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Alemtuzumab and Combination Chemotherapy in Treating Patients With Untreated Acute Lymphoblastic Leukemia

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00061945
Recruitment Status : Completed
First Posted : June 6, 2003
Results First Posted : April 16, 2014
Last Update Posted : April 16, 2014
Information provided by (Responsible Party):
National Cancer Institute (NCI)

Brief Summary:
This phase I/II trial studies the side effects and best dose of alemtuzumab when given together with combination chemotherapy and to see how well it works in treating patients with untreated acute lymphoblastic leukemia. Monoclonal antibodies, such as alemtuzumab, can block cancer growth in different ways. Some block the ability of cancer cells to grow and spread. Others find cancer cells and help kill them or carry cancer-killing substances to them. Drugs used in chemotherapy also work in different ways to kill cancer cells or stop them from growing. Giving alemtuzumab together with combination chemotherapy may be a better way to block cancer growth.

Condition or disease Intervention/treatment Phase
Acute Undifferentiated Leukemia B-cell Adult Acute Lymphoblastic Leukemia B-cell Childhood Acute Lymphoblastic Leukemia L1 Adult Acute Lymphoblastic Leukemia L1 Childhood Acute Lymphoblastic Leukemia L2 Adult Acute Lymphoblastic Leukemia L2 Childhood Acute Lymphoblastic Leukemia Philadelphia Chromosome Negative Adult Precursor Acute Lymphoblastic Leukemia Philadelphia Chromosome Positive Adult Precursor Acute Lymphoblastic Leukemia Philadelphia Chromosome Positive Childhood Precursor Acute Lymphoblastic Leukemia T-cell Adult Acute Lymphoblastic Leukemia T-cell Childhood Acute Lymphoblastic Leukemia Untreated Adult Acute Lymphoblastic Leukemia Untreated Childhood Acute Lymphoblastic Leukemia Drug: allopurinol Drug: cyclophosphamide Drug: daunorubicin hydrochloride Drug: vincristine sulfate Drug: dexamethasone Drug: asparaginase Biological: filgrastim Drug: imatinib mesylate Drug: methotrexate Drug: cytarabine Drug: trimethoprim-sulfamethoxazole Drug: mercaptopurine Drug: leucovorin calcium Biological: alemtuzumab Drug: acyclovir Other: laboratory biomarker analysis Other: pharmacological study Phase 1 Phase 2

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 302 participants
Allocation: N/A
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: 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)
Study Start Date : June 2003
Actual Primary Completion Date : December 2007
Actual Study Completion Date : October 2012

Arm Intervention/treatment
Experimental: Treatment (alemtuzumab and combination chemotherapy)
See detailed description.
Drug: allopurinol
Given PO

Drug: cyclophosphamide
Given IV

Drug: daunorubicin hydrochloride
Given IV

Drug: vincristine sulfate
Given IV

Drug: dexamethasone
Given PO and as eye drops

Drug: asparaginase
Given SC

Biological: filgrastim
Given SC

Drug: imatinib mesylate
Given PO

Drug: methotrexate
Given IT, IV, and PO

Drug: cytarabine
Given IV

Drug: trimethoprim-sulfamethoxazole
Given PO

Drug: mercaptopurine
Given PO

Drug: leucovorin calcium
Given IV and PO

Biological: alemtuzumab
Given SC

Drug: acyclovir
Given PO

Other: laboratory biomarker analysis
Correlative studies

Other: pharmacological study
Correlative studies

Primary Outcome Measures :
  1. Maximum Tolerated Dose (MTD) of Alemtuzumab (Phase I) [ Time Frame: 6 weeks ]
    The maximum tolerated dose is defined as the highest alemtuzumab dose at which less than 40% of patients develop the dose limiting toxicity (DLT), where DLT is defined as the inability to proceed (due to medical complications) with the protocol treatment within six weeks of receiving the last dose of alemtuzumab. Groups of six patients will be enrolled into each cohort at the time of re-registration prior to starting Course IV. After a cohort has accrued 6 patients and at least 3 have completed the 2-6 week post alemtuzumab observation period without DLT, the incoming patients will be assigned to the next cohort in the table while the DLT and other toxicities continue to be assessed for the newly closed cohort. If less than 3 out of 6 enrolled patients in a cohort have completed the 2-6 week post alemtuzumab observation period without DLT, additional patients may continue to enroll in that same cohort, i.e., accrual will not be suspended while waiting for patient follow-up data.

  2. Number of Participants Who Proceed to Course V Within 2-6 Weeks of the Last Dose of Alemtuzumab (Phase II) [ Time Frame: 8 months ]
    The primary endpoint is the number of participants who are able to proceed to course V within two - six weeks of completion of course IV.

Secondary Outcome Measures :
  1. Modulation of Minimal Residual Disease During Treatment With Alemtuzumab (Phase II) [ Time Frame: Up to 10 years ]
  2. Disease-free Survival (Phase II) [ Time Frame: 3 years ]
    Will be estimated using the Kaplan-Meier method with confidence intervals presented.

  3. Overall Survival (Phase II) [ Time Frame: 3 years ]
    Will be estimated using the Kaplan-Meier method with confidence intervals presented.

Information from the National Library of Medicine

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Ages Eligible for Study:   15 Years and older   (Child, Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Unequivocal histologic diagnosis of precursor B or precursor T lymphoblastic leukemia (World Health Organization [WHO] classification), L1 or L2 ALL or acute undifferentiated leukemia (AUL) (French-American-British Cooperative group [FAB] Classification); Burkitt-type ALL (FAB L3, surface immunoglobulin [SIg]+) are excluded
  • No prior treatment for leukemia with three permissible exceptions:

    • Emergency leukapheresis II. Emergency treatment for hyperleukocytosis with hydroxyurea III. Cranial radiation therapy (RT) for central nervous system (CNS) leukostasis (one dose only)
  • All patients must have a pre-treatment bone marrow or peripheral blood sample submitted for central immunophenotyping; only those patients who express CD52 >= 10% in the leukemia blast cell channel will be eligible to receive Campath-1H during module D, course IV

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00061945

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United States, Illinois
Cancer and Leukemia Group B
Chicago, Illinois, United States, 60606
Sponsors and Collaborators
National Cancer Institute (NCI)
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Principal Investigator: Wendy Stock Cancer and Leukemia Group B
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Responsible Party: National Cancer Institute (NCI) Identifier: NCT00061945    
Other Study ID Numbers: NCI-2012-02807
NCI-2012-02807 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) )
CALGB 10102 ( Other Identifier: Cancer and Leukemia Group B )
CALGB-10102 ( Other Identifier: CTEP )
U10CA031946 ( U.S. NIH Grant/Contract )
First Posted: June 6, 2003    Key Record Dates
Results First Posted: April 16, 2014
Last Update Posted: April 16, 2014
Last Verified: December 2013
Additional relevant MeSH terms:
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Precursor Cell Lymphoblastic Leukemia-Lymphoma
Leukemia, Lymphoid
Philadelphia Chromosome
Neoplasms by Histologic Type
Lymphoproliferative Disorders
Lymphatic Diseases
Immunoproliferative Disorders
Immune System Diseases
Translocation, Genetic
Chromosome Aberrations
Pathologic Processes
Trimethoprim, Sulfamethoxazole Drug Combination
Imatinib Mesylate