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STI571 in Treating Patients With Recurrent Leukemia

A Phase I Study of STI571 in Ph+ Leukemia

Status
Completed
Phases
Phase 1
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00004932
Enrollment
31
Registered
2003-01-27
Start date
2002-01-31
Completion date
2005-09-30
Last updated
2014-02-21

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Leukemia

Keywords

recurrent childhood acute lymphoblastic leukemia, recurrent childhood acute myeloid leukemia, relapsing chronic myelogenous leukemia, chronic myelogenous leukemia, BCR-ABL1 positive, childhood chronic myelogenous leukemia

Brief summary

RATIONALE: Imatinib mesylate may interfere with the growth of cancer cells and may be an effective treatment for leukemia. PURPOSE: Phase I trial to study the effectiveness of imatinib mesylate in treating patients who have recurrent leukemia.

Detailed description

OBJECTIVES: * Determine the maximum tolerated dose and dose-limiting toxicity of imatinib mesylate in patients with recurrent Philadelphia chromosome-positive leukemia. * Characterize the pharmacokinetic behavior of this drug in this patient population. * Determine preliminarily the antileukemic activity of this drug in these patients. OUTLINE: This is a dose-escalation, multicenter study. Patients receive oral imatinib mesylate (STI571) once daily for 28 days. Treatment continues in the absence of unacceptable toxicity or disease progression. Cohorts of 3-6 patients receive escalating doses of STI571 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity. Patients are followed every 6 months for 4 years and then annually thereafter. PROJECTED ACCRUAL: A maximum of 32 patients will be accrued for this study within 3.5 years.

Interventions

DRUGimatinib mesylate

Sponsors

National Cancer Institute (NCI)
CollaboratorNIH
Children's Oncology Group
Lead SponsorNETWORK

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
No minimum to 21 Years
Healthy volunteers
No

Inclusion criteria

DISEASE CHARACTERISTICS: * Recurrent Philadelphia (Ph) chromosome-positive leukemia * Recurrent or refractory acute lymphoblastic or myeloblastic leukemia OR * Chronic myelogenous leukemia with resistance to interferon alfa with any of the following: * WBC at least 20,000/mm\^3 after at least 3 months of interferon therapy * At least 100% increase in WBC to at least 20,000/mm\^3 confirmed over 2 weeks while receiving interferon alfa * At least 66% Ph chromosome-positive cells after 1 year of interferon therapy * At least 30% increase in number of Ph chromosome-positive cells after an interferon-induced response while continuing interferon therapy PATIENT CHARACTERISTICS: Age: * Under 22 Performance status: * Karnofsky 50-100% if over 10 years of age OR * Lansky 50-100% if 10 years of age and under Life expectancy: * At least 8 weeks Hematopoietic: * See Disease Characteristics Hepatic: * Bilirubin no greater than 1.5 times normal * SGPT less than 3 times normal * Albumin greater than 2 g/dL Renal: * Creatinine no greater than 1.5 times normal OR * Creatinine clearance or radioisotope glomerular filtration rate at least 70 mL/min Other: * Not pregnant or nursing * Negative pregnancy test * Fertile patients must use effective contraception * If prior allogeneic stem cell transplantation, no uncontrolled graft-versus -host disease * No seizure disorder if on anticonvulsants * No uncontrolled infection * No CNS toxicity greater than grade 2 PRIOR CONCURRENT THERAPY: Biologic therapy: * See Disease Characteristics * At least 1 week since prior biologic therapy and recovered * At least 3 months since prior stem cell transplantation (SCT) * At least 1 week since prior growth factors * At least 1 week since prior interferon alfa Chemotherapy: * Recovered from prior chemotherapy * At least 6 weeks since prior busulfan and nitrosoureas * At least 2 weeks since prior homoharringtonine * At least 1 week since low-dose cytarabine * At least 2 weeks since prior moderate-dose cytarabine * At least 4 weeks since prior high-dose cytarabine * At least 3 weeks since all other prior cytotoxic chemotherapies * No prior hydroxyurea Endocrine therapy: * Must be on a stable dose of steroids if received prior allogeneic SCT Radiotherapy: * Recovered from prior radiotherapy * At least 2 weeks since prior local palliative radiotherapy (small port) * At least 6 months since prior craniospinal radiotherapy * At least 6 months since prior radiotherapy to 50% or more of the pelvis * At least 6 weeks since other prior substantial bone marrow radiotherapy Surgery: * Not specified Other: * No other concurrent investigational agents * No concurrent anticonvulsants

Design outcomes

Primary

MeasureTime frameDescription
SurvivalLength of studyTo estimate the maximum tolerated dose (MTD) of STI571 administered orally once daily without interruption to children with recurrent Ph+ leukemia.

Secondary

MeasureTime frameDescription
Dose-limiting toxicitiesLength of studyTo determine the dose-limiting toxicities (DLT) of STI571 given on this schedule.
Characterize the pharmacokinetic behaviorLength of studyTo characterize the pharmacokinetic behavior of STI571 in children with recurrent Ph+ leukemia.
Define the anti-leukemic activity of STI571Length of studyTo preliminarily define the anti-leukemic activity of STI571 within the confines of a Phase I study.

Countries

Australia, Canada, Netherlands, New Zealand, Puerto Rico, Switzerland, United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026