Combination Chemotherapy in Treating Patients With Relapsed Acute Myelogenous Leukemia

NCT ID: NCT00003758

Last Updated: 2009-02-09

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

UNKNOWN

Clinical Phase

PHASE2

Total Enrollment

60 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 cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells.

PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy consisting of cytarabine plus idarubicin in treating patients who have relapsed acute myelogenous leukemia.

Detailed Description

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OBJECTIVES: I. Assess the feasibility and efficacy of intermediate dose cytarabine plus idarubicin followed by low dose cytarabine in patients with relapsed acute myelogenous leukemia.

OUTLINE: This is a multicenter study. Patients receive intermediate dose cytarabine IV over 2 hours twice a day on days 1-5, idarubicin IV over 24 hours on days 1, 3, and 5, and low dose cytarabine IV over 24 hours on days 6-15. If patients achieve complete remission by day 35, this regimen is repeated once. If patients achieve partial remission by day 35, this regimen is repeated, except with an additional day of idarubicin on day 7. If these patients then achieve complete remission by day 70, the regimen is repeated. Patients may then undergo stem cell transplantation within 6 months of achieving complete remission. Patients who have an HLA identical sibling available receive an allogeneic transplant; others receive an autologous transplant. Patients are followed monthly for 1 year, every 3 months for 3 years, then every 6 months thereafter.

PROJECTED ACCRUAL: A total of 24-60 patients will be accrued for this study.

Conditions

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Leukemia

Study Design

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Primary Study Purpose

TREATMENT

Interventions

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cytarabine

Intervention Type DRUG

idarubicin

Intervention Type DRUG

allogeneic bone marrow transplantation

Intervention Type PROCEDURE

autologous bone marrow transplantation

Intervention Type PROCEDURE

peripheral blood stem cell transplantation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

DISEASE CHARACTERISTICS: First bone marrow relapse of primary acute myelogenous leukemia (AML), all subtypes except M3 OR First bone marrow relapse of secondary AML that occurred after other malignancies, but cured, or after alkylating agents and/or radiotherapy, or after myelodysplastic syndrome No previously untreated AML or second or subsequent relapse of AML No isolated extramedullar localization of AML Must have achieved a first complete remission No leukemias after other myeloproliferative diseases

PATIENT CHARACTERISTICS: Age: 15 to 60 Performance status: WHO 0-2 Life expectancy: Not specified Hematopoietic: Not specified Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN) Alkaline phosphatase no greater than 1.5 times ULN AST no greater than 1.5 times ULN Renal: Creatinine no greater than 1.5 times ULN Cardiovascular: No cardiac contraindications to anthracycline chemotherapy Ventricular ejection fraction at least 45% Other: No uncontrolled infection No concurrent severe neurological or psychiatric disease No other progressive malignant nonhematological disease

PRIOR CONCURRENT THERAPY: Biologic therapy: No prior allogeneic or autologous bone marrow or peripheral stem cell transplant Chemotherapy: See Disease Characteristics Endocrine therapy: Not specified Radiotherapy: See Disease Characteristics Surgery: Not specified
Minimum Eligible Age

15 Years

Maximum Eligible Age

60 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

Principal Investigators

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Petra Muus, MD, PhD

Role: STUDY_CHAIR

Universitair Medisch Centrum St. Radboud - Nijmegen

Locations

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Algemeen Ziekenhuis Middelheim

Antwerp, , Belgium

Site Status

A.Z. St. Jan

Bruges, , Belgium

Site Status

Institut Jules Bordet

Brussels, , Belgium

Site Status

Universitair Ziekenhuis Antwerpen

Edegem, , Belgium

Site Status

Medical School/University of Zagreb

Zagreb, , Croatia

Site Status

University Hospital Rebro

Zagreb, , Croatia

Site Status

Hotel Dieu de Paris

Paris, , France

Site Status

Hopital Necker

Paris, , France

Site Status

Ospedale San Eugenio

Rome, , Italy

Site Status

Policlinico A. Gemelli - Universita Cattolica del Sacro Cuore

Rome, , Italy

Site Status

Groot Ziekengasthuis 's-Hertogenbosch

's-Hertogenbosch, , Netherlands

Site Status

Leiden University Medical Center

Leiden, , Netherlands

Site Status

University Medical Center Nijmegen

Nijmegen, , Netherlands

Site Status

Sint Joseph Ziekenhuis

Veldhoven, , Netherlands

Site Status

Hospital Escolar San Joao

Porto, , Portugal

Site Status

Ibn-i Sina Hospital, Ankara Univeristy

Ankara, , Turkey (Türkiye)

Site Status

Countries

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Belgium Croatia France Italy Netherlands Portugal Turkey (Türkiye)

Other Identifiers

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EORTC-06956

Identifier Type: -

Identifier Source: secondary_id

CDR0000066882

Identifier Type: -

Identifier Source: org_study_id

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