Clinical trial · Interventional
7-Hydroxystaurosporine and Perifosine in Treating Patients With Relapsed or Refractory Acute Leukemia, Chronic Myelogenous Leukemia or High Risk Myelodysplastic Syndromes
A Phase 1 Study of UCN-01 in Combination With Perifosine in Patients With Relapsed and Refractory Acute Leukemias and High Risk MDS
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
This phase I trial is studying the side effects and best dose of 7-hydroxystaurosporine when given together with perifosine in treating patients with relapsed or refractory acute leukemia, chronic myelogenous leukemia, or myelodysplastic syndromes. 7-Hydroxystaurosporine may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as perifosine, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving 7-hydroxystaurosporine together with perifosine may kill more cancer cells.
Conditions
Conditions (26)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Accelerated Phase Chronic Myelogenous Leukemia | Accelerated Phase Chronic Myeloid Leukemia, BCR-ABL1 Positive | ALIAS | 0.90 |
| Adult Acute Megakaryoblastic Leukemia (M7) | Adult Acute Megakaryoblastic Leukemia | ONTOLOGY_EXACT | 0.85 |
| Adult Acute Minimally Differentiated Myeloid Leukemia (M0) | Adult Acute Myeloid Leukemia with Minimal Differentiation | ALIAS | 0.90 |
| Adult Acute Monoblastic Leukemia (M5a) | Adult Acute Monoblastic Leukemia | ONTOLOGY_EXACT | 0.85 |
| Adult Acute Monocytic Leukemia (M5b) | Adult Acute Monocytic Leukemia | ONTOLOGY_EXACT | 0.85 |
| Adult Acute Myeloblastic Leukemia With Maturation (M2) | Adult Acute Myeloid Leukemia with Maturation |
Interventions
Interventions (3)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| 7-hydroxystaurosporine | Drug | — | UNRESOLVED |
| perifosine | Drug | Perifosine | ALIAS |
| pharmacological study | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (2)
- type
- EXPERIMENTAL
- label
- Arm I (enzyme inhibitor, chemotherapy)
- description
- Patients receive a loading dose of oral perifosine every 6 hours on day 1 followed by a maintenance dose once daily on days 2-28 of course 1 and then once daily on days 1-28 in all subsequent courses. Patients also receive 7-hydroxystaurosporine IV over 3 hours on day 4. Cohorts of 3-6 patients receive escalating doses of 7-hydroxystaurosporine until the MTD is determined.
- interventionNames
- Drug: 7-hydroxystaurosporine
- Drug: perifosine
- Other: pharmacological study
- type
- EXPERIMENTAL
- label
- Arm 2 (enzyme inhibitor, chemotherapy)
- description
- Patients receive 7-hydroxystaurosporine IV over 3 hours on day 1 at the MTD determined in group I. Patients also receive oral perifosine as a loading dose every 6 hours on day 4 followed by a maintenance dose once daily on days 5-28 of course 1 and then once daily on days 1-28 in all subsequent courses.
- interventionNames
- Drug: 7-hydroxystaurosporine
Eligibility
Eligibility (as posted)
- Sex
- All
- Minimum age
- 18 Years
Show eligibility criteria text
Inclusion Criteria:
* Histologically or cytologically confirmed hematologic malignancy of 1 of the following types:
* Relapsed or refractory acute myelogenous leukemia (AML)
* Patients with acute promyelocytic leukemia t(15;17) are eligible provided they failed a prior tretinoin and arsenic-containing regimen
* Patients should be either refractory to both agents (absence of durable hematologic response) OR relapsed after a complete response duration of \< 6 months
* Relapsed or refractory pre-B-cell or T-cell acute lymphoblastic leukemia (ALL)
* Chronic myelogenous leukemia (CML) in accelerated or blastic phase that is refractory to imatinib mesylate
* Must have evidence of disease progression despite continued treatment with imatinib mesylate
* AML arising in the setting of underlying myelodysplastic syndromes (MDS) and/or myeloproliferative disorders (MPD)
* Secondary or therapy-related AML
* De novo AML or pre-B-cell or T-cell ALL in adults \> 60 years of age with poor-risk features, such as complex (≥ 3) or adverse cytogenetics
* The following are considered adverse cytogenetic abnormalities for AML:
* -5q
* 7q-
* 9q-
* 20q-
* abn12p
* +21
* +8
* t(6;9)
* t(6;11)
* t(11;19)
* -7
* -5
* inv3/t(3;3)
* abn11q23
* abn17p
* abn21q
* t(9;22) refractory to imatinib mesylate
* The following are considered adverse cytogenetic abnormalities for ALL:
* t(9;22) refractory to imatinib mesylate
* Hypodiploidy
* t(4;11)
* t(1;19)
* Myelodysplastic Syndromes (MDS) meeting 1 of the following criteria:
* Intermediate and high risk (i.e., International Prognostic Scoring System \[IPSS\] ≥ 1.5) MDS that is refractory or has progressed after treatment with azacitidine and/or decitabine
* Intermediate and high risk (i.e., IPSS ≥ 1.5) MDS with a 5q- cytogenetic abnormality that is refractory or has progressed after treatment with lenalidomide, azacitidine, or decitabine
* Intermediate 2 and high risk MDS without 5q- cytogenetic abnormality that is refractory or has progressed after azacitidine or decitabine
* Original 5q must also be refractory to lenalidomide
* Received OR ineligible for established curative regimens, including stem cell transplantation
* No active CNS leukemia
* ECOG performance status (PS) 0-2 OR Karnofsky PS ≥ 60%
* Total or direct bilirubin ≤ 1.5 times upper limit of normal (ULN)
* AST/ALT ≤ 2.5 times ULN
* Creatinine ≤ 2 mg/dL
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception during and for 3 months after completion of study treatment
* No hyperleukocytosis (i.e., WBC \> 30,000/mm\^3) (recent treatment with hydroxyurea to prevent impending leukostasis allowed provided there has been no dose increase for ≥ 1 week)
* No history of allergic reactions attributed to compounds of similar chemical or biologic composition to UCN-01 or perifosine
* No intrinsic impaired organ function
* No active, uncontrolled infection
* Infection that is controlled with antibiotics allowed
* No symptomatic cardiac disease
* No active ischemia on EKG
* LVEF ≥ 40% by echocardiogram or MUGA
* Patients with a history of cardiac disease or mediastinal radiation should undergo testing of ventricular function
* No poorly controlled diabetes mellitus
* No psychiatric illness or social situation that would preclude giving informed consent or complying with study requirements
* No HIV positivity
* See Disease Characteristics
* At least 4 weeks since prior cytotoxic chemotherapy (6 weeks for carmustine or mitomycin C) and recovered
* At least 4 weeks since prior radiotherapy and recovered
* At least 4 weeks since prior autologous stem cell transplantation (SCT)
* At least 90 days since prior allogeneic SCT
* No evidence of graft vs host disease
* At least 2 weeks since prior immunosuppressive therapy
* No concurrent hematopoietic growth factors or biologic agents
* No other concurrent investigational agents, chemotherapy, radiotherapy, or immunotherapy
* No other concurrent anticancer therapyReferences
Publications (1)
- DERIVEDGojo I, Perl A, Luger S, Baer MR, Norsworthy KJ, Bauer KS, Tidwell M, Fleckinger S, Carroll M, Sausville EA. Phase I study of UCN-01 and perifosine in patients with relapsed and refractory acute leukemias and high-risk myelodysplastic syndrome. Invest New Drugs. 2013 Oct;31(5):1217-27. doi: 10.1007/s10637-013-9937-8. Epub 2013 Feb 27. PMID 23443507