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A Phase I Dose Escalation Combination Study in Patients With Chronic Myelogenous Leukemia (CML) and Philadelphia Chromosome-Positive (Ph+) Acute Lymphoblastic Leukemia (ALL)(0457-009)(TERMINATED)

Phase 1
Terminated
Conditions
Chronic Myelogenous Leukemia
Leukemia, Lymphoblastic, Acute, Philadelphia-Positive
Interventions
Registration Number
NCT00500006
Lead Sponsor
Merck Sharp & Dohme LLC
Brief Summary

This study will evaluate MK0457 in combination with Dasatinib in patients with Chronic Myelogenous Leukemia and Philadelphia Chromosome-Positive Acute Lymphoblastic Leukemia. Efficacy and Safety will be evaluated.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
3
Inclusion Criteria
  • Patients must have chronic myelogenous leukemia (CML) or Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL)
  • Patients must be at least 3 months from the start of dasatinib therapy and are currently receiving dasatinib therapy for CML or Ph+ ALL and be evaluable for hematologic response prior to entering the study
  • Patient is able to be treated with a 70 mg bid dose of dasatinib without significant toxicity at the time of study entry
  • Patients with active CNS disease are included and may be treated concurrently with intrathecal therapy as per institutional standards
Exclusion Criteria
  • Patient has had treatment with any anti-leukemia therapy (investigational or approved) other than dasatinib during the preceding 3 months. Pheresis or hydroxyurea treatment in the preceding 3 months will not exclude patients from eligibility
  • Patient has unresolved more than or equal to grade 2 clinically significant toxicity attributed to dasatinib at the time of study entry
  • Patient has known hypersensitivity to the components of study drug or its analogs
  • Patient is pregnant or breastfeeding, or expecting to conceive within the projected duration of the study
  • Patient has symptomatic ascites, pericardial or pleural effusion. A patient who is clinically stable following treatment for these conditions is eligible
  • Patient has had prior radiation therapy to more than 10% of the bone marrow; patients must have recovered for at least 3 weeks from the hematologic toxicity of prior radiotherapy
  • Patient has a LVEF <40% by multigated radionucleotide angiography (MUGA) or echocardiography

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
AMK0457Arm A: Drug and comparator
BMK0457Arm B: Drug and comparator
AdasatinibArm A: Drug and comparator
BdasatinibArm B: Drug and comparator
Primary Outcome Measures
NameTimeMethod
Pharmacokinetics, Safety, Tolerability28 Days
Secondary Outcome Measures
NameTimeMethod
Pharmacodynamics, Hematologic Response, Cytogenetic Response, Molecular Response, Response Durability28 Days

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