Clove In The Treatment Of Relapsed Or Resistant Acute Leukemia In Children (CLOVE)

This study has been completed.
Information provided by:
Istituto Giannina Gaslini Identifier:
First received: June 21, 2011
Last updated: July 6, 2011
Last verified: July 2008

Study Hypothesis. combination chemotherapy with Clofarabine VP16 and Cyclophosphamide is able to induce remission in resistant/refractory acute leukemias in pediatric.

Forty children with relapsed or refractory Acute Lymphoblastic Leukemia (ALL) or Acute Myeloid Leukemia (AML) entered the study and received the association of clofarabine (40 mg/m2/day) in combination with etoposide (100 mg/m2/day) and Cyclophosphamide (440 mg/m2/day) in 1 or 2 induction cycles End point were complete remission (CR)or CR without platelet recovery (CRp) and toxicity

Condition Intervention Phase
Acute Leukemia
Drug: Clofarabine VP 16 ciclophospahamide
Phase 2
Phase 3

Study Type: Interventional
Study Design: Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Treatment
Official Title: Clofarabine, Cyclophosfamide, And Etoposide For The Treatment Of Relapsed Or Resistant Acute Leukemia In Pediatric Patients

Resource links provided by NLM:

Further study details as provided by Istituto Giannina Gaslini:

Primary Outcome Measures:
  • response to treatment [ Time Frame: after an expected average of 3 weeks after the first dose of each chemotherapy course ] [ Designated as safety issue: No ]

Secondary Outcome Measures:
  • Number of patients with toxicity as a measure of safety and tolerability [ Time Frame: at an expected average of 4 weeks after the first dose of each chemotherapy course ] [ Designated as safety issue: Yes ]
    Grade of toxicity defined according to the National Cancer's Inst. Common terminology Criteria (NCI CTCAE v3.0)

Enrollment: 40
Study Start Date: August 2008
Study Completion Date: February 2010
Primary Completion Date: December 2009 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: children with advanced leukemia Drug: Clofarabine VP 16 ciclophospahamide
Clofarabine intravenously 2-hour infusion,dose 40 mg/m2, followed by Etoposide (VP 16)100 mg/m2 i.v. over 2 hours and Cyclophosphamide 440 mg/m2 i.v. over 1 hour
Other Names:
  • Evoltra
  • Etoposide
  • Endoxan


Ages Eligible for Study:   1 Month to 20 Years
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • presence of > 25% of blast in bone marrow
  • treatment with second line therapies
  • patients with resistant disease i.e. with >25% of blasts 21 days after the last cytostatic agent administration
  • children with persistent high MRD level (> 10-3) after first or further line chemotherapy, were considered eligible to the treatment
  • Relapsed after > months after SCT
  • Karnofsky score >50
  • a Forced Espiratory Volume >30%
  • sufficient hepatic and renal function defined as creatinine levels <2 × ULN, bilirubin <1.5 × ULN
  • aspartate and alanine aminotransferases <10 × ULN.

Exclusion Criteria:

  • isolated extra-medullary relapse, and active infections
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Please refer to this study by its identifier: NCT01385891

G.Gaslini Children's Hospital
Genova, Italy, 16147
Sponsors and Collaborators
Istituto Giannina Gaslini
Principal Investigator: Concetta Micalizzi, MD G. Gaslini Hospital
  More Information

Responsible Party: lorenzo moretta, G Gaslini Hospital Identifier: NCT01385891     History of Changes
Other Study ID Numbers: CM001  2008-004487-39 
Study First Received: June 21, 2011
Last Updated: July 6, 2011
Health Authority: ITALY: Agenzia Italiana del Farmaco (AIFA)

Additional relevant MeSH terms:
Acute Disease
Disease Attributes
Neoplasms by Histologic Type
Pathologic Processes
Antimetabolites, Antineoplastic
Antineoplastic Agents
Antineoplastic Agents, Phytogenic
Enzyme Inhibitors
Molecular Mechanisms of Pharmacological Action
Pharmacologic Actions
Therapeutic Uses
Topoisomerase II Inhibitors
Topoisomerase Inhibitors processed this record on April 27, 2016