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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

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Exclusion Criteria

Not provided

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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

🇮🇹

Verona, Italy

Ospedale S. Eugenio

🇮🇹

Roma, Italy

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

🇮🇹

Roma, Italy

Azienda Ospedaliero-Universitaria Policlinico Consorziale

🇮🇹

Bari, Italy

Azienda Ospedaliera Di Bologna Policlinico S. Orsola - Malpighi

🇮🇹

Bologna, Italy

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

🇮🇹

Napoli, Italy

A.O. Universitaria S. Luigi Gonzaga di Orbassano

🇮🇹

Orbassano, Italy

Azienda ospedaliera Nuovo ospedale "Torrette"

🇮🇹

Ancona, Italy

Azienda ospedaliera di Rilievo Nazionale "A. Cardarelli"

🇮🇹

Napoli, Italy

Ospedale Regionale A. Pugliese

🇮🇹

Catanzaro, Italy

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

🇮🇹

Novara, Italy

Azienda Ospedaliero - Universitaria di Parma

🇮🇹

Parma, Italy

Azienda ASL di Pescara

🇮🇹

Pescara, Italy

Complesso Ospedaliero S. Giovanni Addolorata

🇮🇹

Roma, Italy

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

🇮🇹

Roma, Italy

Policlinico di Tor Vergata

🇮🇹

Rome, Italy

Policlinico A. Gemelli - Universita Cattolica del Sacro Cuore

🇮🇹

Rome, Italy

Serv. di Ematologia Ist. di Ematologia ed Endocrinologia

🇮🇹

Sassari, Italy

Ospedale Ferrarotto

🇮🇹

Catania, Italy

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