Chronic Myelogenous Leukemia in Blast Crisis, Lymphocytic Leukemia, B Cell, Acute, Myelodysplastic Syndromes, Myelogenous Leukemia, Chronic
Conditions
Keywords
Myelodysplastic Syndrome[Refractory Anemia with, Excess Blasts-1 or 2 (WHO Classification)], Chronic Myelogenous Leukemia in blast crisis
Brief summary
In this study participants with relapsed/refractory leukemia will be given MK-0457 in sequential cohorts and with varying treatment duration to determine the maximum tolerated dose (MTD) for MK-0457.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Part 1: * Patients with relapsed/refractory acute myelogenous leukemia (AML), poor risk myelodysplastic syndrome (MDS), B-cell acute lymphocytic leukemia (ALL), myeloproliferative diseases, or chronic myelogenous leukemia (CML) in blast crisis Part 2: * Acute myelogenous leukemia (with FLT-3 mutation ), and myeloproliferative diseases only * At least 2 weeks since the last cytotoxic therapy * Acceptable renal and hepatic function * Ambulatory, capable of all self-care, and out of bed for more than 50% of waking hours * More than 2 months since autologous bone marrow or peripheral blood stem cell transplantation
Exclusion criteria
* Not fully recovered from previous anti-leukemia therapy * Previous allogeneic bone marrow transplant * Uncontrolled congestive heart failure * Myocardial infarction within the last 3 months * Active or uncontrolled infection * Pregnancy or lactation * Currently active second malignancy, other than non-melanoma skin cancer * History of hepatitis B or C, known HIV positivity, or AIDS related illness
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of Participants Experiencing Dose-Limiting Toxicities (DLTs) | Part 1: up to 5 days, Part 2: up to 24 hours |
Secondary
| Measure | Time frame |
|---|---|
| Hematological response rate to MK-0457 as a 5-day CIV infusion | At the end of each cycle (up to 18 months) |