Status:
COMPLETED
Nilotinib and Combination Chemotherapy in Treating Patients With Newly Diagnosed Acute Lymphoblastic Leukemia
Lead Sponsor:
Asan Medical Center
Conditions:
Leukemia
Eligibility:
All Genders
15+ years
Phase:
PHASE2
Brief Summary
RATIONALE: Nilotinib may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Drugs used in chemotherapy work in different ways to stop the growth of cancer cells, e...
Detailed Description
OBJECTIVES: Primary * To determine the clinical efficacy of nilotinib and combination chemotherapy, in terms of hematologic and molecular complete remission (CR) rates, in patients with newly diagno...
Eligibility Criteria
Inclusion
- DISEASE CHARACTERISTICS:
- Newly diagnosed acute lymphoblastic leukemia or acute mixed lineage leukemia
- Positive for Bcr-Abl fusion transcript (Philadelphia chromosome-positive disease) by RT-PCR
- PATIENT CHARACTERISTICS:
- ECOG performance status 0-2
- Total bilirubin \< 2 mg/dL
- SGOT \< 3 times upper limit of normal (ULN)
- Alkaline phosphatase ≤ 2.5 times ULN (unless considered tumor-related)
- Creatinine \< 2.0 mg/dL ULN
- Serum amylase and lipase ≤ 1.5 times ULN
- Potassium, magnesium, and phosphorus normal (supplementation allowed)
- Not pregnant or nursing
- Negative pregnancy test
- Fertile patients must use effective contraception
- No rare hereditary problems with galactose intolerance, severe lactase deficiency, or glucose-galactose malabsorption
- No known sensitivity to any of the study drugs
- No severe medical condition that, in the opinion of the investigator, would preclude study participation
- No impaired cardiac function, including any of the following:
- LVEF \< 45% or below the lower limit of normal by ECHO
- Long QT syndrome or known family history of long QT syndrome
- Clinically significant resting bradycardia (\< 50 beats per minute)
- QTc \> 450 msec on baseline ECG (using the QTcF formula)
- Myocardial infarction within the past 12 months
- Other clinically significant heart disease, including any of the following:
- Unstable angina
- Congestive heart failure
- Uncontrolled hypertension
- Uncontrolled arrhythmias
- No other primary malignant disease requiring systemic treatment
- No acute or chronic liver, pancreatic, or severe renal disease
- No other severe and/or life-threatening medical disease
- No history of significant congenital or acquired bleeding disorder unrelated to cancer
- No impairment of gastrointestinal (GI) function or GI disease that may significantly alter the absorption of study drug
- No history of non-compliance
- PRIOR CONCURRENT THERAPY:
- More than 30 days since prior investigational agents
- No concurrent medications that have the potential to prolong the QTc interval
- No concurrent strong CYP3A4 inhibitors
- No concurrent therapeutic coumarin derivatives
Exclusion
Key Trial Info
Start Date :
January 1 2009
Trial Type :
INTERVENTIONAL
Allocation :
ACTUAL
End Date :
July 1 2014
Estimated Enrollment :
91 Patients enrolled
Trial Details
Trial ID
NCT00844298
Start Date
January 1 2009
End Date
July 1 2014
Last Update
September 7 2015
Active Locations (16)
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1
Daegu Fatima Hospital
Daegu, South Korea, 701-600
2
Kyungpook National University Hospital
Daegu, South Korea, 702-701
3
Yeungnam University Medical Center
Daegu, South Korea, 712-749
4
Daegu Catholic University Hospital
Daegu, South Korea