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Dexrazoxane for Blood Cancer Side Effects
Phase 2
Recruiting
Led By Maro Ohanian
Research Sponsored by M.D. Anderson Cancer Center
Eligibility Criteria Checklist
Specific guidelines that determine who can or cannot participate in a clinical trial Must have
Patients with myeloproliferative neoplasms in blast phase will be eligible.
Patients with isolated extramedullary myeloid neoplasm will be eligible.
Must not have
Active heart disease defined as: Unstable coronary syndromes, unstable or severe angina, recent myocardial infarction (MI) within 6 months
Severe valvular disease
Timeline
Screening 3 weeks
Treatment Varies
Follow Up up to 1 year
Awards & highlights
No Placebo-Only Group
Summary
This trial will study how well dexrazoxane hydrochloride prevents heart-related side effects of chemotherapy in people with blood cancers.
Who is the study for?
This trial is for adults with certain blood cancers like acute myeloid leukemia or chronic myeloid leukemia, who haven't had more than three cycles of chemotherapy. They should have a heart function test showing normal results and agree to use contraception. It's not for those with severe heart disease, recent heart attacks, uncontrolled psychiatric illness, known allergies to the drugs used in the study, or women who are pregnant or breastfeeding.
What is being tested?
The trial is testing dexrazoxane hydrochloride's ability to prevent heart damage from chemotherapy in patients with various blood cancers. Participants will receive standard chemo drugs along with dexrazoxane to see if it reduces cardiac side effects compared to usual care without dexrazoxane.
What are the potential side effects?
Dexrazoxane may cause nausea, fatigue, low blood cell counts increasing infection risk, and possible allergic reactions. The other chemo drugs can also cause similar side effects including hair loss and mouth sores. Heart-related side effects are what this study aims to reduce.
Eligibility Criteria
Inclusion Criteria
You may be eligible if you check “Yes” for the criteria belowSelect...
My blood cancer is in an advanced stage.
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My cancer is a type of leukemia affecting areas outside the bone marrow.
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I have an active brain or spinal cord condition.
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I have been diagnosed with AML, high-risk MDS, or a high-risk myeloproliferative neoplasm.
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I have been diagnosed with AML, high-risk MDS, or a high-risk myeloproliferative neoplasm.
Select...
My condition is in the advanced stage of a blood cancer.
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I have a type of blood cancer that affects areas outside of my bone marrow.
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I have an active brain or spinal cord condition.
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I am in the first group for treatment and have had 3 or fewer rounds of chemotherapy.
Exclusion Criteria
You may be eligible for the trial if you check “No” for criteria below:Select...
I have not had a recent heart attack or severe heart issues in the last 6 months.
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I have a serious heart valve problem.
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I have a history of heart artery disease.
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I have worsening heart failure symptoms.
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I have serious heart rhythm problems.
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I am not pregnant or breastfeeding.
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I am of childbearing age and do not use birth control.
Timeline
Screening ~ 3 weeks3 visits
Treatment ~ Varies
Follow Up ~ up to 1 year
Screening ~ 3 weeks
Treatment ~ Varies
Follow Up ~up to 1 year
Treatment Details
Study Objectives
Study objectives can provide a clearer picture of what you can expect from a treatment.Primary study objectives
Percentage of patients experiencing a decrease in left ventricular ejection fraction (LVEF)
Secondary study objectives
Assessment of change in troponin I and high-sensitivity troponin T
Incidence of cardiac symptoms
Recurrence-free survival
Other study objectives
Assessment of metal chelation effects of dexrazoxane and chemotherapy
Assessment of minimal residual disease (MRD)
Side effects data
From undefined Phase 3 trial • 1734 Patients • NCT0002525980%
Neutrophil count decreased
42%
Anemia
31%
Platelet count decreased
26%
Febrile neutropenia
18%
White blood cell decreased
16%
Infections and infestations - Other, specify
9%
Blood and lymphatic system disorders - Other, specify
5%
Lymphocyte count decreased
3%
Catheter related infection
3%
Dehydration
2%
Abdominal pain
2%
Mucositis oral
2%
Vomiting
2%
Anaphylaxis
2%
Hypokalemia
2%
Hypotension
1%
Depression
1%
Hyponatremia
1%
Hypoxia
1%
Myalgia
1%
Immune system disorders - Other, specify
1%
Dizziness
1%
Constipation
1%
Esophagitis
1%
Ileus
1%
Pain
1%
Carbon monoxide diffusing capacity decreased
1%
Hypoalbuminemia
1%
Neuralgia
1%
Peripheral sensory neuropathy
1%
Dyspnea
1%
Diarrhea
1%
Typhlitis
1%
Hyperglycemia
1%
Headache
1%
Seizure
1%
Syncope
1%
Nausea
1%
Cardiac disorders - Other, specify
1%
Hypophosphatemia
1%
Bone pain
1%
Peripheral motor neuropathy
1%
Thromboembolic event
1%
Hypertension
100%
80%
60%
40%
20%
0%
Study treatment Arm
Arm III (RER With CR [ABVE-PC])
Arm I (Patients Off-therapy Before Callback-Induction Only)
Arm II (RER With CR [ABVE-PC, IFRT])
Arm IV (RER With Less Than CR [ABVE-PC, IFRT])
Arm VII (SER [ABVE-PC, IFRT])
Arm VI (SER [DECA, ABVE-PC, IFRT])
Arm V (RER With PD)
Awards & Highlights
No Placebo-Only Group
All patients enrolled in this study will receive some form of active treatment.
Trial Design
1Treatment groups
Experimental Treatment
Group I: Supportive care (dexrazoxane hydrochloride, chemotherapy)Experimental Treatment5 Interventions
See detailed description.
Treatment
First Studied
Drug Approval Stage
How many patients have taken this drug
Idarubicin
2014
Completed Phase 4
~4380
Cytarabine
2016
Completed Phase 3
~3330
Cladribine
2014
Completed Phase 4
~4410
Dexrazoxane Hydrochloride
2013
Completed Phase 1
~50
Gemtuzumab Ozogamicin
2006
Completed Phase 4
~460
Find a Location
Who is running the clinical trial?
National Cancer Institute (NCI)NIH
13,928 Previous Clinical Trials
41,017,960 Total Patients Enrolled
M.D. Anderson Cancer CenterLead Sponsor
3,067 Previous Clinical Trials
1,802,546 Total Patients Enrolled
Maro OhanianPrincipal InvestigatorM.D. Anderson Cancer Center
2 Previous Clinical Trials
100 Total Patients Enrolled
Media Library
Eligibility Criteria:
This trial includes the following eligibility criteria:- My blood cancer is in an advanced stage.My cancer is a type of leukemia affecting areas outside the bone marrow.I have an active brain or spinal cord condition.I agree to use birth control during the study.I have untreated CML in the blast phase or Ph+ AML.I am in or past my 3rd relapse of cancer and have active disease or am in remission but had limited chemotherapy.I have been diagnosed with AML, high-risk MDS, or a high-risk myeloproliferative neoplasm.I have untreated CML in the blast phase or Ph+ AML.I have not had a recent heart attack or severe heart issues in the last 6 months.I have a serious heart valve problem.I have a history of heart artery disease.I have been diagnosed with AML, high-risk MDS, or a high-risk myeloproliferative neoplasm.I understand the study's requirements and have signed the consent.I have received treatments like hydroxyurea or chemotherapy for my condition.I am in my 1st or 2nd relapse of cancer and have had 3 or fewer chemo cycles for the latest complete response.I am not pregnant or breastfeeding.I am of childbearing age and do not use birth control.My condition is in the advanced stage of a blood cancer.I am in or beyond my third treatment attempt for my cancer and either still have active disease or am in remission after less than four chemotherapy cycles.I am in complete remission and my doctor recommends maintenance therapy.I have worsening heart failure symptoms.I have serious heart rhythm problems.I am in the first group for treatment and have had 3 or fewer rounds of chemotherapy.I am in my first or second relapse of cancer and have had 3 or fewer chemotherapy cycles for the most recent complete response.I have a type of blood cancer that affects areas outside of my bone marrow.I have an active brain or spinal cord condition.I have received treatments like hydroxyurea or chemotherapy for my condition.I am in the first group for treatment and have had 3 or fewer rounds of chemotherapy.I agree to use birth control during the study.My high bilirubin levels are due to Gilbert's syndrome.I understand the study's requirements and have signed the consent form.My high bilirubin levels are due to Gilbert's syndrome.I am in complete remission and my doctor recommends maintenance therapy.
Research Study Groups:
This trial has the following groups:- Group 1: Supportive care (dexrazoxane hydrochloride, chemotherapy)
Awards:
This trial has 1 awards, including:- No Placebo-Only Group - All patients enrolled in this study will receive some form of active treatment.
Timeline:
This trial has the following timeline:- Screening: It may take up to 3 Weeks to process to see if you qualify in this trial.
- Treatment: The duration you will receive the treatment varies.
- Follow Ups: You may be asked to continue sharing information regarding the trial for 6 Months after you stop receiving the treatment.
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