Combination Chemotherapy Followed by Peripheral Stem Cell Transplantation in Treating Children With Relapsed Acute Lymphocytic Leukemia
Leukemia
About this trial
This is an interventional treatment trial for Leukemia focused on measuring recurrent childhood acute lymphoblastic leukemia
Eligibility Criteria
DISEASE CHARACTERISTICS: Diagnosis of acute lymphoblastic leukemia Pathologic evidence of relapse in marrow, CNS, or testes In second or later complete remission Ineligible for allogeneic transplantation: No suitable allogeneic donor (sibling or family donor or unrelated donor with no more than 1 HLA-A or -B antigen mismatch and HLA-DR identical) OR Ineligible for preparative regimen including total-body irradiation Peripheral blood stem cell collection feasible: Patient size generally at least 8 kg Able to place central venous catheter Patient cooperative PATIENT CHARACTERISTICS: Age: 1 to 19 Performance status: Not moribund Life expectancy: No severe limits from disease other than leukemia Hepatic: Bilirubin no greater than 3 times normal for age AST and/or GGT no greater than 3 times normal for age No evidence of hepatic synthetic dysfunction Renal: GFR at least 50% of normal based on Glofil study or 12-hour creatinine clearance Cardiovascular: Cardiac contractility normal on echocardiogram Pulmonary: FVC and FEV_1 with or without DLCO at least 50% predicted Other: No significant active infection HIV negative PRIOR CONCURRENT THERAPY: Biologic therapy See Disease Characteristics Chemotherapy See Disease Characteristics Endocrine therapy Not specified Radiotherapy See Disease Characteristics Surgery Not specified
Sites / Locations
- University of Nebraska Medical Center