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Study Summary
No. 2007-0512:.......Leukemia......Jorge Cortes......Leukemia
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Study Summary Title
Study Summary
Number:
2007-0512
Study Title:A Phase II Study of Oral Tamibarotene in Acute Promyelocytic Leukemia Patients Who Have Received Prior Therapy with ATRA and Arsenic Trioxide (STAR-1)
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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:CytRx Corporation
Phase of Study:Phase IIReturn
Visit:
During induction therapy every 7 days for 57 days. For consolidation therapy
every 14 days, every other month for 6 months.
Treatment
Agents:
TamibaroteneHome Care:n/a
Treatment Loc:Both at MDACC & outside MDACC at one or more Collaborating Sites or Institutions
Estimated
Length of Stay
in Houston:
n/a
Description/
Intervention:
The goal of this clinical research study is to find out if tamibarotene can
help to control APL. The safety of this treatment will also be studied.
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Study Objectives / Outcomes
Primary Objective:
(1) To determine the rate of durable complete response for tamibarotene therapy when administered as a single agent to adult patients with relapsed or refractory APL (Acute Promyelocytic Leukemia).

Secondary Objectives:
(1) To determine the rates of morphologic leukemia-free state, partial response, cytogenetic complete response, and molecular complete response for tamibarotene therapy when administered as a single agent to adult patients with relapsed or refractory APL.

(2) To determine the safety profile and tolerability of tamibarotene in the indicated patient population.
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Study Status Information
Study Activation / Registration Date:
IRB Review and Approval Date:10/03/2007
Study Type:Phase Ii Or Phase I/Ii
Recruitment Status:Closed
Projected Accrual:50
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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) Have a diagnosis of either relapsed and/or refractory APL: Refractory disease is defined as a confirmed diagnosis of APL and a myeloblast plus promyelocyte count of >10% in the bone marrow in patients who have failed to respond to induction therapy in the first or second line setting. Induction therapy must have included ATRA- and ATO-based therapy given either sequentially or in combination;

2) *continued from above: Relapsed disease is defined as a confirmed diagnosis of APL and a myeloblast plus promyelocyte count of >10% in the bone marrow following a documented complete remission or positive RT-PCR assay for PML/RAR-alpha in two consecutive tests separated by at least one month, after treatment with ATRA- and ATO-based therapy given either sequentially or in combination

3) Confirmation of diagnosis and relapsed/refractory APL must be obtained in blood or bone marrow mononuclear cells by at least one of the following methods: a) Conventional cytogenetics showing the translocation t(15:17); b) Positive RT-PCR assay for PML/RAR-alpha, or c) Fluorescence in situ hybridization (FISH) analysis showing evidence of the PML/RAR-alpha translocation

4) Patients must have received and failed therapy with ATRA and ATO either within the same or separate induction/consolidation schedule(s). Treatment must have been administered for a minimum of 28 days for each agent. Treatment may have been administered either as combination therapy or sequentially as single agents. Patients who failed to complete a course of induction/consolidation therapy, as specified, due to drug intolerance are eligible for the study

5) Patients in whom ATO is contraindicated (for example due to congenital long QT syndrome) are eligible for inclusion on study if they have received and failed ATRA therapy

6) Be able to provide written informed consent prior to enrollment into the study

7) Be >/= 18 years old

8) Have an Eastern Cooperative Oncology Group (ECOG) Performance Status of </= 2

9) Have an estimated life expectancy of >/=12 weeks

10) Be male or a non-pregnant, non-lactating female. Fertile patients must agree to use an effective barrier method of contraception (e.g., latex condom, diaphragm, or cervical cap) to avoid pregnancy while on therapy and for 90 days following the discontinuation of the study drug. [In countries where double barrier contraception is required by Regulatory Authorities, patients who are fertile must agree to use 2 forms of barrier method contraception (e.g., latex condom AND a diaphragm or cervical cap) while on therapy and for 90 days following the discontinuation of the study drug.]

11) *continued from above: A non-fertile female is defined as: Postmenopausal (amenorrheic for >/= 12 months); Undergone a complete oophorectomy or hysterectomy

12) Have a negative serum or urine pregnancy test within 10 days prior to the first dose of study drug (if patient is a female of childbearing potential)

13) Have adequate organ function as indicated by the following laboratory values obtained within 10 days prior to the first dose of study drug: Serum bilirubin </=1.5 x ULN without leukemic involvement (</= 3.0 x ULN with leukemic involvement); AST and/or ALT </= 2.5 x ULN (</= 5.0 x ULN with leukemic involvement); Alkaline phosphatase </= 2.5 x ULN (</= 5.0 x ULN with leukemic involvement); Serum creatinine or 24 h creatinine Cl </= 1.5 x ULN, >/= 50 mL/min (Patients with a serum creatinine > 1.5 ULN will be eligible if the 24 h creatinine clearance is >/= 50 mL/min)

Exclusion Criteria:1) Patients on a vitamin A preparation or patients with hypervitaminosis A

2) Have received cytotoxic therapy </= 2 weeks from the start of therapy. If the patient needs these agents due to urgent medical care within 2 weeks prior to starting tamibarotene, a waiver may be granted by the CytRx Medical Monitor

3) Have a history of myelodysplastic syndromes (MDS)

4) Have impaired cardiac function or clinically significant heart disease including: myocardial infarction within 3 months, unstable angina pectoris, congenital long QT syndrome and clinically significant resting bradycardia (<50 beats per minute), uncontrolled congestive heart failure, uncontrolled hypertension, history of labile hypertension, or history of poor compliance with antihypertensive medication

5) Have an active, uncontrolled systemic infection considered opportunistic, life-threatening, or clinically significant at the time of treatment

6) Have clinically significant acute or chronic liver or renal disease considered unrelated to leukemia

7) Have uncontrolled hyperlipidemia

8) Have uncontrolled or poorly controlled diabetes mellitus

9) Have impaired gastrointestinal function that may significantly alter drug absorption (e.g., uncontrolled vomiting, ulcerative colitis, malabsorption, or small bowel resection)

10) Are pregnant or lactating

11) Have psychiatric disorder(s) that would interfere with consent, study participation, or follow-up

12) Have not recovered from acute toxicities of all previous therapy prior to enrollment to at least grade 1

13) Have any other severe concurrent disease and/or uncontrolled medical conditions, which, in the judgment of the investigator, could predispose patients to unacceptable safety risks or compromise compliance with the protocol

14) Have a history of another primary malignancy that has been actively treated in the last 24 months

15) Are unwilling or unable to comply with the protocol

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Links
Registration Number: NCT00520208
Study Information on Clinical Trials Registry (clinicaltrials.gov)

Other Links:
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Results


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