At a glance
ClinicalIndex Comparison Record- ✓Morphologically confirmed acute lymphoblastic leukemia (ALL), FAB class L1 or L2 disease, or mixed lineage ALL
- ✓Ph-negative/BCR-ABL negative disease
- ✓Newly diagnosed disease
- ✓Age 18 to 64 years
- ✕FAB class L3 ALL
- ✕Non-Hodgkin's lymphoma
- ✕Chronic myelogenous leukemia in lymphoid blast crisis
- ✕Mixed lineage acute myeloid leukemia or acute minimally differentiated myeloid leukemia (M0)
Standardized by ClinicalIndex from the ClinicalTrials.gov record · verify against the source.
A Phase II Study of Double Induction Chemotherapy for Newly Diagnosed Non-L3 Adult Acute Lymphoblastic Leukemia With Investigation of Minimal Residual Disease and Risk of Relapse Following Maintenance Chemotherapy
In Brief
A Phase 2 clinical trial evaluating filgrastim, cyclophosphamide, and 15 other interventions for Leukemia. Completed, enrolled 79 participants across 78 sites.
Detailed Summary
RATIONALE: Drugs used in chemotherapy work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy), and giving the drugs in different combinations may kill more cancer cells. PURPOSE: This phase II trial is studying how well combination chemotherapy works in treating patients with newly diagnosed acute lymphoblastic leukemia.
Study Details
Timeline
Interventions
As needed per physician discretion
Cyclophosphamide Consolidation: 650 mg/m2; IV; days 1, 15, 29 Post-consolidation course 3: 650 mg/m2; IV; day 1
Induction 2: 3 g/m2; IV over 3 hrs; days 1-5 Consolidation: 75 mg/m2/d; IV push; days 2-5 and 16-19 Post-consolidation course 3: 75 mg/m2/d; IV push; days 3-6 and 10-13
Induction: 60 mg/m2/d; IV; days 1, 2, and 3
Induction 2: 0.1% QID; eye drops; days 1-6 Post consolidation course 2: 10 mg/m2/d; PO; days 1-28
Post consolidation: 25 mg/m2; IV; days 1, 8, 15, and 22
For CNS during induction: 5 mg every 6 hrs for 4 doses; PO; days 1, 4, 8, 11, etx.; after methotrexate if WBC \< 3,000
Consolidation: 60 mg/m2; PO; days 1-28 Post-consolidation course 1: 60 mg/m2/d; PO; days 1-63 Post-consolidation course 4: 60 mg/m2/d; PO; daily for 2 yrs
Consolidation: 12 mg; intrathecal or intraventricularly; days 2, 9, 16, and 23 Post-consolidation course 1: 20 mg/m2/wk; PO; days 1, 8 15, 22, 29, 36, 43, 50, 57 Post-consolidation course 4: 20 mg/m2; PO; weekly for 2 yrs
Induction 2: 80 mg/m2; IV; day 3
Induction: 2,000 IU/m2; IM or IV; day 15
Induction: 60 mg/m2/d; PO or IV; days 1-35
Post-consolidation course 3: 60 mg/m2/d; PO; days 1-14
Induction: 1.4 mg/m2/d (2 mg max); IV; days 1, 8, 15, 22
For CNS during consolidation: cranial radiation after blasts are no longer present in spinal fluid. Total dose of 1800 cGy over 2 wks in 10 fractions of 180 cGy 5 days/wk.
300 mg/d PO Days 1-7
1 double strenth tablet 2x/d, 2x/wk, PO, begin with prednisone