About this trial
The outlook for patients with haematological malignancies remains challenging. It has been shown in some early cancer studies that a particular drug called Zn-DDC otherwise known as Imuthiol is highly toxic to cancer stem cells. Imuthiol has been intravenously used in clinical trials with an excellent safety record. Recent novel therapy and immunotherapy in haematological malignancies have improved outcome and survival but come with an increasing cost burden. Imuthiol could be an ideal affordable drug to study on it's own as well as in combination with other drugs in myeloma and other haematological malignancies. This may lead to potential combination therapies which will be very effective as well as affordable in the future. There is the need to look to see if this drug, Imuthiol and along with complementary drugs lenalidomide (Revlimid) and pomalidomide (Pomalyst) can help in haematological malignancy treatment. In order to do this there is the need to see how the cancer cells respond to the drugs in the laboratory before being able to trial the drug (or combination of drugs) out for treatment. The success of this study may lead to quick translation of Imuthiol into haematological malignancy treatment.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Patients diagnosed with haematological malignancy - either myeloma or acute leukaemia
Patients must be 18 years or over
Patients must be willing and able to give informed consent
Disqualifiers
Pregnant patients will not be entered
Trial population
Up to 60 myeloma bone marrow samples from Myeloma patients and 10 bone marrow samples from other haematological malignancy samples (Acute leukaemia's) at Diagnosis and Relapse will be tested.
Trial design
Cohort
Prospective
Treatments tested in this trial
Zn-DDC
DrugZn-DDC added to myeloma samples for culturing
Lanalidomide with Zn-DDC
DrugLanalidomide with Zn-DDC added to myeloma samples for culturing
Pomalidomide with Zn-DDC
DrugLanalidomide with Zn-DDC added to myeloma samples for culturing
Treatment groups
Trial outcomes
Primary outcomes
Imuthiol and zinc efficacy
examine the cyctotoxicity of Imuthiol and zinc in combination with other drugs
Cell kill and determination of IC50 (inhibitory concentration) and apoptotic pathways involved
Cell kill and determination of IC50 (inhibitory concentration) and apoptotic pathways involved
Sponsors and contacts
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The Royal Wolverhampton Hospitals NHS Trust
Lead sponsor
University of Wolverhampton
Collaborator