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Brief Title: Clofarabine, Cytarabine, and Idarubicin in Treating Patients With Intermediate-Risk or High-Risk Acute Myeloid Leukemia or High-Risk Myelodysplasia
Official Title: Clofarabine in Combination With a Standard Remission Induction Regimen (AraC and Idarubicin) in Patients 18-60 Years Old With Previously Untreated Intermediate and Bad Risk Acute Myelogenous Leukemia (AML) or High Risk Myelodysplasia (MDS) : a Phase I-II Study of the EORTC-LG and GIMEMA (AML-14A Trial)
Study ID: NCT00838240
Brief Summary: RATIONALE: Drugs used in chemotherapy, such as clofarabine, cytarabine, and idarubicin, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Giving more than one drug (combination chemotherapy) may kill more cancer cells. PURPOSE: This randomized phase I/II trial is studying the side effects and best dose of clofarabine and to see how well it works when given together with cytarabine and idarubicin in treating patients with intermediate-risk or high-risk acute myeloid leukemia or high-risk myelodysplasia.
Detailed Description: OBJECTIVES: Primary * To determine the optimum dose of clofarabine in combination with cytarabine and idarubicin in patients with previously untreated intermediate- and high-risk acute myeloid leukemia or high-risk myelodysplasia. (Phase I) * To determine the safety and tolerance of this regimen in order to determine the recommended phase II dose. (Phase I) * To explore the antitumor activity of this regimen in these patients. (Phase II) * To determine the activity expressed as complete remission (CR)/CR with incomplete hematopoietic recovery (CRi) rate following induction therapy. (Phase II) Secondary * To determine the activity expressed as CR/CRi rate following induction (1 or 2 courses) and consolidation therapy. (Phase I) * To determine hematopoietic recovery (platelets and neutrophils) after induction and consolidation therapy. * To determine safety and tolerability of this regimen. (Phase II) * To determine activity expressed as CR/CRi rate after consolidation therapy. (Phase II) * To determine feasibility of blood CD34 harvesting after consolidation therapy. (Phase II) * To determine disease-free and overall survival from CR/CRi. (Phase II) OUTLINE: This is a multicenter, phase I, dose-escalation study of clofarabine followed by an randomized phase II study. Patients are stratified according to center, and presence of poor prognostic features (WBC at diagnosis ≥ 100,000/μL vs presence of very high risk cytogenetic features -5/5q-, -7/7q-, presence of complex abnormalities \[\> 3 abnormalities\], 3q, t\[6;9\], or t\[9;22\]). Patients are randomized to 1 of 2 treatment arms. * Induction therapy: * Arm I: Patients receive idarubicin IV over 5 minutes on days 1, 3, and 5, cytarabine IV continuously on days 1-10, and clofarabine IV over 1 hour on days 2, 4, 6, 8, and 10. * Arm II: Patients receive idarubicin IV and cytarabine IV as in arm I. Patients also receive clofarabine IV by push injection over 10 minutes on days 2, 4, 6, 8, and 10. * Consolidation therapy: Patients receive cytarabine IV over 2 hours every 12 hours on days 1-6 and idarubicin IV over 5 minutes once daily on days 4-6. After completion of study therapy, patients are followed periodically for 12 months.
Minimum Age: 18 Years
Eligible Ages: ADULT
Sex: ALL
Healthy Volunteers: No
A.Z. Sint-Jan, Brugge, , Belgium
Institut Jules Bordet, Brussel, , Belgium
CHU Sart-Tilman, Liège, , Belgium
University Hospital Rebro, Zagreb, , Croatia
Hôpital Saint Antoine AP-HP, Paris, , France
Azienda Ospedallera Universitaria - Policlinico Tor Vergata, Roma, , Italy
Univesita Degli Studi "La Sapienza", Roma, , Italy
Leiden University Medical Center, Leiden, , Netherlands
Radboud University Nijmegen Medical Center, Nijmegen, , Netherlands
Jeroen Bosch Ziekenhuis, s' Hertogenbosch, , Netherlands
Name: Roel Willemze
Affiliation: EORTC (Phase I) - Leiden University Medical Center, NL
Role: PRINCIPAL_INVESTIGATOR
Name: Dominik Selleslag
Affiliation: EORTC (Phase II) - AZ Sint-Jan, BE
Role: PRINCIPAL_INVESTIGATOR
Name: Giovanna Meloni
Affiliation: GIMEMA (Phase I & II) - Universita Degli Studi "La Sapienza", IT
Role: PRINCIPAL_INVESTIGATOR