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TerminatedNCT00156299Updated Nov 19, 2013

Gene Expression During Chemotherapy in Patients With Newly Diagnosed Acute Myeloid Leukemia Treated With Choline Magnesium Trisalicylate

A Phase 1 interventional study of choline magnesium trisalicylate and Dexamethasone in Leukemia, sponsored by Rutgers, The State University of New Jersey. Terminated at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2013-11-19.

Sponsored by Rutgers, The State University of New Jersey · Phase 1, Interventional, and Treatment

Why this study was terminated
Replaced by another study
Phase
Phase 1
Study type
Interventional
Enrollment
15
Allocation
Non-randomized
Ages
18 Years and older
Sex
All
01

Study summary

RATIONALE: Studying samples of blood from patients with cancer in the laboratory may help doctors learn more about changes that occur in cancer cells. It may also help doctors understand how cancer cells respond to treatment with choline magnesium trisalicylate.

PURPOSE: This pilot clinical trial is studying gene expression in cancer cells during chemotherapy and the safety of choline magnesium trisalicylate in treating patients with newly diagnosed acute myeloid leukemia.

Read the detailed description

OBJECTIVES:

Primary

  • Determine temporal changes in leukemic cell NF-kB activity when choline magnesium trisalicylate is administered during induction chemotherapy in patients with newly diagnosed acute myeloid leukemia.
  • Determine toxicities of this regimen in these patients.

Secondary

  • Determine patterns of leukemic cell gene expression in patients treated with this regimen.
  • Determine if NF-kB modulation results in enhanced apoptosis in patients treated with this regimen.

OUTLINE: This is an open-label, pilot study.

Patients receive oral choline magnesium trisalicylate every 8 hours for 48 hours or dexamethasone every 6 hours for 48 hours plus choline magnesium trisalicylate every 8 hours for 48 hours during induction chemotherapy as determined by the primary physician.

Blood is collected at baseline, 24 hours, and 48 hours to assess for changes in NF-kB expression, apoptosis, and gene expression in leukemic cells.

PROJECTED ACCRUAL: A total of 24 patients will be accrued for this study.

02

Conditions studied

  • Leukemia

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Keywords

  • adult acute megakaryoblastic leukemia (M7)
  • adult acute minimally differentiated myeloid leukemia (M0)
  • adult acute monoblastic leukemia (M5a)
  • adult acute monocytic leukemia (M5b)
  • adult acute myeloblastic leukemia with maturation (M2)
  • adult acute myeloblastic leukemia without maturation (M1)
  • adult acute myeloid leukemia with 11q23 (MLL) abnormalities
  • adult acute myeloid leukemia with inv(16)(p13;q22)
  • adult acute myeloid leukemia with t(16;16)(p13;q22)
  • adult acute myeloid leukemia with t(8;21)(q22;q22)
  • adult acute myelomonocytic leukemia (M4)
  • adult erythroleukemia (M6a)
  • adult pure erythroid leukemia (M6b)
  • untreated adult acute myeloid leukemia
03

In context

Leukemia

5,441 studies on the registry are indexed under Leukemia; 636 are open to participants now.

This study's enrollment of 15 is below the median of 38 across 4,247 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

Rutgers, The State University of New Jersey is the lead sponsor of 496 studies on the registry; 130 are open to participants now.

Of its 38 completed or terminated interventional studies of FDA-regulated products, 30 (79%) 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:

  • Histologically confirmed acute myeloid leukemia

    • Newly diagnosed disease
  • Presence of cytogenetic abnormalities must be determined by standard cytogenetics with or without FISH studies
  • Leukemic blast count > 5,000/mm³ of peripheral blood
  • No acute promyelocytic leukemia (M3)

PATIENT CHARACTERISTICS:

  • ECOG performance status 0-3
  • Bilirubin \< 2.0 times upper limit of normal (ULN)
  • AST \< 3.0 times ULN
  • Creatinine \< 1.5 times ULN
  • Not pregnant or nursing
  • Negative pregnancy test
  • Fertile patients must use effective contraception
  • No uncontrolled psychiatric illness that, in the opinion of the principal investigator, would preclude study compliance
  • No other concurrent medical condition that would preclude study compliance
  • No allergies to any investigational drugs and/or chemotherapeutic agents
  • No upper or lower gastrointestinal (GI) related hemorrhage within the past 6 months as determined by endoscopy

    • No clinical diagnosis of GI bleeding requiring blood transfusions

PRIOR CONCURRENT THERAPY:

  • No prior induction therapy
  • No prior chemotherapy for acute leukemia
  • No concurrent medications that would preclude study compliance
05

Study design

Phase
Phase 1
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
15 participants (actual)

Study arms

  • Experimental
    Dexamethasone plus Choline Magnesium Trisalicylate

    Dexamethasone plus Choline Magnesium Trisalicylate

    Drug: choline magnesium trisalicylate · Drug: Dexamethasone

  • Experimental
    Choline Magnesium Trisalicylate

    Choline Magnesium Trisalicylate

    Drug: choline magnesium trisalicylate

Interventions

  • Drugcholine magnesium trisalicylate

    1500mg orally every 8 hours beginning at hour 0 and continuing until hour 48.

  • DrugDexamethasone

    10mg orally every 6 hours beginning at hour 0 and continuing until hour 48.

06

What researchers measure

Primary outcomes

  1. Temporal changes in leukemic cell NF-kB activity

    Time frame: 5 years

Secondary outcomes

  1. Patterns of leukemic cell gene expression after administration of choline magnesium trisalicylate

    Time frame: 5 years

  2. Apoptosis related to NF-kB modulation

    Time frame: 5 years

07

Study locations

1 site
  • Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
    New Brunswick, New Jersey 08903, United States
08

References and documents

Publications

  • Strair RK, Gharibo M, Schaar D, Rubin A, Harrison J, Aisner J, Lin HC, Lin Y, Goodell L, Anand M, Balsara B, Dudek L, Rabson A, Medina DJ. Nuclear factor-kappaB modulation in patients undergoing induction chemotherapy for acute myelogenous leukemia. Clin Cancer Res. 2008 Nov 15;14(22):7564-8. doi: 10.1158/1078-0432.CCR-08-1390. PubMed 19010875 ↗
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 19, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00156299
Lead sponsor
Rutgers, The State University of New Jersey
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Sep 12, 2005
Start date
Mar 2003
Primary completion
Jul 2008
Completion
Jul 2008
Last update
Nov 19, 2013

Study contacts

Roger Strair, MD, PhD
principal investigator · Rutgers Cancer Institute of New Jersey

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

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This study is terminated, as verified in Nov 2013. You cannot join it, but the record below documents what was studied.

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