Amifostine in Treating Young Patients With Newly Diagnosed De Novo Myelodysplastic Syndromes
Myelodysplastic Syndromes, Myelodysplastic/Myeloproliferative Neoplasms
About this trial
This is an interventional treatment trial for Myelodysplastic Syndromes focused on measuring refractory anemia with excess blasts, refractory anemia, refractory anemia with ringed sideroblasts, de novo myelodysplastic syndromes, myelodysplastic/myeloproliferative neoplasm, unclassifiable, refractory cytopenia with multilineage dysplasia
Eligibility Criteria
DISEASE CHARACTERISTICS: Histologically confirmed diagnosis of myelodysplastic syndromes (MDS) One of the following subtypes: Refractory anemia (RA) RA with ringed sideroblasts RA with excess blasts Refractory cytopenia with multilineage dysplasia (RCMD) RCMD and ringed sideroblasts MDS, unclassified MDS associated with isolated del 5(q) De novo disease No treatment-induced MDS No juvenile myelomonocytic leukemia No Down syndrome, Fanconi's anemia, or other inherited forms of hypoplastic bone marrow failure PATIENT CHARACTERISTICS: Age 1 to 21 at original diagnosis Performance status Karnofsky 50-100% (patients > 16 years of age) Lansky 50-100% (patients 1 to 16 years of age) Life expectancy At least 8 weeks Hematopoietic See Disease Characteristics Hepatic Bilirubin ≤ 1.5 times upper limit of normal (ULN) ALT < 2.5 times ULN Renal Radioisotope glomerular filtration rate ≥ 60 mL/min OR Creatinine clearance > 60 mL/min (based on Schwartz formula) Calcium normal Other Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception Serum electrolytes normal Phosphorus normal Magnesium normal Glucose normal No other concurrent malignancy PRIOR CONCURRENT THERAPY: Biologic therapy More than 8 weeks since prior growth factors No concurrent growth factors No concurrent hematopoietic stem cell transplantation No concurrent immunomodulating agents Chemotherapy No prior amifostine No other concurrent anticancer chemotherapy Endocrine therapy No concurrent daily steroid therapy Radiotherapy Not specified Surgery Not specified Other No prior therapy for MDS
Sites / Locations
- Phoenix Children's Hospital
- Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
- Jonathan Jaques Children's Cancer Center at Miller Children's Hospital
- Children's Hospital Central California
- Kaiser Permanente Medical Center - Oakland
- Carole and Ray Neag Comprehensive Cancer Center at the University of Connecticut Health Center
- Lee Cancer Care of Lee Memorial Health System
- University of Florida Shands Cancer Center
- Memorial Cancer Institute at Memorial Regional Hospital
- Miami Children's Hospital
- Sacred Heart Cancer Center at Sacred Heart Hospital
- All Children's Hospital
- St. Joseph's Cancer Institute at St. Joseph's Hospital
- Kaplan Cancer Center at St. Mary's Medical Center
- Winship Cancer Institute of Emory University
- Cancer Research Center of Hawaii
- Advocate Christ Medical Center
- Indiana University Cancer Center
- St. Vincent Indianapolis Hospital
- Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center
- Kosair Children's Hospital
- Ochsner Cancer Institute at Ochsner Clinic Foundation
- CancerCare of Maine at Eastern Maine Medial Center
- Alvin and Lois Lapidus Cancer Institute at Sinai Hospital
- Barbara Ann Karmanos Cancer Institute
- Hurley Medical Center
- Spectrum Health Hospital - Butterworth Campus
- Van Elslander Cancer Center at St. John Hospital and Medical Center
- Breslin Cancer Center at Ingham Regional Medical Center
- Mayo Clinic Cancer Center
- University of Mississippi Medical Center
- Children's Mercy Hospital
- Siteman Cancer Center at Barnes-Jewish Hospital
- UNMC Eppley Cancer Center at the University of Nebraska Medical Center
- Sunrise Hospital and Medical Center
- Hackensack University Medical Center Cancer Center
- Overlook Hospital
- Saint Peter's University Hospital
- Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
- University of New Mexico Cancer Research and Treatment Center
- Albert Einstein Cancer Center at Albert Einstein College of Medicine
- Maimonides Cancer Center at Maimonides Medical Center
- Herbert Irving Comprehensive Cancer Center at Columbia University
- SUNY Upstate Medical University Hospital
- New York Medical College
- Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
- Blumenthal Cancer Center at Carolinas Medical Center
- Children's Hospital Medical Center of Akron
- Cincinnati Children's Hospital Medical Center
- Rainbow Babies and Children's Hospital
- Columbus Children's Hospital
- Children's Medical Center - Dayton
- Tod Children's Hospital - Forum Health
- Oklahoma University Medical Center
- Penn State Cancer Institute at Milton S. Hershey Medical Center
- Children's Hospital of Philadelphia
- St. Christopher's Hospital for Children
- Children's Hospital of Pittsburgh
- Hollings Cancer Center at Medical University of South Carolina
- Greenville Hospital System Cancer Center
- East Tennessee Children's Hospital
- Texas Tech University Health Sciences Center School of Medicine - Amarillo
- Children's Hospital of Austin
- Medical City Dallas Hospital
- Cook Children's Medical Center - Fort Worth
- Baylor University Medical Center - Houston
- University of Texas Health Science Center at San Antonio
- Methodist Children's Hospital of South Texas
- Primary Children's Medical Center
- Children's Hospital and Regional Medical Center - Seattle
- West Virginia University - Robert C. Byrd Health Sciences Center - Charleston Division
- Edwards Comprehensive Cancer Center at Cabell Huntington Hospital
- Marshfield Clinic - Marshfield Center
- Midwest Children's Cancer Center
- Princess Margaret Hospital for Children
- University of Alberta Hospital
- Children's & Women's Hospital of British Columbia
- CancerCare Manitoba
- IWK Health Centre
- McMaster Children's Hospital at Hamilton Health Sciences
- Cancer Centre of Southeastern Ontario at Kingston General Hospital
- Montreal Children's Hospital at McGill University Health Center
- Hopital Sainte Justine
- Centre Hospitalier Universitaire de Quebec
- San Jorge Children's Hospital