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Multicenter Study of 9-Aminocamptothecin (9-AC) in Patients With Refractory Leukemia

This study has been completed.
Sponsor:
ClinicalTrials.gov Identifier:
NCT00251368
First Posted: November 10, 2005
Last Update Posted: March 10, 2011
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.
Collaborators:
Brigham and Women's Hospital
Beth Israel Deaconess Medical Center
Massachusetts General Hospital
Information provided by:
Dana-Farber Cancer Institute
  Purpose
The purpose of this study is to evaluate the side effects of 9-Aminocamptothecin (9-AC) and to determine the best dose which should be used to treat leukemia.

Condition Intervention Phase
Leukemia, Myelocytic, Acute Acute Lymphocytic Leukemia Drug: 9-Aminocamptothecin (9-AC) Phase 1

Study Type: Interventional
Study Design: Allocation: Non-Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Multicenter Study of 9-AC in Refractory Leukemia

Resource links provided by NLM:


Further study details as provided by Dana-Farber Cancer Institute:

Primary Outcome Measures:
  • To evaluate the toxicity and maximum tolerated dose of 9-AC administered as a 72 hour infusion in patients with relapsed/refractory leukemia. [ Time Frame: Years ]

Secondary Outcome Measures:
  • To analyze the pharmacokinetics in these patients. [ Time Frame: years ]

Estimated Enrollment: 52
Study Start Date: January 1995
Study Completion Date: September 2007
Primary Completion Date: September 2007 (Final data collection date for primary outcome measure)
Detailed Description:
  • The treatment patients will receive involves a continuous infusion of 9-AC intravenously for a 72 hour period. Since we are unsure of the safest and most effective dose, successive groups of 4-7 patients will receive larger doses of this drug until the largest dose given safely is established.
  • Prior to the start of therapy a bone marrow aspirate and biopsy will be taken for diagnostic and research purposes. A bone marrow exam will be repeated at 48 hours in order to determine the effects of 9-AC on leukemic cells in the bone marrow. A bone marrow scan will also be performed 14 days after the start of therapy to assess response.
  • Frequent blood testing will be done throughout treatment, including blood samples to determine the levels of the 9-AC in the blood.
  • Treatment could be stopped prematurely if any of the following occur: 1) drug causes severe side effects, 2) the drug does not control the leukemia, or 3) the doctors or the patient feel that it is no longer in the patients best interest to receive this therapy.
  • Approximately 7 days after the conclusion of the 9-AC infusion, it is likely that the patient's blood counts will be low and will require support with antibiotics, red cell transfusions and platelet transfusions.
  Eligibility

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • 18 years of age or older
  • AML or ALL in first or subsequent relapse, secondary AML, or CML in blastic phase
  • Central venous access
  • ECOG performance status of less than or equal to 2
  • Bilirubin < 1.3
  • SGOT < 2 x ULN
  • Alkaline phosphatase < 2 x ULN
  • Creatinine < 1.5

Exclusion Criteria:

  • Undergone bone marrow transplantation
  • Uncontrolled infection
  • Other active malignancy
  • HIV positivity
  • Serious medical or psychiatric illness
  • Pregnancy
  Contacts and Locations
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 ClinicalTrials.gov identifier (NCT number): NCT00251368


Locations
United States, Massachusetts
Massachusetts General Hosptial
Boston, Massachusetts, United States, 02114
Dana-Farber Cancer Institute
Boston, Massachusetts, United States, 02115
Sponsors and Collaborators
Dana-Farber Cancer Institute
Brigham and Women's Hospital
Beth Israel Deaconess Medical Center
Massachusetts General Hospital
Investigators
Principal Investigator: Richard Stone, MD Dana-Farber Cancer Institute
  More Information

ClinicalTrials.gov Identifier: NCT00251368     History of Changes
Other Study ID Numbers: 94-115
First Submitted: November 8, 2005
First Posted: November 10, 2005
Last Update Posted: March 10, 2011
Last Verified: March 2011

Keywords provided by Dana-Farber Cancer Institute:
leukemia
9-Aminocamptothecin
AML
ALL
refractory leukemia
relapsed leukemia

Additional relevant MeSH terms:
Leukemia
Leukemia, Lymphoid
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Neoplasms by Histologic Type
Neoplasms
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
9-aminocamptothecin
Camptothecin
Antineoplastic Agents
Antineoplastic Agents, Phytogenic
Topoisomerase I Inhibitors
Topoisomerase Inhibitors
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action