search
Back to results

Imatinib Mesylate and Interferon Alfa in Treating Patients With Chronic Myelogenous Leukemia

Primary Purpose

Leukemia

Status
Terminated
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
recombinant interferon alfa
imatinib mesylate
Sponsored by
OHSU Knight Cancer Institute
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for Leukemia focused on measuring relapsing chronic myelogenous leukemia, chronic phase chronic myelogenous leukemia, Philadelphia chromosome positive chronic myelogenous leukemia

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

DISEASE CHARACTERISTICS: Cytogenetically confirmed chronic myelogenous leukemia (CML) Less than 15% blasts in peripheral blood or bone marrow Less than 30% blasts and promyelocytes in peripheral blood or bone marrow Less than 20% basophils in blood or bone marrow Platelet count at least 100,000/mm^3 No leukemia beyond bone marrow, blood, liver, or spleen No chloroma Phase I (closed to accrual as of 7/9/03): Philadelphia (Ph) chromosome-positive CML in chronic phase Phase II: Newly diagnosed Ph chromosome-positive CML in chronic phase Initial diagnosis within 6 months of study No prior therapy for CML except hydroxyurea and/or anagrelide hydrochloride Phase I (closed to accrual as of 7/9/03) and II: No identified sibling donors where allogeneic stem cell transplantation is elected as first-line therapy PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: Not specified Hematopoietic: See Disease Characteristics Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN) AST or ALT no greater than 2 times ULN Renal: Creatinine no greater than 1.5 times ULN Cardiovascular: No New York Heart Association class III or IV heart disease Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use 2 methods of effective barrier contraception during and for at least 3 months after study participation No other serious uncontrolled medical condition No autoimmune disease No prior noncompliance to medical regimens or potential unreliability No prior grade 3 or greater non-hematologic toxicity due to prior interferon (phase I [closed to accrual as of 7/9/03]) PRIOR CONCURRENT THERAPY: Biologic therapy: See Disease Characteristics No prior bone marrow or peripheral blood stem cell transplantation At least 2 weeks since prior interferon alfa (phase I [closed to accrual as of 7/9/03]) Chemotherapy: See Disease Characteristics At least 6 weeks since prior busulfan (phase I [closed to accrual as of 7/9/03] ) At least 2 weeks since prior cytarabine (phase I [closed to accrual as of 7/9/03]) No concurrent chemotherapy Concurrent hydroxyurea allowed during the first 3 months of study Endocrine therapy: Not specified Radiotherapy: Not specified Surgery: Not specified Other: At least 4 weeks since prior investigational agents other than imatinib mesylate (phase I [closed to accrual as of 7/9/03]) No concurrent grapefruit juice Concurrent anagrelide hydrochloride allowed during the first 3 months of study

Sites / Locations

  • Robert H. Lurie Comprehensive Cancer Center at Northwestern University
  • OHSU Knight Cancer Institute

Outcomes

Primary Outcome Measures

Complete Cytogenetic Response at 6 and 12 Months (Phase II)
Cytogenetic response in terms of the percentage of Ph chromosome positive metaphases in bone marrow is defined as follows: Complete* (0% Ph-positive cells) Partial* (1-34%) Minor (35-95%) None (96-100%).
Minor Cytogenetic Response at 6 and 12 Months (Phase II)
Complete Hematologic Response at 6 and 12 Months (Phase II)
Molecular Response in Patients With Complete Cytogenetic Response at 6 and 12 Months (Phase II)
Treatment-related Toxicity (i.e., Grade 3 or 4 Nonhematologic Toxicity) as Measured by NCI CTCAE v3.0 (Phase I)
1=mild, 2=moderate, 3=severe, 4=life threatening/disabling, 5=death
Major Cytogenetic Response After 6 and 12 Months of Treatment.
Cytogenetic response in terms of the percentage of Ph chromosome positive metaphases in bone marrow is defined as follows: Complete* (0% Ph-positive cells) Partial* (1-34%) Minor (35-95%) None (96-100%). *Major cytogenetic response includes complete and partial cytogenetic response.

Secondary Outcome Measures

Full Information

First Posted
May 6, 2001
Last Updated
July 12, 2012
Sponsor
OHSU Knight Cancer Institute
Collaborators
National Cancer Institute (NCI)
search

1. Study Identification

Unique Protocol Identification Number
NCT00015847
Brief Title
Imatinib Mesylate and Interferon Alfa in Treating Patients With Chronic Myelogenous Leukemia
Official Title
A Phase I/II Dose-Finding Study to Determine the Safety, Tolerability, and Anti-Leukemic Effects of STI571 (NSC 716051) in Combination With Interferon-alpha in Patients With Chronic Myelogenous Leukemia in Chronic Phase
Study Type
Interventional

2. Study Status

Record Verification Date
June 2012
Overall Recruitment Status
Terminated
Study Start Date
April 2001 (undefined)
Primary Completion Date
May 2011 (Actual)
Study Completion Date
May 2011 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
OHSU Knight Cancer Institute
Collaborators
National Cancer Institute (NCI)

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
RATIONALE: Imatinib mesylate and interferon alfa may interfere with the growth of the cancer cells. Combining imatinib mesylate with interferon alfa may kill more cancer cells. PURPOSE: Phase II trial to study the effectiveness of combining imatinib mesylate with interferon alfa in treating patients who have chronic myelogenous leukemia.
Detailed Description
OBJECTIVES: Determine the maximum tolerated dose of interferon alfa administered with imatinib mesylate in patients with chronic phase chronic myelogenous leukemia. (Phase I closed to accrual as of 7/9/03.) Determine the safety and tolerability of this regimen in this patient population. Determine the complete, major, and minor cytogenetic response rates and complete hematologic response rate in patients after 6 and 12 months of treatment with this regimen. Determine the molecular response (reverse transcriptase-polymerase chain reaction for bcr-abl) rate in patients who have a complete cytogenetic response after 6 and 12 months of treatment with this regimen. Determine the pharmacokinetics of this regimen in these patients. OUTLINE: This is a dose-escalation, multicenter study. Phase I (closed to accrual as of 7/9/03): Patients receive oral imatinib mesylate once daily beginning on day 1 and interferon alfa (IFN-A) subcutaneously once daily or 3 times weekly beginning on day 14. Courses repeat every 35 days for up to 1 year in the absence of disease progression or unacceptable toxicity. After completion of 1 year of therapy, patients may receive additional therapy, provided that the patient is benefiting from imatinib mesylate. IFN-A is discontinued in patients who achieve a molecular remission that is confirmed on 2 successive bone marrow samples. Imatinib mesylate is discontinued in patients who achieve and maintain a molecular remission for 2 years. Sequential dose escalation of IFN-A is followed by sequential dose escalation of imatinib mesylate. Cohorts of 3-6 patients receive escalating doses of IFN-A and then imatinib mesylate until the maximum tolerated dose (MTD) of the combination is determined. The MTD is defined as the dose preceding that at which 2 of 6 patients experience dose-limiting toxicity. Phase II: Patients receive imatinib mesylate and IFN-A as in phase I at the established MTD. Patients are followed for 30 days. PROJECTED ACCRUAL: Approximately 3-15 patients will be accrued for the phase I portion of this study. (Phase I closed to accrual as of 7/9/03.) A total of 40 patients will be accrued for the phase II portion of the study within 3-4 months.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Leukemia
Keywords
relapsing chronic myelogenous leukemia, chronic phase chronic myelogenous leukemia, Philadelphia chromosome positive chronic myelogenous leukemia

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
25 (Actual)

8. Arms, Groups, and Interventions

Intervention Type
Biological
Intervention Name(s)
recombinant interferon alfa
Intervention Description
IFN-α will be given at a dose ranging up to 5 MIU daily via subcutaneous injection.
Intervention Type
Drug
Intervention Name(s)
imatinib mesylate
Other Intervention Name(s)
STI571
Intervention Description
Once daily oral administration of STI571 (imatinib mesylate) at a dose of 400 mg or 600mg for 12 months.
Primary Outcome Measure Information:
Title
Complete Cytogenetic Response at 6 and 12 Months (Phase II)
Description
Cytogenetic response in terms of the percentage of Ph chromosome positive metaphases in bone marrow is defined as follows: Complete* (0% Ph-positive cells) Partial* (1-34%) Minor (35-95%) None (96-100%).
Time Frame
At 6 and 12 months during phase II
Title
Minor Cytogenetic Response at 6 and 12 Months (Phase II)
Time Frame
At 6 and 12 months during phase II
Title
Complete Hematologic Response at 6 and 12 Months (Phase II)
Time Frame
At 6 and 12 months during phase II
Title
Molecular Response in Patients With Complete Cytogenetic Response at 6 and 12 Months (Phase II)
Time Frame
At 6 and 12 months during phase II
Title
Treatment-related Toxicity (i.e., Grade 3 or 4 Nonhematologic Toxicity) as Measured by NCI CTCAE v3.0 (Phase I)
Description
1=mild, 2=moderate, 3=severe, 4=life threatening/disabling, 5=death
Time Frame
12 Months
Title
Major Cytogenetic Response After 6 and 12 Months of Treatment.
Description
Cytogenetic response in terms of the percentage of Ph chromosome positive metaphases in bone marrow is defined as follows: Complete* (0% Ph-positive cells) Partial* (1-34%) Minor (35-95%) None (96-100%). *Major cytogenetic response includes complete and partial cytogenetic response.
Time Frame
6 and 12 months after treatment

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
DISEASE CHARACTERISTICS: Cytogenetically confirmed chronic myelogenous leukemia (CML) Less than 15% blasts in peripheral blood or bone marrow Less than 30% blasts and promyelocytes in peripheral blood or bone marrow Less than 20% basophils in blood or bone marrow Platelet count at least 100,000/mm^3 No leukemia beyond bone marrow, blood, liver, or spleen No chloroma Phase I (closed to accrual as of 7/9/03): Philadelphia (Ph) chromosome-positive CML in chronic phase Phase II: Newly diagnosed Ph chromosome-positive CML in chronic phase Initial diagnosis within 6 months of study No prior therapy for CML except hydroxyurea and/or anagrelide hydrochloride Phase I (closed to accrual as of 7/9/03) and II: No identified sibling donors where allogeneic stem cell transplantation is elected as first-line therapy PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: Not specified Hematopoietic: See Disease Characteristics Hepatic: Bilirubin no greater than 1.5 times upper limit of normal (ULN) AST or ALT no greater than 2 times ULN Renal: Creatinine no greater than 1.5 times ULN Cardiovascular: No New York Heart Association class III or IV heart disease Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use 2 methods of effective barrier contraception during and for at least 3 months after study participation No other serious uncontrolled medical condition No autoimmune disease No prior noncompliance to medical regimens or potential unreliability No prior grade 3 or greater non-hematologic toxicity due to prior interferon (phase I [closed to accrual as of 7/9/03]) PRIOR CONCURRENT THERAPY: Biologic therapy: See Disease Characteristics No prior bone marrow or peripheral blood stem cell transplantation At least 2 weeks since prior interferon alfa (phase I [closed to accrual as of 7/9/03]) Chemotherapy: See Disease Characteristics At least 6 weeks since prior busulfan (phase I [closed to accrual as of 7/9/03] ) At least 2 weeks since prior cytarabine (phase I [closed to accrual as of 7/9/03]) No concurrent chemotherapy Concurrent hydroxyurea allowed during the first 3 months of study Endocrine therapy: Not specified Radiotherapy: Not specified Surgery: Not specified Other: At least 4 weeks since prior investigational agents other than imatinib mesylate (phase I [closed to accrual as of 7/9/03]) No concurrent grapefruit juice Concurrent anagrelide hydrochloride allowed during the first 3 months of study
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Brian J. Druker, MD
Organizational Affiliation
OHSU Knight Cancer Institute
Official's Role
Study Chair
Facility Information:
Facility Name
Robert H. Lurie Comprehensive Cancer Center at Northwestern University
City
Chicago
State/Province
Illinois
ZIP/Postal Code
60611
Country
United States
Facility Name
OHSU Knight Cancer Institute
City
Portland
State/Province
Oregon
ZIP/Postal Code
97239
Country
United States

12. IPD Sharing Statement

Learn more about this trial

Imatinib Mesylate and Interferon Alfa in Treating Patients With Chronic Myelogenous Leukemia

We'll reach out to this number within 24 hrs