Study of AP23573 in Patients With Relapsed or Refractory Hematologic Malignancies (8669-024)(COMPLETED)
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Purpose
The purpose of this phase II study is to assess the efficacy of AP23573 in patients with specified relapsed or refractory hematological malignancies.
| Condition | Intervention | Phase |
|---|---|---|
|
Hematologic Malignancies Leukemia Myelodysplastic Syndromes Myeloid Metaplasia Lymphoma |
Drug: ridaforolimus |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | A Phase II Study of AP23573, an mTOR Inhibitor, in Patients With Relapsed or Refractory Hematologic Malignancies |
- To assess efficacy of AP23573 in patients with relapsed or refractory hematologic malignancies. [ Time Frame: Duration of study ] [ Designated as safety issue: No ]
- Evaluating time to progression, progression-free survival, duration of response and safety [ Time Frame: Duration of study ] [ Designated as safety issue: Yes ]
| Enrollment: | 57 |
| Study Start Date: | June 2004 |
| Study Completion Date: | June 2006 |
| Primary Completion Date: | June 2006 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
AP23573 12.5 mg IV as monotherapy once daily for 5 days, every 2 weeks
|
Drug: ridaforolimus
AP23573 12.5 mg IV as monotherapy once daily for 5 days, every 2 weeks
Other Names:
|
Detailed Description:
The primary objective of the trial is to assess the efficacy of AP23573 in patients with specified relapsed or refractory hematological malignancies by evaluating the response rates as defined for the individual malignancy categories. Secondary objectives include evaluating time to disease progression, progression-free survival and duration of response; evaluating the pharmacokinetic and pharmacodynamic characteristics of AP23573; describing health-related quality of life measurements; and exploring the safety and tolerability of AP23573 at the specified dose level.
Protocol Outline: Open label, non-randomized parallel cohorts of five disease-specific cohorts with a minimum of 21 patients per cohort. Each patient receives a fixed dose of AP23573 administered intravenously (IV) over 30 minutes daily for five days (QDx5) to be repeated every 2 weeks.
Eligibility| Ages Eligible for Study: | 18 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria (Patients must meet each of the following criteria to be eligible for participation in the trial):
- Male or female patients ≥ 18 years of age
- Patients must have histologically-confirmed diagnoses of relapsed or refractory hematologic malignancy as specified in the protocol
- Patients must have an ECOG performance status of 0 to 2
- Patients must have adequate renal and liver function as demonstrated by laboratory values performed within 5 days, inclusive, prior to administration of the first dose of AP23573
- Patients must be able to understand and give written informed consent
Exclusion Criteria (Patients meeting any of the following criteria are ineligible for participation in the study):
- Women who are pregnant or lactating
- Patients may not have had cytotoxic chemotherapy or radiotherapy within 14 days prior to study entry
- Patients may not receive any investigational anti-cancer agent while on this study or within 14 days prior to the first dose of AP23573
- Patients with known or suspected hypersensitivity to drugs formulated with polysorbate 80 (Tween) or any other excipient contained in the study drug formulation
- Patients with known Grade 3 or 4 hypersensitivity to macrolide antibiotics (e.g., clarithromycin, erythromycin, azithromycin)
- Patients with significant uncontrolled cardiovascular disease
- Patients with known HIV infection
- Patients with any uncontrolled infection
- Patients receiving immunosuppressive agents other than prescribed corticosteroids
- Patients who have had prior therapy with rapamycin, any rapamycin analog or tacrolimus
- Patients with inadequate recovery from any prior surgical procedure or patients having undergone any major surgical procedure within 14 days prior to the first dose of AP23573
- Patients with any other life-threatening illness or organ system dysfunction which, in the opinion of the Investigator, would either compromise the patient's safety or interfere with evaluation of the safety of the study drug
- Patients with a psychiatric disorder or altered mental status that would preclude understanding of the informed consent process and/or completion of the necessary studies
- Patients with another primary malignancy within the past three years (except for non-melanoma skin cancer and cervical carcinomas in situ)
- Patients with the inability, in the opinion of the Investigator, to comply with the protocol requirements
Drugs and Other Treatments to be Excluded (The following drugs and other treatments are not permitted for patients enrolling in the study, either during or within two weeks prior to the first dose of AP23573, unless otherwise specified):
- Chemotherapeutic agents with the following exception that therapy with nitrosoureas (including generics) cannot be given within six weeks prior to the first dose of AP23573
- Other antineoplastic agents
- Immunotherapy (including vaccines) or biological response modifier therapy
- Systemic hormonal therapy with exceptions as specified in the protocol
- Herbal preparations or related OTC preparations containing herbal ingredients (e.g., St John's Wort)
- Radiotherapy for the primary malignancy
- Any other investigational agent during the course of the trial should be discussed with the Sponsor prior to use
Contacts and Locations| United States, Illinois | |
| University of Chicago Hospitals, Section of Hematology/Oncology | |
| Chicago, Illinois, United States, 60637 | |
| United States, Missouri | |
| Washington University School of Medicine, Siteman Cancer Center, 4921 Parkview Place | |
| St. Louis, Missouri, United States, 63110 | |
| United States, New Jersey | |
| The Cancer Institute of New Jersey | |
| New Brunswick, New Jersey, United States, 08903 | |
| United States, New York | |
| New York Presbyterian Hospital, Weill College of Cornell University | |
| New York, New York, United States, 10021 | |
| United States, North Carolina | |
| Morris Cancer Center - Duke University Medical Center, Adult Bone Marrow Transplant Clinic | |
| Durham, North Carolina, United States, 27705 | |
| United States, Ohio | |
| Gabrail Cancer Center | |
| Canton, Ohio, United States, 44718 | |
| United States, Pennsylvania | |
| Jeane's Hospital of TUHS | |
| Philadelphia, Pennsylvania, United States, 19111 | |
| United States, Texas | |
| MD Anderson Cancer Center | |
| Houston, Texas, United States, 77030 | |
| Study Director: | Frank Haluska, M.D., Ph.D. | Ariad Pharmaceuticals |
More Information
No publications provided
| Responsible Party: | Executive Vice President, Clinical and Quantitative Sciences, Merck Sharp & Dohme Corp |
| ClinicalTrials.gov Identifier: | NCT00086125 History of Changes |
| Other Study ID Numbers: | AP23573-04-201 |
| Study First Received: | June 24, 2004 |
| Last Updated: | July 7, 2011 |
| Health Authority: | United States: Food and Drug Administration |
Keywords provided by Merck:
|
Relapsed or refractory hematologic malignancies |
Additional relevant MeSH terms:
|
Primary Myelofibrosis Neoplasms Leukemia Lymphoma Metaplasia Myelodysplastic Syndromes Preleukemia Hematologic Neoplasms Myeloproliferative Disorders Bone Marrow Diseases Hematologic Diseases Neoplasms by Histologic Type Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders |
Immune System Diseases Pathologic Processes Precancerous Conditions Neoplasms by Site Sirolimus Antibiotics, Antineoplastic Antineoplastic Agents Therapeutic Uses Pharmacologic Actions Antifungal Agents Anti-Infective Agents Immunosuppressive Agents Immunologic Factors Physiological Effects of Drugs Anti-Bacterial Agents |
ClinicalTrials.gov processed this record on June 18, 2013