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Amifostine in Treating Patients With Advanced Myelodysplastic Syndrome

Information source: National Cancer Institute (NCI)
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Myelodysplastic Syndromes

Intervention: amifostine trihydrate (Drug)

Phase: Phase 2

Status: Active, not recruiting

Sponsored by: Providence Cancer Institute at Providence Hospital - Southfield Campus

Official(s) and/or principal investigator(s):
Howard R. Terebelo, DO, Study Chair, Affiliation: Providence Cancer Institute at Providence Hospital - Southfield Campus

Summary

RATIONALE: Amifostine may be effective in helping blood counts return to normal in treating patients with myelodysplastic syndrome.

PURPOSE: Phase II trial to study the effectiveness of amifostine in treating patients with advanced myelodysplastic syndrome.

Clinical Details

Official title: A Phase II Trial of Ethyol (Amifostine) in Adult Patients With Advanced Myelodysplastic Syndromes

Study design: Treatment

Detailed description: OBJECTIVES: I. Determine the overall hematologic response rate to amifostine in patients with advanced myelodysplastic syndrome. II. Determine the toxic effects of amifostine in these patients.

OUTLINE: This is an open label study. Patients receive intravenous amifostine over 15 minutes three times a week. Patients failing to respond by 8 weeks undergo dose escalation. Nonresponding patients are removed from the study by 12 weeks. Therapy is continued for up to six months in responding patients. Patients are observed for duration of response upon therapy discontinuation. Patients who relapse will have therapy resumed at the previous dose. Patients will be followed until death.

PROJECTED ACCRUAL: A maximum of 36 patients will be accrued.

Eligibility

Minimum age: 17 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

DISEASE CHARACTERISTICS: Histologically proven advanced myelodysplastic syndrome (MDS), including: Refractory anemia Refractory anemia with ringed sideroblasts Refractory anemia with excess blasts Refractory anemia with excess blasts in transformation MDS with at least bicytopenia No chronic myelomonocytic leukemia No acute leukemia

PATIENT CHARACTERISTICS: Age: 17 and over Performance Status: ECOG 0-2 Life Expectancy: Greater than 6 months Hematopoietic: Hemoglobin less than 8. 5 g/dL Absolute granulocyte count less than 1,000 g/dL Platelet count less than 70,000/mm3 Hepatic: No major hepatic problems Renal: No major renal problems Cardiovascular: No major cardiac disease Other: Prior transfusion of blood products is allowed Not pregnant Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY: Biologic therapy: Prior cytokine therapy is allowed Chemotherapy: No prior chemotherapy Endocrine therapy: Prior steroid therapy is allowed Radiotherapy: Not specified Surgery: Not specified Other: Prior leucovorin calcium and pyridoxine allowed

Locations and Contacts

Barbara Ann Karmanos Cancer Institute, Detroit, Michigan 48201, United States

Garden City Hospital, Garden City, Michigan 48135, United States

Henry Ford Hospital, Detroit, Michigan 48202, United States

Marquette General Hospital, Marquette, Michigan 49855, United States

Osteopathic Medical Oncology and Hematology, P.C., Clinton Township, Michigan 48038-1657, United States

Providence Hospital Cancer Center, Southfield, Michigan 48075, United States

Cleveland Clinic Cancer Center, Cleveland, Ohio 44195, United States

Additional Information

Clinical trial summary from the National Cancer Institute's PDQ® database

Starting date: August 1997
Last updated: May 23, 2008

Page last updated: June 20, 2008

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