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A Phase 1, Open-Label, Multi-Center, Parallel Group Study to the Pharmacokinetics and Safety of Subcutaneous Azacitidine in Adult Cancer Patients With and Without Impaired Renal Function


Phase 1
18 Years
N/A
Not Enrolling
Both
MDS, AML, Solid Tumors, Multiple Myeloma, Non-Hodgkin's Lymphoma, Hodgkin's Disease

Thank you

Trial Information

A Phase 1, Open-Label, Multi-Center, Parallel Group Study to the Pharmacokinetics and Safety of Subcutaneous Azacitidine in Adult Cancer Patients With and Without Impaired Renal Function


Inclusion Criteria:



Diagnosis of one of the following:

- MDS according to the FAB classification system (RA, RARS, RAEB, RAEB-T, CMML), AML in
remission, malignant solid tumor, MM, NHL, or HD

- Patients with a history of treated brain metastases should be clinically stable for
greater than 4 weeks prior to signing the informed consent form and off
glucocorticoid therapy for CNS edema for at least 4 weeks

- Be capable of giving informed consent

- Have an ECOG Performance Status of 0-2

- Have a life expectancy ≥ 3 months

- Have stable renal function for at least 2 months

- Have average calculated creatinine clearance of:

- >80 mL/min/1.73m2 for Cohorts 1, 2, 3, and 4

- <30 mL/min/1.73m2 for Cohort 5 - Severe renal impairment,

- 50-80 mL/min/1.73m2 for Cohort 6 - Mild renal impairment,

- 30 to <50 mL/min/1.73m2 for Cohort 7 - Moderate renal impairment

- Have organ and marrow function at the screening and pre-dose visits as defined below:

- Hemoglobin ≥8 g/dL,

- Absolute neutrophil count ≥0.75 x 10^3/µL,

- Platelets ≥30 x 10^3/µL,

- Total bilirubin ≤1.5 times the upper limit of normal (ULN),

- Aspartate aminotransferase (AST) ≤2 times the ULN, and

- Alanine transaminase (ALT) ≤2 times the ULN;

- Have a 12-lead electrocardiogram (ECG) that is not clinically significant, as
determined by the Investigator, at screening

- Have serum bicarbonate:

- 20 mEq/L for patients with normal renal function (cohorts 1, 2, 3 and 4),

- 16 mEq/L for patients with impaired renal function (cohorts 5, 6 and 7)

- Women of childbearing potential may participate, providing are not pregnant and agree
to use at least 2 effective contraceptive methods throughout the study

- Males with a female partner of childbearing potential must agree to use at least 2
effective contraceptive methods throughout the study and to avoid fathering a child
for 6 months following the date of the last dose of study medication

- Be a nonsmoker or must not have smoked for at least 30 days before the screening
visit and agree to abstain from smoking during study participation

Exclusion Criteria:

- Women who are pregnant or nursing;

- Had chemotherapy or radiotherapy within 4 weeks (6 weeks for nitrosoureas or
mitomycin C) prior to signing informed consent

- Have been treated with an investigational agent within 4 weeks prior to signing the
informed consent form

- Have ongoing clinically significant adverse event(s) due to chemotherapy,
radiotherapy or investigational agents administered more than 4 weeks prior to
signing the informed consent as determined by the Investigator

- Have known or suspected hypersensitivity to azacitidine or mannitol

- Have an uncontrolled intercurrent illness including, but not limited to, ongoing or
active infection, symptomatic congestive heart failure, unstable angina pectoris,
cardiac arrhythmia

- Have low blood pressure (supine blood pressure <90/60 mmHg)

- Have HIV, or active hepatitis virus B or C

- Have advanced malignant hepatic tumors

- Have end stage renal disease requiring dialysis

Type of Study:

Interventional

Study Design:

Allocation: Randomized, Endpoint Classification: Pharmacokinetics Study, Intervention Model: Parallel Assignment, Masking: Open Label

Outcome Measure:

Dose Proportionality

Outcome Time Frame:

Day 1

Safety Issue:

Yes

Principal Investigator

Jay Backstrom, MD

Investigator Role:

Study Director

Investigator Affiliation:

Celgene Corporation

Authority:

United States: Food and Drug Administration

Study ID:

AZA PH US 2007 PK006

NCT ID:

NCT00652626

Start Date:

July 2008

Completion Date:

July 2012

Related Keywords:

  • MDS
  • AML
  • Solid Tumors
  • Multiple Myeloma
  • Non-Hodgkin's Lymphoma
  • Hodgkin's Disease
  • MDS
  • AML
  • Solid Tumors
  • Azacitidine
  • PK
  • Pharmacokinetics
  • Renal Impairment
  • Multiple Myeloma
  • Non-Hodgkin's Lymphoma
  • Hodgkin's Disease
  • Hodgkin Disease
  • Lymphoma
  • Lymphoma, Non-Hodgkin
  • Multiple Myeloma
  • Neoplasms, Plasma Cell
  • Renal Insufficiency

Name

Location

Montefiore Medical Center Bronx, New York  10467-2490
Cancer Therapy and Research Center San Antonio, Texas  78229
Gabrail Cancer Center Canton, Ohio  44718
Joliet Oncology-Hematology Associates, Ltd. Flossmoor, Illinois  60422
Nevada Cancer Institute Las Vegas, Nevada  89135
MCG Cancer Center Augusta, Georgia  30912
Sutter East Bay Hospitals Berkley, California  94704
Palm Springs Research Institute Hialeah, Florida  33012
University of Kentucky-Markey Cancer Center Clinical Research Organization Lexington, Kentucky  40536
Mid Dakota Clinical P.C. - Cancer Treatment and Research Center Bismarck, North Dakota  58501
Pharma Resource East Providence, Rhode Island  02915