Status:

UNKNOWN

Sodium Stibogluconate in the MDS/AML With One of the 65 Defined p53 Mutations

Lead Sponsor:

First Affiliated Hospital of Jinan University

Collaborating Sponsors:

Ruijin Hospital

Conditions:

Myelodysplastic Syndromes

Acute Myeloid Leukemia

Eligibility:

All Genders

18-75 years

Phase:

PHASE2

Brief Summary

To evaluate the safety and effectiveness of Sodium Stibogluconate in the treatment of myelodysplastic syndrome/acute myeloid leukemia (MDS/AML) with p53 mutation from a defined list. The list includes...

Detailed Description

p53 is inactivated by over hundreds of diverse mutations in cancer. The investigator purposefully selected the phenotype-reversible temperature-sensitive (TS) p53 mutations for pharmacological rescue,...

Eligibility Criteria

Inclusion

  • Pathologically confirmed myelodysplastic syndrome (MDS) or acute myeloid leukemia (AML).
  • Patients with one of the 65 antimonial-treatable p53 mutations with \> 5% VAF: Q136P, Y234H, V272M, F270V, P278A, R213L, Y126H, T253N, T253I, R158L, Q136E, P142F, A129D, L194R, R110P, V172G, C176F, I254N, K305R, E285D, T155P, H296D, E258G, G279V, T211A, R213P, C229Y, I232F, E294K, P152R, R196P, M160T, N131S, N131H, K139N, L330H, Y220N, E298Q, D148E, L264R, E224D, H168P, N263H, K320N, S227C, E286D, K292T, V203A, M237R, F212L, K132Q, Y236S, Y126S, Q136H, E221A, I232S, Y163H, P190T, C182Y, P142L, Y163S, V218E, I195S, V272A, and S106R.
  • Life expectancy \>12 weeks.
  • ECOG Performance status \< 3.
  • Aged from 18 to 75.
  • Active bone marrow hyperplasia indicated by morphology.
  • Normal liver and renal function, bilirubin ≤35μmol/L, ASL/ALT lower than 2xULN, creatinine level ≤150μmol/L.
  • Normal cardiac function.
  • Lung function: dyspnea ≤ CTC AE grade 1 and SaO2≥ 92% in indoor air environment.
  • Written Informed consent.

Exclusion

  • Confirmed CNS involvement.
  • Severe cardiac diseases including myocardial infarction or heart insufficiency.
  • QT interval ≥450ms on ECG.
  • With other visceral malignancy.
  • Active tuberculosis or HIV(+).
  • Patients with pregnancy or lactation.
  • Allergic or significantly contraindicated to any drugs involved in intervention.
  • Previous intolerance or allergy history to similar drugs.
  • Participation at same time in another study in which investigational drugs are used.
  • Any other conditions interfering the study.
  • Abnormal liver function which does not meet the inclusion criteria.
  • ECOG performance status ≥3, CCI \>1, ADL \<100.
  • Aged \<18 years or \>75years

Key Trial Info

Start Date :

June 1 2020

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

February 1 2024

Estimated Enrollment :

5 Patients enrolled

Trial Details

Trial ID

NCT04906031

Start Date

June 1 2020

End Date

February 1 2024

Last Update

June 9 2021

Active Locations (1)

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1

First Affiliated Hospital of Jinan University

Guangzhou, Guangdong, China, 510632