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STI571 in Treating Patients With Recurrent Leukemia

Phase 1
Completed
Conditions
Leukemia
Interventions
Registration Number
NCT00004932
Lead Sponsor
Children's Oncology Group
Brief Summary

RATIONALE: Imatinib mesylate may interfere with the growth of cancer cells and may be an effective treatment for leukemia.

PURPOSE: Phase I trial to study the effectiveness of imatinib mesylate in treating patients who have recurrent leukemia.

Detailed Description

OBJECTIVES:

* Determine the maximum tolerated dose and dose-limiting toxicity of imatinib mesylate in patients with recurrent Philadelphia chromosome-positive leukemia.

* Characterize the pharmacokinetic behavior of this drug in this patient population.

* Determine preliminarily the antileukemic activity of this drug in these patients.

OUTLINE: This is a dose-escalation, multicenter study.

Patients receive oral imatinib mesylate (STI571) once daily for 28 days. Treatment continues in the absence of unacceptable toxicity or disease progression.

Cohorts of 3-6 patients receive escalating doses of STI571 until the maximum tolerated dose (MTD) is determined. The MTD is defined as the dose preceding that at which at least 2 of 3 or 2 of 6 patients experience dose-limiting toxicity.

Patients are followed every 6 months for 4 years and then annually thereafter.

PROJECTED ACCRUAL: A maximum of 32 patients will be accrued for this study within 3.5 years.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
31
Inclusion Criteria

Not provided

Exclusion Criteria

Not provided

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
440 mg/m2 imatinib mesylate (ST571)imatinib mesylate-
570 mg/m2 imatinib mesylate (ST571)imatinib mesylate-
260 mg/m2 imatinib mesylate (ST571)imatinib mesylate-
340 mg/m2 imatinib mesylate (ST571)imatinib mesylate-
Primary Outcome Measures
NameTimeMethod
SurvivalLength of study

To estimate the maximum tolerated dose (MTD) of STI571 administered orally once daily without interruption to children with recurrent Ph+ leukemia.

Secondary Outcome Measures
NameTimeMethod
Define the anti-leukemic activity of STI571Length of study

To preliminarily define the anti-leukemic activity of STI571 within the confines of a Phase I study.

Characterize the pharmacokinetic behaviorLength of study

To characterize the pharmacokinetic behavior of STI571 in children with recurrent Ph+ leukemia.

Dose-limiting toxicitiesLength of study

To determine the dose-limiting toxicities (DLT) of STI571 given on this schedule.

Trial Locations

Locations (234)

University of Alabama at Birmingham Comprehensive Cancer Center

🇺🇸

Birmingham, Alabama, United States

University of South Alabama Medical Center

🇺🇸

Mobile, Alabama, United States

Phoenix Children's Hospital

🇺🇸

Phoenix, Arizona, United States

Arizona Cancer Center

🇺🇸

Tucson, Arizona, United States

University of Arkansas for Medical Sciences

🇺🇸

Little Rock, Arkansas, United States

Southern California Permanente Medical Group

🇺🇸

Downey, California, United States

City of Hope Comprehensive Cancer Center

🇺🇸

Duarte, California, United States

Rebecca and John Moores UCSD Cancer Center

🇺🇸

La Jolla, California, United States

Loma Linda University Medical Center

🇺🇸

Loma Linda, California, United States

Jonathan Jaques Children's Cancer Center

🇺🇸

Long Beach, California, United States

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University of Alabama at Birmingham Comprehensive Cancer Center
🇺🇸Birmingham, Alabama, United States

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