Belinostat in Treating Patients With Myelodysplastic Syndromes

• Status: Completed
• Trial end date: 2010-12-01
• Target enrollment: 0
• Participant gender: All

Summary

This phase II trial is studying how well belinostat works in treating patients with myelodysplastic syndromes. Belinostat may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth and by blocking blood flow to the cancer.

• Phase: Phase 2
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: National Cancer Institute (NCI)
• Treatments: Belinostat; Histone Deacetylase Inhibitors

Criteria

Inclusion Criteria:

• Histologically confirmed myelodysplastic syndromes (MDS)

• De novo or secondary MDS

• Patients with < 5 % bone marrow blasts must meet ≥ 1 of the following criteria:

• Symptomatic anemia with either hemoglobin < 10.0 g/dL or required RBC transfusions within the past 3 months

• Thrombocytopenia with ≥ 2 platelet counts < 50,000/mm³ or significant hemorrhage requiring platelet transfusions

• Neutropenia with ≥ 2 absolute neutrophil counts < 1,000/mm³

• No acute myeloid leukemia (≥ 20% bone marrow blasts)

• ECOG performance status 0-2

• Life expectancy > 12 weeks

• Bilirubin ≤ 1.5 times upper limit of normal (ULN)

• AST ≤ 2 times ULN

• Creatinine ≤ 2.0 mg/dL

• Not pregnant or nursing

• Negative pregnancy test

• Fertile patients must use effective contraception

• No history of allergic reactions attributed to compounds of similar chemical or biologic composition to PXD101

• No HIV positivity

• QTc interval ≤ 500 msec

• No long QT syndrome

• No significant cardiovascular disease, including any of the following:

• Unstable angina pectoris

• Uncontrolled hypertension

• Congestive heart failure related to primary cardiac disease

• Condition requiring anti-arrhythmic therapy

• Ischemic or severe valvular heart disease

• Myocardial infarction within the past 6 months

• No other uncontrolled serious medical condition (e.g., cardiac arrhythmias or diabetes)

• Recovered from prior therapy

• No more than 2 prior therapies for MDS

• Prior hematopoietic growth factors, androgens, and other supportive care agents allowed and are not considered in the prior therapy total

• No prior allogeneic stem cell transplantation

• More than 4 weeks since prior radiotherapy or chemotherapy (6 weeks for nitrosoureas or mitomycin C)

• No prior histone deacetylase (HDAC) inhibitors for treatment of MDS

• More than 2 weeks since prior valproic acid or other HDAC inhibitors

• No other concurrent investigational agents

• No concurrent medication that may cause torsades depointes, including any of the following:

• Disopyramide

• Dofetilide

• Ibutilide

• Procainamide

• Quinidine

• Sotalol

• Bepridil

• Methadone

• Amiodarone hydrochloride

• Arsenic trioxide

• Cisapride

• Calcium-channel blockers (e.g., lidoflazine)

• Anti-infective agents (i.e., clarithromycin, erythromycin, halofantrine, pentamidine, or sparfloxacin)

• Domperidone or droperidol

• Antipsychotic agents (i.e., chlorpromazine, haloperidol, mesoridazine, thioridazine, or pimozide)