ClinicalTrials.gg
CompletedNCT00100997Updated Jul 10, 2013

17-N-Allylamino-17-Demethoxygeldanamycin in Treating Patients With Chronic Phase Chronic Myelogenous Leukemia That Did Not Respond to Imatinib Mesylate

A Phase 1 interventional study of tanespimycin in Leukemia, sponsored by Jonsson Comprehensive Cancer Center. Completed at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-07-10.

Sponsored by Jonsson Comprehensive Cancer Center · Phase 1, Interventional, and Treatment

Phase
Phase 1
Study type
Interventional
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy, such as 17-N-allylamino-17-demethoxygeldanamycin, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. It may also stop the growth of cancer cells by blocking some of the enzymes needed for cell growth.

PURPOSE: This phase I trial is studying the side effects and best dose of 17-N-allylamino-17-demethoxygeldanamycin in treating patients with chronic phase chronic myelogenous leukemia that did not respond to imatinib mesylate.

Read the detailed description

OBJECTIVES:

Primary

  • Determine the maximum tolerated dose and dose-limiting toxicity of 17-N-allylamino-17-demethoxygeldanamycin (17-AAG), in terms of frequency, severity, and duration of treatment-emergent adverse events, in patients with imatinib mesylate-resistant Philadelphia chromosome (Ph)-positive chronic phase chronic myelogenous leukemia.
  • Determine the pharmacokinetics of this drug and its primary metabolite (17-amino-17-demethoxygeldanamycin) in these patients.

Secondary

  • Determine the hematologic response rate, in terms of WBC count, platelet count, and assessment of blast cells in peripheral blood, in patients treated with this drug.
  • Determine the cytogenic response rate, in terms of Ph-positive progenitor cells in the bone marrow, in patients treated with this drug.
  • Assess the effect of this drug on pharmacodynamic markers (i.e., CRKL phosphorylation, BCR-ABL kinase activity, and BCR-ABL, RAF kinase, and HSP70 expression) in these patients.

OUTLINE: This is an open label, dose-escalation, multicenter study.

Patients receive 17-N-allylamino-17-demethoxygeldanamycin (17-AAG) IV over 15 minutes or 1 hour (depending on the dose administered) once on days 1, 4, 8, 11, 15, 18, 22, and 25. Treatment repeats every 28 days for up to 3 courses in the absence of unacceptable toxicity or disease progression. Eligible patients may receive additional courses of 17-AAG at the discretion of the investigator.

Cohorts of 3-6 patients receive escalating doses of 17-AAG until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Up to 10 additional patients are treated at the MTD.

Patients are followed for 1 month.

PROJECTED ACCRUAL: Approximately 40 patients will be accrued for this study.

02

Conditions studied

  • Leukemia

Keywords

  • chronic myelogenous leukemia, BCR-ABL1 positive
  • chronic phase chronic myelogenous leukemia
  • relapsing chronic myelogenous leukemia
03

In context

Leukemia

5,475 studies on the registry are indexed under Leukemia; 629 are open to participants now.

Browse Leukemia studies →

Lead sponsor

Jonsson Comprehensive Cancer Center is the lead sponsor of 398 studies on the registry; 67 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 2 (5%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of chronic phase chronic myelogenous leukemia

    • Philadelphia chromosome (Ph)-positive disease
  • Hematologic resistence after treatment with imatinib mesylate (400 mg per day or maximum tolerated dose [MTD]) as defined by 1 of the following criteria:

    • Loss of complete hematologic response, defined as WBC count OR platelet count > upper limit of normal (ULN) on 2 separate occasions at least 2 weeks apart that cannot be attributed to other etiologies
    • Absolute increase of ≥ 30% in Ph-positive cells while on a stable dose of imatinib mesylate for at least 6 months* NOTE: *Patients meeting this criterion are not eligible for enrollment into the expanded MTD cohort
  • Less than 15% blasts in peripheral blood or bone marrow AND \< 30% blasts and promyelocytes in peripheral blood or bone marrow

PATIENT CHARACTERISTICS:

Age

  • 18 and over

Performance status

  • ECOG 0-2

Life expectancy

  • At least 6 months

Hematopoietic

  • See Disease Characteristics

Hepatic

  • Bilirubin \< 1.5 times ULN (3 mg/dL for patients with Gilbert's syndrome)
  • ALT or AST \< 2 times ULN
  • No known hepatitis positivity

Renal

  • Creatinine \< 1.5 times ULN OR
  • Creatinine clearance > 60 mL/min

Cardiovascular

  • No New York Heart Association class III or IV cardiac disease

Pulmonary

  • No severe debilitating pulmonary disease, including any of the following:

    • Dyspnea at rest
    • Significant shortness of breath
    • Chronic obstructive pulmonary disease

Other

  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for 1 month after study participation
  • No known HIV positivity
  • No psychological or social condition that would preclude study compliance
  • No addictive disorder that would preclude study compliance
  • No family problems that would preclude study compliance
  • No known allergy or sensitivity to soy or other excipient components of study drug
  • No other illness or condition that may affect safety of study treatment or evaluation of study endpoints

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • More than 2 weeks since prior interferon
  • No concurrent interferon

Chemotherapy

  • More than 2 weeks since prior cytarabine (4 weeks for doses > 100 mg)
  • More than 6 weeks since prior busulfan
  • No concurrent cytarabine
  • No concurrent hydroxyurea during the second study treatment course and beyond
  • No concurrent anagrelide during the second study treatment course and beyond

Endocrine therapy

  • Not specified

Radiotherapy

  • Not specified

Surgery

  • Not specified

Other

  • More than 2 days since prior imatinib mesylate
  • More than 1 week since prior and no concurrent drugs that alter metabolism by cytochrome P450 3A4, including the following:

    • Diltiazem
    • Nifedipine
    • Verapamil
    • Fluconazole
    • Itraconazole
    • Ketoconazole
    • Lovastatin
    • Simvastatin
    • Indinavir
    • Nelfinavir
    • Ritonavir
    • Alprazolam
    • Diazepam
    • Midazolam
    • Triazolam
    • Phenobarbital
    • Phenytoin
    • Carbamazepine
    • Azithromycin
    • Clarithromycin
    • Erythromycin
    • Rifampin
    • Rifamycin
    • Astemizole
    • Terfenidine
    • Amiodarone
    • Cimetidine
    • Cisapride
    • Cyclosporine
    • Grapefruit juice
    • Hypericum perforatum (St. John's wort)
    • Warfarin
  • More than 4 weeks since prior investigational drugs and recovered
  • No concurrent imatinib mesylate
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Masking
None (open label)

Interventions

06

Study locations

1 site
  • Jonsson Comprehensive Cancer Center at UCLA
    Los Angeles, California 90095, United States
07

Timeline

Tracking since Sep 25, 2026
Not marked actual or estimatedDates not marked actual or estimated

The record gives a start of Oct 2004 and a completion of Oct 2006. It does not say whether these dates are actual or estimated.

How these figures are worked out, and which studies are left out of them.

Registered
Jan 7, 2005
First posted
Jan 10, 2005
Start
Oct 2004
CompletionActual
Oct 2006
Last update
Jul 10, 2013
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jul 10, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
08

Registry details

Key details

Study ID
NCT00100997
First posted
Jan 10, 2005
Start date
Oct 2004
Completion
Oct 2006
Last update
Jul 10, 2013

Study contacts

Charles Sawyers, MD
study chair · Jonsson Comprehensive Cancer Center
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in May 2005. You cannot join it, but the record below documents what was studied.

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