Gemtuzumab Ozogamicin and High-Dose Cytarabine in Treating Patients With Relapsed or Refractory Acute Myeloid Leukemia
Leukemia
About this trial
This is an interventional treatment trial for Leukemia focused on measuring recurrent adult acute myeloid leukemia
Eligibility Criteria
DISEASE CHARACTERISTICS: One of the following diagnoses: Primary refractory acute myeloid leukemia (AML) More than 10% blasts in the bone marrow or blood after recovery from 2 courses of standard cytarabine- and anthracycline-based induction chemotherapy No prior remission Relapsed AML More than 10% blasts in the bone marrow or blood after documented remission Prior remission lasted more than 30 days No prior treatment for current relapse CD33 expression on at least 20% of leukemia blast cells at initial diagnosis for primary refractory patients or at the time of relapse for all other patients No active CNS involvement PATIENT CHARACTERISTICS: Age: 17 and over Performance status: 0-2 Life expectancy: Not specified Hematopoietic: See Disease Characteristics WBC less than 30,000/mm^3 Hepatic: Bilirubin less than 2.0 mg/dL No veno-occlusive disease of the liver No chronic liver disease unless due to AML Renal: Not specified Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective contraception No active serious infection PRIOR CONCURRENT THERAPY: Biologic therapy: At least 6 months since prior stem cell transplantation Chemotherapy: See Disease Characteristics Prior etoposide and/or thioguanine during remission induction allowed Prior hydroxyurea for control of AML allowed At least 24 hours since prior hydroxyurea At least 3 months since prior high-dose cytarabine (greater than 2 g/m^2/dose)-containing regimen No other concurrent chemotherapy Endocrine therapy: Concurrent steroids for adrenal failure, hypersensitivity reactions, or septic shock allowed Concurrent ophthalmic corticosteroids allowed Concurrent hormones for nondisease-related conditions (e.g., insulin for diabetes or estrogens or progestins for gynecologic conditions) allowed Radiotherapy: No concurrent radiotherapy Surgery: Not specified Other: More than 2 months since prior cytotoxic therapy
Sites / Locations
- Northeast Alabama Regional Medical Center
- Veterans Affairs Medical Center - Birmingham
- Rebecca and John Moores UCSD Cancer Center
- Veterans Affairs Medical Center - San Diego
- UCSF Comprehensive Cancer Center
- Veterans Affairs Medical Center - San Francisco
- CCOP - Christiana Care Health Services
- Lombardi Cancer Center at Georgetown University Medical Center
- Walter Reed Army Medical Center
- Veterans Affairs Medical Center - Washington, DC
- Broward General Medical Center
- Memorial Regional Hospital Comprehensive Cancer Center
- CCOP - Mount Sinai Medical Center
- Florida Hospital Cancer Institute
- Palm Beach Cancer Institute
- Veterans Affairs Medical Center - Chicago (Westside Hospital)
- University of Chicago Cancer Research Center
- Louis A. Weiss Memorial Hospital
- CCOP - Illinois Oncology Research Association
- West Suburban Center for Cancer Care
- Saint Anthony Medical Center
- Fort Wayne Medical Oncology and Hematology, Incorporated
- Hematology Oncology Associates of the Quad Cities
- Holden Comprehensive Cancer Center at University of Iowa
- Baptist Hospital East - Louisville
- Marlene and Stewart Greenebaum Cancer Center, University of Maryland
- Dana-Farber/Harvard Cancer Center at Dana Farber Cancer Institute
- University of Massachusetts Memorial Medical Center - University Campus
- Lakeland Cancer Care Center at Lakeland Hospital - St. Joseph
- Veterans Affairs Medical Center - Minneapolis
- University of Minnesota Cancer Center
- Veterans Affairs Medical Center - Columbia (Truman Memorial)
- Ellis Fischel Cancer Center at University of Missouri - Columbia
- CCOP - Kansas City
- Barnes-Jewish Hospital
- UNMC Eppley Cancer Center at the University of Nebraska Medical Center
- CCOP - Southern Nevada Cancer Research Foundation
- Veterans Affairs Medical Center - Las Vegas
- New Hampshire Oncology-Hematology, PA - Hooksett
- Norris Cotton Cancer Center at Dartmouth Medical School
- Cooper University Hospital
- Veterans Affairs Medical Center - Buffalo
- Elmhurst Hospital Center
- Queens Cancer Center of Queens Hospital
- CCOP - North Shore University Hospital
- North Shore University Hospital
- Memorial Sloan-Kettering Cancer Center
- New York Weill Cornell Cancer Center at Cornell University
- Mount Sinai Medical Center, NY
- University Hospital at State University of New York - Upstate Medical University
- Veterans Affairs Medical Center - Syracuse
- CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
- Veterans Affairs Medical Center - Asheville
- Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
- NorthEast Oncology Associates
- Veterans Affairs Medical Center - Durham
- Duke Comprehensive Cancer Center
- Cape Fear Valley Health System
- Lenoir Memorial Hospital Cancer Center
- FirstHealth Moore Regional Hospital
- New Hanover Regional Medical Center
- CCOP - Southeast Cancer Control Consortium
- Comprehensive Cancer Center at Wake Forest University
- Arthur G. James Cancer Hospital - Ohio State University
- Oklahoma University Medical Center at University of Oklahoma Health Sciences Center
- Lifespan: The Miriam Hospital
- University of Tennessee Cancer Institute
- Veterans Affairs Medical Center - Memphis
- Veterans Affairs Medical Center - Dallas
- Green Mountain Oncology Group
- Vermont Cancer Center at University of Vermont
- Veterans Affairs Medical Center - White River Junction
- Martha Jefferson Hospital
- Virginia Oncology Associates - Norfolk
- MBCCOP - Massey Cancer Center
- Oncology and Hematology Associates of Southwest Virginia, Inc.
- St. Mary's Medical Center
- University of Puerto Rico School of Medicine Medical Sciences Campus
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
Experimental
Cohort I
Cohort II
Cohort IA
Cohort IV
Immunotherapy with gemtuzumab
Gemtuzumab + ara-C
Gemtuzumab + ara C
Gemtuzumab + ara-C