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Study Summary
No. DM03-0109:.......Leukemia......Srdan Verstovsek......Leukemia
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Study Summary Title
Study Summary
Number:
DM03-0109
Study Title:PEG IFN-alpha2a (PegasysŪ) therapy in patients with chronic myeloproliferative diseases (excluding Philadelphia chromosome positive chronic myeloid leukemia).
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Physician New Patient Referral
Name:Srdan VerstovsekPatients 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:713-745-3429
Contact us about clinical trials
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General Information
Disease Group:LeukemiaSupported By:N/A
Phase of Study:Phase IIReturn
Visit:
Every 3-6 months
Treatment
Agents:
Pegylated-Interferon Alpha-2AHome Care:No home care needed.
Treatment Loc:Only at MDACC
Estimated
Length of Stay
in Houston:
Not required.
Description/
Intervention:
The goal of this clinical research study is to see if Pegasys (IFN-alpha2a) can
help to control the disease in patients with ET, PV, AMM/MF, and Ph-negative
CML. The safety of this treatment will also be studied.
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Study Objectives / Outcomes
PEG IFN-a2a (PegasysŪ) is an effective and tolerable treatment for patients with essential thrombocythemia (ET) and polycythemia vera (PV).

The secondary objective is to evaluate the toxicities of PEG IFN-a2a in patients with these disorders.

The tertiary objective is to evaluate pertinent morphologic and molecular characteristics of these diseases before and during the therapy with PEG IFN-a2a.
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Study Status Information
Study Activation / Registration Date:04/07/2005
IRB Review and Approval Date:03/19/2003
Study Type:Therapeutic
Recruitment Status:Open
Projected Accrual:N/A
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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) Following diagnoses: --ET: Patients with PLT > 600 x10 9 /l documented in the past 12 months; hyperplasia of marrow megakaryocytes in the absence of identifiable cause of thrombocytosis and in the absence of Ph chromosome. Patients with ET and lower PLT will be eligible if attributable to prior ET therapy. --PV: Patients should have Hb >/= 15g/dl (except if patient is having phlebotomies done) and documented past diagnosis.

2) Performance status </= 2 (ECOG scale).

3) Age greater than 18 years since disease is extremely rare in younger age group.

4) Adequate liver function: total bilirubin of </= 2.0 mg/dl (except for patients with Gilbert's Syndrome) and AST (SGOT) or ALT (SGPT) < 3 X ULN (or < 5 X ULN if considered due to tumor), and renal function (serum creatinine </= 2.0 mg/dl).

5) Signed informed consent indicating that patients are aware of the investigational nature of this study in keeping with the policies of the M.D. Anderson Cancer Center. The only acceptable consent form is the one approved by the M.D. Anderson Cancer Center IRB.

6) Willingness and ability to comply with the requirements of the protocol for the duration of the study.

7) Patients must have been off chemotherapy for 1 week prior to beginning Pegasys and have recovered from the toxic effects of that therapy. Patients may have received hydroxyurea or anagrelide immediately before study entry, and may continue into therapy if treating physician determines this is in the best interest of the patient.

Exclusion Criteria:1) Pregnant or lactating women.

2) Patients with prior history of another malignancy or concurrent malignancy, except for the following: basal cell carcinoma of the skin, carcinoma in situ of the cervix, or other malignancies if the patient is disease free >3 years.

3) Patients with history of ischemic retinopathy.

4) Patients with history of severe cardiac disease: NYHA Functional Class III or IV, myocardial infarction within 6 months, uncontrolled ventricular tachyarrythmias or unstable angina.

5) Patients with history of medically significant psychiatric disease if not controlled, especially endogenous depression (does not include reactive depression post-cancer diagnosis), psychosis and bipolar disease.

6) Patients with seizure disorders requiring anticonvulsant therapy.

7) Patients with known infection with HBV, HIV, or other active systemic infection.

8) Patients with known autoimmune disease except for rheumatoid arthritis.

9) Patients with renal disease on hemodialysis.

10) Patients taking continuous or chronic high-dose systemic steroids; if discontinued, there must be a minimum washout period of one month before study drug is begun.

11) Patients with known hypersensitivity to PEG-IFN alpha-2a or its components.

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