A Study of Darbepoetin Alfa in Patients With Myelodysplastic Syndrome (MDS)
Overview
- Phase
- Phase 1
- Intervention
- Darbepoetin alfa
- Conditions
- Blood Cancer
- Sponsor
- Peter L Greenberg
- Enrollment
- 21
- Locations
- 1
- Primary Endpoint
- hemoglobin and/or red blood cell (RBC) transfusion-dependence.
- Status
- Completed
- Last Updated
- 13 years ago
Overview
Brief Summary
The primary objectives of the trial are to assess erythroid response to darbepoetin alfa, as determined by changes in hemoglobin and/or red blood cell (RBC) transfusion-dependence and to describe the safety profile of darbepoetin alfa in patients with MDS. The secondary objective is to assess bone marrow progenitor BFU-E growth before and after treatment with darbepoetin alfa.
Investigators
Peter L Greenberg
Professor Emeritus
Stanford University
Eligibility Criteria
Inclusion Criteria
- •Diagnosis:
- •Bone marrow aspirate/biopsy-proven MDS for \> 2 months prior to enrollment.
- •MDS French-American-British (FAB) subtypes refractory anemia (RA), RA with ringed sideroblasts (RARS), RA with excess blasts (RAEB), and non-proliferative chronic myelomonocytic leukemia (CMML) \[WBC \< 12,000/ml\].
- •Patients must have an untransfused hemoglobin \< 10.0 g/dL and/or patients must be red cell transfusion-dependent for a period of at least 2 months prior to study entry.
- •Laboratory:
- •Bilirubin \< or = to 2 mg/dL
- •ALT/SGPT \< or = to 2.5 x the upper limit of normal (ULN)
- •Normal renal function (Stanford: serum creatinine \< 1.2 mg/dL \[male\], \< 1.0 mg/dL \[female\]; Vanderbilt: \< 1.5 mg/dL).
- •Age: \> or = to 18
- •ECOG performance status 0-
Exclusion Criteria
- •Patients with secondary MDS or prior allogeneic bone marrow transplant.
Arms & Interventions
Darbepoetin alfa
During the induction phase, the investigational agent DARBEPOETIN ALFA will be initiated at a dose of 4.5 ug/kg/week subcutaneously for 6 weeks. The dosage for the remaining treatment is dependent of patients response during the induction phase.
Intervention: Darbepoetin alfa
Outcomes
Primary Outcomes
hemoglobin and/or red blood cell (RBC) transfusion-dependence.
To assess erythroid responses to DARBEPOETIN ALFA, as determined by changes in
Secondary Outcomes
- To assess bone marrow progenitor BFU-E growth before and after treatment
- DARBEPOETIN ALFA