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Clinical Evaluation of Nelarabine (506U78)in Japanese Patients With Leukemia or Lymphoma
This study is currently recruiting participants.
Verified by GlaxoSmithKline, October 2008
First Received: November 30, 2006   Last Updated: October 15, 2008   History of Changes
Sponsored by: GlaxoSmithKline
Information provided by: GlaxoSmithKline
ClinicalTrials.gov Identifier: NCT00406757
  Purpose

In Japan, patients with relapsed or refractory T-ALL/T-LBL represent an extremely small patient population. While the small number of patients presents a practical limitation to the size of a clinical trial, patients whose disease has not responded to or has relapsed after treatment with multiple prior chemotherapy regimens have no accepted standard therapies available. Japanese leukemia experts have expressed interest in evaluating 506U78 in Japanese patients with relapsed or refractory T-ALL/T-LBL. In order to obtain safety, tolerability, and pharmacokinetic data of 506U78 in Japanese patients, this study is designed to maximize the contribution of each available patient.


Condition Intervention Phase
Acute Lymphoblastic Leukemia
Lymphoblastic Lymphoma
Drug: Nelarabine (506U78)
Phase I

Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Single Group Assignment, Safety Study
Official Title: Clinical Evaluation of 506U78 in Japanese Patients With Relapsed or Refractory T-Cell Acute Lymphoblastic Leukemia or T-Cell Lymphoblastic Lymphoma.

Resource links provided by NLM:


Further study details as provided by GlaxoSmithKline:

Primary Outcome Measures:
  • Adverse events Changes from baseline in physical examination and clinical laboratory parameters 12-lead ECG Assessment of pharmacokinetic endpoints of 506U78, ara-G and intracellular ara-GTP concentration.

Secondary Outcome Measures:
  • Evaluation of response (e.g., CR, CR*) in patients with bone marrow involvement.

Estimated Enrollment: 12
Study Start Date: August 2006
Estimated Study Completion Date: June 2008
Estimated Primary Completion Date: June 2008 (Final data collection date for primary outcome measure)
  Eligibility

Ages Eligible for Study:   up to 64 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Histologic or cytogenetic documented diagnosis of T-ALL or T-LBL.
  • Disease that is refractory to at least one prior chemotherapy regimen, or has relapsed following complete remission to at least one prior chemotherapy regimen.
  • At least 4 weeks since the last dose of prior last chemotherapy, or radiotherapy before beginning treatment with 506U78 (2 weeks is permitted if growth of blast cells is significant).
  • Adequate function of other organ systems as measured as follows.Serum creatinine is less than 1.5 times of upper limit of normal and estimated creatinine clearance >=50 mL/min. Hepatic transaminases (SGPT and SGOT) <=3 x upper limit of normal, bilirubin is less than 1.5 times of upper limit of normal(<=5 x upper limit of normal if it is related by T-ALL or T-LBL).
  • Adequate performance status (ECOG-PS<=2).
  • Capable of giving informed consent which includes compliance with the requirements and restrictions listed in the consent form.
  • Patient is willing to accept hospitalization during the blood sampling for pharmacokinetic measurement (i.e., Cohort 1: for pharmacokinetic sample collection during both cycle 1 and 2; and Cohort 2: for pharmacokinetic sample collection during cycle 1).
  • Female subjects who are of child-bearing potential must have a negative pregnancy test at the Screening Visit and agree to utilize contraceptive methods during participation in the study and for at least six months following the last dose of 506U78 Injection. Female subjects may be defined as of non-child-bearing potential if they are physiologically incapable of becoming pregnant, including any female who is post-menopausal. For purposes of this study, postmenopausal is defined as one year without menses.

Exclusion Criteria:

  • Active infection at time of treatment.
  • Concurrent disease or condition that would make the subject inappropriate for study participation.
  • Receiving any other anticancer agents or enrolled on any investigational study during the course of the study.
  • Patients must have recovered to Grade I or less toxicity of all previous chemotherapy prior to treatment.
  • History of seizure disorder within one year prior to the date of informed consent.
  • Pregnancy (as demonstrated by a positive pregnancy test at pre-study/screening) or breastfeeding. Fertile women and men must practice adequate contraception throughout the study and at least 6 month after the last dose of study drug.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00406757

Contacts
Contact: US GSK Clinical Trials Call Center 877-379-3718

Locations
Japan
GSK Investigational Site Recruiting
Tokyo, Japan, 104-0045
GSK Investigational Site Recruiting
Aichi, Japan, 460-0001
Sponsors and Collaborators
GlaxoSmithKline
Investigators
Study Director: GSK Clinical Trials, MD GlaxoSmithKline
  More Information

No publications provided

Responsible Party: GSK ( Study Director )
Study ID Numbers: PGA105446
Study First Received: November 30, 2006
Last Updated: October 15, 2008
ClinicalTrials.gov Identifier: NCT00406757     History of Changes
Health Authority: Japan: Ministry of Health, Labor and Welfare

Keywords provided by GlaxoSmithKline:
T-ALL
T-LBL
T-cell
506U78
Leukemia
Lymphoma
ara-G
ara-GTP

Study placed in the following topic categories:
Lymphatic Diseases
Leukemia
Leukemia, Lymphoid
Immunoproliferative Disorders
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Precursor T-Cell Lymphoblastic Leukemia-Lymphoma
Lymphoproliferative Disorders
Lymphoma, Non-Hodgkin
Lymphoblastic Lymphoma
Lymphoma
Acute Lymphoblastic Leukemia

Additional relevant MeSH terms:
Lymphatic Diseases
Leukemia
Neoplasms
Leukemia, Lymphoid
Immunoproliferative Disorders
Neoplasms by Histologic Type
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Immune System Diseases
Precursor T-Cell Lymphoblastic Leukemia-Lymphoma
Lymphoproliferative Disorders
Lymphoma, Non-Hodgkin
Lymphoma

ClinicalTrials.gov processed this record on July 02, 2009