Arsenic Trioxide in Treating Patients With Chronic Phase Chronic Myelogenous Leukemia That Has Not Responded to Previous Treatment
Leukemia
About this trial
This is an interventional treatment trial for Leukemia focused on measuring relapsing chronic myelogenous leukemia, chronic phase chronic myelogenous leukemia, chronic myelogenous leukemia, BCR-ABL1 positive
Eligibility Criteria
DISEASE CHARACTERISTICS: Diagnosis of Philadelphia (Ph) chromosome positive (or breakpoint cluster region bcr positive) chronic myelogenous leukemia in chronic phase Ineligible for or refused allogeneic bone marrow transplantation Interferon alfa refractory or intolerant as defined by the following: Refractory: Failure to achieve a complete hematologic response lasting for at least 1 month after prior therapy with interferon alfa based regimen for at least 3 months 65% or more Ph positive chromosomes in bone marrow after one year of interferon alfa based therapy At least a 30% increase in Ph positive chromosomes in bone marrow in samples taken at least one month apart OR An increase of at least 65% in Ph positive chromosomes in bone marrow Intolerant: Grade 3 or greater nonhematologic toxicity Autoimmune phenomenon at any grade No accelerated phase or blastic phase disease as defined by the following: Greater than 15% blasts or basophils in the peripheral blood or bone marrow Greater than 30% blasts plus promyelocytes in the peripheral blood or bone marrow Documented extramedullary blastic disease outside liver or spleen Platelet count less than 100,000/mm3 unrelated to therapy Clonal evolution (additional chromosomal abnormalities other than Ph chromosome) as solitary feature is not considered accelerated disease No known brain metastases or central nervous system (CNS) disease PATIENT CHARACTERISTICS: Age: 12 and over Performance status: Zubrod 0-2 Life expectancy: At least 2 years Hematopoietic: See Disease Characteristics Hepatic: Unless due to direct disease infiltration of the liver: ALT and AST no greater than 2.5 times upper limit of normal (ULN) Bilirubin no greater than 1.5 times ULN (unless due to Gilbert's disease) No hepatic disease that would preclude study Renal: Creatinine no greater than 1.5 times ULN Creatinine clearance at least 60 mL/min Cardiovascular: No history of New York Heart Association grade III or IV cardiac disease No cardiovascular disease that would preclude study No unstable angina pectoris or cardiac arrhythmia that would shorten life expectancy Other: No history of grand mal seizures other than infantile febrile seizures No active secondary malignancy or other uncontrolled concurrent medical problem that would shorten life expectancy No neurologic, endocrine, or other major systemic disease that would preclude study No active infection uncontrolled by oral or IV antibiotics No history of hypersensitivity to the study drug or drugs with similar chemical structure No mental condition that would preclude study Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception PRIOR CONCURRENT THERAPY: Biologic therapy: See Disease Characteristics No concurrent bone marrow or peripheral blood stem cell transplantation Chemotherapy: At least 14 days since prior chemotherapy (48 hours for hydroxyurea and 6 weeks for busulfan) and recovered (unless evidence of rapidly progressive disease) No other concurrent cytotoxic chemotherapy No prior arsenic trioxide Endocrine therapy: No concurrent steroids for the treatment of neoplasms (except for new adrenal failures) No concurrent hormones for the treatment of neoplasms (except for nondisease related conditions) Radiotherapy: At least 14 days since prior radiotherapy No concurrent radiotherapy Surgery: Not specified Other: At least 14 days since other prior investigational agent No other concurrent investigational or antileukemic agents