ClinicalTrials.gov
 Home    Search    Study Topics    Glossary  
 

  Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Alemtuzumab and Combination Chemotherapy in Treating Patients With Untreated Acute Lymphoblastic Leukemia

This study is ongoing, but not recruiting participants.

Sponsors and Collaborators: Cancer and Leukemia Group B
National Cancer Institute (NCI)
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00061945
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Monoclonal antibodies such as alemtuzumab can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells. Combining chemotherapy with monoclonal antibody therapy may kill more cancer cells.

PURPOSE: This phase I/II trial is studying the side effects and best dose of alemtuzumab and to see how well it works when given together with combination chemotherapy in patients with previously untreated acute lymphoblastic leukemia.


Condition Intervention Phase
Leukemia
Drug: alemtuzumab
Drug: asparaginase
Drug: cyclophosphamide
Drug: cytarabine
Drug: daunorubicin hydrochloride
Drug: dexamethasone
Drug: filgrastim
Drug: imatinib mesylate
Drug: leucovorin calcium
Drug: mercaptopurine
Drug: methotrexate
Drug: vincristine sulfate
Phase I
Phase II

MedlinePlus related topics:   Cancer    Leukemia, Adult Acute    Leukemia, Adult Chronic    Leukemia, Childhood   

Drug Information available for:   Cyclophosphamide    Filgrastim    Cytarabine    Cytarabine hydrochloride    Mercaptopurine    6-Mercaptopurine    L-Asparaginase    Daunorubicin hydrochloride    Daunorubicin    Dexamethasone    Dexamethasone acetate    Dexamethasone Sodium Phosphate    Doxiproct plus    Leucovorin Calcium    Citrovorum factor    Folinic acid calcium salt pentahydrate    Leucovorin    Methotrexate    Vincristine sulfate    Vincristine    Imatinib    Imatinib mesylate    Alemtuzumab    Calcium gluconate    Campath   

U.S. FDA Resources

Study Type:   Interventional
Study Design:   Treatment
Official Title:   A Phase I/II Dose Escalation Study of Subcutaneous Campath-1H (NSC #715969, IND #10864) During Intensification Therapy in Adults With Untreated Acute Lymphoblastic Leukemia (ALL)

Further study details as provided by National Cancer Institute (NCI):

Primary Outcome Measures:
  • Maximum tolerated dose of alemtuzumab as measured by CTC version 3.0 (Phase I) [ Designated as safety issue: Yes ]
  • Feasibility and toxicity profile (including dose-limiting toxicity) (Phase II) [ Designated as safety issue: Yes ]

Secondary Outcome Measures:
  • Pharmacokinetics [ Designated as safety issue: No ]
  • Toxicity profile as measured by CTC version 3.0 (Phase II) [ Designated as safety issue: Yes ]
  • Correlation of antibody treatment with alemtuzumab and modulation of minimal residual disease (Phase II) [ Designated as safety issue: No ]
  • Disease-free survival (DFS) (Phase II) [ Designated as safety issue: No ]
  • Overall survival (OS) (Phase II) [ Designated as safety issue: No ]

Estimated Enrollment:   282
Study Start Date:   June 2003
Estimated Primary Completion Date:   October 2005 (Final data collection date for primary outcome measure)

Show detailed description  Show Detailed Description

  Eligibility
Ages Eligible for Study:   15 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed precursor B- or T-lymphoblastic leukemia, L1 or L2 acute lymphoblastic leukemia (ALL), or acute undifferentiated leukemia
  • No Burkitt-type ALL
  • No prior treatment for leukemia except for any of the following:

    • Emergency leukapheresis
    • Emergency treatment for hyperleukocytosis with hydroxyurea
    • Cranial radiotherapy for CNS leukostasis (1 dose only)
  • Must have a pretreatment bone marrow or peripheral blood sample submitted for central immunophenotyping

    • Only patients who express CD52 at least 10% in the leukemic blast cell channel are eligible to receive alemtuzumab during module D, course IV
  • Must be entered on CLB 9665, 9862, and 8461

PATIENT CHARACTERISTICS:

Age

  • 15 and over

Performance status

  • Not specified

Life expectancy

  • Not specified

Hematopoietic

  • Not specified

Hepatic

  • Not specified

Renal

  • Not specified

Other

  • Not pregnant or nursing

    • No nursing for at least 3 months after study therapy
  • Negative pregnancy test
  • Fertile patients must use effective contraception during and for at least 6 months after study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • See Disease Characteristics

Chemotherapy

  • See Disease Characteristics
  • No other concurrent chemotherapy

Endocrine therapy

  • Not specified

Radiotherapy

  • See Disease Characteristics
  • No concurrent palliative radiotherapy

    • Concurrent whole brain radiotherapy allowed for documented CNS disease

Surgery

  • Not specified

Other

  • No concurrent alcoholic beverages
  • No concurrent over-the-counter pain relievers
  Contacts and Locations

Please refer to this study by its ClinicalTrials.gov identifier: NCT00061945

Show 35 study locations  Show 35 Study Locations

Sponsors and Collaborators
Cancer and Leukemia Group B
National Cancer Institute (NCI)

Investigators
Study Chair:     Wendy Stock, MD     University of Chicago    
  More Information


Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site
 

Publications of Results:
Lozanski G, Sanford B, Mrozek K, et al.: Quantitative measurement of CD52 expression and alemtuzumab binding in adult acute lymphoblastic leukemia (ALL): correlation with immunophenotype and cytogenetics in patients (pts) enrolled on a phase I/II trial from the Cancer and Leukemia Group B (CALGB 10102). [Abstract] Blood 110 (11): A-2386, 2007.
 
Stock W, Yu D, Sanford B, et al.: Incorporation of alemtuzumab into front-line therapy of adult acute lymphoblastic leukemia (ALL) is feasible: a phase I/II study from the Cancer and Leukemia Group B (CALGB 10102). [Abstract] Blood 106 (11): A-145, 2005.
 

Study ID Numbers:   CDR0000302482, CALGB-10102
First Received:   June 5, 2003
Last Updated:   August 23, 2008
ClinicalTrials.gov Identifier:   NCT00061945
Health Authority:   United States: Food and Drug Administration

Keywords provided by National Cancer Institute (NCI):
B-cell adult acute lymphoblastic leukemia  
L1 adult acute lymphoblastic leukemia  
L2 adult acute lymphoblastic leukemia  
T-cell adult acute lymphoblastic leukemia
untreated adult acute lymphoblastic leukemia
acute undifferentiated leukemia

Study placed in the following topic categories:
Dexamethasone
Asparaginase
Daunorubicin
Leukemia, Lymphoid
Precursor Cell Lymphoblastic Leukemia-Lymphoma
Immunoproliferative Disorders
Vincristine
Leucovorin
Cyclophosphamide
6-Mercaptopurine
Acute lymphoblastic leukemia, adult
Folic Acid
Imatinib
Leukemia
Lymphatic Diseases
Alemtuzumab
Methotrexate
Lymphoproliferative Disorders
Lymphoma
Cytarabine
Dexamethasone acetate

Additional relevant MeSH terms:
Anti-Inflammatory Agents
Antimetabolites
Anti-Infective Agents
Antimetabolites, Antineoplastic
Immunologic Factors
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Hormones, Hormone Substitutes, and Hormone Antagonists
Antiemetics
Reproductive Control Agents
Antibiotics, Antineoplastic
Protein Kinase Inhibitors
Hormones
Vitamins
Therapeutic Uses
Abortifacient Agents
Micronutrients
Dermatologic Agents
Alkylating Agents
Nucleic Acid Synthesis Inhibitors
Vitamin B Complex
Neoplasms by Histologic Type
Antineoplastic Agents, Hormonal
Immune System Diseases
Growth Substances
Mitosis Modulators
Gastrointestinal Agents
Enzyme Inhibitors
Antimitotic Agents

ClinicalTrials.gov processed this record on November 20, 2008




Links to all studies - primarily for crawlers