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Home > "5" Clinical Trials Conditions > 506U78 in Treating Patients With Hematologic Cancer and Kidney or Liver Impairment

506U78 in Treating Patients With Hematologic Cancer and Kidney or Liver Impairment



506U78 in Treating Patients With Hematologic Cancer and Kidney or Liver Impairment

For Condition: Multiple Myeloma,Leukemia,Lymphoma
Status: No longer recruiting
Sponsor(s): National Cancer Institute (NCI) , Cancer and Leukemia Group B
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 506U78 in treating patients who have hematologic cancer and kidney or liver impairment.
Details: OBJECTIVES: I. Determine the maximum tolerated dose of 506U78 in patients with hematologic malignancies and renal or hepatic impairment. II. Establish dosing guidelines for this drug in this patient population. III. Determine the toxicities and pharmacokinetics of this drug in these patients. PROTOCOL OUTLINE: Patients are stratified into 5 groups according to renal and hepatic function: Group 1: Normal renal function and normal hepatic function Group 2: Moderate renal impairment and normal hepatic function Group 3: Severe renal impairment and normal hepatic function Group 4: End stage renal impairment and normal hepatic function Group 5: Normal renal function and moderate hepatic impairment Group 1: Patients receive 506U78 IV over 2 hours on days 1, 3, and 5. Groups 2-5: Patients receive 506U78 IV over 2 hours on days 1, 3, and 5. Dose escalation occurs independently in each of the treatment groups. Cohorts of 3-6 patients receive escalating doses of 506U78 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose limiting toxicities. Treatment repeats every 4 weeks for a maximum of 6 courses in the absence of unacceptable toxicity or disease progression. PROJECTED ACCRUAL: Approximately 60 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 that has failed standard therapy or for which no standard therapy exists, including, but not limited to, the following: Acute lymphocytic leukemia; Acute myelogenous leukemia Chronic lymphocytic leukemia; Chronic myelogenous leukemia; Multiple myeloma; Non-Hodgkin's lymphoma; Hodgkin's disease - No history of CNS disease, including carcinomatous meningitis --Prior/Concurrent Therapy-- - Biologic therapy: At least 4 weeks since prior immunotherapy (e.g., interferon, monoclonal antibodies); No concurrent interleukin-11 for treatment or prevention of thrombocytopenia; No concurrent prophylactic colony stimulating factors - Chemotherapy: At least 4 weeks since prior chemotherapy (6 weeks for melphalan, carmustine, or mitomycin); At least 72 hours since prior hydroxyurea; No prior 506U78; No other concurrent chemotherapy - Endocrine therapy: At least 72 hours since prior glucocorticoids; Concurrent continuation of steroids for adrenal failure allowed; No concurrent hormones except for nondisease related conditions (e.g., insulin for diabetes); No concurrent dexamethasone or other steroidal antiemetics - Radiotherapy: At least 4 weeks since prior radiotherapy; No concurrent palliative radiotherapy; No concurrent whole brain irradiation for documented CNS disease - Surgery: Not specified - Other: At least 72 hours since prior aspirin --Patient Characteristics-- - Age: 18 and over - Performance status: CTC 0-2 - Life expectancy: Not specified - Hematopoietic: Not specified - Hepatic: Bilirubin: Groups 1-4: Less than 1.5 times upper limit of normal (ULN); Group 5: 1.5-4 times ULN - Renal: Creatinine clearance: Groups 1 and 5: Greater than 50 mL/min; Group 2: 30-50 mL/min Group 3: Less than 30 mL/min; Group 4: Less than 30 mL/min, requiring dialysis - Neurologic: No history of grade 2 peripheral neuropathy; No history of seizure disorder; No history of neurologic dysfunction - Other: Not pregnant or nursing; Fertile patients must use effective contraception; HIV negative
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
ToddZimmerman,  Study Chair,  Cancer and Leukemia Group B

Comprehensive Cancer Center at Wake Forest University
Winston Salem,  North Carolina,  27157-1082
United States
 

Holden Comprehensive Cancer Center at The University of Iowa
Iowa City,  Iowa,  52242-1009
United States
 

University of Chicago Cancer Research Center
Chicago,  Illinois,  60637-1470
United States
 


Additional Information:
Study ID Numbers:
  CDR0000067483;  CLB-69803
Study Start Date: December 1999
Record last reviewed: January 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00004239

Other Multiple Myeloma Studies:
1. Phase I Study of Intrathecal Topotecan

2. Darbepoetin alfa Compared With Epoetin alfa in Treating Anemia in Patients Receiving Chemotherapy for Cancer

3. Bryostatin 1 Plus Fludarabine in Treating Patients With Chronic Lymphocytic Leukemia or Relapsed Indolent Non-Hodgkin's Lymphoma

4. A Pharmacokinetic and Pharmacodynamic Study of Vincristine in Children with Leukemia

5. Phase I/II Study of Decitabine and Valproic Acid in Relapsed/Refractory Leukemia or Myelodysplastic Syndromes

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