Status:
TERMINATED
Efficacy and Tolerability of the Combination of Valproic Acid and Lenalidomide in the Treatment of Patients With Myelodysplastic Syndrome
Lead Sponsor:
Heinrich-Heine University, Duesseldorf
Conditions:
Myelodysplastic Syndrome MDS
Eligibility:
All Genders
18+ years
Phase:
PHASE2
Brief Summary
As part of a palliative therapy concept, feasibility, toxicity, and effectiveness of treatment with the combination of Valproic acid and lenalidomide in Myelodysplastic Syndrome patients with a favora...
Detailed Description
Treatment will be administered as continuous therapy, i.e. it should be taken on each day as described below without treatment interruption as long as no criteria for termination of treatment are met....
Eligibility Criteria
Inclusion
- Cytologically/histologically confirmed primary myelodysplastic syndrome (pMDS) with a favorable risk profile, i.e., low or intermediate I risk group according to IPSS (\<10% blasts, no unfavorable karyotype)
- platelet count ≥50.000/µl
- absolute neutrophil count ≥1.000/µl
- age ≥18 years at the time of signing the informed consent form
- Karnofsky performance status \> 50%
- written informed consent to participate
- erythropoietin level \> 200 mU/ml or failure of previous therapy with erythropoietin
- patients in whom allogeneic bone marrow transplantation, treatment with growth factors or immune therapy is not possible due to medical or biologic reasons or patients in whom such a therapy would be possible but who do not agree to such a therapy for personal reasons
- females of childbearing potential (FCBP, see page 23) must agree to one reliable form of contraception or to practice complete abstinence from heterosexual intercourse during the following time periods related to this study: 1) for at least 4 weeks before starting study drug; 2) while participating in the study, even during treatment interruptions; and 3) for at least 4 weeks after discontinuation from the study.
Exclusion
- patients with 5q deletion
- MDS treated with experimental therapy or chemotherapy within 4 weeks prior to start of treatment with study drugs
- previous treatment of MDS with valproic acid or lenalidomide as monotherapy patients suitable for chemotherapy, therapy with growth factors or allogeneic bone marrow transplantation and who are willing to start such a therapy
- hypersensitivity to thalidomide
- insufficient liver function (bilirubin, AST or ALT \> 2 x ULN)
- hepatic disease \[details see full protocol\]
- markedly impaired renal function (serum creatinine \> 2mg/dl)
- pregnancy, breast feeding, lactation, refusal to use safe contraceptive methods during the study
- psychiatric disease or addiction with impaired ability to act and make decisions according to one's free will
- participation in another interventional study 4 weeks prior to or during this study
- known hypersensitivity or allergies to one of the study drugs or their ingredients
- plasmatic coagulation disorder
Key Trial Info
Start Date :
October 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
May 1 2014
Estimated Enrollment :
23 Patients enrolled
Trial Details
Trial ID
NCT00977132
Start Date
October 1 2009
End Date
May 1 2014
Last Update
March 18 2015
Active Locations (6)
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1
Medizinische Universitätsklinik Freiburg, Abteilung Innere Medizini
Freiburg im Breisgau, Baden Würtemberg, Germany, 79106
2
Universitätsklinikum Ulm, Klinik für Innere Medizin III
Ulm, Bavaria, Germany, 89081
3
Georg-August-Universität,Universitätsklinikum - Abteilung Hämatologie und Onkologie
Göttingen, Lower Saxony, Germany, 37075
4
St. Johannes Hospital Duisburg
Duisburg, North Rhine-Westphalia, Germany, 47166