Trial Outcomes & Findings for Study of LBH589 for Patients With Low or Intermediate-1 Risk Myelodysplastic Syndrome (MDS) (NCT NCT00939159)

NCT ID: NCT00939159

Last Updated: 2018-08-23

Results Overview

Overall response rate defined by International Working Group (IWG) response criteria in myelodysplasia. Hematologic Improvement (HI) responses, at least 9 weeks: Erythroid response (pretreatment, \<11 g/dL): Hgb increase by 1.5 g/dL; Relevant reduction units of Red blood cell (RBC) transfusions by absolute number at least 4 RBC transfusions/8 week compared with pretreatment transfusion number in previous 8 weeks; Only RBC transfusions for Hgb of 9.0 g/dL pretreatment count in RBC transfusion response evaluation; Platelet response (pretreatment,\<100x10\^9/L): If starting with \>20x10\^9/L platelets: absolute increase 30x10\^9/L, Increase from baseline \<20 x10\^9/L to \>20x10\^9/L and by =/\> 100%; Neutrophil response (pretreatment, \<1.0x10\^9/L): =/\> 100% increase \& absolute increase \>0.5x10\^9/L; Progression or relapse after HI: At least 1 of the following: =/\>50% decrement from max response levels in granulocytes or platelets; Reduction in Hgb by 1.5 g/dL; or Transfusion dependence .

Recruitment status

TERMINATED

Study phase

PHASE2

Target enrollment

17 participants

Primary outcome timeframe

Assessment with 28-day cycle until response, then every 3 cycles as needed, for up to 24 months

Results posted on

2018-08-23

Participant Flow

Recruitment Period: August 05, 2009 to March 10, 2011. All recruitment done at The University of Texas (UT) MD Anderson Cancer Center.

Of the seventeen (17) participants enrolled, four were excluded prior to receiving treatment on the study.

Participant milestones

Participant milestones
Measure
LBH589
LBH589 20 mg capsules by mouth 3 times a week for 3 weeks in a 28-day cycle.
Overall Study
STARTED
13
Overall Study
COMPLETED
13
Overall Study
NOT COMPLETED
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Study of LBH589 for Patients With Low or Intermediate-1 Risk Myelodysplastic Syndrome (MDS)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
LBH589
n=13 Participants
LBH589 20 mg capsules by mouth 3 times a week for 3 weeks in a 28-day cycle.
Age, Continuous
70 years
n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
Sex: Female, Male
Male
8 Participants
n=5 Participants
Region of Enrollment
United States
13 participants
n=5 Participants

PRIMARY outcome

Timeframe: Assessment with 28-day cycle until response, then every 3 cycles as needed, for up to 24 months

Population: Of the seventeen participants registered, four were not treated making thirteen evaluable for response.

Overall response rate defined by International Working Group (IWG) response criteria in myelodysplasia. Hematologic Improvement (HI) responses, at least 9 weeks: Erythroid response (pretreatment, \<11 g/dL): Hgb increase by 1.5 g/dL; Relevant reduction units of Red blood cell (RBC) transfusions by absolute number at least 4 RBC transfusions/8 week compared with pretreatment transfusion number in previous 8 weeks; Only RBC transfusions for Hgb of 9.0 g/dL pretreatment count in RBC transfusion response evaluation; Platelet response (pretreatment,\<100x10\^9/L): If starting with \>20x10\^9/L platelets: absolute increase 30x10\^9/L, Increase from baseline \<20 x10\^9/L to \>20x10\^9/L and by =/\> 100%; Neutrophil response (pretreatment, \<1.0x10\^9/L): =/\> 100% increase \& absolute increase \>0.5x10\^9/L; Progression or relapse after HI: At least 1 of the following: =/\>50% decrement from max response levels in granulocytes or platelets; Reduction in Hgb by 1.5 g/dL; or Transfusion dependence .

Outcome measures

Outcome measures
Measure
LBH589
n=13 Participants
LBH589 20 mg capsules by mouth 3 times a week for 3 weeks in a 28-day cycle.
Overall Response Rate Based on the Hematologic Improvement
8 Percentage of Participants

Adverse Events

LBH589

Serious events: 4 serious events
Other events: 3 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
LBH589
n=13 participants at risk
LBH589 20 mg capsules by mouth 3 times a week for 3 weeks in a 28-day cycle.
Musculoskeletal and connective tissue disorders
Disc Protrusion
7.7%
1/13 • Number of events 1 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.
Cardiac disorders
QTc Prolongation
7.7%
1/13 • Number of events 1 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.
Infections and infestations
Cholecystitis
7.7%
1/13 • Number of events 1 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.
General disorders
Death/Disease Progression
7.7%
1/13 • Number of events 1 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.
Nervous system disorders
Confusion
7.7%
1/13 • Number of events 1 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.

Other adverse events

Other adverse events
Measure
LBH589
n=13 participants at risk
LBH589 20 mg capsules by mouth 3 times a week for 3 weeks in a 28-day cycle.
General disorders
Fatigue
15.4%
2/13 • Number of events 2 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.
Gastrointestinal disorders
Decreased appetite
7.7%
1/13 • Number of events 1 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.
Skin and subcutaneous tissue disorders
Rash
7.7%
1/13 • Number of events 1 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.
Nervous system disorders
Dizziness
7.7%
1/13 • Number of events 1 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.
Respiratory, thoracic and mediastinal disorders
Dyspnea
7.7%
1/13 • Number of events 1 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.
Gastrointestinal disorders
Diarrhea
7.7%
1/13 • Number of events 1 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.
Gastrointestinal disorders
Nausea
15.4%
2/13 • Number of events 2 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.
Metabolism and nutrition disorders
Hyperbilirubinemia
15.4%
2/13 • Adverse event collected for eligible participants each three week treatment cycle. Overall study period: August 06, 2009 to March 17, 2011.

Additional Information

Guillermo Garcia-Manero, MD / Associate Professor

UT MD Anderson Cancer Center

Phone: 713-792-7305

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place