STI571 Plus Combination Chemotherapy in Treating Patients With Chronic Myelogenous Leukemia or Acute Lymphocytic Leukemia
Leukemia
About this trial
This is an interventional treatment trial for Leukemia focused on measuring recurrent adult acute lymphoblastic leukemia, relapsing chronic myelogenous leukemia, blastic phase chronic myelogenous leukemia
Eligibility Criteria
DISEASE CHARACTERISTICS: One of the following diagnoses: Chronic myelogenous leukemia in lymphoid blast crisis Acute lymphoblastic leukemia (ALL) that is in first relapse or failed induction No more than 1 prior course of induction chemotherapy Philadelphia chromosome-positive (Ph+) by cytogenetic analysis OR bcr/abl translocation by fluorescent in situ hybridization At least 30% blasts in bone marrow Ineligible for or refused allogeneic stem cell transplantation Not previously treated with imatinib mesylate OR currently receiving imatinib mesylate with stable disease on 2 bone marrow biopsies at least 2 weeks apart PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: Not specified Hematopoietic: See Disease Characteristics Hepatic: Bilirubin less than 3 times upper limit of normal (ULN) ALT and AST less than 3 times ULN Renal: Creatinine less than 2 times ULN Cardiovascular: No New York Heart Association class III or IV cardiac disease Other: Not pregnant or nursing Negative pregnancy test Fertile patients must use effective barrier contraception during and for at least 2 weeks after study for female patients and at least 3 months after study for male patients PRIOR CONCURRENT THERAPY: Biologic therapy: See Disease Characteristics No prior allogeneic bone marrow or peripheral blood stem cell transplantation At least 48 hours since prior interferon alfa Chemotherapy: See Disease Characteristics At least 24 hours since prior hydroxyurea At least 6 weeks since prior busulfan Concurrent hydroxyurea or anagrelide for severe leukocytosis or thrombocytosis allowed Endocrine therapy: Not specified Radiotherapy: Not specified Surgery: Not specified Other: No prior therapy for blast crisis except hydroxyurea No prior salvage or reinduction therapy for Ph+ ALL At least 4 weeks since other prior investigational agents
Sites / Locations
- City of Hope Comprehensive Cancer Center
- Jonsson Comprehensive Cancer Center, UCLA
- Stanford University Medical Center
- Oregon Cancer Institute
- University of Texas - MD Anderson Cancer Center