Selumetinib and Azacitidine in High Risk Chronic Blood Cancers

Trial statusRecruiting
Trial phasePhase 1
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversity of Chicago

About this trial

This is a phase I, open-label, dose-escalation study to determine the MTD of selumetinib when combined with the standard dose of azacitidine. Treatment will begin within 28 days of screening procedures. Treatment will continue indefinitely, provided that the patient continues to derive benefit. A patient will be taken off study for reasons described in detail in section 3.12 including disease progression, unacceptable toxicity, inter-current illness, withdrawal of consent, or at the discretion of the investigator. Patients will be followed for 12 weeks after the last dose of study drug, until any study treatment related toxicities have stabilized, or until death. The total duration of the study is expected to be approximately 24 months.

Eligibility criteria

Qualifiers

Age greater than or equal to 18 years of age

No history of prior exposure to a MEK inhibitor

ECOG performance status of ≤ 2

Adequate renal function, defined as serum creatinine ≤ 1.5 x ULN or creatinine clearance >30 mL/min based on the Cockroft-Gault equation: (140 - Age) x (weight in kg) x (0.85 if female) / 72 x serum creatinine

Disqualifiers

Receipt of any anti-cancer therapy within 14 days prior to study entry, with the exception of hydroxyurea. If clinically indicated in order to keep WBC <30,000/uL, hydroxyurea may be continued through the first cycle.

Concurrent active malignancy, with the exception of early stage basal cell or squamous cell skin cancer

Uncontrolled hypertension (BP >150/95 mmHg despite medical therapy)

Acute coronary syndrome within 6 months prior to starting treatment

Trial design

Treatments tested in this trial

  • Azacitidine
  • Selumetinib

Treatment groups

18 Participants
are divided into 1 treatment group

Sponsors and collaborators