Leukemia Clinical Trial
Official title:
Phase I Study of Dolastatin-10 in Acute Leukemias, Myelodysplastic Syndromes and Chronic Myeloid Leukemia in Blast Phase
RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing
so they stop growing or die.
PURPOSE: Phase I trial to study the effectiveness of dolastatin 10 in treating patients who
have refractory or relapsed acute leukemia, chronic myelogenous leukemia in blast phase, or
myelodysplastic syndrome.
OBJECTIVES: I. Determine the maximum tolerated dose and dose limiting toxicity of dolastatin
10 in patients with chronic myelogenous leukemia in blast phase, refractory or relapsed acute
leukemia, or myelodysplastic syndromes. II. Assess the possible antileukemia effect of this
treatment in these patients.
OUTLINE: This is a dose escalation study. Patients receive dolastatin 10 intravenous (IV)
bolus once every 3 weeks. Patients receive 2-12 courses of therapy in the absence of disease
progression and unacceptable toxicity. In the absence of dose limiting toxicity (DLT) in the
first cohort of 3 patients, subsequent cohorts of 3 patients each receive escalating doses of
dolastatin 10. If DLT occurs in 2 of 3 patients at a given dose level, then dose escalation
ceases and the next lower dose is declared the maximum tolerated dose. Patients are followed
until death.
PROJECTED ACCRUAL: This study will accrue up to 25 patients within 8 months.
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