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Arsenic Trioxide in Treating Patients With Refractory or Recurrent Acute Promyelocytic Leukemia
This study is ongoing, but not recruiting participants.
Sponsored by: Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00008697
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die.

PURPOSE: Phase I/II trial to study the effectiveness of arsenic trioxide in treating patients with refractory or recurrent acute promyelocytic leukemia.


Condition Intervention Phase
Leukemia
Drug: arsenic trioxide
Phase I
Phase II

MedlinePlus related topics: Arsenic Cancer Leukemia, Adult Acute Leukemia, Adult Chronic Leukemia, Childhood
Drug Information available for: Arsenic trioxide
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment
Official Title: A Phase I/II Trial of Infusional Arsenic Trioxide for Relapsed Acute Promyelocytic Leukemia

Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment: 32
Study Start Date: May 1998
Detailed Description:

OBJECTIVES:

  • Determine the maximum tolerated dose or minimum effective dose of arsenic trioxide in patients with refractory or recurrent acute promyelocytic leukemia.
  • Determine the efficacy of arsenic trioxide in this patient population.
  • Determine the acute and chronic toxicities of arsenic trioxide in this patient population.

OUTLINE: This is a dose-escalation study.

Patients receive arsenic trioxide IV over 2 hours daily for 28 days followed by a 14 day rest period. Patients may receive up to 3 courses of treatment.

Dose escalation continues in cohorts of 3-6 patients until the maximum tolerated dose (MTD) or minimum effective dose (MED) is determined. The MTD is defined as the dose preceding that at which 2 or more patients experience dose limiting toxicity. The MED is defined as the dose at which 4 of 6 patients achieve a complete cytogenetic or molecular response. After the MTD or MED is determined, an additional 20 patients are enrolled at this dose level.

Patients are followed monthly for 6 months and every three months for an additional 1.5 years.

PROJECTED ACCRUAL: Approximately 32 patients will be accrued for this study within 3 years.

  Eligibility

Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Pathologically confirmed acute promyelocytic leukemia (APML) (M3)
  • In first or subsequent relapse following standard induction and consolidation chemotherapy (with tretinoin) and/or allogeneic bone marrow/stem cell transplant OR
  • Failed to achieve initial complete remission with tretinoin and standard chemotherapy
  • No matched sibling donor available

PATIENT CHARACTERISTICS:

Age:

  • Any age

Performance status:

  • Not specified

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Not specified

Renal:

  • No renal failure
  • Creatinine clearance at least 25 mL/min

Other:

  • Not pregnant
  • Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • See Disease Characteristics

Chemotherapy:

  • See Disease Characteristics

Endocrine therapy:

  • Not specified

Radiotherapy:

  • Not specified

Surgery:

  • Not specified

Other:

  • No concurrent hemodialysis
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00008697

Locations
United States, Missouri
Siteman Cancer Center
Saint Louis, Missouri, United States, 63110
Sponsors and Collaborators
Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
Investigators
Study Chair: John F. DiPersio, MD, PhD Siteman Cancer Center at Barnes-Jewish Hospital - Saint Louis
  More Information

Clinical trial summary from the National Cancer Institute's PDQ® database  This link exits the ClinicalTrials.gov site

Study ID Numbers: CDR0000066617, WU-98-0185, NCI-V98-1466
Study First Received: January 13, 2001
Last Updated: July 23, 2008
ClinicalTrials.gov Identifier: NCT00008697  
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
recurrent childhood acute myeloid leukemia
recurrent adult acute myeloid leukemia
adult acute promyelocytic leukemia (M3)
childhood acute promyelocytic leukemia (M3)

Study placed in the following topic categories:
Leukemia
Acute promyelocytic leukemia
Acute myelogenous leukemia
Leukemia, Promyelocytic, Acute
Arsenic trioxide
Acute myeloid leukemia, adult
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Acute myelocytic leukemia
Recurrence

Additional relevant MeSH terms:
Neoplasms
Neoplasms by Histologic Type
Antineoplastic Agents
Therapeutic Uses
Pharmacologic Actions

ClinicalTrials.gov processed this record on January 16, 2009