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Study Summary
No. 2005-0659:.......Leukemia......Guillermo Garcia-Manero......Leukemia
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Study Summary Title
Study Summary
Number:
2005-0659
Study Title:A Phase I/II Study of MGCD0103 (MGCD-0103) in Combination with Azacitidine in Patients with Myelodysplastic Syndrome or Acute Myelogenous Leukemia
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Physician New Patient Referral
Name:Guillermo Garcia-ManeroPatients 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:713-745-3428
Contact us about clinical trials
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General Information
Disease Group:LeukemiaSupported By:N/A
Phase of Study:Phase I/Phase IIReturn
Visit:
Weekly during the first course of therapy and then once per cycle of
chemotherapy.
Treatment
Agents:
5-Azacytidine
MGCD0103
Home Care:None
Treatment Loc:MDACC + Community Programs (CCOP/Network)
Estimated
Length of Stay
in Houston:
No hospitalization is required for this study.
Description/
Intervention:
The goal of this clinical research study is to find the highest tolerable dose
of the drug MGCD0103 (MG-0103) that can be given with azacitidine in the
treatment of leukemia or MDS. The safety and effectiveness of this combination
therapy will also be studied.
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Study Objectives / Outcomes
Primary Objectives:
For the phase I portion: To determine the Maximum Tolerated Dose (MTD) of MG-0103 when
administered in combination with azacitidine (Vidaza) to patients with myelodysplastic
syndrome (MDS) or acute myelogenous leukemia (AML).

For the phase II portion: To estimate the overall response rate (CR + CR-p + PR) of the combination
of MG-0103 and azacitidine in patients with azacitidine naïve MDS or AML.

Secondary Objectives:
    1. To describe the dose limiting toxicities of the combination of MG-0103 and azacitidine.
    2. To describe objective responses to MG-0103 and azacitidine.
    3. To measure the pharmacodynamic (PD) effects of MG-0103 and azacitidine, including effects on changes in deoxyribonucleic acid (DNA) methylation, histone acetylation and expression of certain genes related to downstream effects of MG-0103.
    4. To assess the pharmacokinetics (PK) of MG-0103 and azacitidine.
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Study Status Information
Study Activation / Registration Date:12/02/2005
IRB Review and Approval Date:10/26/2005
Study Type:Phase Ii Or Phase I/Ii
Recruitment Status:Terminated
Projected Accrual:60
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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 either: Myelodysplastic Syndrome (MDS): Patients with any of the five FAB subtypes of MDS: refractory anemia (RA), RA with ringed sideroblasts (RARS) (if accompanied by neutropenia or thrombocytopenia or requiring transfusion), RA with excess blasts (RAEB), RAEB in transformation (RAEB-T), and chronic myelomonocytic leukemia (CMMoL) or Acute Myelogenous Leukemia (AML).

2) Disease may be relapsed/refractory or de novo. Once the MTD has been determined, all subsequent patients in the phase II portion of the study should have no prior azacitidine.

3) ECOG performance status of 0, 1, or 2.

4) Age> or = 18 years.

5) Laboratory requirements (must be done within 14 days prior to study initiation): (1) Total Bilirubin </= 1.5 x Upper Limit of Normal (ULN); (2) AST (SGOT) and ALT (SGPT) </= 2.5 x ULN; (3) Serum Creatinine </= 1.5 x ULN; (4) Urinalysis: Proteinuria < 2+ or </= 500 mg protein/24 hours

6) Patients or their legal representative must be able to read, understand, and sign a written informed consent (approved by the institutional review board/Ethics Committee (IRB/EC)) within 14 days prior to start of treatment.

Exclusion Criteria:1) Patients with another active cancer (excluding basal cell carcinoma or cervical intraepithelial neoplasia (CIN / cervical in situ)). Prior history of cancer is allowed, as long as there is no active disease.

2) Pregnant or lactating women. Women of child-bearing potential (WOCBP) must have a negative serum pregnancy test documented within 7 days prior start of study drug.

3) WOCBP and men whose partners are WOCBP must use an acceptable method of contraception while enrolled on this study, and for a period of 3 months following study drug treatment. Patients unwilling or unable to follow this guideline will be excluded. Examples of acceptable forms of contraception include an oral contraceptive or a double barrier method, such as condom with diaphragm.

4) Patients with uncontrolled intercurrent illness, active or uncontrolled infections, or a fever >38.5°C on the day of scheduled dosing.

5) Patients with serious illnesses, medical conditions, or other medical history, including laboratory results, which, in the investigator's opinion, would be likely to interfere with a patient's participation in the study, or with the interpretation of the results.

6) Patients who have been treated with any investigational drug within 30 days prior to study initiation (an investigational drug is one for which there is no approved indication), or who are receiving concurrent treatment with other experimental drugs or anti-cancer therapy.

7) Known hypersensitivity to HDAC inhibitors, to any of the components of MG-0103 or Vidaza, including mannitol.

8) Prior treatment with azacitidine during the expanded phase II portion only.

9) Known HIV or active Hepatitis B or C.

10) Any condition (e.g., known or suspected poor compliance, psychological instability, geographical location, etc) that, in the judgment of the investigator, may affect patient's ability to sign the informed consent and undergo study procedures.

11) Any condition that will put the patient at undue risk or discomfort as a result of adherence to study procedures. For example, consider requirement to take MG-0103 with an acidic drink and recommendation to avoid agents that increase gastric-pH.

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Links
Registration Number: NCT00324220
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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