Clofarabine and Daunorubicin in Treating Older Patients With Newly Diagnosed Acute Myeloid Leukemia

NCT ID: NCT00814164

Last Updated: 2016-08-17

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

21 participants

Study Classification

INTERVENTIONAL

Study Start Date

2008-12-31

Study Completion Date

2013-08-31

Brief Summary

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RATIONALE: Drugs used in chemotherapy, such as clofarabine and daunorubicin, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving clofarabine together with daunorubicin may kill more cancer cells.

PURPOSE: This phase II trial is studying how well giving clofarabine together with daunorubicin works in treating older patients with newly diagnosed acute myeloid leukemia.

Detailed Description

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OBJECTIVES:

Primary

* Study complete response (CR) and CR without platelet recovery (CRp) following treatment with clofarabine and daunorubicin hydrochloride in older patients with newly diagnosed acute myeloid leukemia.

Secondary

* Study disease-free and overall survival of these patients following treatment with this regimen.
* Compare disease-free and overall survival of patients whose cells do or do not demonstrate apoptosis following treatment with this regimen.

OUTLINE:

* Induction therapy: Patients receive clofarabine IV over 1 hour on days 1-5 and daunorubicin hydrochloride IV over 5 minutes on days 1, 3, and 5. Patients are assessed after induction course 1. Patients with ≥ 5% blasts in bone marrow may receive another course of induction therapy beginning between 28-84 days after initiation of course 1. Patients who achieve complete remission (CR) or CR without platelet recovery (CRp) (after 1 or 2 courses of induction therapy) proceed to consolidation therapy.
* Consolidation therapy: Beginning between 28 -84 days after initiation of last course of induction therapy, patients receive clofarabine IV over 1 hour on days 1-3 and daunorubicin hydrochloride IV over 5 minutes on days 1 and 3. Patients may receive a second course of consolidation therapy beginning between 28-84 days of consolidation course 1.

Blood and bone marrow samples are collected periodically to assess response and for pharmacokinetic, cytogenetic, immunophenotyping, and molecular analyses.

After completion of study treatment, patients are followed for at least 2 years.

Conditions

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Leukemia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Clorafarbine with daunorubicin

Patients receive clofarabine IV over 1 hour on days 1-5 and daunorubicin hydrochloride IV over 5 minutes on days 1, 3, and 5.

Group Type EXPERIMENTAL

clofarabine

Intervention Type DRUG

IV

daunorubicin hydrochloride

Intervention Type DRUG

IV

cytogenetic analysis

Intervention Type GENETIC

Correlative study

protein expression analysis

Intervention Type GENETIC

Correlative Study

immunologic technique

Intervention Type OTHER

Correlative Study

pharmacological study

Intervention Type OTHER

Correlative Study

Interventions

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clofarabine

IV

Intervention Type DRUG

daunorubicin hydrochloride

IV

Intervention Type DRUG

cytogenetic analysis

Correlative study

Intervention Type GENETIC

protein expression analysis

Correlative Study

Intervention Type GENETIC

immunologic technique

Correlative Study

Intervention Type OTHER

pharmacological study

Correlative Study

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* No other severe concurrent disease

PRIOR CONCURRENT THERAPY:

* No other concurrent systemic antileukemic therapy (standard or investigational)
* No concurrent cytotoxic therapy or investigational therapy
* No concurrent alternative medications (e.g., herbal or botanical for anticancer purposes)
* No prior chemotherapy

* Prior hydroxyurea allowed
Minimum Eligible Age

60 Years

Maximum Eligible Age

120 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Genzyme, a Sanofi Company

INDUSTRY

Sponsor Role collaborator

Roswell Park Cancer Institute

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Meir Wetzler, MD

Role: PRINCIPAL_INVESTIGATOR

Roswell Park Cancer Institute

Locations

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Roswell Park Cancer Institute

Buffalo, New York, United States

Site Status

Countries

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United States

Other Identifiers

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RPCI-I-132208

Identifier Type: OTHER

Identifier Source: secondary_id

CDR0000630678

Identifier Type: -

Identifier Source: org_study_id

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