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Combination 5-azacitidine and Gemtuzumab Ozogamicin Therapy for Treatment of Relapsed Acute Myeloid Leukemia (AML)

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ClinicalTrials.gov Identifier: NCT00766116
Recruitment Status : Active, not recruiting
First Posted : October 3, 2008
Last Update Posted : August 15, 2017
Celgene Corporation
Information provided by (Responsible Party):
Edward Ball, University of California, San Diego

Brief Summary:
This study will test an experimental combination of the drugs Mylotarg and 5-azacitidine in the hopes of finding a treatment that may be effective against Acute Myeloid Leukemia that has come back after treatment.

Condition or disease Intervention/treatment Phase
Acute Myeloid Leukemia Drug: 5-Azacitidine Drug: Gemtuzumab ozogamicin Phase 1 Phase 2

Detailed Description:

In the Phase I portion of the study patients with a diagnosis of AML who have relapsed disease will be treated with an assigned number of doses of 5 azacitidine followed by Mylotarg administered two times over two weeks

In the Phase II portion of the study patients will be treated with the dose of 5azacitidine determined to be safe in the Phase I portion of the study followed by Mylotarg.

A sample of blood or bone marrow will be obtained prior to initiation of treatment and another sample obtained after treatment with 5-azacitidine but before Mylotarg and the samples will be tested in the laboratory to determine response to treatment.

Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 50 participants
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Phase I/II Trial of the Combination 5-azacitidine and Gemtuzumab Ozogamicin Therapy for Treatment of Relapsed AML
Study Start Date : July 2005
Primary Completion Date : June 2015
Estimated Study Completion Date : December 2017

Arm Intervention/treatment
Experimental: Treatment
5-Azacitidine, Gemtuzumab ozogamicin
Drug: 5-Azacitidine
A = given in cohorts of 3 starting with 2 doses of 5-azacitidine. The doses of 5-azacitidine will be escalated to 4 and then 6 doses if the dose escalation rules permit
Other Name: Vidaz
Drug: Gemtuzumab ozogamicin
M = Mylotarg given 2 times over 2 weeks
Other Name: Mylotarg

Primary Outcome Measures :
  1. In Phase I the Maximum Tolerated Dose will be the maximum dose at which fewer than one-third of patients experience Dose Limiting Toxicity [ Time Frame: approximately 4 years ]

Secondary Outcome Measures :
  1. In Phase II response to the combination treatment of Mylotarg with 5-azacitidine [ Time Frame: Response will be assessed when evaluated at the time the ANC has reached 1000/mm3 for three consecutive days ]

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 90 Years   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Diagnosis of Relapsed AML
  • Eastern Cooperative Oncology Group (ECOG) performance status 0-2, and life expectancy > 3 months
  • ≥ 18 years old
  • Previously untreated for current AML relapse
  • Adequate organ function
  • Written informed consent

Exclusion Criteria:

  • Pregnant or breast-feeding women
  • Growth factors that support platelet or white cell number or function must not have been administered within the past 7 days
  • Currently receiving another investigational drug
  • Currently receiving other anti-cancer agents
  • Uncontrolled infection
  • HIV positive
  • Received previous therapy with either Mylotarg or 5-azacitidine

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): NCT00766116

United States, California
UCSD Moores Cancer Center
La Jolla, California, United States, 92093
Stanford University
Stanford, California, United States, 94305
United States, Georgia
Northside Hospital/BMTGA
Atlanta, Georgia, United States, 30342
Sponsors and Collaborators
University of California, San Diego
Celgene Corporation
Principal Investigator: Edward D Ball, MD UCSD

Responsible Party: Edward Ball, Professor of medicine, University of California, San Diego
ClinicalTrials.gov Identifier: NCT00766116     History of Changes
Other Study ID Numbers: 090516
First Posted: October 3, 2008    Key Record Dates
Last Update Posted: August 15, 2017
Last Verified: August 2017

Keywords provided by Edward Ball, University of California, San Diego:

Additional relevant MeSH terms:
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Neoplasms by Histologic Type
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Enzyme Inhibitors