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Clinical Trials (PDQ®)

  • First Published: 12/1/1997
  • Last Modified: 1/20/2004

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Phase II Study of Amifostine (Ethyol) in Patients with Advanced Myelodysplastic Syndrome (Summary Last Modified 06/2000)

Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outline
Published Results
Trial Contact Information
Registry Information

Alternate Title

Amifostine in Treating Patients With Advanced Myelodysplastic Syndrome

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
Phase IITreatmentClosed17 and overPharmaceutical / IndustryPH-890
ALZA-97-018-ii, NCI-V97-1350, NCT00003123

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.

Entry 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


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
 

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

Expected Enrollment

36

A maximum of 36 patients will be accrued.

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.

Published Results

Terebelo H, Marsico D, Shurafa M, et al.: A phase II trial of amifostine in patients with advanced myelodysplastic syndromes. [Abstract] Proceedings of the American Society of Clinical Oncology 18: A82, 23a, 1999.

Trial Contact Information

Trial Lead Organizations

Providence Cancer Institute at Providence Hospital - Southfield Campus

Howard Terebelo, DO, Protocol chair
Ph: 248-552-0620; 800-341-0801
Email: hiccup@comcast.net

Registry Information
Official Title A Phase II Trial of Ethyol (Amifostine) in Adult Patients with Advanced Myelodysplastic Syndromes
Trial Start Date 1997-08-01
Registered in ClinicalTrials.gov NCT00003123
Date Submitted to PDQ 1997-10-27
Information Last Verified 2004-01-20

Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.

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