Overview

Gemtuzumab in Treating Patients With Myelodysplastic Syndrome

Status:
Unknown status
Trial end date:
1969-12-31
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: Monoclonal antibodies such as gemtuzumab can locate tumor cells and either kill them or deliver tumor-killing substances to them without harming normal cells. PURPOSE: Randomized phase II trial to study the effectiveness of gemtuzumab in treating patients who have myelodysplastic syndrome.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Jonsson Comprehensive Cancer Center
Collaborator:
National Cancer Institute (NCI)
Treatments:
Gemtuzumab
Criteria
DISEASE CHARACTERISTICS: Histologically confirmed myelodysplastic syndrome (MDS) Refractory
anemia (RA) RA with ringed sideroblasts RA with excessive blasts (RAEB) RAEB in
transformation (stable disease for at least 2 months) No chromosomal abnormalities
including t(8;21), inv(16), or t(15;17) No chronic myelomonocytic leukemia proliferative
type (WBC greater than 12,000/mm3) No known CNS involvement with MDS blast progression
International Prognostic Scoring System (IPSS) score at least 1.5

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: Not
specified Hematopoietic: See Disease Characteristics Hepatic: Bilirubin less than 1.5 mg/dL
Renal: Creatinine less than 2.0 mg/dL Cardiovascular: No severe cardiac disease Pulmonary:
No severe pulmonary disease Other: Not pregnant or nursing Negative pregnancy test Fertile
patients must use effective contraception during and for 1 year after study HIV negative No
other prior active malignancy except basal cell or squamous cell skin cancer No
uncontrolled infections

PRIOR CONCURRENT THERAPY: Biologic therapy: No prior stem cell transplantation No prior
anti-CD33 antibodies At least 4 weeks since prior hematopoietic growth factors, epoetin
alfa, or cytokine therapy Chemotherapy: No prior chemotherapy for MDS or other malignancy
No concurrent cytotoxic chemotherapy Endocrine therapy: At least 4 weeks since prior
systemic steroids except topical or inhaled steroids No concurrent systemic steroids except
topical or inhaled steroids Radiotherapy: No prior radiotherapy for MDS or other malignancy
Surgery: No prior organ transplantation Other: At least 4 weeks since prior
immunosuppressive therapy At least 4 weeks since prior investigational agents No concurrent
immunosuppressive therapy No other concurrent investigational agents