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| Sponsor: | University of Michigan Cancer Center |
|---|---|
| Information provided by: | University of Michigan Cancer Center |
| ClinicalTrials.gov Identifier: | NCT00573378 |
Purpose
Chronic myelogenous leukemia (CML) is a slow-growing cancer of the white blood cells. CML patients have bone marrow that makes too many white blood cells. CML is caused by a change in the genetic code of some of the cells in the bone marrow. In these cells, part of chromosome 9 moves to chromosome 22. This creates an abnormal chromosome called the Philadelphia chromosome. The Philadelphia chromosome makes an enzyme (called tyrosine kinase) that signals the body to make too many white blood cells. It is not known what causes the Philadelphia chromosome to appear
For most patients, a drug called Gleevec is the standard first treatment. (Gleevec is also known as imatinib mesylate.) Gleevec was approved by the U.S. Food and Drug Administration (FDA) in 2001. Gleevec blocks the tyrosine kinase enzyme so that the body stops (or slows down) making too many white blood cells. Although Gleevec has been effective in controlling the leukemia in most patients with CML, we know this therapy alone is not a cure. Gleevec does not kill the leukemic stem cells, which are a small population of cells that exist primarily in the bone marrow, and are responsible for ongoing disease. This study will evaluate whether the addition of a drug called pegylated interferon-α2a given with Gleevec will better target these leukemic stem cells, causing them to die. It is hoped that by killing the leukemia stem cells with Gleevec and interferon-α2a, patients may be able to eventually stop all of their CML therapy, and have their leukemia remain in a remission without having to receive treatment.
Pegylated interferon-α2a (Pegasys) is not approved by the United States Food and Drug Administration (FDA) for the treatment of chronic myeloid leukemia (CML), but interferon-α2a is approved for the treatment of CML and has been used extensively in the treatment of this disease. The pegylated form of interferon-α2a (Pegasys) has also been widely studied and shown to be an effective treatment for CML, but the manufacturer has never sought FDA approval for this indication.
| Condition | Intervention | Phase |
|---|---|---|
|
Chronic Myeloid Leukemia |
Drug: PEG-IFN-a2a |
Phase II |
| Study Type: | Interventional |
| Study Design: | Treatment, Open Label, Single Group Assignment |
| Official Title: | A Combination of Imatinib Mesylate & Pegylated Interferon α2a in Chronic-Phase Chronic Myeloid Leukemia: A Phase II Pilot Study Targeting Both the Primitive and Differentiated CML Progenitor Populations |
| Estimated Enrollment: | 20 |
| Study Start Date: | October 2007 |
| Estimated Study Completion Date: | October 2010 |
| Estimated Primary Completion Date: | January 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| 1: Experimental |
Drug: PEG-IFN-a2a
Patients will receive pegylated interferon α-2a (Pegasys®) (PEG-IFN-α2a) 180 µg subcutaneously, once a week. Patients and/or caregivers identified by the patient will be taught how to perform subcutaneous injections of the PEG-IFN-α2a by trained nurses in the chemotherapy infusion center at the University of Michigan Comprehensive Cancer Center. Those patients who do not feel comfortable receiving the injections outside of the cancer center, or are deemed unreliable in administering injections per the training nurse, will return to the cancer center infusion room on a weekly basis to receive subsequent injections.
|
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
diagnosis of Philadelphia chromosome positive (Ph+) chronic myeloid leukemia in chronic phase by having met all of the following criteria at the time of their initial diagnosis:
must have an ongoing complete hematologic response (CHR) on imatinib mesylate, defined as follows:
Exclusion Criteria:patients who:
are:
Contacts and Locations| Contact: Lisa Kujawski, MD | 734-764-8100 | kuj@umich.edu |
| Contact: Cancer Answer Line | 1-800-865-1125 |
| United States, Michigan | |
| Universtiy of Michigan | Recruiting |
| Ann Arbor, Michigan, United States, 48109 | |
| Contact: Lisa Kujawski, MD 734-764-8100 kuj@umich.edu | |
| Principal Investigator: Lisa Kujawski, MD | |
| Principal Investigator: | Lisa Kujawski, M.D. | University of Michigan |
More Information
| Responsible Party: | Universtiy of Michigan ( Dr. Lisa Kujawski, MD ) |
| Study ID Numbers: | UMCC 2006.128 |
| Study First Received: | December 13, 2007 |
| Last Updated: | December 8, 2009 |
| ClinicalTrials.gov Identifier: | NCT00573378 History of Changes |
| Health Authority: | United States: Food and Drug Administration |
|
CML |
|
Anti-Infective Agents Neoplasms by Histologic Type Molecular Mechanisms of Pharmacological Action Hematologic Diseases Antineoplastic Agents Interferons Myeloproliferative Disorders Enzyme Inhibitors Leukemia, Myeloid Leukemia, Myeloid, Chronic-Phase |
Protein Kinase Inhibitors Antiviral Agents Pharmacologic Actions Imatinib Leukemia Neoplasms Therapeutic Uses Leukemia, Myelogenous, Chronic, BCR-ABL Positive Bone Marrow Diseases |