Safety and Efficacy of CC-5013 Monotherapy in Subjects With Myelodysplastic Syndromes Associated With a Del (5q) Cytogenetic Abnormality - Full Text View

Sponsor:	Celgene Corporation
Information provided by:	Celgene Corporation
ClinicalTrials.gov Identifier:	NCT00065156

Purpose

This study is a multicenter, single-arm, open-label study of oral CC-5013 monotherapy administered to red blood cell (RBC) transfusion-dependent subjects with low- or intermediate-1-risk MDS associated with a del (5q31-33) cytogenetic abnormality. Screening procedures will take place within 28 days of the first day of CC-5013 treatment. Subjects will receive CC-5013 in 28-day cycles for up to 6 cycles, or until bone marrow disease progression or progression/relapse following erythroid hematologic improvement (Appendix I) is documented. Study visits will occur every cycle (every 28 days) and laboratory monitoring to assess hematological parameters will occur every 14 days. Safety and efficacy assessments to be performed during the study are outlined in the Schedule of Study Assessments

Condition	Intervention	Phase
Myelodysplastic Syndromes	Drug: CC-5013	Phase II

Study Type:	Interventional
Study Design:	Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title:	A Multicenter, Single-Arm, Open-Label Study of the Efficacy and Safety of CC-5013 Monotherapy in Red Blood Cell Transfusion-Dependent Subjects With Myelodysplastic Syndromes Associated With a Del (5q) Cytogenetic Abnormality.

Resource links provided by NLM:

MedlinePlus related topics: Blood Transfusion and Donation

Drug Information available for: Lenalidomide CC 5013

U.S. FDA Resources

Further study details as provided by Celgene Corporation:

Primary Outcome Measures:

To evaluate the efficacy of lenalidomide treatments to achieve hematopoietic improvement [ Time Frame: Years ] [ Designated as safety issue: No ]

Estimated Enrollment:	90
Study Start Date:	June 2003
Study Completion Date:	August 2008
Primary Completion Date:	August 2008 (Final data collection date for primary outcome measure)

Arms	Assigned Interventions
1: Experimental	Drug: CC-5013 lenalidomide 5-mg capsules for oral administration

Eligibility

Ages Eligible for Study:	18 Years and older
Genders Eligible for Study:	Both
Accepts Healthy Volunteers:	No

Criteria

Inclusion Criteria:

Must understand and voluntarily sign an informed consent form
Age 18 years or older at the time of signing the informed consent
Must be able to adhere to the study visit schedule and other protocol requirements.
Diagnosis of low or intermediate-1-risk IPSS (Appendix III) MDS without an abnormality of chromosome 5 involving a deletion between bands q31 and q33.
Red blood cell (RBC) transfusion-dependent anemia defined as having received greater than or equal to 2 units of RBCs within 8 weeks of the first day of study drug treatment.
Eastern Cooperative Oncology Group (ECOG) (Appendix IV) performance status score of 0,1, or 2.
Women of childbearing potential (WCBP) must have a negative serum or urine pregnancy test within 7 days of starting study drug.
Sexually active WCBP must agree to use adequate contraceptive methods (oral, injectable, or implantable hormonal contraceptive; tubal ligation; intra-uterine device; barrier contraceptive with spermicide; or vasectomized partner) while on study drug.
WCBP must agree to have pregnancy tests every 4 weeks while on study drug.

Exclusion Criteria:

Pregnant or lactating females
Prior therapy with CC-5013.
An abnormality of chromosome 5 involving a deletion between bands q31 and q33.
Lab Abnormality: Absolute neutrophil count (ANC) <500 cell/mm3 (0.5 x 109/L)
Lab Abnormality: Platelet count <50,000/mm3 (50 x 109/L)
Lab Abnormality: Serum creatinine >2.5 mg/dL (221 mmol/L)
Lab Abnormality: Serum total bilirubin >2.0 mg/dL (34 mmol/L)
Prior greater than or equal to grade 3 National Cancer Institute (NCI) Common Toxicity Criteria (CTC) (Appendix VI) allergic reaction/hypersensitivity to thalidomide.
Clinically significant anemia due to factors such as iron, B12 or folate deficiencies, autoimmune or hereditary hemolysis or gastrointestinal bleeding
If a marrow aspirate is not evaluable for storage iron, transferrin saturation must be > 20% and serum ferritin not less than 50 ng/mL
Use of hematopoietic growth factors within 7 days of the first day of study drug treatment.
Prior greater than or equal to grade 3 NCI CTC (Appendix VI) rash or any desquamation (blistering) while taking thalidomide.
Chronic use (>2 weeks) of greater than physiologic doses of a corticosteroid agent (dose equivalent to >10 mg/day of prednisone) within 28 days of the first day of study drug treatment.
Use of experimental or standard drugs (i.e. chemotherapeutic, immunosuppressive, and cytoprotective agents) for the treatment of MDS within 28 days of the first day of study drug treatment.
Prior history of malignancy other than MDS (except basal cell or squamous cell carcinoma or carcinoma in situ of the cervix or breast) unless the subject has been free of disease for greater than or equal to 3 years.
Use of any other experimental therapy within 28 days of the first day of study drug treatment.

Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00065156

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Locations

United States, Arizona
Arizona Cancer Center
Tucson, Arizona, United States, 85724-5024
Arizona Cancer Center
Scottsdale, Arizona, United States, 85258
Mayo Clinic
Scottsdale, Arizona, United States, 85259
United States, California
Stanford University Medical Center
Stanford, California, United States, 94305-5750
Desert Hematology & Oncology Medical Group
Rancho Mirage, California, United States, 92270
United States, Florida
Cancer & Blood Disease Center
Lecanto, Florida, United States, 34461
University of Miami Sylvester Comp Cancer Center
Miami, Florida, United States, 33136
H. Lee Moffitt Cancer Center and Research Institute
Tampa, Florida, United States, 33612-9497
Mayo Clinic
Jacksonville, Florida, United States, 32224
United States, Georgia
Northwest Georgia Oncology - Wellstar Cancer Research
Marietta, Georgia, United States, 30060
United States, Illinois
Rush-Presbyterian- St. Luke's Medical Center
Chicago, Illinois, United States, 60612
Midwest Cancer Research Group
Skokie, Illinois, United States, 60077
University of Chicago Medical Center
Chicago, Illinois, United States, 60637-1470
United States, Maryland
Johns Hopkins Oncology Center
Baltimore, Maryland, United States, 21287-8963
United States, Massachusetts
Dana-Farber Cancer Institute
Boston, Massachusetts, United States, 02115-6084
United States, Michigan
Wayne State University School of Medicine
Detroit, Michigan, United States, 48201-2097
United States, Minnesota
Mayo Clinic
Rochester, Minnesota, United States, 55905
United States, Nebraska
University of Nebraska Medical Center
Omaha, Nebraska, United States, 68198-7680
United States, New York
Roswell Park Cancer Institute
Buffalo, New York, United States, 14263
Mt. Sinai Medical Center
New York, New York, United States, 10029
Memorial Sloan-Kettering Cancer Center
New York, New York, United States, 10021-6007
New York Hospital-Cornell
New York, New York, United States, 10021-0034
University of Rochester- James P. Wilmot Cancer Center
Rochester, New York, United States, 14642
United States, North Carolina
Wake Forest University School of Medicine
Winston Salem, North Carolina, United States, 27157-1082
United States, Ohio
The Cleveland Clinic Foundation
Cleveland, Ohio, United States, 44195
United States, Oregon
Kaiser Permanente Northwest Region
Portland, Oregon, United States, 97227
Oregon Health & Science University
Portland, Oregon, United States, 97201
United States, Pennsylvania
Western Pennsylvania Cancer Institute
Pittsburgh, Pennsylvania, United States, 15224
United States, Texas
MD Anderson Cancer Center
Houston, Texas, United States, 77030
United States, Washington
Swedish Cancer Institute
Seattle, Washington, United States, 98104
Fred Hutchinson Cancer Research Center
Seattle, Washington, United States, 98109-4417
Germany
St. Johannes Hospital
Duisburg, Germany

Sponsors and Collaborators

Celgene Corporation

More Information

No publications provided

Responsible Party:	Celgene Corporation ( Deborah Ingenito )
Study ID Numbers:	CC-5013-MDS-003
Study First Received:	July 17, 2003
Last Updated:	May 5, 2009
ClinicalTrials.gov Identifier:	NCT00065156 History of Changes
Health Authority:	United States: Food and Drug Administration

Keywords provided by Celgene Corporation:

MDS
CC-5013
Revlimid
Celgene

Additional relevant MeSH terms:

Disease
Precancerous Conditions
Hematologic Diseases
Antineoplastic Agents
Myelodysplastic Syndromes
Lenalidomide
Pharmacologic Actions
Preleukemia

Neoplasms
Pathologic Processes
Therapeutic Uses
Syndrome
Chromosome Aberrations
Congenital Abnormalities
Bone Marrow Diseases

ClinicalTrials.gov processed this record on November 27, 2009