Combination Chemotherapy in Treating Children With Relapsed or Refractory Acute Lymphocytic Leukemia

NCT ID: NCT00003729

Last Updated: 2012-09-24

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

13 participants

Study Classification

INTERVENTIONAL

Study Start Date

1998-12-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells.

PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy in treating children who have relapsed or refractory acute lymphocytic leukemia.

Detailed Description

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OBJECTIVES: I. Evaluate the complete response rate to combination fludarabine, idarubicin, and cytarabine in children with relapsed or refractory acute lymphocytic leukemia. II. Evaluate the safety and tolerance of this treatment in these patients. III. Evaluate the time to progression, disease free survival, and overall survival of these patients.

OUTLINE: This is an open label, multicenter study. Patients receive idarubicin IV over 1 hour on days 1-3. Fludarabine IV is administered over 30 minutes on days 1-5. Cytarabine IV is administered over 4 hours on days 1-5. If partial response is obtained, patients receive a second course of treatment. Patients receive a consolidation course in the absence of disease progression and unacceptable toxicity. Idarubicin IV is administered over 1 hour on days 1 and 2. Fludarabine IV is administered over 30 minutes, followed by cytarabine IV over 4 hours on days 1-5. Patients are followed every 3 months for 2 years or until death.

PROJECTED ACCRUAL: A total of 24-45 patients will be accrued for this study within 27 months.

Conditions

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Leukemia

Keywords

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recurrent childhood acute lymphoblastic leukemia L1 childhood acute lymphoblastic leukemia L2 childhood acute lymphoblastic leukemia

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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cytarabine

Intervention Type DRUG

fludarabine phosphate

Intervention Type DRUG

idarubicin

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS: Cytologically diagnosed relapsed or refractory acute lymphocytic leukemia previously treated with front line therapy FAB L1 or L2 Bone marrow relapse either isolated or associated with CNS or testicular relapse Bone marrow blast cells greater than 10% No isolated CNS relapse

PATIENT CHARACTERISTICS: Age: Under 18 Performance status: WHO 0-2 Play-performance scale at least 60% Life expectancy: Not specified Hematopoietic: Not specified Hepatic: Bilirubin less than 2.5 times normal Renal: Creatinine less than 2.5 times normal Cardiovascular: No symptoms of cardiac failure No decline of ejection fraction by more than 20% of the lower limit of normal Shortening fraction at least 25% Other: No psychological, familial, sociological or geographical condition that would hamper compliance No uncontrolled infection

PRIOR CONCURRENT THERAPY: At least 6 months since prior autologous bone marrow transplantation No prior allogeneic bone marrow transplantation No concurrent treatment with other experimental drug
Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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European Organisation for Research and Treatment of Cancer - EORTC

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Antoine Thyss, MD

Role: STUDY_CHAIR

Centre Antoine Lacassagne

Locations

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Algemeen Ziekenhuis Middelheim

Antwerp, , Belgium

Site Status

Hopital Universitaire Des Enfants Reine Fabiola

Brussels (Bruxelles), , Belgium

Site Status

Academisch Ziekenhuis der Vrije Universiteit Brussel

Brussels (Bruxelles), , Belgium

Site Status

Universitair Ziekenhuis Gent

Ghent (Gent), , Belgium

Site Status

U.Z. Gasthuisberg

Leuven, , Belgium

Site Status

Centre Hospitalier Regional de la Citadelle

Liege (Luik), , Belgium

Site Status

Clinique de l'Esperance

Montegnée, , Belgium

Site Status

Centre Hospitalier Regional et Universitaire d'Angers

Angers, , France

Site Status

CHR de Besancon - Hopital Saint-Jacques

Besançon, , France

Site Status

CHU de Caen

Caen, , France

Site Status

CHR de Grenoble - La Tronche

Grenoble, , France

Site Status

Centre Hospitalier Regional de Lille

Lille, , France

Site Status

Hopital Debrousse

Lyon, , France

Site Status

Hopital Arnaud de Villeneuve

Montpellier, , France

Site Status

CHR Hotel Dieu

Nantes, , France

Site Status

Centre Antoine Lacassagne

Nice, , France

Site Status

Hopital Robert Debre

Paris, , France

Site Status

Institut Curie - Section Medicale

Paris, , France

Site Status

Hopital Jean Bernard

Poitiers, , France

Site Status

Hopital Americain

Reims, , France

Site Status

Hopital Universitaire Hautepierre

Strasbourg, , France

Site Status

Hopital des Enfants (Purpan Enfants)

Toulouse, , France

Site Status

Hospital Escolar San Joao

Porto, , Portugal

Site Status

Countries

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Belgium France Portugal

Other Identifiers

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EORTC-58953

Identifier Type: -

Identifier Source: secondary_id

EORTC-58953

Identifier Type: -

Identifier Source: org_study_id