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Study Summary
No. 2008-0732:.......Leukemia......Jorge Cortes......Leukemia
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Study Summary Title
Study Summary
Number:
2008-0732
Study Title:A Multicenter Phase I Clinical and Pharmacokinetic Study of DCC-2036 in Subjects with Philadelphia Chromosome Positive Leukemias
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Physician New Patient Referral
Name:Jorge CortesPatients 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:713-794-5783
Contact us about clinical trials
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General Information
Disease Group:LeukemiaSupported By:Deciphera Pharmaceuticals
Phase of Study:Phase IReturn
Visit:
Every 4-12 weeks.
Treatment
Agents:
DCC-2036Home Care:DCC-2036 is orally self-administered.
Treatment Loc:Both at MDACC & outside MDACC at one or more Collaborating Sites or Institutions
Estimated
Length of Stay
in Houston:
None anticipated; however, will admit to hematology beds if the patient is
admitted for adverse reactions or suspected side effects from this agent.
Description/
Intervention:
The goal of this clinical research study is to find the highest tolerable dose
of DCC-2036 that can be given to patients with blood cancer. The safety of this
drug will also be studied.
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Study Objectives / Outcomes
Primary Objectives:
1. Determine the safety profile including dose-limiting toxicities (DLTs).
2. Determine the maximum tolerated dose (MTD), recommended Phase 2 dose (RP2D), and schedule.
3. Determine the pharmacokinetic (PK) profile of oral DCC-2036; the preliminary effect of food on PK will also be assessed.
4. Document preliminary evidence of clinical response.

Exploratory Objective:
1. Assess inhibition of BCR-ABL kinase as a pharmacodynamic (PD) readout.
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Study Status Information
Study Activation / Registration Date:03/03/2009
IRB Review and Approval Date:01/14/2009
Study Type:Phase I
Recruitment Status:Open
Projected Accrual:40
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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) The subject has a Ph+ hematologic malignancy including ALL and CML as confirmed by the presence of the BCR-ABL translocation [t(9;22)] based on fluorescence in situ hybridization (FISH), cytogenetics, or quantitative reverse transcriptase-polymerase chain reaction (QRT-PCR).

2) The subject has one of the following: a) T315I ABL mutation; b) known resistance to or intolerance of >/= 2 tyrosine kinase inhibitors with known efficacy (eg, imatinib, dasatinib, nilotinib); or c) resistance or intolerance to one tyrosine kinase inhibitor but is unable or unwilling to receive other tyrosine kinase inhibitors of known efficacy.

3) The subject is >/= 18 years old.

4) The subject has an Eastern Cooperative Oncology Group (ECOG) performance status </= 2.

5) The subject has adequate organ function as indicated by the following laboratory assessments performed within 14 days prior to the first dose of study drug: Hepatic: Serum bilirubin </= 1.5 times upper limit of normal (x ULN) unless due to leukemic involvement (</= 3 x ULN if due to leukemic involvement); aspartate aminotransferase or alanine aminotransferase </= 2.5 x ULN (</= 5.0 x ULN if due to leukemic involvement); alkaline phosphatase </= 2.5 x ULN unless due to leukemic involvement (</= 5.0 times ULN if due to leukemic involvement);

6) ***continued from above: Renal: Serum creatinine </= 1.5 x ULN or 24 hour creatinine clearance >/= 50 mL/min (subjects with a serum creatinine > 1.5 ULN will be eligible if the 24 hour creatinine clearance is >/= 50 ml/min).

7) Female subjects of childbearing potential must have a negative serum or urine beta-human chorionic gonadotropin pregnancy test within 14 days prior to the start of study drug.

8) Sexually active subjects who are fertile must agree to use an effective barrier method of contraception (eg, latex condom, diaphragm, or cervical cap) while on therapy and for 30 days following discontinuation of study drug. Non-fertile subjects or those not sexually active are also eligible. A non-fertile female is defined as one who is postmenopausal (amenorrheic for >/= 12 months) or has undergone a complete oophorectomy or hysterectomy. A non-fertile male is defined as one who has undergone vasectomy.

9) The subject is capable of understanding and complying with the protocol and has signed the informed consent document.

Exclusion Criteria:1) The subject has received chemotherapy or a TKI </= 7 days or radiotherapy </= 28 days prior to the start of study drug or has not recovered (to </= NCI-CTCAE Grade 1 severity) from the acute toxicities associated with any prior treatments including approved therapies, investigational agents, and prior stem cell or bone marrow transplant.

2) ***continued from above: The following exceptions apply: Hydroxyurea is permitted at any time prior to study enrollment; Glucocorticoids (natural or synthetic) are allowed up to 48 hours prior to the start of study drug (with the exception of steroids for pre-medication and topical/nasal steroid use which are allowed at any time)

3) The subject has received immunosuppressive therapy (eg, cyclosporine, steroids, tacrolimus for graft-versus-host disease) </= 28 days prior to the first dose of study drug.

4) The subject has New York Heart Association class III or IV heart disease, active ischemia or any other uncontrolled cardiac condition such as angina pectoris, clinically significant cardiac arrhythmia requiring therapy, uncontrolled hypertension or congestive heart failure.

5) Myocardial infarction within 3 months of the start of study drug.

6) The subject has an active, uncontrolled systemic infection considered opportunistic, life-threatening, or clinically significant.

7) The subject has any other severe concurrent disease and/or uncontrolled medical conditions, which, in the judgment of the investigator, could predispose subjects to unacceptable safety risks or compromise compliance with the protocol.

8) The subject is known to be positive for the human immunodeficiency virus.

9) If female, the subject is pregnant or lactating.

10) The subject has a known allergy or hypersensitivity to any component of the investigational drug product.

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Links
Registration Number: NCT00827138
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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