The study's primary objective is to determine the maximum tolerated dose (MTD) and dose-limiting toxicity (DLT) of Panobinostat when administered within 150 days after hematopoietic stem cell transplantation (HSCT) and given in conjunction with standard immunosuppressive therapy after HSCT for patients with high-risk Myelodysplastic Syndrome (MDS) or Acute Myeloid Leukemia (AML). Secondary objectives are * To determine safety and tolerability of panobinostat * To determine overall and disease-free survival at 12 months after HSCT * To evaluate immunoregulatory properties of panobinostat * To evaluate patient-reported health-related quality of life (HRQL) The hypothesis of this study is that panobinostat can be an effective drug in preventing relapse of MDS and AML patients with high-risk features after hematopoietic stem cell transplantation with reduced-intensity conditioning (RIC-HSCT) while at the same time reducing graft-versus-host disease (GvHD) with preservation of graft-versus-leukemia (GvL) effect.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
62
10mg upto 40mg Panobinostat dose escalation in consequent cohorts; frequency: three times a week, every week; duration: one year
Start of Arm B after completion of Arm A; initial dose-level: one level below MTD of Arm A; 10mg upto 60mg Panobinostat dose escalation in consequent cohorts; frequency: three times a week, every other week; duration: one year
University Hospital Düsseldorf
Düsseldorf, Germany
University Hospital Essen
Essen, Germany
University Hospital Frankfurt
Frankfurt am Main, Germany
University Hospital Hamburg-Eppendorf
Hamburg, Germany
University Hospital Mainz
Mainz, Germany
University Hospital Marburg
Marburg, Germany
Maximum tolerated dose (MTD) of panobinostat
Time frame: after 28 days of administration
Dose-limiting toxicity (MTD) of Panobinostat
Time frame: after 28 days of administration
Cumulative incidence of hematologic relapse and death
Time frame: one year after HSCT
Reconstitution of the immune system as measured by changes in numbers, ratio, phenotype and activation state of peripheral blood cell populations during panobinostat therapy
Time frame: patients will be followed for up to 2 years depending on the duration of study participation
Time to complete donor chimerism
Time frame: patients will be followed for up to 2 years depending on the duration of study participation
Cumulative incidence of extensive chronic GvHD
Time frame: one year after HSCT
Duration of complete donor chimerism
Time frame: patients will be followed for up to 2 years depending on the duration of study participation
Cumulative incidence of severe acute GvHD
Time frame: one year after HSCT
patient-reported health-related quality of life
Time frame: after 3 months of administration and one month after last intake of study drug
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