Is NCT05549661 recruiting in Rochester, MN?

Yes, NCT05549661 is currently recruiting participants at its Rochester, MN location. This recurrent chronic myelomonocytic leukemia clinical trial is actively enrolling qualified participants.

Is participation in this Rochester clinical trial free?

Yes, all study-related care is provided at no cost to qualified participants. Many studies also offer compensation for time and travel expenses.

Recurrent Chronic Myelomonocytic Leukemia Clinical Trial in Rochester, MN

Q: How do I join the recurrent chronic myelomonocytic leukemia clinical trial in Rochester?

To join this clinical trial in Rochester, complete the eligibility form on this page. A study coordinator will contact you to discuss next steps and determine if you qualify.

About This Recurrent Chronic Myelomonocytic Leukemia Study in Rochester

This phase I trial evaluates the safety, effectiveness, and best dose of onvansertib for the treatment of patients with chronic myelomonocytic leukemia and Myelodysplastic syndrome/myeloproliferative neoplasm (MDS/MPN) overlap neoplasms that has come back (recurrent) or that does not respond to treatment (refractory). Onvansertib is a drug that binds to and inhibits an enzyme called PLK1, preventing cancer cell proliferation and causing cell death.

Sponsor: Mayo Clinic

Who Can Participate

Inclusion Criteria

PRE-REGISTRATION - INCLUSION CRITERIA:

Age \>= 18 years

History of World Health Organization (WHO)-defined diagnosis of proliferative CMML (WBC count \>= 13,000/mm\^3 at time of diagnosis), or MDS/MPN overlap neoplasm with WBC count \>= 13,000/mm3 at time of diagnosis (atypical CML and MDS/MPN-NOS).

NOTE: Hydroxyurea or hypomethylating induced leukopenia does not preclude inclusion. Discussion of WBC \< 13,000/mm\^3 due to treatment at the time of preregistration must be discussed with the Sponsor/Principal Investigator

Relapsed/refractory following treatment with hydroxyurea; or at least 4 cycles of treatment with hypomethylating agents; or who are intolerant of treatment with either therapy. Note: Prior exposure to erythropoiesis stimulating agents is allowed. Hydroxyurea may continue for the first 28 days on study. Continuation of hydroxyurea beyond the first cycle must be discussed with the Sponsor/Principal Investigator

Willing and able to review, understand, and provide written consent before starting any study-specific procedures or therapy

Willing to return to enrolling institution for follow-up (during the active monitoring phase of the study)

Willingness to provide mandatory bone marrow specimens for correlative research

Eastern Cooperative Oncology Group (ECOG) performance status (PS) 0, 1 or 2

Recovered to grade 1 or baseline or established as sequelae from all toxic effects of previous therapy except alopecia

Platelet count \>= 20,000/mm\^3 (obtained =\< 14 days prior to pre-registration)

NOTE: For platelet count \< 20,000/mm3 and in situations where the primary investigator deems the thrombocytopenia to be attributable to the underlying CMML, patients can be enrolled as long as they are able to achieve a platelet count of 20,000/mm3 with transfusional support

Total bilirubin =\< 1.5 x upper limit of normal (ULN) (=\< 3 x ULN for patients with Gilbert's syndrome) (obtained =\< 14 days prior to pre-registration)

Alanine aminotransferase (ALT) and aspartate transaminase (AST) =\< 3 x ULN (obtained =\< 14 days prior to pre-registration)

Estimated glomerular filtration rate (eGFR) \>= 50 mL/min/m\^2 using one of the following methods (obtained =\< 14 days prior to pre-registration):

Chronic Kidney Disease-Epidemiology Collaboration (CKDEPI) 2021 formula

Corrected creatinine clearance via serum and 24-hour urine creatinine assessment

Iothalamate/Iohexol glomerular filtrate rate via plasma/urine assessment

Ability to complete questionnaire(s) by themselves or with assistance

Willingness to provide mandatory blood specimens for correlative research REGISTRATION - INCLUSION CRITERIA:

Histological confirmation of WHO-defined diagnosis of a myelodysplastic/myeloproliferative neoplasm (MDS/MPN) including one of the following (NOTE: to confirm patient is still eligible and has not progressed to AML):

Proliferative CMML

Atypical chronic myeoloid leukemia (aCML)

MDS/MPN not otherwise specified (MDS/MPN, NOS)

NOTE: Hydroxyurea or hypomethylating agent induced leukopenia does not preclude inclusion. Discussion of WBC \< 13,000/mm\^3 due to treatment at the time of registration must be discussed with the Sponsor/Principal Investigator.

For a man or a woman of child-bearing potential (WOCBP): Must agree to use contraception or take measures to avoid pregnancy during the study and for 180 days after the final dose of any study drug. Adequate contraception is defined as follows:

Complete true abstinence

Consistent and correct use of one of the following methods of birth control:

Male partner who is sterile prior to the female patient's entry into the study and is the sole sexual partner for that female patient

Implants of levonorgestrel

Injectable progestogen

Intrauterine device (IUD) with a documented failure rate of less than 1% per year

Oral contraceptive pill (either combined or progesterone only)

Barrier method, for example: diaphragm with spermicide or condom with spermicide in combination with either implants of levonorgestrel or injectable progestogen

WOCBP must have a negative serum or urine pregnancy test =\< 7 days prior to registration

NOTE: WOCBP include any female who has experienced menarche and who has not undergone successful surgical sterilization (hysterectomy, bilateral tubal ligation, or bilateral oophorectomy) or is not postmenopausal (defined as amenorrhea \> 12 consecutive months); or women on hormone replacement therapy with documented serum follicle stimulating hormone (FSH) level \> 35 mIU/mL. Even women who are using oral, implanted or injectable contraceptive hormones or mechanical products such as an IUD or barrier methods (diaphragm, condoms, spermicides) to prevent pregnancy or practicing abstinence or where partner is sterile (eg, vasectomy), must be considered to be of child-bearing potential

NOTE: If the urine test is positive or cannot be confirmed as negative, a serum pregnancy test will be required

Exclusion Criteria

PRE-REGISTRATION - EXCLUSION CRITERIA:

Previous exposure to an alternative (investigational) PLK1 inhibitor

Demonstration of transformation to acute leukemia on any prior bone marrow biopsy

Prior allogeneic hematopoietic stem cell transplantation with active grade 2-4 graft-versus-host disease (GVHD) or with moderate to severe chronic GVHD

NOTE: The patient should not have received calcineurin inhibitors ≤28 days prior to pre-registration and should not be actively receiving immunosuppressive therapy for acute or chronic GVHD.

NOTE: CMML or MDS/MPN overlap neoplasms relapse after allogeneic stem cell transplant is allowed as long as they are \>100 days after transplant and do not have the aforementioned GVHD criteria.

Active central nervous system disease

Concurrent active malignancy, except adequately treated nonmelanoma skin cancer. History of curatively treated in situ cancer of the cervix, curatively treated in situ cancer of the breast, or other solid tumors curatively treated is allowed as long as there is no evidence of disease for \> 2 years

NOTE: Precursor states such as monoclonal gammopathy of undetermined significance (MGUS), monoclonal B-cell lymphocytosis (MBL), and indolent lymphoproliferative disorders must be discussed with the Sponsor/Principal Investigator.

New York Heart Association (NYHA) class III/IV heart failure or active angina/angina equivalents

Anticancer chemotherapy (exception: hydroxyurea) or biologic therapy administered within 2 weeks (and at least 4 elimination half-lives for clinical trial agents) prior to pre-registration. NOTE: Hydroxyurea is allowed for the first 28 days on study. Continuation of hydroxyurea beyond the first cycle must be discussed with the Sponsor/Principal Investigator

Receiving any other investigational agent which would be considered as a treatment for the primary neoplasm

Major surgery =\< 6 weeks prior to pre-registration

Gastrointestinal (GI) disorder(s) that, in the opinion of the Investigator, would significantly impede the absorption of an oral agent (eg, intestinal occlusion, active Crohn's disease, ulcerative colitis, extensive gastric and small intestine resection)

Unable or unwilling to swallow study drug

Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, clinically significant nonhealing or healing wounds, clinically significant cardiac arrhythmia, significant pulmonary disease (shortness of breath at rest or mild exertion), uncontrolled infection, or psychiatric illness/social situations that would limit compliance with study requirements

Known active infection with human immunodeficiency virus (HIV) with measurable viral titer, hepatitis B surface antigen positivity, or hepatitis C with measurable viral titer. NOTE: Patients with antibody to hepatitis B core antibody are eligible if they have no measurable viral titer. Patients who have had a hepatitis B virus (HBV) immunization are eligible

Patient is receiving any live vaccine (eg, varicella, pneumococcus) =\< 28 days prior to pre-registration. NOTE: messenger ribonucleic acid (mRNA)-based (eg, Pfizer or Moderna) or replication-deficient virus (eg, Oxford/AstraZeneca) COVID19 vaccines are permitted

Disease requiring systemic treatment with systemic immunosuppression with steroid steroids at a dose of \>= 20 mg/day prednisone (or equivalent). Exceptions: Intermittent use of bronchodilators or inhaled steroids, local steroid injections, topical steroids

Any active disease condition that would render the protocol treatment dangerous or impair the ability of the patient to receive study drug

Strong CYP3A4 inhibitors/inducers as identified per institutional guidelines

QT interval with Fridericia's correction (QTcF) \> 470 milliseconds. In the case of potentially correctible causes of QT prolongation, (eg, medications, hypokalemia), the electrocardiogram (ECG) may be repeated once during screening and that result may be used to determine eligibility REGISTRATION - EXCLUSION CRITERIA:

Any of the following because this study involves an investigational agent whose genotoxic, mutagenic and teratogenic effects on the developing fetus and newborn are unknown:

Pregnant persons

Nursing persons

Persons of childbearing potential who are unwilling to employ adequate contraception

Increased risk of Torsade des Pointes (TdP) defined as follows:

A marked baseline prolongation of QT/QTc interval (eg, repeated demonstration of a QTc interval \> 480 msec \[CTCAE Grade \>= 2\] using Fredericia's QT correction formula)

A history of additional risk factors for TdP (eg. heart failure, family history of long QT syndrome)

Transformation to acute leukemia on registration bone marrow biopsy

Not sure if you qualify? Submit your interest and a study coordinator will help determine your eligibility.

Frequently Asked Questions

Q:Is this study available in Rochester?

Yes, this clinical trial (NCT05549661) has an active research site in Rochester, MN that is currently enrolling participants.

Q:Is it safe to participate?

Clinical trials follow strict safety guidelines and ethical standards. This study has been reviewed and approved, and participants are closely monitored by medical professionals. You can withdraw at any time.

Q:Will I be compensated?

Many clinical trials offer compensation for your time and travel expenses. Specific compensation details will be discussed during the screening process. All study-related medical care is provided at no cost.

Q:Can I leave the trial if I change my mind?

Absolutely. Participation is completely voluntary. You have the right to withdraw from the study at any time, for any reason, without penalty.

Still have questions? Our study coordinators are here to help.

Recurrent Chronic Myelomonocytic Leukemia Treatment Options in Rochester, MN

If you're searching for recurrent chronic myelomonocytic leukemia treatment options in Rochester, MN, this clinical trial (NCT05549661) may be an excellent opportunity. Clinical trials provide access to cutting-edge treatments that aren't yet available to the general public, often at no cost to participants.

Our Rochester research site is actively enrolling participants for this clinical trial. You'll receive care from experienced recurrent chronic myelomonocytic leukemia specialists who are at the forefront of medical research. All study-related care, including examinations, treatments, and monitoring, is provided at no cost to qualified participants.

Looking for more options? Browse all recurrent chronic myelomonocytic leukemia clinical trials near you to find additional studies recruiting in your area.

Recurrent Chronic Myelomonocytic Leukemia Clinical Trial in Rochester, MN

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