At a glance
ClinicalIndex Comparison Record- ✓Age 18 to <60 years
- ✓First relapse of AML, or first salvage of primary refractory AML, or high-grade MDS (≥10% blasts) with ≤1 prior chemotherapy regimen, or CML in myeloid blast phase (frontline or first salvage)
- ✓Total bilirubin ≤2 mg/dL, SGPT ≤4× ULN, creatinine ≤2.0 mg/dL
- ✓ECOG performance status ≤2
- ✕Prior clofarabine treatment
- ✕Active, uncontrolled systemic infection considered opportunistic, life-threatening, or clinically significant; any severe concurrent disease that would make the patient inappropriate for study entry
- ✕Symptomatic CNS involvement
- ✕Other concurrent chemotherapy; must be off previous therapy for ≥2 weeks and recovered from acute toxicity
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Prospective Randomized Phase I/II Study of Clofarabine (Clo) and Ara-C vs Clo and Ida vs Clo Plus Ida and Ara-C in Patients With First Relapse or First Salvage of Primary Refractory AML; and High-Grade MDS(>/= 10% Blasts); or CML in Myeloid Blasts Phase as Front Line Therapy or in First Salvage.
In Brief
A Phase 2 clinical trial evaluating Clofarabine 40mg/m^2, Idarubicin 10mg/m^2, and 4 other interventions for Acute Myeloid Leukemia and 2 related conditions. Completed, enrolled 116 participants across 1 site.
Detailed Summary
The goal is to compare the drug combinations clofarabine/idarubicin/ara-C, clofarabine/ara-C, and clofarabine/idarubicin in the treatment of patients with Acute Myeloid Leukemia, high-grade MDS, or myeloid blast phase of Chronic Myeloid Leukemia who have relapsed following their initial therapy.
Study Details
Timeline
Interventions
40 mg/m\^2 by vein over 1 hour daily for 5 days.
10 mg/m\^2 by vein over 30 minutes, around one hour after clofarabine, for the first 3 days of 5 day cycle. Clofarabine + Idarubicin plus Ara-C: 6 mg/m\^2 by vein over 30 minutes, around one hour after clofarabine, for the first 3 days of 5 day cycle.
0.75 g/m\^2 by vein over 2 hours for 5 days in a row, on Days 1 to 5 of each cycle.
22.5 mg/m\^2 by vein over 1 hour daily for 5 days.
1 g/m\^2 by vein over 2 hours for 5 days in a row, on Days 1 to 5 of each cycle.
6 mg/m\^2 by vein over 30 minutes, around one hour after clofarabine, for the first 3 days of 5 day cycle.