Dasatinib as Therapy for Myeloproliferative Disorders (MPDs)
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Purpose
The goal of this clinical research study is to learn if dasatinib can help to control myeloproliferative disorders. The safety and tolerability of dasatinib will also be studied.
| Condition | Intervention | Phase |
|---|---|---|
|
Acute Myeloid Leukemia Myelodysplastic Syndromes Agnogenic Myeloid Metaplasia Myelofibrosis Hypereosinophilic Syndrome Polycythemia Vera Mastocytosis Leukemia, Myelomonocytic, Chronic |
Drug: Dasatinib (BMS-354825) |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Therapy of Myeloid Metaplasia-Myelofibrosis, Atypical Chronic Myeloid or Myelomonocytic Leukemia, C-Kit Positive Acute Myeloid Leukemia (AML) or High-Risk Myelodysplastic Syndrome (AML-MDS), Hypereosinophilic Syndrome, Polycythemia Vera, and Mastocytosis With Dasatinib (BMS-354825) |
- Patient Response Rate [ Time Frame: Baseline to completion of 4 week cycle or until disease progression ] [ Designated as safety issue: No ]
- Duration of Response (Survival) [ Time Frame: Baseline, once a week for a month, thereafter monthly ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 145 |
| Study Start Date: | November 2005 |
| Estimated Primary Completion Date: | November 2014 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Dasatinib
Dasatinib 70 mg orally twice daily.
|
Drug: Dasatinib (BMS-354825)
70 mg orally twice daily
Other Name: Sprycel
|
Detailed Description:
Dasatinib is an experimental anti-cancer drug that is designed to block the function of BCR-ABL, which is the abnormal protein responsible for causing leukemia in some cells.
If you are found to be eligible to take part in this study, you will take dasatinib by mouth twice a day. If you have mastocytosis, you will take dasatinib by mouth once a day. A treatment cycle will be defined as 4 weeks (28 days) + 7 days. You will be instructed to take dasatinib in the morning (between about 6:00 a.m.-10:00 a.m.) and in the evening (between about 6:00 p.m.-10:00 p.m.).
Blood tests (about 2 - 3 teaspoons) will be done once a week for a month, then once a month for 5 years, then once every 6 months (if your doctor thinks it is needed) for the remainder of your treatment on this study. A bone marrow biopsy will be done after 1-2 months of therapy to document response.
Dasatinib will be given for as long as you are responding. You will be taken off study if the disease gets worse or intolerable side effects occur.
This is an investigational study. Dasatinib is authorized for use in research only. A total of 145 patients will take part in this study. All will be treated at MD Anderson.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients >/= 18 years old who meet the following eligibility criteria
- Patients must have one of the following hematopoietic malignancies: C-kit positive (10% or more BM or PB MNC positive by flow) acute myeloid leukemia (AML excluding acute promyelocytic leukemia) or myelodysplastic syndrome (MDS) of the following types: Refractory-relapse AML-MDS including those who fail to achieve CR after the first cycle of induction; Second or subsequent AML-MDS refractory-relapse; Newly diagnosed AML-MDS patients over 60 years of age with karyotype other than t(15:17), inv16, t(8:21), who do not want chemotherapy.
- (Con't from # 2) Patients with MDS who do not want chemotherapy as initial treatment, or who are not eligible for the treatments of higher priority.
- Agnogenic myeloid metaplasia - myelofibrosis (MMM)
- Hypereosinophilic syndrome (HES)
- Polycythemia vera (PV)
- Mastocytosis
- Serum bilirubin less than 2mg%, serum creatinine less than 2mg% unless abnormality is considered due to hematologic malignancy by investigator.
- ECOG Performance Status < 3
- Patients must sign an informed consent indicating they are aware of the investigational nature of this study, in keeping with the policies of the hospital.
- Women of pregnancy potential must practice an effective method of birth control during the course of the study, in a manner such that risk of failure is minimized. Prior to study enrollment, women of childbearing potential (WOCBP) (defined as not post-menopausal for 12 months or no previous surgical sterilization) must be advised of the importance of avoiding pregnancy during trial participation and the potential risk factors for an unintentional pregnancy.
- Continued from #11: In addition, men enrolled on this study should understand the risks to any sexual partner of childbearing potential and should practice an effective method of birth control.Women and men must continue birth control for the duration of the trial and at least 3 months after the last dose of study drug.
- Inclusion of women and minorities: As per NIH policy, women and members of minorities will be included in this protocol as they are referred in the relevant populations. There are no exclusions of women or minorities based on the study objectives.
- NYHA Class < 3
- Ph negative MPD including chronic myelomonocytic leukemia (CMML).
Exclusion Criteria:
- Pregnant or breast-feeding women are excluded.
- All WOCBP MUST have a negative pregnancy test prior to first receiving investigational product. If the pregnancy test is positive, the patient must not receive investigational product and must not be enrolled in the study.
Contacts and Locations| United States, Texas | |
| The University of Texas M.D. Anderson Cancer Center | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | Hagop M Kantarjian, MD | M.D. Anderson Cancer Center |
More Information
Additional Information:
No publications provided
| Responsible Party: | M.D. Anderson Cancer Center |
| ClinicalTrials.gov Identifier: | NCT00255346 History of Changes |
| Other Study ID Numbers: | 2004-0817 |
| Study First Received: | November 16, 2005 |
| Last Updated: | May 23, 2013 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by M.D. Anderson Cancer Center:
|
targeted therapy leukemia Acute myeloid leukemia (AML) Myelodysplastic syndrome (MDS) Agnogenic myeloid metaplasia - myelofibrosis (MMM) |
Hypereosinophilic syndrome (HES) Polycythemia vera (PV) Mastocytosis CMML |
Additional relevant MeSH terms:
|
Primary Myelofibrosis Leukemia Leukemia, Myeloid, Acute Leukemia, Myeloid Leukemia, Myelomonocytic, Chronic Mastocytosis Urticaria Pigmentosa Mastocytoma Metaplasia Myelodysplastic Syndromes Preleukemia Myeloproliferative Disorders Polycythemia Polycythemia Vera Hypereosinophilic Syndrome |
Bone Marrow Diseases Hematologic Diseases Neoplasms by Histologic Type Neoplasms Myelodysplastic-Myeloproliferative Diseases Neoplasms, Connective Tissue Neoplasms, Connective and Soft Tissue Skin Diseases Mastocytosis, Cutaneous Pigmentation Disorders Pathologic Processes Precancerous Conditions Eosinophilia Leukocyte Disorders Dasatinib |
ClinicalTrials.gov processed this record on June 17, 2013