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| Sponsor: | M.D. Anderson Cancer Center |
|---|---|
| Collaborator: |
Eisai Inc. |
| Information provided by: | M.D. Anderson Cancer Center |
| ClinicalTrials.gov Identifier: | NCT00075010 |
Purpose
Valproic acid is a medication that is currently used in the prevention of seizures, bipolar disorder, and migraine headaches. Researchers hope that it may improve the effects of decitabine. Decitabine is a chemotherapy drug with known activity in leukemia and myelodysplastic syndromes.
| Condition | Intervention | Phase |
|---|---|---|
|
Leukemia Myelodysplastic Syndromes |
Drug: Decitabine Drug: Valproic acid |
Phase I Phase II |
| Study Type: | Interventional |
| Study Design: | Allocation: Non-Randomized Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Phase I/II Study of 5-aza-2'-Deoxycytidine and Valproic Acid in Patients With Relapsed/Refractory Leukemia or Myelodysplastic Syndromes |
| Enrollment: | 54 |
| Study Start Date: | January 2004 |
| Study Completion Date: | November 2006 |
| Primary Completion Date: | March 2005 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
| Experimental: Decitabine + Valproic acid |
Drug: Decitabine
15 mg/m^2 by vein over 1 hour times 10 days
Other Name: Dacogen®
Drug: Valproic acid
20 mg/kg given orally daily for 10 days
|
Recent studies have shown synergy between demethylating agents and histone deacetylase inhibitors. It has been shown that both DNA methylation and histone deacetylation work together in affecting gene expression.
Therefore, drugs that inhibit DNA methylation and those that inhibit histone deacetylase can reactivate silenced genes in combination better than they can individually. Decitabine (5 aza-2'deoxycytidine), a drug that produces marked DNA hypomethylator, has demonstrated antileukemic activity at low doses. There are several drugs that have been shown to have histone acetylase activity. One of these is valproic acid that has been used safely for many years as an anti-seizure medication.
Eligibility| Ages Eligible for Study: | 2 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Exclusion Criteria:
Contacts and Locations| United States, Texas | |
| M.D. Anderson Cancer Center | |
| Houston, Texas, United States, 77030 | |
| Principal Investigator: | Guillermo Garcia-Manero, M.D. | M.D. Anderson Cancer Center |
More Information
| Responsible Party: | Guillermo Garcia-Manero M.D./Associate Professor, The University of Texas M.D. Anderson Cancer Center |
| ClinicalTrials.gov Identifier: | NCT00075010 History of Changes |
| Other Study ID Numbers: | 2003-0314 |
| Study First Received: | December 29, 2003 |
| Last Updated: | August 4, 2009 |
| Health Authority: | United States: Food and Drug Administration |
|
Relapsed/Refractory Leukemia Myelodysplastic Syndromes |
|
Leukemia Myelodysplastic Syndromes Preleukemia Neoplasms by Histologic Type Neoplasms Bone Marrow Diseases Hematologic Diseases Precancerous Conditions Valproic Acid Decitabine Anticonvulsants Central Nervous System Agents Therapeutic Uses |
Pharmacologic Actions Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action GABA Agents Neurotransmitter Agents Physiological Effects of Drugs Antimanic Agents Tranquilizing Agents Central Nervous System Depressants Psychotropic Drugs Antimetabolites, Antineoplastic Antimetabolites Antineoplastic Agents |