Leukemia, Lymphocytic, Chronic Clinical Trial
Official title:
A Pilot Study of Pivanex, a Histone Deacetylase Inhibitor, in Patients With Chronic Lymphocytic Leukemia
This pilot study will assess the safety and efficacy of Pivanex alone in patients with chronic lymphocytic leukemia (CLL) who have relapsed or refractory disease after previous chemotherapy treatment. Pivanex is an investigational agent.
Rationale: Chronic lymphocytic leukemia (CLL) is a disease characterized by the accumulation
of mature lymphocytes. These CLL lymphocytes are blocked from undergoing terminal
differentiation and apoptosis. Patients with CLL have limited options for therapy,
especially after the failure of standard chemotherapy regimens. Histone deacetylase
inhibitors (HDACs) comprise a new class of drugs being evaluated in the treatment of various
malignancies. In vitro data suggest that HDAC inhibition leads to terminal B-cell
differentiation and may therefore play a therapeutic role in the treatment of CLL. Pivanex
(pivaloyloxymethyl butyrate) is an HDAC inhibitor that has been shown to induce apoptosis of
CLL lymphocytes in vitro. In previous clinical trials, Pivanex has been well tolerated. The
goal of this protocol is to determine the effects of Pivanex in patients with CLL.
Purpose: This open-label trial will determine the response rate of Pivanex in patients with
CLL.
Objectives: (1) Determine the response rate of Pivanex in patients with relapsed CLL; (2)
Determine time to disease progression in patients with relapsed CLL treated with Pivanex;
and (3) Determine the safety profile of Pivanex in CLL.
Design: This is an open label, single arm, multiple dose, pilot study of patients with
relapsed CLL. Patients will be treated with 2.5 g/m2 of Pivanex administered intravenously
over 6 hours daily on Days 1 – 3. Treatment will be repeated every 21 days until disease
progression or the patient is withdrawn from treatment for protocol-specified reasons.
Disease status will be assessed prior to every odd-numbered treatment cycle using response
criteria based upon the Revised National Cancer Institute-sponsored Working Group Guidelines
for CLL. Patients withdrawn due to disease progression will be followed for survival.
Patients withdrawn from study for reasons other than disease progression will be followed
for disease progression and survival.
;
Allocation: Non-Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
Status | Clinical Trial | Phase | |
---|---|---|---|
Active, not recruiting |
NCT03204188 -
Ibrutinib, Fludarabine, and Pembrolizumab in High-Risk or Relapsed/Refractory Chronic Lymphocytic Leukemia/Small Lymphocytic Lymphoma
|
Phase 2 | |
Completed |
NCT02758665 -
Trial of Ibrutinib Plus Venetoclax Plus Obinutuzumab in Patients With CLL
|
Phase 2 | |
Terminated |
NCT00393380 -
Study of Parathyroid Hormone Following Sequential Cord Blood Transplantation From an Unrelated Donor
|
Phase 2 | |
Terminated |
NCT00176930 -
Stem Cell Transplant for Hematological Malignancy
|
N/A | |
Completed |
NCT00562224 -
Study of the Safety and Tolerability of Oral Capsule Form of PCI-24781 in Advanced Cancer Patients
|
Phase 1 | |
Completed |
NCT00186303 -
Transplantation for Patients With Chronic Lymphocytic Leukemia
|
N/A | |
Completed |
NCT00270049 -
Epoetin Alfa for the Treatment of Anemia Resulting From Chronic Lymphocytic Leukemia
|
Phase 2 | |
Terminated |
NCT02440685 -
A Phase 1/2 Study To Evaluate ASN002 In Relapsed/Refractory Lymphoma And Advanced Solid Tumors
|
Phase 1/Phase 2 | |
Completed |
NCT04030195 -
Dose-escalation Study of Safety of PBCAR20A in Subjects With r/r NHL or r/r CLL/SLL
|
Phase 1/Phase 2 | |
Completed |
NCT00464633 -
Alvocidib in Patients With Previously Treated Chronic Lymphocytic Leukemia or Prolymphocytic Leukemia Arising From Chronic Lymphocytic Leukemia (CLL)
|
Phase 2 | |
Terminated |
NCT00290407 -
Rituximab Plus Beta-Glucan in Chronic Lymphocytic Leukemia(CLL)/Small Lymphocytic Lymphoma (SLL)
|
Phase 2 | |
Completed |
NCT00055146 -
Study of ONTAK in Patients With B-Cell Chronic Lymphocytic Leukemia (CLL)
|
Phase 2 | |
Not yet recruiting |
NCT05154474 -
Assessment of Sarcopenia at Diagnosis for Patients With Previously Untreated Metastatic Cancer or Hematologic Malignancy
|
||
Completed |
NCT00289549 -
Study of Forodesine Hydrochloride in Patients With Advanced, Fludarabine-refractory Chronic Lymphocytic Leukemia (CLL)
|
Phase 2 | |
Terminated |
NCT01045382 -
MSC and HSC Coinfusion in Mismatched Minitransplants
|
Phase 2 | |
Terminated |
NCT01050946 -
Hematopoietic Stem Cell Transplantation (HSCT) Using CD34 Selected Mismatched Related Donor and One Umbilical Cord Unit
|
Phase 2 | |
Completed |
NCT00283101 -
A Safety Study in Patients With Chronic Lymphocytic Leukemia
|
Phase 1/Phase 2 | |
Completed |
NCT00546793 -
Ph I/II Study of Subcutaneously Administered Veltuzumab (hA20) in NHL and CLL
|
Phase 1/Phase 2 | |
Terminated |
NCT00167180 -
Post Transplant Donor Lymphocyte Infusion
|
Phase 2 | |
Completed |
NCT00535912 -
Phase III Study Treatment of CLL B and C
|
Phase 3 |