Status:

COMPLETED

A Study of Clofarabine and Cytarabine for Older Patients With Relapsed or Refractory Acute Myelogenous Leukemia (AML)(CLASSIC I)

Lead Sponsor:

Genzyme, a Sanofi Company

Conditions:

Acute Myelogenous Leukemia

Eligibility:

All Genders

55+ years

Phase:

PHASE3

Brief Summary

Clofarabine (injection) is approved by the Food and Drug Administration (FDA) for the treatment of pediatric patients 1 to 21 years old with relapsed acute or refractory lymphoblastic leukemia (ALL) w...

Detailed Description

After screening and eligibility assessment, patients were randomized (in a 1:1 ratio) to receive either clofarabine or matching placebo, in addition to cytarabine. Randomization was stratified by remi...

Eligibility Criteria

Inclusion

  • Have a diagnosis of Acute Myelogenous Leukemia (AML) according to World Health Organization (WHO) classification
  • Relapsed after receiving up to 2 prior induction regimens (i.e. first or second relapse)or are refractory to not more than one prior combination chemotherapy induction regimen
  • Be ≥ 55 years of age
  • Have an Eastern Cooperative Oncology Group (ECOG) score of 0-2
  • Be able to comply with study procedures and follow-up examinations
  • Be nonfertile or agree to use birth control during the study through the end of treatment visit and for at least 90 days after the last dose of study drug
  • Have adequate liver and renal function as indicated by certain laboratory values

Exclusion

  • Received previous treatment with clofarabine
  • Received bolus, intermediate or high-dose cytarabine as induction therapy unless certain remission criteria are met
  • Have received a hematopoietic stem cell transplant (HSCT) within the previous 3 months
  • Have moderate or severe graft versus host disease (GVHD), whether acute or chronic
  • Are receiving any other chemotherapy or investigational therapy. Patients must have been off prior AML therapy for at least 2-6 weeks prior to entering study.
  • Have a psychiatric disorder that would interfere with consent, study participation, or follow-up
  • Have an active, uncontrolled infection
  • Have any other severe concurrent disease, or have a history of serious organ dysfunction or disease involving the heart, kidney, liver, or other organ system
  • Have been diagnosed with another malignancy, unless disease-free for at least 5 years; patients with treated nonmelanoma skin cancer, in situ carcinoma, or cervical intraepithelial neoplasia, regardless of the disease-free duration, are eligible for this study if definitive treatment for the condition has been completed; patients with organ-confined prostate cancer with no evidence of recurrent or progressive disease are eligible if hormonal therapy has been initiated or the malignancy has been surgically removed.
  • Have clinical evidence suggestive of central nervous system (CNS) involvement with leukemia unless lumbar puncture confirms absence of leukemic blasts in the cerebrospinal fluid(CSF)
  • Known HIV positivity
  • Are pregnant or lactating

Key Trial Info

Start Date :

August 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

January 1 2012

Estimated Enrollment :

326 Patients enrolled

Trial Details

Trial ID

NCT00317642

Start Date

August 1 2006

End Date

January 1 2012

Last Update

April 14 2014

Active Locations (57)

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Page 1 of 15 (57 locations)

1

Mayo Clinical Hospital

Scottsdale, Arizona, United States

2

Arizona Cancer Center

Tucson, Arizona, United States

3

University of Arkansas for Medical Sciences, Arkansas Cancer Research Center

Little Rock, Arkansas, United States

4

Scripps Cancer Center

La Jolla, California, United States