S0910 Epratuzumab, Cytarabine, and Clofarabine in Treating Patients With Relapsed or Refractory Acute Lymphoblastic Leukemia

Inclusion criteria

DISEASE CHARACTERISTICS: * Morphologically confirmed precursor B-cell acute lymphoblastic leukemia (ALL) (non T-cell) * Must have evidence of disease in bone marrow or peripheral blood * Immunophenotyping of the blood or marrow lymphoblasts must be performed to determine lineage (B cell, T cell, or mixed B/T cell) * Must have ≥ 5% lymphoblasts present in the blood or bone marrow * At least 20% of marrow and/or peripheral blood lymphoblasts must be CD22+ by flow cytometry * Co-expression of myeloid antigens (CD13 and CD33) allowed * Patients with only extramedullary disease in the absence of bone marrow or blood involvement are not eligible * Philadelphia (Ph) chromosome-negative disease * Patients with unknown Ph status by cytogenetics or FISH and unknown BCR/ABL status by PCR are eligible for study registration, but must be removed from study therapy if found to be Ph+ or BCR/ABL+ after study registration * Refractory to a standard induction regimen that included vincristine and prednisone or high-dose cytarabine or mitoxantrone OR relapsed after successful prior induction therapy * Any number of prior induction therapies or any number of remissions achieved are allowed * No M0 acute myeloid leukemia, mixed lineage leukemia, or L3 (Burkitt) leukemia * No active CNS involvement by clinical evaluation * Patients with a documented history of CNS involvement of ALL or with clinical signs or symptoms consistent with CNS involvement of ALL must undergo a lumbar puncture that is negative for CNS involvement of ALL * Patients \< 22 years of age must be willing to receive prophylactic intrathecal chemotherapy * Must be registered on SWOG-9007 Cytogenetic Studies in Leukemia Patients (closed as of 07/01/2010) PATIENT CHARACTERISTICS: * Zubrod performance status 0-2 * Serum creatinine ≤ 1.0 mg/dL OR glomerular filtration rate \> 60 mL/min * AST and ALT ≤ 2.5 times upper limit of normal (ULN) * Alkaline phosphatase ≤ 2.5 times ULN * Bilirubin ≤ 1.5 times ULN * Not pregnant or nursing * Fertile patients must use effective contraception during and for ≥ 6 months after completion of study treatment * HIV-positive patients are eligible (at the discretion of the investigator) provided the following criteria are met: * No history of AIDS-defining conditions * CD4 cell count \> 350/mm³ * If on antiretroviral agents, must not include zidovudine or stavudine * Willing to receive prophylaxis for pneumocystis jirovecii pneumonia during study therapy (regardless of CD4 cell count) until the CD4 cell count is \> 200/mm³ after completion of study treatment * Prior malignancy (other than ALL) allowed provided it is in remission and there are no plans to treat the malignancy at the time of study registration * No uncontrolled systemic fungal, bacterial, viral, or other infection, defined as exhibiting ongoing signs or symptoms related to the infection with no improvement despite appropriate antibiotics or other treatment * No neuropathy (cranial, motor or sensory) ≥ grade 2 PRIOR CONCURRENT THERAPY: * See Disease Characteristics * Any number of prior therapies allowed * More than 90 days since prior allogeneic bone marrow transplant (BMT) * No concurrent immunosuppression therapy for the treatment of graft-vs-host disease (GVHD) * No acute GVHD ≥ grade 2, moderate or severe limited chronic GVHD, or extensive chronic GVHD of any severity * Prior autologous BMT allowed * No concurrent immunosuppression therapy for the treatment of GVHD * More than 14 days since prior chemotherapy, investigational agents, or major surgery and recovered * Maintenance therapy with steroids, vincristine, and/or anti-metabolite agents, including but not limited to, mercaptopurine, thioguanine, and methotrexate allowed * Concurrent hydroxyurea to reduce WBC to a reasonable level (as deemed by the treating physician) allowed * No prior clofarabine or epratuzumab * No other concurrent cytotoxic therapy or investigational therapy * No concurrent alternative medications (e.g., herbal or botanical medications for anticancer purposes) * Concurrent participation on SWOG-S9910 Leukemia Centralized Reference Laboratories and Tissue Repositories, Ancillary allowed (closed as of 07/01/2010)