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Note: This record shows only the 20 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ClinicalTrials.gov
Last refreshed on: 19 November 2012
Main ID:  NCT00462787
Date of registration: 18/04/2007
Primary sponsor: Memorial Sloan-Kettering Cancer Center
Public title: Combination Chemotherapy in Treating Young Patients With Relapsed or Refractory Acute Leukemia
Scientific title: A Phase I Dose Escalation Trial of Clofarabine in Addition to Topotecan, Vinorelbine, Thiotepa, and Dexamethasone in Pediatric Patients With Relapsed or Refractory Acute Leukemia
Date of first enrolment: April 2007
Target sample size: 23
Recruitment status: Active, not recruiting
URL:  http://clinicaltrials.gov/show/NCT00462787
Study type:  Interventional
Study design:  Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment  
Countries of recruitment
United States
Contacts
Name:   Neerav Shukla, MD
Address: 
Telephone:
Email:
Affiliation:  Memorial Sloan-Kettering Cancer Center
Name:   Peter G. Steinherz, MD
Address: 
Telephone:
Email:
Affiliation:  Memorial Sloan-Kettering Cancer Center
Key inclusion & exclusion criteria

DISEASE CHARACTERISTICS:

- Must have 1 of the following diagnoses:

- Acute lymphoblastic leukemia (ALL) meeting 1 of the following criteria:

- Refractory to initial induction with two or more standard regimens

- Relapsed < 24 months after first complete response on a high-risk protocol
OR refractory to one standard reinduction regimen

- Second or greater relapse

- Acute myeloid leukemia, acute biphenotypic leukemia, or acute undifferentiated
leukemia meeting 1 of the following criteria:

- Refractory to initial induction

- First or greater relapse

- Must have > 20% bone marrow blasts, or evidence of recurrent disease at an
extramedullary site

- No symptomatic CNS disease

- Patients with asymptomatic CNS disease are eligible with the approval of the
principal investigator

PATIENT CHARACTERISTICS:

- Karnofsky performance status (PS) 70-100% OR Lansky PS 70-100%

- AST and ALT < 4 times upper limit of normal

- Bilirubin < 2.0 mg/dL (unless liver involvement)

- Creatinine within normal range for age OR creatinine clearance > 60 mL/min/1.73 m^2

- Adequate cardiac function (either asymptomatic with no prior risk factors, or if
symptomatic, left ventricular ejection fraction > 50% at rest)

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

- No active uncontrolled viral, bacterial, or fungal infection

PRIOR CONCURRENT THERAPY:

- See Disease Characteristics

- No prior clofarabine

- More than 2 weeks since prior systemic chemotherapy

- At least 7 days since prior chemotherapy for patients with rapidly progressive
disease and recovered



Age minimum: N/A
Age maximum: 28 Years
Gender: Both
Health Condition(s) or Problem(s) studied
Leukemia
Intervention(s)
Biological: filgrastim
Drug: clofarabine
Drug: dexamethasone
Drug: thiotepa
Drug: topotecan hydrochloride
Drug: vinorelbine tartrate
Primary Outcome(s)
Maximum tolerated dose of clofarabine [Time Frame: 2 years]
Overall survival [Time Frame: 2 years]
Progression-free survival [Time Frame: 2 years]
Secondary Outcome(s)
Secondary ID(s)
07-012
MSKCC-07012
Source(s) of Monetary Support
Please refer to primary and secondary sponsors
Secondary Sponsor(s)
National Cancer Institute (NCI)
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