CC-4047 in Treating Patients With Myelofibrosis

NCT ID: NCT00669578

Last Updated: 2019-12-30

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: PHASE1/PHASE2
• Total Enrollment: 77 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2008-05-31
• Study Completion Date: 2019-12-12

Brief Summary

RATIONALE: Biological therapies, such as CC-4047, may stimulate the immune system in different ways and stop cancer cells from growing. CC-4047 may also stop the growth of cancer cells by blocking blood flow to the cancer.

PURPOSE: This trial is studying the side effects and best dose of CC-4047 and to see how well it works in treating patients with myelofibrosis.

Detailed Description

OBJECTIVES:

Phase I:

Primary

• To determine the Maximum Tolerated Dose of CC-4047 in the treatment of Primary, Post Polycythemia Vera, or Post Essential Thrombocythemia Myelofibrosis (PMF, post-PV MF, or post-ET MF).

Phase II:

Primary

• Best overall response as determined by International Working Group Criteria over the first 6 cycles (168 days) of study treatment.

Secondary

• Safety (type, frequency, severity [National Cancer Institute (NCI) Common Terminology Criteria for Adverse Events (CTCAE) version 3.0] of adverse events (AEs), and relationship of AEs to CC-4047.
• Duration of response.
• Time to response.
• Best overall response as determined by International Working Group Criteria over the first 12 cycles (336 days) of study treatment.

OUTLINE: Patients receive oral CC-4047. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity.

After completion of study treatment, patients are followed at 28 days and then every 6 months for up to 3 years.

Conditions

Chronic Myeloproliferative Disorders; Secondary Myelofibrosis

Keywords

secondary myelofibrosis; polycythemia vera; essential thrombocythemia; primary myelofibrosis

Study Design

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

Study Groups

CC-4047

Group Type: EXPERIMENTAL

CC-4047

Intervention Type: DRUG

CC-4047: taken orally each day in a 28 day cycle.

Interventions

CC-4047

CC-4047: taken orally each day in a 28 day cycle.

Intervention Type: DRUG

Eligibility Criteria

Inclusion Criteria

DISEASE CHARACTERISTICS:

• Diagnosis of primary and post essential thrombocythemia (ET) or post polycythemia vera (PV) myelofibrosis requiring therapy

• De novo presentation (i.e., agnogenic myeloid metaplasia AND post ET or post PV myelofibrosis)
• Developed after an antecedent history of PV (i.e., post polycythemic myeloid metaplasia) or essential polycythemia (i.e., post thrombocythemic myeloid metaplasia)
• Total hemoglobin < 10 g/dL OR transfusion dependent anemia (defined by a history of ≥ 2 units of red blood cell (RBC) transfusions within the past 28 days for hemoglobin < 8.5 g/dL that was not associated with overt bleeding) OR marked splenomegaly (e.g., ≥ 10 cm below costal margin)

PATIENT CHARACTERISTICS:

• Eastern Cooperative Oncology Group (ECOG) performance status 0-2
• Absolute neutrophil count (ANC) ≥ 500/μL
• Platelet count ≥ 20,000/μL
• Aspartate aminotransferase (AST) and Alanine aminotransferase (ALT) ≤ 3 times upper limit of normal (ULN) (≤ 5 times ULN if attributed to hepatic extramedullary hematopoiesis)
• Total bilirubin ≤ 3 times ULN OR direct bilirubin ≤ 2 times ULN
• Serum creatinine ≤ 2.0 mg/dL
• Not pregnant or nursing
• Negative pregnancy test
• Fertile patients must use effective double-method contraception for ≥ 28 days before, during, and for ≥ 28 days after completion of study treatment
• Agrees to abstain from donating blood, semen, or sperm during and for ≥ 28 days after completion of study treatment
• Willing to undergo transfusion of blood products (if applicable)
• Able to complete questionnaire(s) alone or with assistance
• No known HIV positivity, hepatitis B carrier, or active hepatitis C infection
• No serious medical condition, psychiatric illness, or any other condition, including the presence of laboratory abnormalities, that (as judged by the treating physician) would preclude giving informed consent or participating in the study or confound the ability to interpret data from the study
• No other active malignancies, except basal cell or squamous cell carcinoma of the skin or carcinoma in situ of the cervix or breast
• No active deep vein thrombosis or pulmonary embolism that has not been therapeutically anticoagulated

PRIOR CONCURRENT THERAPY:

• Recovered from all prior therapy
• No prior CC-4047
• More than 28 days since prior growth factors, cytotoxic chemotherapeutic agents (e.g., hydroxyurea or anagrelide), corticosteroids, or experimental drugs or therapies
• No other concurrent experimental drugs or therapies or cytotoxic chemotherapeutic agents (e.g., hydroxyurea or anagrelide) for myelofibrosis
• No concurrent growth factors (including erythropoietin) for myelofibrosis, except G-CSF or pegfilgrastim
• No concurrent chronic use (i.e., > 2 weeks) of more than physiologic doses of corticosteroids (dose equivalent to > 10 mg/day of prednisone)

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 120 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

National Cancer Institute (NCI)

NIH

Sponsor Role: collaborator

Mayo Clinic

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Ruben A. Mesa, MD

Role: PRINCIPAL_INVESTIGATOR

Mayo Clinic

Ayalew Tefferi, MD

Role: STUDY_CHAIR

Mayo Clinic

Locations

Mayo Clinic

Rochester, Minnesota, United States

Countries

United States

Other Identifiers

P30CA015083

Identifier Type: NIH

Identifier Source: secondary_id

View Link

MC078B

Identifier Type: OTHER

Identifier Source: secondary_id

NCI-2009-01331

Identifier Type: REGISTRY

Identifier Source: secondary_id

07-005317

Identifier Type: OTHER

Identifier Source: secondary_id

PO-MMM-PI-0007

Identifier Type: OTHER

Identifier Source: secondary_id

MC078B

Identifier Type: -

Identifier Source: org_study_id