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Leukemia and Myeloproliferative Disorders

Myelodysplastic Syndrome (MDS)

1

Disease Status and/or Stage CD33 positive AML, MDS, CMMoL or other myeloproliferative syndrome
Protocol Title A Phase I, Multi-Dose Study of SGN-33 (anti-huCD33 mAb; HuM195; lintuzumab) in Patients with Acute Myeloid Leukemia and Myelodysplastic Syndrome
PI Gail Roboz, MD
Contact Mary Crann, RN
212-746-1480
Key Eligibility Patients must have a diagnosis of MDS, AML, CMMoL, or other myeloproliferative syndrome with confirmation by flow cytometry of CD33 expression on the malignant cells.
Treatment Overview This is a multi-dose study so patients will receive different doses of the study drug depending upon when they join the study.

SGN-33 will be administered by IV infusion on Days 1, 2, 8, 15, 22, and 29.

Treatment will last approximately 5 weeks.

Patients who respond to the study drug may receive 4 additional infusions every other week.

2

Disease Status and/or Stage Refractory or Relapsed AML, ALL, or MDS
Protocol Title Phase I Study of CPX-351 (Cytarabine:Daunorubicin) Liposome Injection in Patients with Advanced Hematologic Malignancies
PI Eric Feldman, MD
Contact Tania Curcio, RN
212-746-2571
Key Eligibility AML patients in 2nd or greater relapse OR in 1st relapse with initial CR lasting less than 6 months OR primiry refractory following 2 cycles of induction.

ALL (relapsed/refractory) patients or refractory T-ALL following nelarabine.

MDS with >10% blasts with at least 1 prior therapy that includes a hypomethylating agent
Treatment Overview The study drug, CPX-351 is administered intravenously over 90 minutes on days 1, 3, and 5 of the study. If no adverse events occur, dosing will repeat after day 14.

Patients can continue on study for up to 100 days as long as they are benefiting from the study drug and there are no intolerable side effects

3

Disease Status and/or Stage Untreated AML or Advanced MDS
Protocol Title A Phase I/II Evaluation of VNP4010M (Laromustine), a Sulfonylhydrazine Alkylating Agent, combined with infusional Cytarabine in Elderly Patients with Acute Myeloid Leukemia and High Risk Myelodysplastic Syndrome.
PI Ellen K. Ritchie, MD
Contact Tania Curcio, RN
212-746-2571
Key Eligibility Adults at least 60 years of age are eligible. No prior treatment for AML with myeloblative treatment. Patients may have prior treatment with a biologic therapy. Patient with MDS or AML that have evolved from MDS could have received prior low-dose cytotoxic therapy with agents such as azacytidine or low-dose Ara C.
Treatment Overview Subjects will enter into one of 5 cohorts for treatment with VNP40101M (Laromustine) 200 mg/m2 (cohort -1), 300 mg/m2 (cohort 1), 400 mg/m2 (cohort 2), 500 mg/m2 (cohort 3), or 600 mg/m2 IV on day 1 over 30-60 minutes. Laromustine will be administered in combination with Ara C at 100 mg/m2/day as a continuous infusion daily for 7 days.

If response to study drug occurs, the subject may be followed for 5 years past treatment.

4

Disease Status and/or Stage Relapsed/Refractory MDS at Intermediate 2 or High Risk Score
Protocol Title A Phase IIa, Open-label, Randomized Dose Confirmation Study of Oral Clofarabine in Previously Treated Adult Patients with Myelodysplastic Syndromes (MDS)
PI Gail J. Roboz, MD
Contact Tania Curcio, RN
212-746-2571
Key Eligibility Adults 18 years or greater who have received at least one but no more than two prior treatment regimens for MDS. Must have received either 5-azacytidine or decitabine. Patients must not have been refractory to more than one prior treatment regimen.
Treatment Overview

Patients will be randomly assigned to one of two clofarabine doses: 35 mg or 55 mg administered orally for 5 days -- may be repeated every 4-8 weeks

Frequent clinic visits will be required for monitoring.

Treatment may be continued as long as the patient continues to benefit but may not exceed 8 cycles.

5

Disease Status and/or Stage Low or Intermediate 1- Risk Myelodysplastic Syndromes (MDS)
Protocol Title A Phase I, Open-Label, Dose-Escalation Study of CC-11006 in Subjects with Low- or Intermediate-1 Risk Myelodysplastic Syndromes (MDS)
PI Gail J. Roboz, MD
Contact Mary Crann, RN
212-746-1480
Key Eligibility Patients must have tried and failed one or more conventional first-time treatments for MDS with anemia including Revlimid, recombinant erythropoietins, 5-azacitidine, decitibine or other associated therapies.
Treatment Overview

Cohorts of 3 subjects will receive escalating doses of CC-11006 until the Maximum Tolerated Dose is determined. Dosing will begin at the 10 mg/day dose-level. Subjects may participate in this study for up to 24 months depending on response to the study drug.

6

Disease Status and/or Stage Low or Intermediate Risk Myelodysplastic Syndromes (MDS)
Protocol Title A Randomized, Double Blind, Placebo Contolled Study Evaluating the Efficacy and Safety of AMG 531 Treatment of Subjects with Low or Intermediate Risk Myelodysplastic Syndrome (MDS) Receiving Hypomethylating Agents
PI Gail J. Roboz, MD
Contact Mary Crann, RN
212-746-1480
Key Eligibility Subjects must have a diagnosis of low, intermediate 1- or intermediate 2-risk MDS and plan to receive decitabine according to the approved label for at least 4 cycles.
Treatment Overview

Subjects will be randomized to receive either the study drug, AMG531 or placebo. After 4 cycles of treatment, subjects may be unblinded and if appropriate, those subjects receiving placebo may begin treatment with AMG531.

7

Disease Status and/or Stage Any Stage of Cancer
Protocol Title Tinzaparin for Primary Treatment and Extended Secondary Prophylaxis of Venous Thromboembolism (VTE) in Patients with Cancer
PI Scott Tagawa, MD
Contact Kristen Petrillo, RN
212-746-5430
Key Eligibility

VTE Treatment Group: Eligible subjects must be age 18 years or older, diagnosed with active cancer and have a documented first venous thromboembolic event. Subjects must be currently receiving any treatment for cancer. In addition, subjects must have a documented first venous thromboembolic event (VTE). Subjects must not be in need of long-term anticoagulant therapy or be undergoing high dose chemotherapy for peripheral blood stem cell or bone marrow transplantation, induction chemotherapy for acute leukemia or has other conditions associated with persistent thrombocytopenia of less than 100x109/L for a duration of at least four consecutive weeks.

Control Group Patients: Eligible control patients will be matched patients aged 18 years or older and diagnosed with active cancer meeting the same criteria as above but without thrombosis

Treatment Overview

All eligible subjects with VTE will receive tinzaparin 175 U/kg/day for at least 6 months with another 6 months at the investigator's discretion (up to one year study treatment). Plasma markers of hemostasis, fibrolysis, and angiogenesis will be measured at baseline and at 7 days, 1 month, and 6 months after start of tinzaparin treatment (if subject agrees).

Patients with cancer but without blood clots (control group) will also be enrolled in this study but will not receive study drug. For these patients, information regarding overall heath and response to their cancer treatment will be monitored. Plasma markers of hemostasis, fibrinolysis, and angiogenesis will be measured at baseline and at 7 days, 1 month, and 6 months (if subject agrees)

 
Last updated: May 27, 2008
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