AML, MDS
Conditions
Keywords
MDS, AML, 5 azacitidine, FLT PET
Brief summary
The main purpose of this study is to see if this tracer can be used to determine how well chemotherapy is working in patients with certain types of leukemia.
Detailed description
Primary objectives 1. To evaluate if FLT-PET uptake shows variation during the treatment course in subjects with MDS being treated with 5-azacitidine therapy Secondary objectives 2. To assess FLT-PET uptake heterogeneity within given subjects being treated with 5-azacitidine therapy 3. To generate preliminary data regarding correlation between FLT-PET imaging parameters and clinical responses based on bone marrow aspirate/biopsy
Interventions
PROCEDUREFLT-PET scans
FLT-PET scans prior to treatment, after Cycle 1, after Cycle 4
Sponsors
University of Wisconsin, Madison
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
DIAGNOSTIC
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 100 Years
Healthy volunteers
No
Inclusion criteria
* All subjects with previously untreated, Intermediate-2 or High risk myelodysplastic syndrome are eligible. These patients have an international prognostic scoring system (IPSS) score of 1.5 to 3.5 based on bone marrow blast percentage, karyotype, and the number of cytopenias 26. * Subjects will receive the standard FDA-approved dose and schedule of 5-azacitidine. This dose is 75mg/m2 SQ or IV daily for seven days with cycles repeated every 28 days * The subject's treating physician must have an initial intent of treating with at least four cycles of therapy * Subjects must have an ECOG performance status of 0, 1, or 2 * Subjects must not have been treated with chemotherapy or radiation for another malignancy within the preceding 6 months * Subjects must be \> 18 years of age * Subjects must have a serum creatinine \< 2.0 mg/dL and/or calculated GHF 50 ml/min/1.73m (MRDR formula) or greater * Subjects must have a serum direct bilirubin \< 2.0 mg/dL unless related to Gilbert's syndrome of hemolysis. Alkaline phosphatase, SGOT (AST), and SGPT (ALT) must be less than 4 x upper limit of normal * Women must not be pregnant nor breastfeeding * Women of childbearing potential and sexually active males are strongly advised to use an accepted and effective method of contraception
Exclusion criteria
* Subjects who are pregnant or breast feeding * Subjects for whom a therapy other than 5-azacitidine is recommended as first line treatment. * Allogeneic stem cell transplantation in patients with a suitable donor, lack of comorbidities, and good performance status
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| feasibility of using FLT-PET to assess chemotherapy response in AML/MDS | 3 years | This pilot study is intended to investigate the feasibility of FLT-PET for early assessment of treatment response in myelodysplastic syndrome and the use of a PET isotope, (18)F-FLT, in the imaging of bone marrow in subjects with MDS. The objectives will help gather initial information for a future, larger, more definitive study. |
Countries
United States
Outcome results
None listed