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Study Summary
No. 2007-0408:.......Leukemia; Lymphoma......Michael Andreeff......Leukemia
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Study Summary Title
Study Summary
Number:
2007-0408
Study Title:A multi-center, open-label, Phase I study of single agent RO5045337 administered orally in patients with acute myelogenous leukemia (AML), acute lymphocytic leukemia (ALL), chronic myelogenous leukemia (CML) in blast phase, or refractory chronic lymphocytic leukemia/small cell lymphocytic lymphoma (CLL / SCLL).
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Physician New Patient Referral
Name:Michael AndreeffPatients 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:713-792-7260
Contact us about clinical trials
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General Information
Disease Group:Leukemia
Lymphoma
Supported By:Hoffman-La Roche Inc., Protocol NO21279
Phase of Study:Phase IReturn
Visit:
Visits required on days -2, -1, 10, and 28 for PK samples. Weekly labs are
required.
Treatment
Agents:
RO5045337Home Care:Oral medications may be taken at home. If patients do not stay in Houston,
their home physician must agree to follow patient weekly with blood work and
exams and communicate that information to us.
Treatment Loc:Both at MDACC & outside MDACC at one or more Collaborating Sites or Institutions
Estimated
Length of Stay
in Houston:
Cycle 1, 1st and last dose, admit the night before, discharge after the 24h
post-dose PK sample is obtained. Readmit on evening of the last dose day for
the PK and PD samples, then discharge the next day after the last analysis is
drawn.
Description/
Intervention:
The goal of this clinical research study is find the highest tolerable dose of
RO5045337 that can safely be given to people with AML, ALL, CML, CLL, or SCLL.
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Study Objectives / Outcomes
Primary Objectives
  • Determine the maximum tolerated dose (MTD) and the associated dose schedule every 28 days.
  • Characterize the DLTs and overall safety profile of escalated dose levels of the compound.
Secondary Objectives
  • Determine the pharmacokinetic (PK) parameters of the compound.
  • Assess PD effects of the compound.
  • Assess clinical responses and symptomatic improvement, if any.
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Study Status Information
Study Activation / Registration Date:06/30/2008
IRB Review and Approval Date:05/21/2008
Study Type:Phase I
Recruitment Status:Open
Projected Accrual:160
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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) Confirmed AML (except APL), ALL, or CML in blast phase, having failed 1st line therapy or for whom no standard therapy is available, failed 1st salvage, or achieved CR then relapsed and/or for whom no viable alternative therapy is available, or is elderly, or other patient for whom an upfront investigational therapy is deemed appropriate; or CLL/SCLL patients relapsed or refractory to approved therapies (e.g., fludarabine-containing regimens), who failed all standard therapy or for whom there is no standard therapy available.

2) Ability to understand and the willingness to sign a written informed consent form.

3) Able to comply with all aspects of the protocol, as determined by the PI.

4) Age >=18 years.

5) ECOG performance status of 0 to 2.

6) Female patients with child-bearing potential must have a negative pregnancy test within seven days before the study first drug administration.

7) Patient must be willing to use effective methods of contraception. Female patients must be postmenopausal, surgically sterile, or they must agree to use a physical barrier method of contraception. Oral or injectable contraceptive agents cannot be the sole method of contraception. Male patients must be surgically sterile or agree to use acceptable method of contraception.

8) All non-hematological adverse events of any prior chemotherapy, surgery, or radiotherapy must have resolved to NCI-CTC AE Grade <=2 for Stratum A ("Acute Leukemia") and Grade <= 1 for Stratum B ("Chronic Leukemia"). A minimum of 21 days must elapse between last receipt of chemotherapy, radiation, or surgery and the first administration of the study drug RO5045337.

9) Adequate hepatic function assessed by: Serum total bilirubin <= 2 mg/dl, unless resulting from hemolysis AND AST/ALT <= 2.5 x institutional ULN (or <= 5 x ULN if liver metastases).

10) Adequate renal function assessed by serum creatinine within reference lab normal limits or creatinine clearance (by Cockcroft Gault formula) >= 50 ml/min, for patients in whom, in the PI judgment, serum creatinine level may not adequately reflect renal function.

11) Patient must be willing to submit the blood sampling and bone marrow sampling (excluding patients with CLL/SCLL) for the PK and PD analyses.

Exclusion Criteria:1) Pts recv'g any other investigational or commercial agents or therapies administered with the intention to treat their malignancy within 21 days of first receipt of study drug with the exception of hydroxyurea (HU) in Stratum A pts who need to continue this agent to maintain WBC count </= 100,000/mm3. Every effort should be made to discontinue HU therapy during Cycle 1 of RO5045337. If HU discontinuation is not medically feasible during Cycle 1, these patients will not be permitted to continue Cycle 2 of RO5045337 and will be terminated from the study due to insufficient therapeutic response.

2) Patients with pre-existing GI disorders that may interfere with proper absorption of the drug(s), as per investigator's discretion.

3) Patients with history of allergic reactions attributed to components of the formulated product.

4) Patients with history of seizure disorders or CNS leukemia.

5) Patients with QTc prolongation: Men > 450 msec, Women > 470 msec), symptomatic CHF; unstable angina pectoris, cardiac arrhythmia.

6) Patients with a history of a long QT syndrome.

7) Patients recv'g CYP3A4 substrates and inhibitors within 7 days prior to the 1st dose of RO5045337, or recv'g CYP3A4 inducers within 14 days prior to the first dose of RO5045337. Every effort should be made to disc. use of the CYP3A4 substrates and inhibitors and/or CYP3A4 inducers with the appropriate washout period prior to the start of RO5045337 therapy. If the discontinuation of CYP3A4 substrates and inhibitors and/or CYP3A4 inducers is not medically feasible and no suitable substitutes are available, extreme caution should be taken with continued use of these meds during the study.

8) Patients who must stay on treatment with drugs known to prolong QT interval [Appendix 5] and/or may have a proarrhythmic effect, unless deemed necessary for the patient's safety by the PI.

9) Patients with evidence of electrolyte imbalance such as hypokalemia, hyperkalemia, hypocalcemia, hypercalcemia (corrected for serum albumin level), hypomagnesemia, and hypermagnesemia of Grade >= 2, as per NCI-CTCAE, version 3.0.

10) Patients with uncontrollable intercurrent illness including, but not limited to: symptomatic neurologic illness; active, uncontrolled, systematic (including opportunistic), life-threatening, or clinically significant infection at the time of planned study drug treatment; uncomtrolled pulmonary disease or hypoxia; or psychiatric illness that would limit compliance with study requirements, as per investigator's discretion.

11) Pregnant or breastfeeding patients.

12) Patients with reproductive potential not willing to use effective method of contraception.

13) HIV-positive patients receiving combination anti-retroviral therapy.

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Links
Registration Number: NCT00623870
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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