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Hematologic MalignanciesPhase 2NCT00086125

Study of AP23573 in Patients With Relapsed or Refractory Hematologic Malignancies (8669-024)(COMPLETED)

A Phase 2 study testing ridaforolimus in people with Hematologic Malignancies and Leukemia, run by Merck Sharp & Dohme LLC at 8 sites in United States.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this phase II study is to assess the efficacy of AP23573 in patients with specified relapsed or refractory hematological malignancies. Read more about this study

Who is it for?
Ages 18 years and older
What is being tested?
ridaforolimus
Type of treatment
Injection or infusion
Could I receive a placebo?
No, everyone receives an active treatment
How many people
57 participants
Where
8 sitesUnited States
Study dates
Jun 2004to Jun 2006
Phase
Phase 2
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Inclusion Criteria (Patients must meet each of the following criteria to be eligible for participation in the trial):

  • Male or female patients ≥ 18 years of age
  • Patients must have histologically-confirmed diagnoses of relapsed or refractory hematologic malignancy as specified in the protocol
  • Patients must have an ECOG performance status of 0 to 2
  • Patients must have adequate renal and liver function as demonstrated by laboratory values performed within 5 days, inclusive, prior to administration of the first dose of AP23573
  • Patients must be able to understand and give written informed consent

Exclusion Criteria (Patients meeting any of the following criteria are ineligible for participation in the study):

  • Women who are pregnant or lactating
  • Patients may not have had cytotoxic chemotherapy or radiotherapy within 14 days prior to study entry
  • Patients may not receive any investigational anti-cancer agent while on this study or within 14 days prior to the first dose of AP23573
  • Patients with known or suspected hypersensitivity to drugs formulated with polysorbate 80 (Tween) or any other excipient contained in the study drug formulation
  • Patients with known Grade 3 or 4 hypersensitivity to macrolide antibiotics (e.g., clarithromycin, erythromycin, azithromycin)
  • Patients with significant uncontrolled cardiovascular disease
  • Patients with known HIV infection
  • Patients with any uncontrolled infection
  • Patients receiving immunosuppressive agents other than prescribed corticosteroids
  • Patients who have had prior therapy with rapamycin, any rapamycin analog or tacrolimus
  • Patients with inadequate recovery from any prior surgical procedure or patients having undergone any major surgical procedure within 14 days prior to the first dose of AP23573
  • Patients with any other life-threatening illness or organ system dysfunction which, in the opinion of the Investigator, would either compromise the patient's safety or interfere with evaluation of the safety of the study drug
  • Patients with a psychiatric disorder or altered mental status that would preclude understanding of the informed consent process and/or completion of the necessary studies
  • Patients with another primary malignancy within the past three years (except for non-melanoma skin cancer and cervical carcinomas in situ)
  • Patients with the inability, in the opinion of the Investigator, to comply with the protocol requirements

Drugs and Other Treatments to be Excluded (The following drugs and other treatments are not permitted for patients enrolling in the study, either during or within two weeks prior to the first dose of AP23573, unless otherwise specified):

  • Chemotherapeutic agents with the following exception that therapy with nitrosoureas (including generics) cannot be given within six weeks prior to the first dose of AP23573
  • Other antineoplastic agents
  • Immunotherapy (including vaccines) or biological response modifier therapy
  • Systemic hormonal therapy with exceptions as specified in the protocol
  • Herbal preparations or related OTC preparations containing herbal ingredients (e.g., St John's Wort)
  • Radiotherapy for the primary malignancy
  • Any other investigational agent during the course of the trial should be discussed with the Sponsor prior to use

Trial locations and contacts

8 sites in 1 country.

8 sites in 1 country

United States8 sites
  • Gabrail Cancer Center

    Canton, Ohio, 44718

  • University of Chicago Hospitals, Section of Hematology/Oncology

    Chicago, Illinois, 60637

  • Morris Cancer Center - Duke University Medical Center, Adult Bone Marrow Transplant Clinic

    Durham, North Carolina, 27705

  • MD Anderson Cancer Center

    Houston, Texas, 77030

  • The Cancer Institute of New Jersey

    New Brunswick, New Jersey, 08903

  • New York Presbyterian Hospital, Weill College of Cornell University

    New York, New York, 10021

  • Jeane's Hospital of TUHS

    Philadelphia, Pennsylvania, 19111

  • Washington University School of Medicine, Siteman Cancer Center, 4921 Parkview Place

    St Louis, Missouri, 63110

Other trials in United States

About this study

Official title: A Phase II Study of AP23573, an mTOR Inhibitor, in Patients With Relapsed or Refractory Hematologic Malignancies

The purpose of this phase II study is to assess the efficacy of AP23573 in patients with specified relapsed or refractory hematological malignancies.

Read the detailed description

The primary objective of the trial is to assess the efficacy of AP23573 in patients with specified relapsed or refractory hematological malignancies by evaluating the response rates as defined for the individual malignancy categories. Secondary objectives include evaluating time to disease progression, progression-free survival and duration of response; evaluating the pharmacokinetic and pharmacodynamic characteristics of AP23573; describing health-related quality of life measurements; and exploring the safety and tolerability of AP23573 at the specified dose level.

Protocol Outline: Open label, non-randomized parallel cohorts of five disease-specific cohorts with a minimum of 21 patients per cohort. Each patient receives a fixed dose of AP23573 administered intravenously (IV) over 30 minutes daily for five days (QDx5) to be repeated every 2 weeks.

Being tested
ridaforolimus
Keywords
Relapsed or refractory hematologic malignancies
Medical subject headings
Hematologic Neoplasms, Leukemia, Myelodysplastic Syndromes, Primary Myelofibrosis, Lymphoma, Recurrence

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • ridaforolimusDrug

    Also called deforolimus, AP23573, MK-8669, ridaforolimus was also known as deforolimus until May 2009

    AP23573 12.5 mg IV as monotherapy once daily for 5 days, every 2 weeks

Study groups in NCT00086125
Study groupRoleWhat they receive
1ExperimentalAP23573 12.5 mg IV as monotherapy once daily for 5 days, every 2 weeks
Receives: Drug: ridaforolimus

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. To assess efficacy of AP23573 in patients with relapsed or refractory hematologic malignancies.

    Measured: Duration of study

Secondary outcomes (1)
  1. Evaluating time to progression, progression-free survival, duration of response and safety

    Measured: Duration of study

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted28 Jun 2004 (estimated)
  2. Study startJun 2004
  3. Primary completionJun 2006
  4. Study completionJun 2006

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
57 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00086125
Sponsor's protocol ID
8669-024
Other IDs
AP23573-04-201
Status last verified
Aug 2015
First submitted
24 Jun 2004
Last updated
19 Aug 2015
Results posted
No

Publications

  • Rizzieri DA, Feldman E, Dipersio JF, Gabrail N, Stock W, Strair R, Rivera VM, Albitar M, Bedrosian CL, Giles FJ. A phase 2 clinical trial of deforolimus (AP23573, MK-8669), a novel mammalian target of rapamycin inhibitor, in patients with relapsed or refractory hematologic malignancies. Clin Cancer Res. 2008 May 1;14(9):2756-62. doi: 10.1158/1078-0432.CCR-07-1372.

    PubMed 18451242

Questions about this trial

What is this clinical trial studying?

A Phase 2 study testing ridaforolimus in people with Hematologic Malignancies and Leukemia, run by Merck Sharp & Dohme LLC at 8 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 19 Aug 2015. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 8 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

To assess efficacy of AP23573 in patients with relapsed or refractory hematologic malignancies. (time frame: Duration of study). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00086125, which also lists 1 linked publication.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 19 Aug 2015.

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