Status:
COMPLETED
Tipifarnib, Cytarabine, and Daunorubicin in Treating Older Patients With Acute Myeloid Leukemia
Lead Sponsor:
University Health Network, Toronto
Collaborating Sponsors:
National Cancer Institute (NCI)
Conditions:
Leukemia
Eligibility:
All Genders
56+ years
Phase:
PHASE1
Brief Summary
RATIONALE: Tipifarnib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy, such as cytarabine and daunorubicin, work in different way...
Detailed Description
OBJECTIVES: * Determine the maximum tolerated dose of tipifarnib when administered with cytarabine and daunorubicin in older patients with previously untreated acute myeloid leukemia. * Determine the...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Diagnosis of acute myeloid leukemia (AML)
- All subtypes, except acute promyelocytic leukemia, are allowed
- At least 20% bone marrow or peripheral blood blasts OR biopsy-confirmed extramedullary disease
- No cerebrospinal fluid involvement
- PATIENT CHARACTERISTICS:
- Age
- 56 and over
- Performance status
- ECOG 0-2 OR
- Karnofsky 60-100%
- Life expectancy
- Not specified
- Hematopoietic
- See Disease Characteristics
- WBC \< 100,000/mm\^3 (treatment with hydroxyurea allowed)
- Hepatic
- Bilirubin ≤ 1.25 times upper limit of normal (ULN)
- AST and ALT ≤ 2.0 times ULN
- Renal
- Creatinine \< 1.7 mg/dL OR
- Creatinine clearance ≥ 60 mL/min
- Cardiovascular
- LVEF ≥ 50%
- No symptomatic congestive heart failure
- No unstable angina pectoris
- No cardiac arrhythmia
- Immunologic
- HIV negative
- No history of allergic reaction attributed to compounds of similar chemical or biologic composition to tipifarnib or imidazole drugs (e.g., ketoconazole, clotrimazole, or miconazole)
- No ongoing or active infection
- Other
- Not pregnant
- Fertile patients must use effective contraception
- Able to swallow oral medications
- No other uncontrolled illness
- No psychiatric illness or social situation that would preclude study compliance
- PRIOR CONCURRENT THERAPY:
- Biologic therapy
- Not specified
- Chemotherapy
- No prior chemotherapy for AML except hydroxyurea for cytoreduction
- More than 4 weeks since prior chemotherapy except hydroxyurea (6 weeks for nitrosoureas or mitomycin) and recovered
- At least 24 hours since prior hydroxyurea
- Endocrine therapy
- No concurrent dexamethasone
- Radiotherapy
- More than 4 weeks since prior radiotherapy and recovered
- No prior radiotherapy \> 3,000 cGy to marrow-producing areas
- Surgery
- Not specified
- Other
- No other concurrent investigational agents
- No other concurrent antileukemic agents
- No concurrent treatment with any of the following:
- Ketoconazole
- Itraconazole
- Voriconazole
- Clarithromycin
- Erythromycin
- Phenytoin
- Carbamazepine
- Barbiturates
- Cyclosporine
- Pimozide
- Warfarin
- Grapefruit juice
- Simvastatin
- Lovastatin
- Atorvastatin
- No concurrent magnesium- or aluminum-containing antacids within 2 hours before or after tipifarnib administration
Exclusion
Key Trial Info
Start Date :
April 1 2007
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
Estimated Enrollment :
24 Patients enrolled
Trial Details
Trial ID
NCT00101153
Start Date
April 1 2007
Last Update
July 23 2015
Active Locations (2)
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1
McMaster Children's Hospital at Hamilton Health Sciences
Hamilton, Ontario, Canada, L8N 3Z5
2
London Regional Cancer Program at London Health Sciences Centre
London, Ontario, Canada, N6A 465