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Clofarabine and Temsirolimus in Treating Older Patients With Relapsed or Refractory Acute Myeloid Leukemia

Phase 2
Completed
Conditions
Leukemia
Registration Number
NCT00775593
Lead Sponsor
Gruppo Italiano Malattie EMatologiche dell'Adulto
Brief Summary

RATIONALE: Drugs used in chemotherapy, such as clofarabine, work in different ways to stop the growth of cancer cells, either by killing the cells or by stopping them from dividing. Temsirolimus may stop the growth of cancer cells by blocking some of the enzymes needed for cell growth. Giving clofarabine together with temsirolimus may kill more cancer cells.

PURPOSE: This phase II trial is studying how well giving clofarabine together with temsirolimus works in treating older patients with relapsed or refractory acute myeloid leukemia.

Detailed Description

OBJECTIVES:

Primary

* To determine the complete response rate in older patients with relapsed or refractory acute myeloid leukemia when treated with low-dose clofarabine and temsirolimus.

Secondary

* To determine the tolerability and safety of this regimen.

* To determine the duration of response.

* To determine the duration of survival.

OUTLINE: This is a multicenter study.

* Induction therapy: Patients receive clofarabine IV over 1 hour on days 1-5 and temsirolimus IV over 30 minutes on days 1, 8, and 15. Treatment continues for 1-2 courses in the absence of disease progression or unacceptable toxicity.

* Maintenance therapy: Patients achieving morphologic complete remission (CR) or CR with incomplete blood count recovery receive temsirolimus IV over 30 minutes on days 1 and 8 of each month. Treatment continues for 12 months in the absence of disease progression or unacceptable toxicity.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
60
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Primary Outcome Measures
NameTimeMethod
Complete Response RateAt 2 years from study entry
Secondary Outcome Measures
NameTimeMethod
Duration of SurvivalAt 2 years from study entry
Number of Serious Adverse Events Within 2 YearsAt 2 years from study entry
Duration of ResponseAt 2 years from study entry

Participants who responded to treatment

Trial Locations

Locations (19)

Policlinico G. B. Rossi - Borgo Roma

๐Ÿ‡ฎ๐Ÿ‡น

Verona, Italy

Ospedale S. Eugenio

๐Ÿ‡ฎ๐Ÿ‡น

Roma, Italy

S.C. di Ematologia e Trapianti - I.F.O. Istituto Nazionale Tumori Regina Elena

๐Ÿ‡ฎ๐Ÿ‡น

Roma, Italy

Azienda Ospedaliero-Universitaria Policlinico Consorziale

๐Ÿ‡ฎ๐Ÿ‡น

Bari, Italy

Azienda Ospedaliera Di Bologna Policlinico S. Orsola - Malpighi

๐Ÿ‡ฎ๐Ÿ‡น

Bologna, Italy

Azienda Ospedaliera Universitaria - Universitร  degli Studi di Napoli "Federico II" - Facoltร  di Medicina e Chirurgia

๐Ÿ‡ฎ๐Ÿ‡น

Napoli, Italy

A.O. Universitaria S. Luigi Gonzaga di Orbassano

๐Ÿ‡ฎ๐Ÿ‡น

Orbassano, Italy

Azienda ospedaliera Nuovo ospedale "Torrette"

๐Ÿ‡ฎ๐Ÿ‡น

Ancona, Italy

Azienda ospedaliera di Rilievo Nazionale "A. Cardarelli"

๐Ÿ‡ฎ๐Ÿ‡น

Napoli, Italy

Ospedale Regionale A. Pugliese

๐Ÿ‡ฎ๐Ÿ‡น

Catanzaro, Italy

S.C.D.U. Ematologia - DIMECS e Dipartimento Oncologico - Universitร  del Piemonte Orientale Amedeo Avogadro

๐Ÿ‡ฎ๐Ÿ‡น

Novara, Italy

Azienda Ospedaliero - Universitaria di Parma

๐Ÿ‡ฎ๐Ÿ‡น

Parma, Italy

Azienda ASL di Pescara

๐Ÿ‡ฎ๐Ÿ‡น

Pescara, Italy

Complesso Ospedaliero S. Giovanni Addolorata

๐Ÿ‡ฎ๐Ÿ‡น

Roma, Italy

Universitร  degli Studi "Sapienza" - Dip Biotecnologie Cellulari ed Ematologia - Divisione di Ematologia

๐Ÿ‡ฎ๐Ÿ‡น

Roma, Italy

Policlinico di Tor Vergata

๐Ÿ‡ฎ๐Ÿ‡น

Rome, Italy

Policlinico A. Gemelli - Universita Cattolica del Sacro Cuore

๐Ÿ‡ฎ๐Ÿ‡น

Rome, Italy

Serv. di Ematologia Ist. di Ematologia ed Endocrinologia

๐Ÿ‡ฎ๐Ÿ‡น

Sassari, Italy

Ospedale Ferrarotto

๐Ÿ‡ฎ๐Ÿ‡น

Catania, Italy

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