Status:

COMPLETED

A Phase II Study of Gleevec and Arsenic Trioxide in Patients With CML Who Fail Gleevec

Lead Sponsor:

New Mexico Cancer Research Alliance

Conditions:

Leukemia, Other

Cancer

Eligibility:

All Genders

18+ years

Phase:

PHASE2

Brief Summary

1.0 OBJECTIVES 1.1 To test the activity of arsenic trioxide in combination with imatinib in patients with CML with cytogenetic evidence of residual disease. 1.2 To determine the toxicity associated w...

Detailed Description

* Chronic myelogenous leukemia (CML) results from the clonal expansion of immature myeloid cells with the t (9,22) (Ph) translocation, that encodes the constitutively active tyrosine kinase oncogene, ...

Eligibility Criteria

Inclusion

  • Inclusion criteria:
  • All patients, 18 years of age or older, with a diagnosis of CML.
  • Patients must have a life expectancy of at least 12 weeks.
  • Patients must have an ECOG performance status of 0-2.
  • Patients must sign an informed consent.
  • Patients should have adequate hepatic function with a total bilirubin \< 2 mg/dl and SGOT or SGPT \< two times the upper limit of normal, and adequate renal function as defined by a serum creatinine \< 1.5 x upper limit of normal.
  • Patients with CML in chronic phase on gleevec as first line therapy who fulfill the following criteria:
  • Failure to achieve a complete hematologic response (CHR) after 3 months of therapy (hematologic resistance)
  • Failure to achieve a complete cytogenetic response (CGCR) after \> 9 months of therapy.
  • Cytogenetic relapse, defined as an increase in the Ph+ cells by at least 30%.
  • Hematologic relapse defined as the appearance of any of the following, confirmed by a second determination \> 1 month later:
  • WBC count \>20, 000,
  • Platelet count \>600,000,
  • Progressive splenomegaly \> 5 cm below the left intercostals margin,
  • \>5% myelocytes and/or metamyelocytes in the peripheral blood,
  • Blasts or promyelocytes in the peripheral blood
  • Exclusion Criteria:
  • Pregnant women or nursing mothers are not eligible for this trial. Patients of child bearing potential must use adequate contraception.
  • Patients may receive no other concurrent chemotherapy or radiation therapy during this trial.
  • Patients with severe medical problems such as uncontrolled diabetes mellitus or cardiovascular disease or active infections are not eligible for this trial.

Exclusion

    Key Trial Info

    Start Date :

    April 1 2004

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ACTUAL

    End Date :

    March 1 2006

    Estimated Enrollment :

    6 Patients enrolled

    Trial Details

    Trial ID

    NCT00250042

    Start Date

    April 1 2004

    End Date

    March 1 2006

    Last Update

    September 20 2011

    Active Locations (2)

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    Page 1 of 1 (2 locations)

    1

    University of New Mexico

    Albuquerque, New Mexico, United States, 87131

    2

    New Mexico Cancer Care Associates

    Santa Fe, New Mexico, United States, 87505