Sodium Salicylate in Treating Patients With Advanced Myelodysplastic Syndrome, Acute Myelogenous Leukemia, or Chronic Lymphocytic Leukemia

NCT ID: NCT00004245

Last Updated: 2013-01-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE1

Study Classification

INTERVENTIONAL

Study Start Date

1999-08-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die.

PURPOSE: Phase I trial to study the effectiveness of sodium salicylate in treating patients who have advanced myelodysplastic syndrome , acute myelogenous leukemia or chronic lymphocytic leukemia.

Detailed Description

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OBJECTIVES:

* Evaluate the safety, toxicity, and pharmacokinetics of sodium salicylate in patients with advanced myelodysplastic syndrome; newly diagnosed, relapsed, or refractory acute myelogenous leukemia; or relapsed or refractory chronic lymphocytic leukemia.
* Define biologic characteristics that influence the likelihood of a clinical response to this drug in this patient population.

OUTLINE: Patients receive oral sodium salicylate twice a day. Intrapatient dose escalation or de-escalation is permitted. Treatment continues for up to 6 weeks in the absence of unacceptable toxicity or disease progression. Responding patients may continue to receive sodium salicylate beyond the 6-week period.

Patients with acute myelogenous leukemia are followed until the end of therapy. Patients with myelodysplastic syndrome are followed until death or progression to leukemia.

PROJECTED ACCRUAL: A total of 20 patients will be accrued for this study within 1 year.

Conditions

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Leukemia Myelodysplastic Syndromes Myelodysplastic/Myeloproliferative Neoplasms

Study Design

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Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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sodium salicylate

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* "High-risk" myelodysplastic syndrome, including:

* Refractory anemia with excess blasts
* Refractory anemia with excess blasts in transformation
* Chronic myelomonocytic leukemia OR
* Relapsed or refractory chronic lymphocytic leukemia
* Not eligible for transplant protocols at MSKCC or refuses transplant
* Not eligible for a higher priority protocol (e.g., bone marrow transplantation)

PATIENT CHARACTERISTICS:

Age:

* Over 18

Performance status:

* Not specified

Life expectancy:

* Not specified

Hematopoietic:

* Platelet count at least 25,000/mm\^3

Hepatic:

* Bilirubin no greater than 2.0 mg/dL
* Transaminase levels less than 3 times upper limit of normal
* PT no greater than 14 seconds
* PTT no greater than 34.6 seconds

Renal:

* Creatinine no greater than 2.0 mg/dL OR
* Creatinine clearance greater than 60 mL/min

Other:

* Not pregnant or nursing
* No history of abnormal bleeding or unexplained bleeding disorders
* No history of peptic ulcer disease
* No salicylate allergy
* No other concurrent active malignancy
* No other concurrent illness that would preclude study assessment to a significant degree

PRIOR CONCURRENT THERAPY:

Biologic therapy:

* See Disease Characteristics

Chemotherapy:

* Not specified

Endocrine therapy:

* Not specified

Radiotherapy:

* Not specified

Surgery:

* Not specified
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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National Cancer Institute (NCI)

NIH

Sponsor Role collaborator

Memorial Sloan Kettering Cancer Center

OTHER

Sponsor Role lead

Principal Investigators

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Virginia Klimek, MD

Role: STUDY_CHAIR

Memorial Sloan Kettering Cancer Center

Locations

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Memorial Sloan-Kettering Cancer Center

New York, New York, United States

Site Status

Countries

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United States

References

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Klimek VM, Dolezal EK, Smith L, Soff G, Nimer SD. Phase I trial of sodium salicylate in patients with myelodysplastic syndromes and acute myelogenous leukemia. Leuk Res. 2012 May;36(5):570-4. doi: 10.1016/j.leukres.2011.10.023. Epub 2011 Dec 9.

Reference Type RESULT
PMID: 22154022 (View on PubMed)

Other Identifiers

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P30CA008748

Identifier Type: NIH

Identifier Source: secondary_id

View Link

MSKCC-99057

Identifier Type: -

Identifier Source: secondary_id

NCI-G99-1661

Identifier Type: -

Identifier Source: secondary_id

99-057

Identifier Type: -

Identifier Source: org_study_id

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