Leukemia Clinical Trial
Official title:
A Phase I Study to Determine Biological Endpoints of Up to 21 Day Dosing of the Farnesyltransferase Inhibitor R115777 (IND# 52,302) for Refractory and Relapsed Adult Leukemias (Summary Last Modified 9/1999)
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 R115777 in treating patients who have
refractory or recurrent acute leukemia or chronic myelogenous leukemia.
OBJECTIVES: I. Determine toxicities and pharmacokinetics of oral R115777 in adults with
refractory acute leukemia or accelerated or blastic phase chronic myelogenous leukemia. II.
Determine the effect of R115777 on farnesylation within leukemia cells. III. Determine any
clinical response (at least 50% decrease in circulating leukemia cells) to R115777 by these
patients.
OUTLINE: This is a dose escalation, multicenter study. Patients receive oral R115777 for 7-21
days. Patients who achieve complete response (CR) or partial response (PR) following 1-4
courses of treatment may receive up to 4 additional courses. Patients with stable disease may
receive another 7-21 day course. If CR or PR is then achieved, patients may receive up to 4
additional courses. Cohorts of 6-12 patients receive escalating doses of R115777 until the
maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which between
17% and 33% of patients experience dose limiting toxicity.
PROJECTED ACCRUAL: A total of 24 patients will be accrued for this study within 2 years.
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