukemia confirmed by bone marrow biopsy Chronic, accelerated, or blastic phase disease May have T315I mutation in BCR-ABL kinase Relapsed after prior imatinib mesylate or c-ABL therapy No CNS leukemia PATIENT CHARACTERISTICS: ECOG performance status 0-2 Blood pressure ≤ 140/90 mm Hg (with or without hypertension treatment for ≥ 1 week) Transaminases ≤ 2.5 times upper limit of normal (ULN) Bilirubin ≤ 1.5 times ULN Creatinine ≤ 1.5 times ULN No known history of HIV infection No active uncontrolled infection No grade 3 or 4 bleeding LVEF ≥ 45% by MUGA or ≥ 40% by transthoracic echocardiography No medical or psychiatric condition or laboratory abnormalities that would limit study compliance or increase risk during study participation Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception during and for 90 (female) or 180 (male) days after completion of study treatment No significant cardiovascular disease (i.e., uncontrolled arrhythmias or unstable angina) within the past 6 months No major thromboembolic event within the past 6 months, including any of the following: Myocardial infarction Stroke Transient ischemic attack Pulmonary embolism Noncatheter-related deep-vein thrombosis PRIOR CONCURRENT THERAPY: Recovered from all acute toxic effects (excluding alopecia) of prior therapy More than 2 weeks since prior chemoimmunotherapy Hydroxyurea must be discontinued 1 day prior to study therapy More than 4 weeks since prior major surgery No other concurrent approved or investigational anticancer treatment, including chemotherapy, biologic response modifiers, hormones, or immunotherapy No other concurrent investigational drugs No concurrent participation in another treatment clinical trial
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ronald Paquette, MD
Organizational Affiliation
Jonsson Comprehensive Cancer Center
Official's Role
Study Chair
Facility Information:
Facility Name
Jonsson Comprehensive Cancer Center at UCLA
City
Los Angeles
State/Province
California
ZIP/Postal Code
90095-1781
Country
United States

12. IPD Sharing Statement

Learn more about this trial

PHA-739358 in Treating Patients With Chronic Myelogenous Leukemia That Relapsed After Imatinib Mesylate or c-ABL Therapy

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