Dasatinib Followed by Stem Cell Transplant in Treating Older Patients With Newly Diagnosed Acute Lymphoblastic Leukemia
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| ClinicalTrials.gov Identifier: NCT01256398 |
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Recruitment Status :
Active, not recruiting
First Posted : December 8, 2010
Last Update Posted : June 20, 2018
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Sponsor:
National Cancer Institute (NCI)
Information provided by (Responsible Party):
National Cancer Institute (NCI)
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Brief Summary:
This phase II clinical trial studies how well dasatinib followed by stem cell transplant works in treating older patients with newly diagnosed acute lymphoblastic leukemia. Dasatinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving chemotherapy before a stem cell transplant stops the growth of cancer cells by stopping them from dividing or killing them. Monoclonal antibodies, such as alemtuzumab, may interfere with the ability of cancer cells to grow and spread. Giving more than one drug (combination chemotherapy) and giving dasatinib together with chemotherapy may kill more cancer cells.
| Condition or disease | Intervention/treatment | Phase |
|---|---|---|
| Acute Lymphoblastic Leukemia Adult B Acute Lymphoblastic Leukemia With t(9;22)(q34.1;q11.2); BCR-ABL1 Untreated Adult Acute Lymphoblastic Leukemia | Biological: Alemtuzumab Procedure: Allogeneic Hematopoietic Stem Cell Transplantation Procedure: Autologous Hematopoietic Stem Cell Transplantation Drug: Cyclophosphamide Drug: Cytarabine Drug: Dasatinib Drug: Daunorubicin Hydrochloride Drug: Dexamethasone Drug: Etoposide Phosphate Biological: Filgrastim Drug: Fludarabine Phosphate Procedure: In Vitro-Treated Peripheral Blood Stem Cell Transplantation Other: Laboratory Biomarker Analysis Drug: Leucovorin Calcium Drug: Melphalan Drug: Mercaptopurine Drug: Methotrexate Biological: Pegfilgrastim Other: Pharmacological Study Drug: Tacrolimus Drug: Vincristine Sulfate | Phase 2 |
Show Detailed Description
| Study Type : | Interventional (Clinical Trial) |
| Actual Enrollment : | 66 participants |
| Intervention Model: | Single Group Assignment |
| Masking: | None (Open Label) |
| Primary Purpose: | Treatment |
| Official Title: | A Phase II Study of Dasatinib (Sprycel®) (NSC #732517) as Primary Therapy Followed by Transplantation for Adults >/= 18 Years With Newly Diagnosed Ph+ Acute Lymphoblastic Leukemia by CALGB, ECOG and SWOG |
| Actual Study Start Date : | December 14, 2010 |
| Actual Primary Completion Date : | November 14, 2017 |
Resource links provided by the National Library of Medicine
Drug Information available for:
Dasatinib
| Arm | Intervention/treatment |
|---|---|
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Experimental: Treatment (chemotherapy, transplant)
See Detailed Description
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Biological: Alemtuzumab
Given IV
Other Names:
Procedure: Allogeneic Hematopoietic Stem Cell Transplantation Undergo peripheral blood allogeneic HCT
Other Names:
Procedure: Autologous Hematopoietic Stem Cell Transplantation Undergo peripheral blood autologous HCT
Other Names:
Drug: Cyclophosphamide Given IV
Other Names:
Drug: Cytarabine Given IV
Other Names:
Drug: Dasatinib Given PO
Other Names:
Drug: Daunorubicin Hydrochloride Given IV
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Drug: Dexamethasone Given PO or IV
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Drug: Etoposide Phosphate Given IV
Other Name: Etopophos Biological: Filgrastim Given SC
Other Names:
Drug: Fludarabine Phosphate Given IV
Other Names:
Procedure: In Vitro-Treated Peripheral Blood Stem Cell Transplantation Undergo peripheral blood autologous or allogeneic HCT
Other Names:
Other: Laboratory Biomarker Analysis Correlative studies Drug: Leucovorin Calcium Given IV or PO
Other Names:
Drug: Melphalan Given IV
Other Names:
Drug: Mercaptopurine Given PO
Other Names:
Drug: Methotrexate Given IT, IV, or PO
Other Names:
Biological: Pegfilgrastim Given SC
Other Names:
Other: Pharmacological Study Correlative studies Drug: Tacrolimus Given IV or PO
Other Names:
Drug: Vincristine Sulfate Given IV
Other Names:
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Primary Outcome Measures :
- DFS defined from the date of first induction complete response (CR) to relapse or death due to any cause [ Time Frame: At 3 years ]Estimated using the Kaplan-Meier estimator. Proportions will be estimated using point as well as interval estimators. All interval estimators will be constructed using the finite sample size sampling distribution at the unadjusted two-sided level of 0.05.
Secondary Outcome Measures :
- Probability of being BCR-ABL negative in the bone marrow and peripheral blood at the completion of the CNS prophylaxis course (restricted to those patients achieving a CR) [ Time Frame: Up to 10 years ]Proportions will be estimated based on the combined and individual cohorts.
- Feasibility of maintenance therapy in this patient population (restricted to those patients achieving a CR) [ Time Frame: Up to 10 years ]Proportions will be estimated based on the combined and individual cohorts.
- OS [ Time Frame: Up to 10 years ]Estimated using the Kaplan-Meier estimator. Proportions will be estimated using point as well as interval estimators. All interval estimators will be constructed using the finite sample size sampling distribution at the unadjusted two-sided level of 0.05.
- DFS [ Time Frame: From the date of first induction CR to relapse, or death due to any cause, with patients last known to be alive and disease-free censored at the date of last contact, assessed up to 10 years ]Estimated using the Kaplan-Meier estimator. Proportions will be estimated using point as well as interval estimators. All interval estimators will be constructed using the finite sample size sampling distribution at the unadjusted two-sided level of 0.05.
- Response [ Time Frame: Up to 10 years ]
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| Ages Eligible for Study: | 18 Years and older (Adult, Older Adult) |
| Sexes Eligible for Study: | All |
| Accepts Healthy Volunteers: | No |
Criteria
Inclusion Criteria:
- Unequivocal histologic diagnosis of ALL
- Detection of the t(9;22)(q34;q11) or 3-way variant by metaphase cytogenetics or BCR-ABL positive status by molecular analysis (Q-PCR or fluorescent in situ hybridization [FISH]) in a Cruise Lines International Association (CLIA)-approved laboratory
- No prior therapy except up to one week of corticosteroids and/or hydroxyurea to enable time for the detection of t(9;22)(q34;q11) or BCR/ABL
- Non-pregnant and non-nursing; treatment under this protocol would expose an unborn child to significant risks; women and men of reproductive potential should agree to use an effective means of birth control and contraception should continue for three months after the last dose of dasatinib to allow complete clearance of drug and its principal metabolites from the body; in women of childbearing potential, a pregnancy test will be required at study entry
- Left ventricular ejection fraction >= lower limit of institutional normal
- No myocardial infarction within 6 months
- No ventricular tachyarrhythmia within 6 months
- No major conduction abnormality (unless a cardiac pacemaker is present)
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 ClinicalTrials.gov identifier (NCT number): NCT01256398
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Sponsors and Collaborators
National Cancer Institute (NCI)
Investigators
| Principal Investigator: | Matthew Wieduwilt | Alliance for Clinical Trials in Oncology |
| Responsible Party: | National Cancer Institute (NCI) |
| ClinicalTrials.gov Identifier: | NCT01256398 History of Changes |
| Other Study ID Numbers: |
NCI-2011-02621 NCI-2011-02621 ( Registry Identifier: CTRP (Clinical Trial Reporting Program) ) CDR0000690286 CALGB 10701/CTSU C10701 CALGB-10701 ( Other Identifier: Alliance for Clinical Trials in Oncology ) CALGB-10701 ( Other Identifier: CTEP ) U10CA180821 ( U.S. NIH Grant/Contract ) U10CA031946 ( U.S. NIH Grant/Contract ) |
| First Posted: | December 8, 2010 Key Record Dates |
| Last Update Posted: | June 20, 2018 |
| Last Verified: | May 2018 |
Additional relevant MeSH terms:
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Precursor Cell Lymphoblastic Leukemia-Lymphoma Leukemia Leukemia, Lymphoid Neoplasms by Histologic Type Neoplasms Lymphoproliferative Disorders Lymphatic Diseases Immunoproliferative Disorders Immune System Diseases Dexamethasone acetate Dexamethasone Fludarabine Alemtuzumab Fludarabine phosphate Etoposide phosphate |
Cyclophosphamide Methotrexate Etoposide Cytarabine Vincristine Melphalan Dasatinib Daunorubicin 6-Mercaptopurine Mechlorethamine Nitrogen Mustard Compounds Tacrolimus Antibodies Immunoglobulins Antibodies, Monoclonal |