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High Dose Ara-C (HDAC) and Interleukin-2 (IL-2) for Patients With Acute Myelogenous Leukemia (AML)
This study has been completed.
First Received: August 25, 2005   Last Updated: June 2, 2009   History of Changes
Sponsors and Collaborators: Dana-Farber Cancer Institute
Brigham and Women's Hospital
Information provided by: Dana-Farber Cancer Institute
ClinicalTrials.gov Identifier: NCT00136448
  Purpose

This study will add interleukin-2 (IL-2) to a regimen of post-remission therapy consisting of high-dose ara-C.

Patients with AML in first remission will receive 3 cycles of high-dose ara-C followed by continuous infusion and bolus interleukin-2 (IL-2). We, the researchers at the Dana-Farber Cancer Institute, plan to evaluate the immunologic effects of such treatment in these patients.


Condition Intervention Phase
Acute Myelogenous Leukemia
Drug: cytosine arabinoside (ara-C)
Drug: daunomycin
Drug: interleukin-2
Phase II

Study Type: Interventional
Study Design: Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: High-Dose Ara-C Followed by Continuous Infusion Interleukin-2 for Acute Myelogenous Leukemia in First Remission

Resource links provided by NLM:


Further study details as provided by Dana-Farber Cancer Institute:

Primary Outcome Measures:
  • The primary purpose of this study is to evaluate the ability of IL-2 to generate cytotoxic and inhibitory activity against cryopreserved autologous leukemic myeloblasts obtained at the time of diagnosis.

Secondary Outcome Measures:
  • To evaluate the safety of continuous infusion IL-2 with intermittent IL-2 boluses in patients with AML who have received 3 cycles of post-remission intensification therapy with high-dose ara-C
  • To assess additional immunologic effects of IL-2
  • To obtain preliminary data regarding the rate of disease relapse

Estimated Enrollment: 30
Study Start Date: February 1993
Study Completion Date: September 2007
Primary Completion Date: September 2007 (Final data collection date for primary outcome measure)
Detailed Description:

Patients will receive standard remission induction therapy with daunorubicin at a dose of 45 mg/m2/day for 3 days and continuous infusion cytarabine at a dose of 200 mg/m2/day for 7 days.

Those patients who enter a remission status and have preserved liver and kidney function will then receive 3 cycles of post-remission therapy that will consist of high-dose cytarabine at a dose of 3000 mg/m2 every 12 (q12) hours on days 1, 3 and 5 (total of 6 doses).

Patients who are still in remission will receive interleukin-2 (IL-2) upon count recovery at a dose of 8.1 X 10^5 U/m2/day by continuous infusion for 10 weeks. In addition, patients will receive bolus IL-2 at a dose of 6 X 10^5 U/m2 by intravenous bolus weekly for 6 doses through day 63.

Patients will be seen on a weekly basis while on treatment for examination and bloodwork.

At the end of treatment, patients will have a physical exam and bloodwork performed monthly for two years, then 4 times per year for two years.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients must have AML based on French-American-British (FAB) criteria.
  • Patients must have a total bilirubin of < 2.0 mg/dL, SGOT < 90 IU/mL, alkaline phosphatase < 250 U/mL and a serum creatinine < 2.0 mg/dL.
  • Age 18 years or greater.

Exclusion Criteria:

  • History of an antecedent hematologic malignancy such as myelodysplastic syndromes (MDS).
  • Uncontrolled infection.
  • History of a previous or concomitant malignancy other than non-melanoma skin cancer.
  • Evidence of central nervous system (CNS) leukemia.
  • Current use of corticosteroids.
  • Prior treatment for AML, other than hydroxyurea.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00136448

Locations
United States, Massachusetts
Dana-Farber Cancer Institute
Boston, Massachusetts, United States, 02115
Sponsors and Collaborators
Dana-Farber Cancer Institute
Brigham and Women's Hospital
Investigators
Principal Investigator: Richard M. Stone, MD Dana-Farber Cancer Institute
  More Information

No publications provided

Study ID Numbers: 92-148
Study First Received: August 25, 2005
Last Updated: June 2, 2009
ClinicalTrials.gov Identifier: NCT00136448     History of Changes
Health Authority: United States: Institutional Review Board

Keywords provided by Dana-Farber Cancer Institute:
AML
acute myelogenous leukemia
cytarabine
interleukin-2

Study placed in the following topic categories:
Antimetabolites
Daunorubicin
Anti-Infective Agents
Immunologic Factors
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Antiviral Agents
Immunosuppressive Agents
Anti-Bacterial Agents
Leukemia
Acute Myelocytic Leukemia
Acute Myeloid Leukemia, Adult
Analgesics, Non-Narcotic
Interleukin-2
Peripheral Nervous System Agents
Analgesics
Cytarabine

Additional relevant MeSH terms:
Antimetabolites
Daunorubicin
Anti-Infective Agents
Antimetabolites, Antineoplastic
Molecular Mechanisms of Pharmacological Action
Immunologic Factors
Antineoplastic Agents
Physiological Effects of Drugs
Leukemia, Myeloid, Acute
Antibiotics, Antineoplastic
Leukemia
Sensory System Agents
Therapeutic Uses
Analgesics
Cytarabine
Neoplasms by Histologic Type
Leukemia, Myeloid
Antiviral Agents
Immunosuppressive Agents
Pharmacologic Actions
Neoplasms
Interleukin-2
Analgesics, Non-Narcotic
Peripheral Nervous System Agents
Central Nervous System Agents

ClinicalTrials.gov processed this record on September 11, 2009