Bortezomib in Treating Patients With Myelodysplastic Syndromes

NCT ID: NCT00262873

Last Updated: 2016-05-09

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE2
• Total Enrollment: 8 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2005-05-31
• Study Completion Date: 2010-10-31

Brief Summary

RATIONALE: Bortezomib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase II trial is studying how well bortezomib works in treating patients with myelodysplastic syndromes.

Detailed Description

OBJECTIVES:

Primary

• Determine the efficacy of bortezomib, in terms of reduced cytopenia, in patients with myelodysplastic syndromes.
• Determine the safety and toxic effects of this drug in these patients.

Secondary

• Determine changes in marrow blast percentage or karyotypic profile in patients treated with this drug.

OUTLINE: This is an open-label study.

Patients receive bortezomib IV on days 1, 4, 8, and 11. Treatment repeats every 21 days for up to 12 courses in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed periodically for 1 year.

PROJECTED ACCRUAL: A total of 30 patients will be accrued for this study.

Conditions

Myelodysplastic Syndromes

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Bortezomib

Group Type: EXPERIMENTAL

bortezomib

Intervention Type: DRUG

Interventions

bortezomib

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

DISEASE CHARACTERISTICS:

• Diagnosis of myelodysplastic syndromes (MDS)
• Requires treatment or transfusion support for MDS, as indicated by 1 of the following:

• Demonstrates transfusion or epoetin alfa dependence

• Transfusion dependence is defined as requiring ≥ 2 units of packed RBCs within an 8-week period prior to study entry
• Hemoglobin < 11g/dL on 2 separate occasions 2 weeks apart

• No iron, cyanocobalamin (vitamin B_12), or folic acid deficiency or other causes of anemia
• Must have 1 of the following FAB subtypes:

• Refractory anemia
• Refractory anemia with ringed sideroblasts
• Refractory anemia with excess blasts
• Secondary MDS (if ≥ 3 years since active primary cancer)
• No chronic myelomonocytic leukemia
• Not refractory to platelet transfusion support (i.e., inability to maintain platelet count > 20,000/mm^3 with transfusion)
• No current acute myelogenous leukemia (e.g., > 30% blasts)

PATIENT CHARACTERISTICS:

Performance status

• Karnofsky 50-100%

Life expectancy

• At least 6 months

Hematopoietic

• See Disease Characteristics

Hepatic

• Bilirubin ≤ 2 mg/dL
• AST and ALT < 2 times upper limit of normal

Renal

• Creatinine clearance ≥ 30 mL/min

Cardiovascular

• No significant cardiovascular condition that would preclude study participation
• No uncontrolled hypertension

Pulmonary

• No significant pulmonary condition that would preclude study participation

Immunologic

• No serious concurrent infection

• Active infections must be adequately treated with antibiotics prior to study entry
• No hypersensitivity to bortezomib, boron, or mannitol

Other

• Not pregnant or nursing
• Negative pregnancy test
• Fertile patients must use effective contraception during and for up to 4 weeks after completion of study treatment
• No peripheral neuropathy ≥ grade 2
• No uncontrolled seizure activity, as defined by no activity within the past year on stable anticonvulsant medications
• No other malignancy within the past 3 years except adequately treated basal cell skin cancer or carcinoma in situ of the cervix
• No endocrine, neurologic, or other systemic disease that would preclude study entry

PRIOR CONCURRENT THERAPY:

Biologic therapy

• See Disease Characteristics
• No prior allogeneic bone marrow transplantation
• Concurrent transfusion support allowed
• Concurrent epoetin alfa or darbepoetin alfa allowed if initiated before start of study therapy, dose is stable for ≥ 4 weeks, and dose is stable during study participation
• No concurrent platelet growth factor support
• No concurrent thalidomide

Chemotherapy

• No concurrent chemotherapy
• No concurrent hydroxyurea

Endocrine therapy

• Concurrent corticosteroids for chronic autoimmune or inflammatory condition allowed if initiated before start of study therapy and maintained on a stable or decreasing dose

Other

• Recovered from all prior therapies
• At least 4 weeks since prior MDS therapy, except epoetin alfa, darbepoetin alfa, filgrastim (G-CSF), pegfilgrastim (G-CSF), or transfusion support
• At least 30 days since prior investigational agents
• No prior bortezomib
• No other concurrent investigational agents
• No other concurrent therapy for MDS

• Minimum Eligible Age: 18 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University of Rochester

OTHER

Sponsor Role: lead

Responsible Party

Jane Liesveld

attending physician

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Jane L. Liesveld, MD

Role: STUDY_CHAIR

James P. Wilmot Cancer Center

Locations

James P. Wilmot Cancer Center at University of Rochester Medical Center

Rochester, New York, United States

Countries

United States

References

Liesveld JL, Rosell KE, Bechelli J, Lu C, Messina P, Mulford D, Ifthikharuddin JJ, Jordan CT, Phillips Ii GL. Proteasome inhibition in myelodysplastic syndromes and acute myelogenous leukemia cell lines. Cancer Invest. 2011 Aug;29(7):439-50. doi: 10.3109/07357907.2011.590567.

Reference Type: RESULT

PMID: 21740082 (View on PubMed)

Other Identifiers

URCC-U20403

Identifier Type: -

Identifier Source: secondary_id

MILLENNIUM-i34103-042

Identifier Type: -

Identifier Source: secondary_id

CDR0000449689

Identifier Type: -

Identifier Source: org_study_id