Status:

COMPLETED

Combination Chemotherapy With or Without Gemtuzumab Ozogamicin or Tipifarnib in Treating Patients With Acute Myeloid Leukemia or High-Risk Myelodysplastic Syndromes

Lead Sponsor:

The University of New South Wales

Conditions:

Leukemia

Myelodysplastic Syndromes

Eligibility:

All Genders

Phase:

PHASE2

PHASE3

Brief Summary

RATIONALE: Drugs used in chemotherapy work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Monoclonal antibodies, such as gemtuzuma...

Detailed Description

OBJECTIVES: Primary (patients considered fit for intensive treatment) * Compare the efficacy and toxicity of daunorubicin hydrochloride and cytarabine (DA) vs daunorubicin hydrochloride and clofarab...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Diagnosis of 1 of the following:
  • Acute myeloid leukemia (AML) meeting the following criteria:
  • De novo or secondary AML
  • No acute promyelocytic leukemia
  • High-risk myelodysplastic syndromes (\> 10% marrow blasts; refractory anemia with excess blasts-2)
  • No blast transformation of chronic myeloid leukemia
  • Patients ≤ 60 years of age may be eligible provided they are considered unfit for clinical trial MRC-AMLI5
  • PATIENT CHARACTERISTICS:
  • Not pregnant or nursing
  • AST and ALT ≤ 2 times upper limit of normal (ULN) (for patients receiving gemtuzumab ozogamicin)
  • Bilirubin ≤ 2 times ULN (for patients receiving gemtuzumab ozogamicin)
  • Creatinine normal (for patients receiving clofarabine)
  • No other concurrent active malignancy except basal cell carcinoma
  • PRIOR CONCURRENT THERAPY:
  • No prior cytotoxic chemotherapy for AML
  • Hydroxyurea or similar low-dose therapy to control WBC count prior to initiation of intensive therapy allowed
  • No concurrent enzyme anticonvulsants, including phenytoin, phenobarbital, primidone, carbamazepine, or oxcarbazepine (for patients receiving tipifarnib)

Exclusion

    Key Trial Info

    Start Date :

    August 1 2006

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    Estimated Enrollment :

    2000 Patients enrolled

    Trial Details

    Trial ID

    NCT00454480

    Start Date

    August 1 2006

    Last Update

    August 26 2013

    Active Locations (96)

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    Page 1 of 24 (96 locations)

    1

    Basingstoke and North Hampshire NHS Foundation Trust

    Basingstoke, England, United Kingdom, RG24 9NA

    2

    Royal United Hospital

    Bath, England, United Kingdom, BA1 3NG

    3

    Queen Elizabeth Hospital at University Hospital of Birmingham NHS Trust

    Birmingham, England, United Kingdom, B15 2TH

    4

    Birmingham Heartlands Hospital

    Birmingham, England, United Kingdom, B9 5SS