Status:

ACTIVE_NOT_RECRUITING

Vorinostat Dose-escalation After Allogeneic Hematopoietic Cell Transplantation

Lead Sponsor:

Johns Hopkins All Children's Hospital

Conditions:

Acute Myeloid Leukemia

Myelodysplastic Syndromes

Eligibility:

All Genders

1-21 years

Phase:

PHASE1

Brief Summary

The objective of this study is to evaluate the maximum tolerated (MTD) of vorinostat used in combination with low-dose azacitidine after allogeneic hematopoietic cell transplantation (alloHCT) for pre...

Detailed Description

Children and adolescents ages 1 to 21 years of age who are undergoing allogeneic hematopoietic cell transplantation for a myeloid malignancy (AML, MDS, JMML, MPAL) will be eligible. There are no restr...

Eligibility Criteria

Inclusion

  • Patient is 1 year to 21 years of age.
  • Patient has a diagnosis of AML, MDS, MDS/AML, MPAL, or JMML. Note: patients are allowed to have received a HMA or HDACi prior to undergoing alloHCT.
  • Patient has undergone allogeneic hematopoietic cell transplantation (no restrictions on conditioning regimen, donor or stem cell source, or GVHD prophylaxis regimen).
  • Patient and/or parent(s) or legal guardian(s) are capable of understanding the study, including potential benefits and risks, and sign written informed consent. Age-appropriate assent will be obtained.
  • Female patient of childbearing potential has a negative screening pregnancy test (urine or serum, as per local institutional standard).
  • Female patient with infant(s) agrees not to breastfeed her infant(s) while on study.
  • Patient of child-bearing potential (male and female) agrees to use effective method of contraception during the study.

Exclusion

  • Patient is enrolled on a clinical trial with investigational post-transplant medications. Note: trials involving defibrotide, post-transplant cyclophosphamide, and Lactobacillus plantarum are permitted. Other trials involving investigational medications that aren't leukemia or GVHD-directed may also be permitted after consultation with the overall PI.
  • Patient has a planned administration of non-protocol chemotherapy, radiation therapy, donor leukocyte infusion, or immunotherapy during the planned study period.
  • Patient has a known allergy to azacitidine or vorinostat.
  • Patient has chronic myelogenous leukemia.
  • Concomitant use of coumarin-derived anticoagulants or valproic acid.
  • \-

Key Trial Info

Start Date :

May 1 2019

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

October 30 2026

Estimated Enrollment :

15 Patients enrolled

Trial Details

Trial ID

NCT03843528

Start Date

May 1 2019

End Date

October 30 2026

Last Update

August 11 2025

Active Locations (1)

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1

Johns Hopkins All Children's Hospital

St. Petersburg, Florida, United States, 33701