Severe Chronic Neutropenia
Conditions
Keywords
Hematology, Neutropenia, SCN, Severe Chronic Neutropenia, Idiopathic, Telintra, ezatiostat hydrochloride, ezatiostat, TLK199, Glutathione, Glutathione analog, Glutathione Transferase, Glutathione Transferase inhibitor, Glutathione Transferase P1-1 inhibitor, GSTp1-1 inhibitor, Apoptosis, Differentiation, Enzyme inhibitor
Brief summary
This is a multicenter Phase 2 randomized parallel-group study to determine the effect of Telintra treatment on severe chronic neutropenia. Patients will be randomized to Telintra or enter an observation period with an option to crossover to Telintra treatment in a 1:1 allocation.
Interventions
Starting Dose 2000 mg orally per day in two divided doses with dose to increase or decrease to achieve target median ANC (Range 1,500-10,000 cells/uL)
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed Idiopathic Severe Chronic Neutropenia * ECOG performance status of 0-2 * Adequate liver and renal function * Adequate Red Blood Cell and Platelet counts
Exclusion criteria
* Prior treatment of SCN * Non-Idiopathic types of SCN, ie. cyclic, congenital * History of chromosomal abnormalities, myelodysplasia, hematologic malignancy, aplastic anemia, systemic lupus erythematosus, rheumatoid arthritis (Felty's syndrome), or other collagen diseases, and drug-induced neutropenia, autoimmune neutropenia * Use of granulocyte colony stimulating factors (G-CSF), glucocorticoids, gamma globulin, lithium or investigational drug(s) within one month of enrollment * History of bone marrow transplantation or stem cell support
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Objective absolute neutrophil count (ANC) response rate | 18 Months |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of infections, oropharyngeal ulcers and antibiotic use | 18 Months |
| Incidence and duration of hospitalizations | 18 Months |
| FACT-N quality of life assessment | 18 Months |
| Safety assessments | 18 Months |
Countries
United States