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Homoharringtonine and Interferon Alfa in Treating Patients With Chronic Myelogenous Leukemia

Primary Purpose

Leukemia

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
recombinant interferon alfa
omacetaxine mepesuccinate
Sponsored by
National Cancer Institute (NCI)
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leukemia focused on measuring relapsing chronic myelogenous leukemia, chronic phase chronic myelogenous leukemia

Eligibility Criteria

15 Years - undefined (Child, Adult, Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Chronic myelogenous leukemia (CML) in chronic phase Clonal evolution (i.e., the presence of clones other than the Ph chromosome) allowed Ph chromosome variants or complex Ph chromosome translocations are not considered disease acceleration Ineligible for known therapy of higher efficacy or priority Allogeneic bone marrow transplantation should be considered priority therapy for CML patients with a matched related donor No blastic phase CML (30% or more blasts in peripheral blood or bone marrow) No accelerated phase CML, defined as any of the following: 15% or more peripheral or marrow blasts or 30% or more blasts and promyelocytes 20% or more peripheral or marrow basophils Thrombocytopenia (platelets less than 100,000) unrelated to therapy Documented extramedullary disease outside of liver or spleen PATIENT CHARACTERISTICS: Age: 15 and over Performance status: Zubrod 0-2 Life expectancy: Sufficient to fully evaluate the effects of 2 courses of therapy Bilirubin no greater than 2.0 mg/dL SGOT less than 300 Creatinine less than 2.0 mg/dL OR creatinine clearance at least 60 mL/min No severe heart disease (class III/IV) No pregnant or nursing women Effective contraception required of fertile women PRIOR CONCURRENT THERAPY: No prior interferon alpha At least 2 weeks since antileukemic therapy, with recovery required Patients who received hydroxyurea within the past 2 weeks and have WBC greater than 50,000 may enter protocol after discussion with the primary investigator

Sites / Locations

  • Dana-Farber Cancer Institute
  • University of Texas - MD Anderson Cancer Center

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Arm I

Arm Description

Single-Agent Chemotherapy plus Biological Response Modifier Therapy. Homoharringtonine, HH, NSC-141633; plus Interferon alfa (Schering), IFN-A, NSC-377523.

Outcomes

Primary Outcome Measures

Secondary Outcome Measures

Full Information

First Posted
November 1, 1999
Last Updated
February 4, 2013
Sponsor
National Cancer Institute (NCI)
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1. Study Identification

Unique Protocol Identification Number
NCT00002574
Brief Title
Homoharringtonine and Interferon Alfa in Treating Patients With Chronic Myelogenous Leukemia
Official Title
PHASE II STUDY OF SIMULTANEOUS HOMOHARRINGTONINE (NSC 141633) AND ALPHA INTERFERON (IFN-A) THERAPY IN CHRONIC MYELOGENOUS LEUKEMIA (CML)
Study Type
Interventional

2. Study Status

Record Verification Date
October 2001
Overall Recruitment Status
Completed
Study Start Date
September 1994 (undefined)
Primary Completion Date
June 2001 (Actual)
Study Completion Date
undefined (undefined)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
National Cancer Institute (NCI)

4. Oversight

5. Study Description

Brief Summary
Phase II trial to study the effectiveness of homoharringtonine and interferon alfa in treating patients with chronic myelogenous leukemia. Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Interferon alfa may interfere with the growth of cancer cells. Combining chemotherapy with interferon alfa may kill more cancer cells.
Detailed Description
OBJECTIVES: I. Determine the efficacy of homoharringtonine administered simultaneously with interferon alpha in achieving complete cytogenetic response in patients with chronic myelogenous leukemia in chronic phase. OUTLINE: Single-Agent Chemotherapy plus Biological Response Modifier Therapy. Homoharringtonine, HH, NSC-141633; plus Interferon alfa (Schering), IFN-A, NSC-377523.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leukemia
Keywords
relapsing chronic myelogenous leukemia, chronic phase chronic myelogenous leukemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
87 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Arm I
Arm Type
Experimental
Arm Description
Single-Agent Chemotherapy plus Biological Response Modifier Therapy. Homoharringtonine, HH, NSC-141633; plus Interferon alfa (Schering), IFN-A, NSC-377523.
Intervention Type
Biological
Intervention Name(s)
recombinant interferon alfa
Intervention Type
Drug
Intervention Name(s)
omacetaxine mepesuccinate

10. Eligibility

Sex
All
Minimum Age & Unit of Time
15 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Chronic myelogenous leukemia (CML) in chronic phase Clonal evolution (i.e., the presence of clones other than the Ph chromosome) allowed Ph chromosome variants or complex Ph chromosome translocations are not considered disease acceleration Ineligible for known therapy of higher efficacy or priority Allogeneic bone marrow transplantation should be considered priority therapy for CML patients with a matched related donor No blastic phase CML (30% or more blasts in peripheral blood or bone marrow) No accelerated phase CML, defined as any of the following: 15% or more peripheral or marrow blasts or 30% or more blasts and promyelocytes 20% or more peripheral or marrow basophils Thrombocytopenia (platelets less than 100,000) unrelated to therapy Documented extramedullary disease outside of liver or spleen PATIENT CHARACTERISTICS: Age: 15 and over Performance status: Zubrod 0-2 Life expectancy: Sufficient to fully evaluate the effects of 2 courses of therapy Bilirubin no greater than 2.0 mg/dL SGOT less than 300 Creatinine less than 2.0 mg/dL OR creatinine clearance at least 60 mL/min No severe heart disease (class III/IV) No pregnant or nursing women Effective contraception required of fertile women PRIOR CONCURRENT THERAPY: No prior interferon alpha At least 2 weeks since antileukemic therapy, with recovery required Patients who received hydroxyurea within the past 2 weeks and have WBC greater than 50,000 may enter protocol after discussion with the primary investigator
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Susan M. O'Brien, MD
Organizational Affiliation
M.D. Anderson Cancer Center
Official's Role
Study Chair
Facility Information:
Facility Name
Dana-Farber Cancer Institute
City
Boston
State/Province
Massachusetts
ZIP/Postal Code
02115
Country
United States
Facility Name
University of Texas - MD Anderson Cancer Center
City
Houston
State/Province
Texas
ZIP/Postal Code
77030
Country
United States

12. IPD Sharing Statement

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Homoharringtonine and Interferon Alfa in Treating Patients With Chronic Myelogenous Leukemia

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