This phase I trial is studying the side effects and best dose of GTI-2040 in treating patients with relapsed, refractory, or high-risk acute leukemia, high-grade myelodysplastic syndromes, or refractory or blastic phase chronic myelogenous leukemia. Drugs used in chemotherapy, such as GTI-2040, work in different ways to stop the growth of cancer or abnormal cells, either by killing the cells or by stopping them from dividing.
OBJECTIVES: I. Determine the maximum tolerated dose of GTI-2040 in patients with relapsed, refractory, or high-risk acute leukemia, high-grade myelodysplastic syndromes, or refractory or blastic phase chronic myelogenous leukemia. II. Assess the toxicity and efficacy of this drug in these patients. III. Assess plasma and intracellular pharmacokinetics of this drug in these patients. OUTLINE: This is a multicenter, dose-escalation study. Patients receive GTI-2040 IV continuously on days 1-4 and 15-18. Treatment repeats every 28 days in the absence of disease progression or unacceptable toxicity. Cohorts of 3-6 patients receive escalating doses of GTI-2040 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. Blood samples are collected on days 1, 4, 15, and 19 of course 1 for pharmacokinetic studies. Samples are analyzed by proteomic assay, dCTP pool measurement, and real-time polymerase chain reaction for mRNA of RRM2, RRM1, and p53R2.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
24
Given IV
Correlative study
Correlative study
City of Hope Medical Center
Duarte, California, United States
Maximum tolerated dose (MTD) determined according to dose-limiting toxicities (DLTs) graded using Common Terminology Criteria for Adverse Events version 3.0 (CTCAE v3.0)
Time frame: 28 days
Change in dCTP levels in PBMC and bone marrow by Real-Time PCR
Time frame: Days 1, 4, 15, and 19 of course 1
Objective tumor response
Time frame: Up to 3 years
Overall survival
Time frame: Up to 3 years
Time to failure
Time frame: Up to 3 years
Duration of response
Time frame: Up to 3 years
Change in expression levels of R1, R2, and p53R2 mRNA in PBMC by Real-Time PCR
Time frame: Day 1, 4, 15, and 19 of course 1
Change in intracellular levels of GTI-2040 by ELISA
Time frame: Day 1, 4, 15, and 19 of course 1
Incidence of grade 3 or higher toxicity assessed by CTCAE v3.0
Time frame: Up to 3 years
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