Myelodysplastic Syndrome (MDS)
Conditions
Brief summary
The purpose of this study is to determine the safety and efficacy of TLK199 Tablets in patients with Myelodysplastic Syndrome (MDS)
Detailed description
This Phase 1-2a study is an open label, dose-ranging study of TLK199 Tablets in patients with all World Health Organization or French-American-British classification types of myelodysplastic syndrome (MDS). In Phase 1, the safety, pharmacokinetics, and hematologic response rate with TLK199 Tablets will be evaluated. The Phase 1 dose-ranging stage is designed to determine the maximum tolerated dose or optimal biologic dose of TLK199 Tablets. Evaluation of the pharmacokinetics of TLK199 Tablets will be conducted. In Phase 1, an additional 12 patients will undergo pharmacokinetic evaluation under fed conditions at the selected Phase 2a dose. In Phase 2a, further safety and hematologic responses by the modified International Working Group MDS response criteria will be studied.
Interventions
Oral Tablets in 2 Divided Doses, Dose Escalation From 200 mg Per Day to 6000 mg Per Day on Days 1-7 of each 21 Day Cycle.
Sponsors
Study design
Eligibility
Inclusion criteria
* Histologically confirmed diagnosis of MDS * Documented significant cytopenia for at least 2 months * Adequate liver and kidney function * Ineligible for stem cell bone marrow transplantation * At least 18 years of age * Discontinuation of growth factors (e.g., G-CSF) within 3 weeks of study entry
Exclusion criteria
* Prior bone marrow transplant * Failure to recover from any prior surgery or any major surgery within 4 weeks of study entry * Pregnant or lactating women * Other investigational drugs within 14 days of study entry * Chemotherapy, radiotherapy or immunotherapy within 14 days of study entry
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Maximum Tolerated Dose or Optimal Biologic Dose | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| Safety Pharmacokinetic Parameters, Hematologic Response Parameters | 6 months |
Countries
United States