Status:

COMPLETED

A Study of Clofarabine in Combination With Etoposide and Cyclophosphamide in Children With Acute Leukemias.

Lead Sponsor:

Genzyme, a Sanofi Company

Conditions:

Acute Lymphoblastic Leukemia

Acute Myelogenous Leukemia

Eligibility:

All Genders

1-21 years

Phase:

PHASE1

PHASE2

Brief Summary

Clofarabine (injection) is approved by the Food and Drug Administration (FDA) for the treatment of pediatric patients 1 to 21 years old with relapsed or refractory acute lymphoblastic leukemia (ALL) w...

Eligibility Criteria

Inclusion

  • NOTE: the following eligibility criteria were applicable to acute lymphoblastic leukemia (ALL) and acute myelogenous leukemia (AML) patients for the Phase 1 portion of this study, and to ALL patients for the Phase 2 portion of the study (only ALL patients were allowed in the Phase 2 portion of the study).
  • ALL with \> 25% blasts in bone marrow; AML with ≥ 5% blasts in bone marrow; ALL and AML patients may have extramedullary disease
  • Karnofsky Performance Status ≥ 50 for patients \> 10 years old; Lansky Performance Status ≥ 50 for patients ≤ 10 years old
  • Prior therapy: AML: 1-2 prior induction regimens and ≤ 1 hematopoietic stem cell transplant (HSCT); ALL: 1-3 prior induction regimens
  • Adequate liver, renal, pancreatic, and cardiac function
  • Have received no prior HSCT (study amended in Phase 2 to exclude patients with prior HSCT)

Exclusion

  • NOTE: the following eligibility criteria were applicable to ALL and AML patients for the Phase 1 portion of this study, and to ALL patients for the Phase 2 portion of the study (only ALL patients were allowed in the Phase 2 portion of the study).
  • Burkitt's leukemia
  • Previous treatment with clofarabine
  • Uncontrolled systemic fungal, bacterial or other infection and 48 hrs negative blood cultures required for patients with a history of fever within 3 days of enrollment
  • Active CNS involvement (i.e., should be CNS1 or CNS2)
  • Inadequate time since last therapy: ≤ 14 days since last cytotoxic chemotherapy; ≤ 7 days since last biologic therapy; ≤ 14 days since last monoclonal antibody therapy
  • Have received prior HSCT (study amended in Phase 2 to exclude patients with prior HSCT)
  • Pregnant or lactating
  • Have tested positive for hepatitis B or hepatitis C infection or history of cirrhosis

Key Trial Info

Start Date :

March 1 2006

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 1 2010

Estimated Enrollment :

50 Patients enrolled

Trial Details

Trial ID

NCT00315705

Start Date

March 1 2006

End Date

May 1 2010

Last Update

April 14 2014

Active Locations (13)

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Page 1 of 4 (13 locations)

1

Children's Hospital of Alabama

Birmingham, Alabama, United States

2

Children's Hospital of Los Angeles

Los Angeles, California, United States

3

Rady Children's Hospital

San Diego, California, United States

4

Connecticut Children's Medical Center

Hartford, Connecticut, United States