Daunorubicin & Cytarabine +/- Zosuquidar inTreating Older Patients With Newly Diagnosed Acute Myeloid Leukemia or Refractory Anemia
Leukemia, Myelodysplastic Syndromes
About this trial
This is an interventional treatment trial for Leukemia focused on measuring adult acute monocytic leukemia (M5b), adult acute erythroid leukemia (M6), adult acute megakaryoblastic leukemia (M7), adult acute myeloblastic leukemia with maturation (M2), adult acute myeloblastic leukemia without maturation (M1), adult acute myelomonocytic leukemia (M4), adult acute monoblastic leukemia (M5a), refractory anemia with excess blasts in transformation, refractory anemia with excess blasts, secondary acute myeloid leukemia, untreated adult acute myeloid leukemia, de novo myelodysplastic syndromes, adult acute minimally differentiated myeloid leukemia (M0), adult acute myeloid leukemia with 11q23 (MLL) abnormalities, adult acute myeloid leukemia with inv(16)(p13;q22), adult acute myeloid leukemia with t(16;16)(p13;q22), adult acute myeloid leukemia with t(8;21)(q22;q22)
Eligibility Criteria
Inclusion Criteria: One of the following disorders: Acute myeloid leukemia (AML), defined as >30% myeloblasts on the marrow aspirate or peripheral blood differential and any French-American-British (FAB) subtype except M3 (i.e., acute promyelocytic leukemia) Refractory anemia with excess blasts (RAEB), defined as 11-20% myeloblasts on bone marrow aspirate or peripheral blood differential, provided there are other criteria for high-risk disease Refractory anemia with excess blasts in transformation (RAEB-T), defined as 21-30% myeloblasts on bone marrow aspirate or peripheral blood differential Participants may have secondary AML Age greater than 60 years ECOG performance status of 0 to 3 Total serum bilirubin < 3 mg/dL Serum creatinine < 2 mg/dL Cardiac ejection fraction of > 45% Exclusion Criteria: Blastic transformation of chronic myelogenous leukemia CNS leukemia Prior chemotherapy for AML, with the exception of hydroxyurea For women: pregnant or breast feeding Other malignancy for which participant is currently receiving treatment Concurrent treatment with other colony-stimulating factors
Sites / Locations
- CCOP - Mayo Clinic Scottsdale Oncology Program
- Aurora Presbyterian Hospital
- Boulder Community Hospital
- Penrose Cancer Center at Penrose Hospital
- Porter Adventist Hospital
- Presbyterian - St. Luke's Medical Center
- St. Joseph Hospital
- Rose Medical Center
- CCOP - Colorado Cancer Research Program, Incorporated
- Swedish Medical Center
- Sky Ridge Medical Center
- Hope Cancer Care Center at Longmont United Hospital
- St. Mary-Corwin Regional Medical Center
- North Suburban Medical Center
- University of Florida Shands Cancer Center
- Baptist Cancer Institute - Jacksonville
- Mayo Clinic - Jacksonville
- Watson Clinic, LLC
- H. Lee Moffitt Cancer Center and Research Institute at University of South Florida
- MBCCOP-Medical College of Georgia Cancer Center
- Hematology and Oncology Associates
- Robert H. Lurie Comprehensive Cancer Center at Northwestern University
- Rush University Medical Center
- Decatur Memorial Hospital Cancer Care Institute
- Evanston Northwestern Health Care - Evanston Hospital
- Regional Cancer Center at Memorial Medical Center
- Carle Cancer Center at Carle Foundation Hospital
- Indiana University Cancer Center
- Methodist Cancer Center at Methodist Hospital
- McFarland Clinic, P.C.
- Siouxland Hematology-Oncology Associates
- St. Luke's Regional Medical Center
- Cancer Center of Kansas - Chanute
- Cancer Center of Kansas - Dodge City
- Cancer Center of Kansas - Kingman
- Southwest Medical Center
- Cancer Center of Kansas - Newton
- Pratt Cancer Center of Kansas
- Cancer Center of Kansas - Salina
- Cancer Center of Kansas - Wellington
- Associates in Womens Health
- Cancer Center of Kansas, P.A.
- Cancer Center of Kansas, P.A. - Wichita
- CCOP - Wichita
- Via Christi Cancer Center at Via Christi Regional Medical Center
- Wesley Medical Center
- Cancer Center of Kansas - Winfield
- Tufts - New England Medical Center
- Beth Israel Deaconess Medical Center
- Baystate Regional Cancer Program at D'Amour Center for Cancer Care
- CCOP - Michigan Cancer Research Consortium
- St. Joseph Mercy Cancer Center at St. Joseph Mercy Hospital
- Borgess Medical Center
- Bronson Methodist Hospital
- West Michigan Cancer Center
- Fairview Ridges Hospital
- Mercy and Unity Cancer Center at Mercy Hospital
- Fairview Southdale Hospital
- Mercy and Unity Cancer Center at Unity Hospital
- Virginia Piper Cancer Institute at Abbott-Northwestern Hospital
- Hubert H. Humphrey Cancer Center at North Memorial Medical Center
- Mayo Clinic Cancer Center
- CCOP - Metro-Minnesota
- Park Nicollet Clinic
- United Hospital
- Ridgeview Medical Center
- University Medical Center of Southern Nevada
- CCOP - Southern Nevada Cancer Research Foundation
- CCOP - Northern New Jersey
- Booker Cancer Center at Riverview Medical Center
- Albert Einstein Cancer Center at Albert Einstein College of Medicine
- NYU Cancer Institute at New York University Medical Center
- Leo W. Jenkins Cancer Center at Pitt County Memorial Hospital
- Aultman Hospital Cancer Center at Aultman Health Foundation
- Ireland Cancer Center at University Hospitals of Cleveland and Case Western Reserve University
- MetroHealth's Cancer Care Center at MetroHealth Medical Center
- St. Luke's Hospital Cancer Center
- Geisinger Medical Center
- Penn State Cancer Institute at Milton S. Hershey Medical Center
- Abramson Cancer Center of the University of Pennsylvania
- Hillman Cancer Center at University of Pittsburgh Cancer Institute
- Guthrie Medical Center - Sayre
- Hematology and Oncology Associates
- Geisinger Medical Group
- Geisinger Wyoming Valley Medical Center
- Sioux Valley Hospital and University of South Dakota Medical Center
- University of Virginia Cancer Center
- Mary Babb Randolph Cancer Center at West Virginia University Hospitals
- Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
- University of Wisconsin Comprehensive Cancer Center
- Marshfield Clinic - Marshfield Center
- Rambam Medical Center
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Zosuquidar
Placebo
Induction treatment with daunorubicin, cytarabine and zosuquidar (details provided in Intervention section), followed by consolidation with Cytarabine (1500 mg/m2 every 12 hours for 6 days), then additional consolidation with the same regimen as received during induction.
Induction treatment with daunorubicin, cytarabine and placebo (details provided in Intervention section), followed by consolidation with Cytarabine (1500 mg/m2 every 12 hours for 6 days), then additional consolidation with the same regimen as received during induction.