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Study Summary
No. 2004-0144:.......Hematologic Disorder......William G. Wierda......Leukemia
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Study Summary Title
Study Summary
Number:
2004-0144
Study Title:A PHASE I STUDY OF 8-CHLORO-ADENOSINE IN PREVIOUSLY TREATED PATIENTS WITH CHRONIC LYMPHOCYTIC LEUKEMIA /SMALL LYMPHOCYTIC LYMPHOMA
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Physician New Patient Referral
Name:William G. WierdaPatients Call:800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Dept:LeukemiaReferring MD
Call:
800-392-1611 (in U.S.A.) 713-792-6161 (outside U.S.A.)
Phone:713-745-0428
Contact us about clinical trials
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General Information
Disease Group:Hematologic DisorderSupported By:N/A
Phase of Study:Phase IReturn
Visit:
All treatment will be given at MDACC. Patients will return weekly while
receiving treatment.
Treatment
Agents:
8-chloro-adenosineHome Care:None
Treatment Loc:Only at MDACC
Estimated
Length of Stay
in Houston:
None
Description/
Intervention:
The goal of this clinical research study is to find the highest safe dose of
the drug 8-chloro-adenosine that can be given in the treatment of CLL. Another
goal is to learn how effective the drug is at treating leukemia.
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Study Objectives / Outcomes
Primary Objectives:
Determine the dose-limiting toxicity and identify the maximum tolerated dose of 8-chloro-adenosine given intravenous over 1 hr daily for 5 days every 4-weeks to patients with chronic lymphocytic leukemia (CLL).
    Secondary Objectives:
    Assess tolerability and safety of 8-chloro-adenosine at the maximum tolerated dose.

    Assess pharmacokinetics of 8-chloro-adenosine and metabolites in plasma and circulating leukemia cells.

    Investigate pharmacodynamic endpoints including leukemia cell apoptosis and effects of 8-chloro-adenosine on leukemia cell macromolecule synthesis and on mitochondria.
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    Study Status Information
    Study Activation / Registration Date:06/19/2008
    IRB Review and Approval Date:05/14/2004
    Study Type:
    Recruitment Status:Closed
    Projected Accrual:28
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    Enrollment Eligibility
    If you do not meet the enrollment eligibility, there may be other treatment options for you. Please Contact the Referral Office for more information.

    Inclusion Criteria:1) Patients must have a diagnosis of chronic lymphocytic leukemia and must be previously treated with at least one prior treatment regimen, including a purine-analogue based treatment.

    2) Patients must be Rai Stage III or IV OR Rai Stage 0-II and have one or more criteria for active disease as defined by the NCI-Working Group as: a) weight loss of more than 10% in the last 6 months; b) fatigue; c) fever or night sweats without evidence of infection; d) progressive anemia or thrombocytopenia; e) progressive lymphocytosis with a lymphocyte doubling time </= 6 months; or f) marked hypogammaglobulinemia or paraproteinemia.

    3) All patients must have a Zubrod performance status of </= 2.

    4) All patients must be age >/= 18 years.

    5) Patients may not receive concurrent treatment for their CLL and must have been off treatment (chemotherapy, immunotherapy, or radiotherapy) for 4 weeks prior to treatment on this study and recovered from toxic effects of that therapy.

    6) All patients must have adequate renal function indicated by serum creatinine </=2.5x upper limits of normal (ULN) and adequate liver function indicated by ALT or AST </= 2.5x ULN AND total bilirubin </= 2.5x ULN.

    7) All patients must have a pre-treatment platelet count of >/= 50,000 /µl and not require transfusion to maintain this platelet count unless thrombocytopenia is due to marrow infiltrated with disease.

    8) All patients or appropriate surrogate must provide informed consent.

    Exclusion Criteria:1) Patients with active uncontrolled autoimmune hemolytic anemia or immune thrombocytopenia purpura.

    2) Patients with active uncontrolled fungal, bacterial, or viral infection.

    3) Patients who are pregnant or breast-feeding.

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    Links
    Registration Number: NCT00714103
    Study Information on Clinical Trials Registry (clinicaltrials.gov)

    Other Links:
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    Results


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