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Sorafenib and 5-Azacitidine in Acute Leukemia + Myelodysplastic Syndrome | Clinical Trials | Clareo Health

COMPLETEDPHASE1/PHASE2

Sorafenib and 5-Azacitidine in Acute Leukemia + Myelodysplastic Syndrome

Phase I/II Study of Sorafenib and 5-Azacitidine for the Treatment of Patients With Refractory or Relapsed Acute Leukemia and Myelodysplastic Syndrome (MDS) - (VZ-MDS-PI-0227)

NCT01254890•M.D. Anderson Cancer Center

View on ClinicalTrials.gov

Summary

The goal of this clinical research study is to learn if 5-azacitidine and sorafenib can control the disease in patients with AML or MDS. The safety of this drug combination will also be studied.

Detailed Description

The Study Drugs: Sorafenib is designed to block the function of important proteins in cancer cells. These proteins, when active, are partly responsible for the abnormal growth and behavior of cancer cells. 5-Azacytidine is designed to activate ("turn on") certain genes in cancer cells whose job is to fight tumors. Study Drug Administration: If you are found to be eligible to take part in this study, you will receive 5-azacytidine either under the skin or by vein on Days 1-7 of each 28-day cycle. If by vein, the infusion will take about 10-40 minutes. You will take sorafenib by mouth 2 times a day about 12 hours apart, with water on empty stomach, every day. Each study cycle may last a little longer than 28 days, depending on how you are doing. Study Visits: Every week, blood (about 1 tablespoon) will be drawn for routine tests. Every week for the first 6 weeks, and then as often as your doctor thinks it is needed, you will have your blood pressure measured. Before each cycle: * Your performance status will be recorded. * You will have a physical exam, including measurement of your blood pressure and weight. Before every 2-4 cycles, you will have a bone marrow aspirate to check the status of the disease. Length of Study: You may continue taking the study drugs for as long as the doctor thinks it is in your best interest. You will no longer be able to take the study drugs if the disease gets worse or intolerable side effects occur. Your participation on the study will be over once you have completed the end-of-treatment and follow-up visits. End of Study Drug Administration Visit: After you have stopped taking the study drugs, the following tests and procedures will be performed: * Your medical history will be recorded. * Your performance status will be recorded. * You will have a physical exam, including measurement of your blood pressure and weight. * You will have a bone marrow aspirate collected to check the status of disease. This is an investigational study. Sorafenib is FDA approved and commercially available for kidney cancer and liver cancer. 5-Azacitidine is FDA approved for the treatment of MDS, but its combination with sorafenib is investigational. Up to 60 patients will take part in this study. All will be enrolled at MD Anderson.

Eligibility

Age

18 - No limit years

Sex

ALL

Healthy Volunteers

Inclusion Criteria

•1. Patients with MDS, CMML or AML, who have failed pror therapy (including low and intermediate risk patient who have required prior therapy).
•3. Patients with AML should have failed any prior induction therapy or have relapsed after prior therapy.
•4. Patients with MDS or CMML who received therapy with hypomethylating agent and progress to AML are eligible at the time of diagnosis of AML regardless of any prior therapy for AML.
•6. Age of greater than or equal to 18 years of age.
•7. ECOG Performance Status less than or equal to 2.
•8. Adequate liver (bilirubin less than or equal 1.5 \* upper limit of normal (ULN), ALT and AST less than or equal 2.5 \* ULN and Alkaline phosphatase less than 4 \* ULN if not related to leukemic disease) and renal (creatinine less than or equal 1.5\* ULN) function. Amylase and Lipase must be less than or equal 2 \* ULN.
•9. Patients must provide written informed consent.
•10. Patients must have been off chemotherapy for 2 weeks prior to entering this study, unless there is evidence of rapidly progressive disease, and must have recovered from the toxic effects of that therapy to at least grade 1. Use of hydroxyurea for patients with rapidly proliferative disease is allowed before the start of study therapy but should be stopped for 24 hours prior to initiation of azacitidine.
•11. Women of childbearing potential should be advised to avoid becoming pregnant with an adequate method of contraception (barrier or hormonal methods) and men should be advised to not father a child while receiving treatment with azacytidine. All men and women of childbearing potential must use acceptable methods of birth control throughout the study as described below: Women of childbearing potential must have a negative serum pregnancy test performed within 7 days prior to the start of treatment. Men should use adequate birth control for at least 30 days after the last administration of sorafenib. Post-menopausal women (defined as no menses for at least a year) and surgically sterilized women are not required to undergo a pregnancy test.
•12. Females of childbearing potential Recommendation is for 2 effective contraceptive methods during the study. Adequate forms of contraception are double-barrier methods (condoms with spermicidal jelly or foam and diaphragm with spermicidal jelly or foam), oral, depo provera, or injectable contraceptives, intrauterine devices, and tubal ligation.
+3 more criteria

Exclusion Criteria

•1. Nursing and pregnant females.
•2. Patients with acute promyelocytic leukemia are excluded unless multiply refractory and no other standard treatment strategies are available to them
•3. Patients with known allergy to sorafenib or azacitidine, mannitol or any of their components.
•4. Patients with known impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of sorafenib.
•5. Patients with any other known disease (except carcinoma in-situ) or concurrent severe and/or uncontrolled medical condition (e.g. uncontrolled diabetes, cardiovascular disease including congestive heart failure, myocardial infarction within 6 months and poorly controlled hypertension, chronic renal disease (creatinine clearance \< 20 ml/min using the Cockcroft and Gault formula)., or active uncontrolled infection) which could compromise participation in the study.
•6. Patients with a known confirmed diagnosis of HIV infection or active viral hepatitis (B or C).
•7. Patients who have had any major surgical procedure within 28 days of Day 1.
•8. Patients unwilling or unable to comply with the protocol.
•9. Patients with known malignant disease of the central nervous system or advanced malignant hepatic tumors.
•10. Cardiac disease: Congestive heart failure greater than class II NYHA. Patients must not have unstable angina (anginal symptoms at rest) or new onset angina (began within the last 3 months) or myocardial infarction within the past 6 months.
+13 more criteria

Locations (1)

UT MD Anderson Cancer Center

Houston, Texas, United States

Key Dates

Start Date

January 1, 2011

Primary Completion Date

March 1, 2015

Completion Date

March 1, 2015

Last Updated

May 6, 2016

Enrollment

ACTUAL participants

Conditions

Leukemia

Interventions

Azacitidine

DRUG

Sorafenib

DRUG

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Data Source & Attribution

This clinical trial information is sourced from ClinicalTrials.gov, a service of the U.S. National Institutes of Health.

ClinicalTrials.gov last update: May 6, 2016Data synced to Clareo: March 29, 2026

Modifications: This data has been reformatted for display purposes. Eligibility criteria have been parsed into inclusion/exclusion sections. Location data has been geocoded to enable distance-based search. For the authoritative and most current information, please visit ClinicalTrials.gov.

Neither the United States Government nor Clareo Health make any warranties regarding the data. Check ClinicalTrials.gov frequently for updates.

View ClinicalTrials.gov Terms and Conditions

Sorafenib and 5-Azacitidine in Acute Leukemia + Myelodysplastic Syndrome

Inclusion Criteria

Exclusion Criteria

Long-term Evaluation and Follow-up Care of Patients Treated With Stem Cell Transplants

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