Acute Myeloid Leukemia Clinical Trial
Official title:
Phase 1 Study Evaluating the Tolerance and Biologic Activity of Intravenous Infusions of Tigecycline in Patients With Relapsed or Refractory AML
The purpose of this study is to determine whether tigecycline is safe and which dosage is most effective in the treatment of patients with acute myeloid leukemia.
Status | Completed |
Enrollment | 27 |
Est. completion date | January 2015 |
Est. primary completion date | October 2014 |
Accepts healthy volunteers | No |
Gender | Both |
Age group | 18 Years and older |
Eligibility |
Inclusion Criteria: - Age >18 years - Diagnosis of relapsed or refractory AML for which all potentially curative or standard salvage therapy options have been exhausted; OR AML without prior treatment who are not eligible for induction chemotherapy as defined as age > or equal to 80 or age > 70 with poor risk cytogenetics (3 or more abnormalities, -5/del(5q), 3q abnormalities, or -7) or stable co-morbidities that would preclude induction chemotherapy such as LVEF less than 40% and/or DlCO less than 60% expected - ECOG 0-2 performance status - Biochemical values within the following range - Serum creatinine <2x upper limit of normal - Total bilirubin <1.5x upper limit of normal - AST and ALT <2x upper limit of normal - Recovery from non-hematologic toxicity from prior chemotherapy - Able and willing to provide informed consent Exclusion Criteria: - Allergy to tetracycline or minocycline - Uncontrolled intercurrent illness such as uncontrolled diabetes or active uncontrolled infection - Active systemic bacterial, fungal, or viral infection - Concomitant use of linezolid or chloramphenicol that are known to inhibit mitochondrial protein synthesis - Pregnant or breast feeding - Known active CNS involvement with AML - Neurologic symptoms related to uncontrolled illnesses or unexplained causes - Psychiatric illness that would limit compliance with study - Receiving systemic chemotherapy other than hydroxyurea to control circulating blast counts. Concomitant hydroxyurea is permitted, but only in the first cycle of therapy - Prior therapy with tigecycline as an anti-cancer therapy or any use of the drug in the last month - Use of other investigational anti-leukemic therapy within 14 days of registration |
Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Country | Name | City | State |
---|---|---|---|
Canada | Princess Margaret Hospital | Toronto | Ontario |
United States | The University of Kansas Medical Center | Kansas City | Kansas |
United States | University of California, Los Angeles | Los Angeles | California |
Lead Sponsor | Collaborator |
---|---|
University Health Network, Toronto | Memorial Sloan Kettering Cancer Center, University of California, Los Angeles, University of Kansas Medical Center |
United States, Canada,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Toxicity evaluated according to CTCAE version 4.03 | Reviewed at each visit and assessed at the end of each 3-week cycle | Yes | |
Secondary | Response rate assessment of tigecycline through laboratory assessments | Bone marrow assessment, absolute neutrophil count, platelet counts | Assessed at the end of each 3-week cycle for the study duration | No |
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