Study of Azacytidine Followed by GM-CSF in Patients With Myelodysplastic Syndrome (MDS)
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Purpose
The goal of this clinical research study is to learn if the combination of azacitidine and GM-CSF can help to control MDS. The safety of these drugs will also be studied.
Azacitidine is designed to block certain proteins that stop the function of tumor-fighting genes. By blocking the "bad" proteins, the tumor-fighting genes may be able to work better.
Granulocyte-macrophage colony-stimulating factor (GM-CSF) is designed to help produce white blood cells. This may help to fight infections.
| Condition | Intervention | Phase |
|---|---|---|
|
Leukemia |
Drug: Azacytidine Drug: GM-CSF |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase II Study of Azacytidine Followed by GM-CSF in Patients With Low- or Intermediate-1- Risk Myelodysplastic Syndrome (MDS) |
- Overall Response Rate [ Time Frame: 8 weeks ] [ Designated as safety issue: No ]Overall response rate defined as overall response (OR), complete response (CR) + partial response (PR) within two treatment cycles. Overall response rate based on the modified International Working Group (IWG) criteria.
| Enrollment: | 8 |
| Study Start Date: | March 2012 |
| Primary Completion Date: | April 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Azacytidine + GM-CSF
Azacytidine administered intravenously ( I.V.) or subcutaneously (SQ) at starting dose of 40 mg/m2, daily for 4 days. GM-CSF administered I.V. or subcutaneously at 250 mcg/m2 one day (the next day) after completion of azacytidine treatment, for 3 consecutive days. Each treatment cycle will last at least 4 weeks |
Drug: Azacytidine
Starting dose: 40 mg/m2 intravenously (I.V.) or subcutaneously (SQ) daily for 4 days.
Other Names:
Drug: GM-CSF
250 mcg/m2 IV or SQ one day (the next day) after completion of azacytidine treatment, for 3 consecutive days.
Other Names:
|
Detailed Description:
Study Drug Administration:
If you are found to be eligible to take part in this study, on Days 1-4 of every cycle, you will receive azacitidine by vein over 15-30 minutes.
You may receive drugs to help prevent nausea and vomiting before you receive your dose of azacitidine.
On Days 5-7 of every cycle, you will receive GM-CSF by vein over about 15 minutes or by injection.
Each study cycle will be about 4-6 weeks, depending on the study doctor's decision.
Study Visits:
One (1) time each week during every cycle, blood (about 2-3 teaspoons) will be drawn for routine tests.
At any time, if your doctor thinks it is needed, you will have a bone marrow aspirate to check the status of the disease.
Length of Study:
You may continue taking the study drugs for as long as the doctor thinks it is in your best interest. You will no longer be able to take the study drugs if the disease gets worse, if intolerable side effects occur, or if you are unable to follow study directions.
Your follow-up visits will be per standard of care for the disease.
This is an investigational study. Both azacitidine and GM-CSF are FDA approved and commercially available for the treatment of MDS. The study drug combination to treat MDS is considered investigational.
Up to 40 patients will take part in this study. All will be enrolled at MD Anderson.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Patients with low- or intermediate-1-risk MDS according to the IPSS classification
- Signed informed consent indicating that patients are aware of the investigational nature of this study in keeping with the policies of UTMDACC.
- Age >/= 18 years old.
- Prior therapy with growth factor support, lenalidomide, or other investigational agents is allowed.
- Previously untreated patients are eligible for this study.
Exclusion Criteria:
- Any previous adverse reaction (>/= CTCAE grade 2) to GM-CSF.
- Prior treatment with azacytidine or decitabine.
- Unresolved diarrhea >/= CTCAE grade 2.
Contacts and Locations| United States, Texas | |
| UT MD Anderson Cancer Center | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | Zeev Estrov, MD | UT MD Anderson Cancer Center |
More Information
Additional Information:
No publications provided
| Responsible Party: | M.D. Anderson Cancer Center |
| ClinicalTrials.gov Identifier: | NCT01542684 History of Changes |
| Other Study ID Numbers: | 2011-1123 |
| Study First Received: | February 27, 2012 |
| Last Updated: | April 23, 2013 |
| Health Authority: | United States: Institutional Review Board |
Keywords provided by M.D. Anderson Cancer Center:
|
Leukemia Myelodysplastic Syndrome MDS Azacytidine 5-Azacytidine 5-AZA Vidaza |
5-AZC Aza-CR Ladakamycin NSC-102816 GM-CSF Sargramostim Leukine |
Additional relevant MeSH terms:
|
Leukemia Myelodysplastic Syndromes Preleukemia Neoplasms by Histologic Type Neoplasms Bone Marrow Diseases Hematologic Diseases Precancerous Conditions |
Azacitidine Antimetabolites, Antineoplastic Antimetabolites Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Antineoplastic Agents Therapeutic Uses Enzyme Inhibitors |
ClinicalTrials.gov processed this record on May 21, 2013