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Brief Title: Combination Chemotherapy in Treating Children With Relapsed or Refractory Acute Lymphocytic Leukemia
Official Title: Phase II Study of Fludarabine + Idarubicin + Aracytine in Refractory or Relapsed ALL in Children
Study ID: NCT00003729
Brief Summary: RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy in treating children who have relapsed or refractory acute lymphocytic leukemia.
Detailed Description: OBJECTIVES: I. Evaluate the complete response rate to combination fludarabine, idarubicin, and cytarabine in children with relapsed or refractory acute lymphocytic leukemia. II. Evaluate the safety and tolerance of this treatment in these patients. III. Evaluate the time to progression, disease free survival, and overall survival of these patients. OUTLINE: This is an open label, multicenter study. Patients receive idarubicin IV over 1 hour on days 1-3. Fludarabine IV is administered over 30 minutes on days 1-5. Cytarabine IV is administered over 4 hours on days 1-5. If partial response is obtained, patients receive a second course of treatment. Patients receive a consolidation course in the absence of disease progression and unacceptable toxicity. Idarubicin IV is administered over 1 hour on days 1 and 2. Fludarabine IV is administered over 30 minutes, followed by cytarabine IV over 4 hours on days 1-5. Patients are followed every 3 months for 2 years or until death. PROJECTED ACCRUAL: A total of 24-45 patients will be accrued for this study within 27 months.
Minimum Age:
Eligible Ages: CHILD
Sex: ALL
Healthy Volunteers: No
Algemeen Ziekenhuis Middelheim, Antwerp, , Belgium
Hopital Universitaire Des Enfants Reine Fabiola, Brussels (Bruxelles), , Belgium
Academisch Ziekenhuis der Vrije Universiteit Brussel, Brussels (Bruxelles), , Belgium
Universitair Ziekenhuis Gent, Ghent (Gent), , Belgium
U.Z. Gasthuisberg, Leuven, , Belgium
Centre Hospitalier Regional de la Citadelle, Liege (Luik), , Belgium
Clinique de l'Esperance, Montegnee, , Belgium
Centre Hospitalier Regional et Universitaire d'Angers, Angers, , France
CHR de Besancon - Hopital Saint-Jacques, Besancon, , France
CHU de Caen, Caen, , France
CHR de Grenoble - La Tronche, Grenoble, , France
Centre Hospitalier Regional de Lille, Lille, , France
Hopital Debrousse, Lyon, , France
Hopital Arnaud de Villeneuve, Montpellier, , France
CHR Hotel Dieu, Nantes, , France
Centre Antoine Lacassagne, Nice, , France
Hopital Robert Debre, Paris, , France
Institut Curie - Section Medicale, Paris, , France
Hopital Jean Bernard, Poitiers, , France
Hopital Americain, Reims, , France
Hopital Universitaire Hautepierre, Strasbourg, , France
Hopital des Enfants (Purpan Enfants), Toulouse, , France
Hospital Escolar San Joao, Porto, , Portugal
Name: Antoine Thyss, MD
Affiliation: Centre Antoine Lacassagne
Role: STUDY_CHAIR