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MK0457 in Patients With Leukemia (0457-003)

Primary Purpose

Chronic Myelogenous Leukemia in Blast Crisis, Lymphocytic Leukemia, B Cell, Acute, Myelodysplastic Syndromes

Status
Completed
Phase
Phase 1
Locations
Study Type
Interventional
Intervention
MK0457
Sponsored by
Merck Sharp & Dohme LLC
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Chronic Myelogenous Leukemia in Blast Crisis focused on measuring Myelodysplastic Syndrome[Refractory Anemia with, Excess Blasts-1 or 2 (WHO Classification)], Chronic Myelogenous Leukemia in blast crisis

Eligibility Criteria

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

Inclusion Criteria: Part 1: Patients with relapsed/refractory acute myelogenous leukemia (AML), poor risk myelodysplastic syndrome (MDS), B-cell acute lymphocytic leukemia (ALL), myeloproliferative diseases, or chronic myelogenous leukemia (CML) in blast crisis Part 2: Acute myelogenous leukemia (with FLT-3 mutation ), and myeloproliferative diseases only At least 2 weeks since the last cytotoxic therapy Acceptable renal and hepatic function Ambulatory, capable of all self-care, and out of bed for more than 50% of waking hours More than 2 months since autologous bone marrow or peripheral blood stem cell transplantation Exclusion Criteria: Not fully recovered from previous anti-leukemia therapy Previous allogeneic bone marrow transplant Uncontrolled congestive heart failure Myocardial infarction within the last 3 months Active or uncontrolled infection Pregnancy or lactation Currently active second malignancy, other than non-melanoma skin cancer History of hepatitis B or C, known HIV positivity, or AIDS related illness

Sites / Locations

    Arms of the Study

    Arm 1

    Arm Type

    Experimental

    Arm Label

    MK-0457

    Arm Description

    Participants receive MK-0457 as a continuous intravenous infusion (CIV) at assigned dose and duration

    Outcomes

    Primary Outcome Measures

    Number of Participants Experiencing Dose-Limiting Toxicities (DLTs)

    Secondary Outcome Measures

    Hematological response rate to MK-0457 as a 5-day CIV infusion

    Full Information

    First Posted
    May 24, 2005
    Last Updated
    August 21, 2015
    Sponsor
    Merck Sharp & Dohme LLC
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00111683
    Brief Title
    MK0457 in Patients With Leukemia (0457-003)
    Official Title
    A Phase I/II Dose Escalation Study of MK0457 in Patients With Leukemia
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    August 2015
    Overall Recruitment Status
    Completed
    Study Start Date
    June 2005 (undefined)
    Primary Completion Date
    May 2008 (Actual)
    Study Completion Date
    May 2008 (Actual)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Sponsor
    Name of the Sponsor
    Merck Sharp & Dohme LLC

    4. Oversight

    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    In this study participants with relapsed/refractory leukemia will be given MK-0457 in sequential cohorts and with varying treatment duration to determine the maximum tolerated dose (MTD) for MK-0457.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Chronic Myelogenous Leukemia in Blast Crisis, Lymphocytic Leukemia, B Cell, Acute, Myelodysplastic Syndromes, Myelogenous Leukemia, Chronic
    Keywords
    Myelodysplastic Syndrome[Refractory Anemia with, Excess Blasts-1 or 2 (WHO Classification)], Chronic Myelogenous Leukemia in blast crisis

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 1
    Interventional Study Model
    Single Group Assignment
    Masking
    None (Open Label)
    Allocation
    N/A
    Enrollment
    28 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    MK-0457
    Arm Type
    Experimental
    Arm Description
    Participants receive MK-0457 as a continuous intravenous infusion (CIV) at assigned dose and duration
    Intervention Type
    Drug
    Intervention Name(s)
    MK0457
    Primary Outcome Measure Information:
    Title
    Number of Participants Experiencing Dose-Limiting Toxicities (DLTs)
    Time Frame
    Part 1: up to 5 days, Part 2: up to 24 hours
    Secondary Outcome Measure Information:
    Title
    Hematological response rate to MK-0457 as a 5-day CIV infusion
    Time Frame
    At the end of each cycle (up to 18 months)

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Criteria: Part 1: Patients with relapsed/refractory acute myelogenous leukemia (AML), poor risk myelodysplastic syndrome (MDS), B-cell acute lymphocytic leukemia (ALL), myeloproliferative diseases, or chronic myelogenous leukemia (CML) in blast crisis Part 2: Acute myelogenous leukemia (with FLT-3 mutation ), and myeloproliferative diseases only At least 2 weeks since the last cytotoxic therapy Acceptable renal and hepatic function Ambulatory, capable of all self-care, and out of bed for more than 50% of waking hours More than 2 months since autologous bone marrow or peripheral blood stem cell transplantation Exclusion Criteria: Not fully recovered from previous anti-leukemia therapy Previous allogeneic bone marrow transplant Uncontrolled congestive heart failure Myocardial infarction within the last 3 months Active or uncontrolled infection Pregnancy or lactation Currently active second malignancy, other than non-melanoma skin cancer History of hepatitis B or C, known HIV positivity, or AIDS related illness
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    Medical Monitor
    Organizational Affiliation
    Merck Sharp & Dohme LLC
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    22772060
    Citation
    Giles FJ, Swords RT, Nagler A, Hochhaus A, Ottmann OG, Rizzieri DA, Talpaz M, Clark J, Watson P, Xiao A, Zhao B, Bergstrom D, Le Coutre PD, Freedman SJ, Cortes JE. MK-0457, an Aurora kinase and BCR-ABL inhibitor, is active in patients with BCR-ABL T315I leukemia. Leukemia. 2013 Jan;27(1):113-7. doi: 10.1038/leu.2012.186. Epub 2012 Jul 9.
    Results Reference
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    MK0457 in Patients With Leukemia (0457-003)

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