Cilengitide in Treating Patients With Acute Myeloid Leukemia

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00089388
Recruitment Status : Terminated (Administratively complete.)
First Posted : August 5, 2004
Last Update Posted : January 24, 2013
Information provided by (Responsible Party):
National Cancer Institute (NCI)

Brief Summary:
This randomized phase II trial is studying how well cilengitide works in treating patients with acute myeloid leukemia. Cilengitide may stop the growth of cancer cells by blocking the enzymes necessary for their growth

Condition or disease Intervention/treatment Phase
Adult Acute Basophilic Leukemia Adult Acute Eosinophilic Leukemia Adult Acute Megakaryoblastic Leukemia (M7) Adult Acute Minimally Differentiated Myeloid Leukemia (M0) Adult Acute Monoblastic Leukemia (M5a) Adult Acute Monocytic Leukemia (M5b) Adult Acute Myeloblastic Leukemia Without Maturation (M1) Adult Acute Myeloid Leukemia in Remission Adult Acute Myeloid Leukemia With 11q23 (MLL) Abnormalities Adult Acute Myeloid Leukemia With t(15;17)(q22;q12) Adult Erythroleukemia (M6a) Adult Pure Erythroid Leukemia (M6b) Drug: cilengitide Phase 2

Detailed Description:


I. Determine 10-month relapse-free survival of patients with acute myeloid leukemia in first complete remission treated with cilengitide as maintenance therapy.


I. Determine overall survival of patients treated with this drug. II. Determine the safety and toxicity of this drug in these patients. III. Determine the biological activity of this drug in cells from these patients.

OUTLINE: This is a randomized study. Patients are randomized to 1 of 2 treatment arms.

Arm I: Patients receive cilengitide IV at a lower dose over 1 hour twice weekly for 4 weeks.

Arm II: Patients receive cilengitide IV at a higher dose over 1 hour twice weekly for 4 weeks.

In both arms, courses repeat every 4 weeks in the absence of disease relapse or unacceptable toxicity.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 70 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase 2 Study of EMD 121974 as Maintenance Therapy for Patinets With Acute Myeloid Leukemia in Complete Remission
Study Start Date : July 2004
Actual Primary Completion Date : June 2006

Arm Intervention/treatment
Experimental: Arm I (low dose cilengitide)
Patients receive cilengitide IV at a lower dose over 1 hour twice weekly for 4 weeks.
Drug: cilengitide
Given IV
Other Name: EMD 121974

Experimental: Arm II (higher dose cilengitide)
Patients receive cilengitide IV at a higher dose over 1 hour twice weekly for 4 weeks.
Drug: cilengitide
Given IV
Other Name: EMD 121974

Primary Outcome Measures :
  1. Disease-free survival (DFS) [ Time Frame: From initiation of induction chemotherapy until the first incidence of disease or death due to any cause, assessed up to 2 years ]
    Kaplan-Meier curves will be constructed for each treatment group. Median DFS in each group and corresponding 95% confidence intervals will be estimated. The two treatment groups will be compared using log-rank test.

Secondary Outcome Measures :
  1. Overall survival [ Time Frame: Up to 2 years ]
    Analyzed using Kaplan-Meier life table methods and Cox proportional hazard regression modeling.

  2. Toxicity of cilengitide graded using the CTC version 3 [ Time Frame: Up to 2 years ]
    Compared between the two treatment arms using Fisher's exact test

Information from the National Library of Medicine

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Ages Eligible for Study:   50 Years and older   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Diagnosis of acute myeloid leukemia (AML)
  • In first complete remission after at least 1 course of induction chemotherapy AND 1-2 courses of consolidation chemotherapy for newly diagnosed AML, as defined by the following:

    • No evidence of disease in bone marrow
    • Recovery of peripheral blood counts

      • Platelet count > 100,000/mm^3
      • Absolute neutrophil count > 1,500/mm^3
  • Must be able to start study medication within 60 days from the start of the last consolidation therapy
  • Must not have a suitable donor, refused, or ineligible for hematopoietic stem call transplantation
  • None of the following AML subtypes or chromosomal translocations:

    • Acute promyelocytic leukemia
    • t(8;21)
    • t(16;16)
    • inv(16)
  • Performance status - ECOG 0-2
  • Performance status - Karnofsky 60-100%
  • See Disease Characteristics
  • Bilirubin ≤ 1.5 times upper limit of normal (ULN)
  • ALT ≤ 2.5 times ULN
  • Creatinine ≤ 1.5 times ULN
  • Creatinine clearance > 60mL/min
  • No symptomatic congestive heart failure
  • No unstable angina pectoris
  • No cardiac arrhythmia
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No ongoing or active infection
  • No psychiatric illness or social situation that would preclude study compliance
  • No other uncontrolled illness
  • No prior investigational agents specifically designated as an antiangiogenic agent
  • No concurrent prophylactic hematopoietic colony-stimulating factors
  • See Disease Characteristics
  • Recovered from prior consolidation chemotherapy
  • No other concurrent anticancer therapies
  • No other concurrent investigational cytotoxic agents

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00089388

United States, Texas
M D Anderson Cancer Center
Houston, Texas, United States, 77030
Sponsors and Collaborators
National Cancer Institute (NCI)
Principal Investigator: Srdan Verstovsek M.D. Anderson Cancer Center

Responsible Party: National Cancer Institute (NCI) Identifier: NCT00089388     History of Changes
Other Study ID Numbers: NCI-2012-02621
CDR0000378310 ( Registry Identifier: PDQ (Physician Data Query) )
First Posted: August 5, 2004    Key Record Dates
Last Update Posted: January 24, 2013
Last Verified: January 2013

Additional relevant MeSH terms:
Hypereosinophilic Syndrome
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Leukemia, Monocytic, Acute
Leukemia, Megakaryoblastic, Acute
Leukemia, Erythroblastic, Acute
Leukemia, Basophilic, Acute
Leukemia, Eosinophilic, Acute
Neoplasms by Histologic Type
Leukocyte Disorders
Hematologic Diseases
Myeloproliferative Disorders
Bone Marrow Diseases