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Clinical Trial Summary

This is a Phase I/II study to determine the safety, tolerability and to identify the MTD and DLT of Plitidepsin in combination with a fixed dose of Cytarabine in patients with relapsed/refractory leukemia and to determine the response rate of the combination of Plitidepsin with Cytarabine in patients with relapsed/refractory AML treated at the MTD.


Clinical Trial Description

This is a Phase I/II study to determine:

- the safety, tolerability and to identify the MTD and DLT of Plitidepsin in combination with a fixed dose of Cytarabine in patients with relapsed/refractory leukemia and to determine the response rate of the combination of Plitidepsin with Cytarabine in patients with relapsed/refractory AML treated at the MTD.

- the pharmacokinetic parameters of Plitidepsin in combination with Cytarabine.

- whether Plitidepsin in combination with Cytarabine exerts antiangiogenic effects as measured by reduction in microvessel density and VEGFR-1 expression in bone marrow biopsies of patients with relapsed/refractory leukemia.

- whether measurement of free serum VEGF levels, soluble circulating VEGF Receptor and Peripheral Progenitor Endothelial cells provide an early marker of response to Plitidepsin.

- the effects of Plitidepsin and Cytarabine on cytidine deaminase activity and correlate results with Cytarabine drug resistance.

- changes in leukemic gene expression as a result of Plitidepsin and Cytarabine administration.

- tumor response duration.

- progression free survival and overall survival. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT00780143
Study type Interventional
Source PharmaMar
Contact
Status Terminated
Phase Phase 1/Phase 2
Start date November 2007
Completion date June 2009

See also
  Status Clinical Trial Phase
Terminated NCT00724360 - Trastuzumab for HER2 Positive Relapsed/Refractory B-Acute Lymphoblastic Leukemia (B-ALL) Phase 2