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Spots Global Cancer Trial Database for Clofarabine-cyclophosphamide as Salvage Therapy for Refractory and Relapsed Acute Lymphoblastic Leukemia (ALL) Adults

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Trial Identification

Brief Title: Clofarabine-cyclophosphamide as Salvage Therapy for Refractory and Relapsed Acute Lymphoblastic Leukemia (ALL) Adults

Official Title: "A Phase II Study With a Sequential Clofarabine-cyclophosphamide Combination Schedule as Salvage Therapy for Refractory and Relapsed Acute Lymphoblastic Leukemia (ALL) in Adult Patients"

Study ID: NCT01462253

Study Description

Brief Summary: This is a multicentric, prospective pilot trial testing a Clofarabine-Cyclophosphamide combination to treat refractory and first bone marrow relapse adult ALL, for the achievement of a complete remission (CR) and the concurrent evaluation of biological response in ALL cells (minimal residual disease, apoptosis and DNA cell damage, pharmacogenomics).

Detailed Description: The proposed treatment schedule consists of a combination of Clofarabine plus Cyclophosphamide administered over 5 consecutive days (Treatment scheme). This is an open, nonrandomized prospective phase II trial aimed to evaluating (1) activity of this combination in terms of CR rate. * STEP 1. All eligible patients will be screened for the availability of an HLA-matched or partially mismatched compatible HSCT donor, of both family related - or unrelated type (early activation required), including cord blood and haploidentical siblings. Moreover, pre-treatment investigation will include collection and storage of patient ALL cells for specific biological studies relating to sensitivity and response to study chemotherapeutic combination. * STEP 2. Cycle 1 will be applied to all eligible patients once all enrollment criteria are confirmed. * STEP 3. After cycle 1, response will be evaluated. * STEP 4. After remission induction cycle 1, only responsive patients (CR or PR, see below for definitions) could be given cycle 2, according to the opinion of the responsible physician and with a minimum intercycle interval of 4 weeks from day 1 of cycle 1. All NR patients will be declared off study and will not be given a second course with study combination. The suggested treatment following cycle 2 (or cycle 1 if cycle 2 is omitted) is HSCT.

Eligibility

Minimum Age: 18 Years

Eligible Ages: ADULT

Sex: ALL

Healthy Volunteers: No

Locations

Unità Operativa Ematologia 1 - Università degli Studi di Bari, Bari, , Italy

Divisione di Ematologia - Ospedali Riuniti, Bergamo, , Italy

Istituto di Ematologia "Lorenzo e A. Seragnoli" - Università degli Studi di Bologna - Policlinico S. Orsola - Malpighi, Bologna, , Italy

Azienda Sanitaria di Bolzano - Ospedale Centrale - Ematologia e Centro TMO, Bolzano, , Italy

Sezione di Ematologia e Trapianti Spedali Civili, Brescia, , Italy

Azienda ASL di Cagliari, Cagliari, , Italy

Ospedale Santa Croce Divisione di Ematologia Cuneo, Cuneo, , Italy

Policlinico di Careggi, Università delgi studi di Firenze, Firenze, , Italy

Istituto Scientifico Romagnoli per lo Studio e la Cura dei Tumori- IRST, Meldola, , Italy

U.O. di Ematologia- Ospedale dell'Angelo - Mestre, Mestre, , Italy

U.O. Ematologia e Trapianto di MIdollo - Ist.Scientifico Ospedale San Raffaele, Milano, , Italy

UO Centro Trapianti di Midollo - IRCCS Ospedale Maggiore Policlinico, Milano, , Italy

Centro Oncologico Modenese - Dipartimento di Oncoematologia, Modena, , Italy

N. Osp. divisione di Ematologia "S.Gerardo dei Tintori", Monza, , Italy

Azienda Ospedaliera di Rilievo Nazionale "A. Cardarelli", Napoli, , Italy

Azienda Ospedaliera Universitaria - Università degli Studi di Napoli "Federico II" - Facoltà di Medicina e Chirurgia, Napoli, , Italy

Ospedale Cervello, Palermo, , Italy

U.O. Ematologia Clinica - Azienda USL di Pescara, Pescara, , Italy

Università di Pisa - Azienda Ospedaliera Pisana - Dipartimento di Oncologia, dei Trapianti e delle nuove Tecnologie in Medicina - Divisione di Ematologia, Pisa, , Italy

Dipartimento Oncologico - Ospedale S.Maria delle Croci, Ravenna, , Italy

Calabria Dipartimento Emato-Oncologia A.O."Bianchi-Melacrino-Morelli", Reggio Calabria, , Italy

Umberto I di Roma - Dipartimento di Biotecnologie Cellulari ed Ematologia, Roma, , Italy

Complesso Ospedaliero S. Giovanni Addolorata, Roma, , Italy

Università degli Studi "Sapienza" - Dip Biotecnologie Cellulari ed Ematologia - Divisione di Ematologia, Roma, , Italy

Università degli Studi - Policlinico di Tor Vergata, Roma, , Italy

Istituto di Ematologia - IRCCS Ospedale Casa Sollievo della Sofferenza, San Giovanni Rotondo, , Italy

SCDO Ematologia 2 AOU Giovanni Battista, Torino, , Italy

Contact Details

Name: Renato BASSAN, Pr.

Affiliation: U.O. di Ematologia- Ospedale dell'Angelo - Mestre

Role: PRINCIPAL_INVESTIGATOR

Useful links and downloads for this trial

Clinicaltrials.gov

Google Search Results

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