Status:

UNKNOWN

Midostaurin in Indolent Systemic Mastocytosis

Lead Sponsor:

University Medical Center Groningen

Conditions:

Indolent Systemic Mastocytosis

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

Rationale: Patients with indolent or smoldering systemic mastocytosis can have severe disabling symptoms. Almost all patients have fatigue, a compromised quality of life, hampering normal functioning....

Detailed Description

Objective: Primary: To study in a pilot phase II trial the efficacy of midostaurin administered at an oral dose of 100 mg twice daily in patients with indolent or smoldering systemic mastocytosis on ...

Eligibility Criteria

Inclusion

  • Patients with Indolent Systemic Mastocytosis (ISM) or Smouldering Systemic Mastocytosis (SSM) according to the WHO criteria
  • Presence of the D816V c-KIT mutation
  • Serum tryptase \> 20 mg/l
  • Serious mediator-related symptoms that cannot be controlled by H1 and H2 blocking drugs. Symptoms will be scored by an adapted MSAF (mastocytosis symptom assessment form) with at least:
  • a pre-study score of 4 or more on 3 non-related items,
  • or a pre-study score of 5 or more on 2 non-related items.
  • one item from the scoring list can be replaced by flushes 7 or more per week or anaphylactic attacks 1 or more per week.
  • Age \>18 years
  • Willingness to apply optimal contraceptive measures (double barrier method, both men and women) for women below the age of 55, men at all ages; for both: if sexually active.
  • Written informed consent

Exclusion

  • Aggressive systemic mastocytosis, mast cell leukemia, or ASM with or without accompanying non-clonal related non-mast cell disorder (SM-ANHMD).
  • Any known other present malignancy, non-melanoma skin cancers excluded
  • History of malignancy within the last 5 years, non-melanoma skin cancers excluded
  • Any serious comorbidity interfering with therapy compliance and follow-up compliance
  • Pregnancy
  • Patients not willing or who are not able to comply with contraceptive measures

Key Trial Info

Start Date :

August 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

May 1 2015

Estimated Enrollment :

20 Patients enrolled

Trial Details

Trial ID

NCT01920204

Start Date

August 1 2013

End Date

May 1 2015

Last Update

January 19 2015

Active Locations (1)

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1

University Medical Center Groningen

Groningen, Provincie Groningen, Netherlands, 9700RB