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PS-341 in Treating Patients With Hematologic Cancer



PS-341 in Treating Patients With Hematologic Cancer

For Condition: Leukemia,Lymphoma
Status: Completed
Sponsor(s): National Cancer Institute (NCI) , Memorial Sloan-Kettering Cancer Center
Synopsis: 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 PS-341 in treating patients who have hematologic cancer.
Details: OBJECTIVES: I. Determine the maximum tolerated dose and dose-limiting toxicity of PS-341 in patients with hematologic malignancies. II. Determine the pharmacodynamics of this drug in these patients. III. Determine response to this drug in these patients. IV. Determine the correlation between response of malignancies and proteasome inhibition and apoptosis in peripheral blood mononuclear cells (PBMC) of these patients. V. Determine the correlation between therapy toxicity and proteasome inhibition and apoptosis in PBMC of these patients. VI. Determine the effect of this drug on other molecular markers (i.e., BCL-2 in follicular lymphoma patients and t9;22/BCR/ABL in chronic lymphocytic leukemia patients). VII. Determine the correlation between interleukin 6 serum levels in multiple myeloma patients and drug dosing, toxicity of therapy, extent of protease inhibition, response to therapy, and apoptosis in PBMC of these patients. PROTOCOL OUTLINE: This is a multicenter, dose-escalation study. Patients receive PS-341 IV over 30 minutes on days 1, 4, 8, 11, 15, 18, 22, and 25 followed by a 2 week rest. Treatment repeats every 6 weeks in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of PS-341 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose at which 2 of 6 patients experience dose-limiting toxicity. PROJECTED ACCRUAL: A total of 3-30 patients will be accrued for this study.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically confirmed hematologic malignancy including: Acute myeloid leukemia; Chronic myelogenous leukemia; Acute lymphoblastic leukemia; Chronic lymphocytic leukemia; Hodgkin's disease; Non-Hodgkin's lymphoma; Multiple myeloma; Myelodysplastic syndrome subtypes: Refractory anemia with excess blasts (RAEB) RAEB in transformation - Refractory to standard treatment or no curative therapy available - Measurable disease - Not eligible for higher priority study --Prior/Concurrent Therapy-- - Biologic therapy: At least 4 weeks since prior immunotherapy; No concurrent immunotherapy - Chemotherapy: At least 4 weeks since prior chemotherapy; No other concurrent chemotherapy - Endocrine therapy: Not specified - Radiotherapy: At least 4 weeks since prior radiotherapy; No concurrent radiotherapy - Surgery: At least 2 weeks since prior major surgery --Patient Characteristics-- - Age: 18 and over - Performance status: ECOG 0-2 - Life expectancy: At least 6 weeks - Hematopoietic: WBC at least 3,000/mm3; Absolute neutrophil count at least 1,000/mm3; Platelet count at least 50,000/mm3; Hematocrit at least 25% - Hepatic: SGOT and SGPT less than 2.5 times upper limit of normal (ULN); Bilirubin less than 1.5 times ULN - Renal: Creatinine clearance greater than 50 mL/min - Cardiovascular: No acute ischemia or new conduction system abnormalities by EKG; No prior myocardial infarction within past 6 months; No New York Heart Association class III or IV congestive heart failure - Other: Febrile episodes up to 38.5 degrees C due to tumor fever allowed; No concurrent active infection; No grade 1 or greater National Cancer Institute common toxicity criteria; No serious medical or psychiatric condition that would preclude study; Not pregnant or nursing; Negative pregnancy test; Fertile patients must use effective contraception
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
StevenSoignet,  Study Chair,  Memorial Sloan-Kettering Cancer Center

Memorial Sloan-Kettering Cancer Center
New York City,  New York,  10021
United States
 


Additional Information:
Study ID Numbers:
  CDR0000068105;  NCI-G00-1827,MSKCC-00031
Study Start Date: April 2000
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00006098

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