Combination Chemotherapy in Treating Children With Acute Lymphoblastic Leukemia, Osteosarcoma, or Non-Hodgkin's Lymphoma
Leukemia, Lymphoma, Sarcoma
About this trial
This is an interventional treatment trial for Leukemia focused on measuring recurrent childhood acute lymphoblastic leukemia, recurrent childhood lymphoblastic lymphoma, recurrent osteosarcoma, recurrent childhood small noncleaved cell lymphoma, recurrent childhood large cell lymphoma
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologic evidence of one of the following malignancies that has failed conventional therapy: Acute lymphoblastic leukemia Non-Hodgkin's lymphoma with bone marrow involvement Osteogenic sarcoma In vitro transport resistance to methotrexate demonstrated by bone marrow aspirate assay PATIENT CHARACTERISTICS: Age: 21 and under at diagnosis Performance status: ECOG 0-2 Life expectancy: At least 8 weeks Hematopoietic: Granulocytopenia allowed with bone marrow involvement Thrombocytopenia allowed with bone marrow involvement Anemia allowed with bone marrow involvement Hepatic: (unless due to disease) Bilirubin no greater than 2.0 mg/dL AST no greater than 100 Renal: Creatinine less than 1.5 mg/dL OR Creatinine clearance at least 60 mL/min Other: No other serious medical illness Not pregnant or nursing Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: Prior bone marrow transplantation allowed Chemotherapy: At least 1 week since prior intrathecal treatment At least 2 weeks since prior systemic chemotherapy and recovered At least 10 days for rapidly proliferating leukemia (i.e., WBC greater than 50,000) No concurrent chemotherapy Endocrine therapy: Not specified Radiotherapy: Prior radiotherapy allowed and recovered No concurrent radiotherapy Surgery: Not specified
Sites / Locations
- Memorial Sloan-Kettering Cancer Center