Brief Title
Decitabine in Treating Patients With Previously Untreated Acute Myeloid Leukemia
Official Title
Phase II Study of Decitabine in Acute Myeloid Leukemia
Brief Summary
This phase II trial is studying how well decitabine works in treating patients with previously untreated acute myeloid leukemia. Drugs used in chemotherapy, such as decitabine, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing
Detailed Description
PRIMARY OBJECTIVES: I. Determine the rate of complete remission (CR) in patients with previously untreated acute myeloid leukemia treated with decitabine. SECONDARY OBJECTIVES: I. Determine the rate of overall survival at 1 year in patients treated with this drug. II. Determine the overall response rate (CR, incomplete CR, and partial remission) in patients treated with this drug. III. Correlate the biological activity of decitabine with clinical endpoints and maximum concentration of plasma decitabine. IV. Correlate intracellular concentration of decitabine with global DNA methylation, other biological endpoints, and clinical response. OUTLINE: Patients receive decitabine IV over 1 hour on days 1-10. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Patients undergo bone marrow aspiration and blood sample collection periodically for pharmacological and correlative studies. Samples are analyzed for gene expression, methylation of gene promoters, fetal hemoglobin (HgF), DNMT1 protein expression, maximum concentration of plasma decitabine, and global DNA methylation. Samples are analyzed by RT-PCR, Bio-COBRA, matrix-assisted laser desorption ionization time-of-flight mass spectrometry, SDS-PAGE (polyacrylamide gel electrophoresis), immunoblotting, and LC-MS/MS. After completion of study treatment, patients are followed for at least 30 days.
Study Phase
Phase 2
Study Type
Interventional
Primary Outcome
Rate of Complete Remission
Secondary Outcome
Measurement of DNA Methylation in Peripheral Blood or Bone Marrow Cells
Condition
Adult Acute Myeloid Leukemia With 11q23 (MLL) Abnormalities
Intervention
decitabine
Study Arms / Comparison Groups
Treatment (chemotherapy)
Description: Patients receive decitabine IV over 1 hour on days 1-10. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.
Publications
* Includes publications given by the data provider as well as publications identified by National Clinical Trials Identifier (NCT ID) in Medline.
Recruitment Information
Recruitment Status
Drug
Estimated Enrollment
55
Start Date
May 2007
Completion Date
October 2014
Primary Completion Date
December 2010
Eligibility Criteria
Inclusion Criteria: - Histologically or cytologically confirmed acute myeloid leukemia (AML) meeting 1 of the following criteria: - At least 60 years of age and not a candidate for or refused standard induction treatment - Poor risk cytogenetics - AML following antecedent hematologic disorder - Therapy-related AML - Secondary AML - No granulocytic sarcoma as sole site of disease - No active CNS disease or CNS relapse - ECOG performance status 0-2 - Life expectancy > 6 months - Total bilirubin < 2.0 mg/dL - Creatinine < 2.0 mg/dL - AST and ALT < 2.5 times upper limit of normal - Not pregnant or nursing - Negative pregnancy test - Fertile patients must use effective contraception - No NYHA class III or IV congestive heart failure - No uncontrolled infection - No history of allergic reactions attributed to compounds of similar chemical or biologic composition to decitabine that are not easily managed - No other uncontrolled illness including, but not limited to, any of the following: - Symptomatic congestive heart failure - Unstable angina pectoris - Serious cardiac arrhythmia - Psychiatric illness or social situations that would preclude compliance with study requirements - No active second malignancy involving the blood or marrow or likely to progress and require therapy in the next 6 months - No prior therapy for AML except emergency leukapheresis or hydroxyurea for leukocytosis - No prior azacitidine or decitabine - No prior cytarabine or other conventional chemotherapy agents for antecedent hematologic disorders - Prior myeloid growth factors, recombinant erythropoietin, thalidomide, or lenalidomide allowed - No concurrent palliative radiotherapy - No other concurrent investigational agents - No other concurrent direct anti-leukemia therapy - No concurrent combination antiretroviral therapy for HIV-positive patients
Gender
All
Ages
18 Years - N/A
Accepts Healthy Volunteers
No
Contacts
William Blum, ,
Location Countries
United States
Location Countries
United States
Administrative Informations
NCT ID
NCT00492401
Organization ID
NCI-2009-00246
Secondary IDs
OSU 07017
Responsible Party
Sponsor
Study Sponsor
National Cancer Institute (NCI)
Study Sponsor
William Blum, Principal Investigator, Ohio State University
Verification Date
May 2016