Primary Myelofibrosis Clinical Trial
Official title:
A Pilot Study of Thalidomide as an Inhibitor of Angiogenesis in the Treatment of Myelofibrosis With Myeloid Metaplasia (MMM)
Phase II trial to study the effectiveness of thalidomide in treating patients who have myelofibrosis. Thalidomide may stop the growth of myelofibrosis by stopping blood flow to the cancer cells.
PRIMARY OBJECTIVES:
I. To investigate whether thalidomide, a potent inhibitor of angiogenic and fibrogenic
growth factors, is an effective therapeutic agent in patients with MMM. Specifically, to
assess whether thalidomide improves anemia and/or organomegaly in patients with MMM.
II. To assess the effects of thalidomide on the myelofibrotic stroma with respect to
microvascular architecture and angiogenesis, collagen and reticulin deposition, and the
expression of the mediating growth factors bFGF, TGF-b, and PDGF, and their respective
receptors.
OUTLINE: This is a multicenter study.
Patients receive oral thalidomide once daily for 1 year in the absence of disease
progression or unacceptable toxicity. Patients with stable or responding disease may receive
1 additional year of therapy.
Patients are followed every 6 months until 5 years from study entry.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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