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flt3L in Treating Patients With Acute Myeloid Leukemia



flt3L in Treating Patients With Acute Myeloid Leukemia

For Condition: Acute Myeloid Leukemia
Status: No longer recruiting
Sponsor(s): National Cancer Institute (NCI) , Cancer and Leukemia Group B,Southwest Oncology Group,Eastern Cooperative Oncology Group
Synopsis: RATIONALE: Drugs such as flt3L may stimulate a person's immune system and help kill cancer cells. It is not yet known if flt3L is effective in treating acute myeloid leukemia. PURPOSE: Randomized phase III trial to determine the effectiveness of flt3L in treating patients who have acute myeloid leukemia that is in remission.
Details: OBJECTIVES: I. Compare the failure-free survival and overall survival in patients with acute myeloid leukemia in complete remission treated with maintenance flt3 ligand vs observation alone. II. Compare the long-term immunologic effects of these regimens in these patients. III. Compare the long-term safety and toxicity of these regimens in these patients. PROTOCOL OUTLINE: This is a randomized study. Patients are stratified according to complete remission (CR) (first vs second vs third or subsequent) and post-remission therapy (yes vs no). Patients are randomized to one of two treatment arms. Arm I: Patients receive flt3 ligand subcutaneously daily on days 1-14. Treatment repeats every 4 weeks for 6 courses in the absence of disease progression or unacceptable toxicity. Arm II: Patients undergo observation alone. Patients begin treatment or observation within 4 weeks after documentation of CR after induction therapy or within 4 weeks after discharge from hospital after post-remission therapy. Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then annually thereafter. PROJECTED ACCRUAL: A total of 139 patients will be accrued for this study within approximately 28 months.
Eligibility:
Study Type:
  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Diagnosis of acute myeloid leukemia in first, second, third, or subsequent complete remission (CR): Must be at least 60 years of age if first CR: Must have had histological proof (from bone marrow aspirate, smears, or touch preps of marrow biopsy) of one of the following prior to achieving CR: Acute myeloblastic leukemia (M0, M1, M2); Acute promyelocytic leukemia (M3); Acute myelomonocytic leukemia (M4;) Acute monocytic leukemia (M5); Acute erythroleukemia (M6); Acute megakaryocytic leukemia (M7;) Refractory anemia with excess blasts in transformation --Prior/Concurrent Therapy-- - Biologic therapy: Prior autologous bone marrow transplantation (BMT) allowed; No prior allogeneic BMT; Other prior immunotherapy allowed if not received during the most recent treatment - Chemotherapy: Not specified - Endocrine therapy: Not specified - Radiotherapy: Not specified - Surgery: Not specified --Patient Characteristics-- - Age: 18 and over - Performance status: ECOG 0-2 - Life expectancy: Not specified - Hematopoietic: Not specified - Hepatic: Bilirubin less than 3 times upper limit of normal (ULN); SGOT less than 3 times ULN - Renal: Creatinine less than 2 mg/dL - Cardiovascular: No clinically significant active cardiac disease - Pulmonary: No clinically significant active pulmonary disease - Other: Not pregnant or nursing; Fertile patients must use effective contraception; No uncontrolled or active autoimmune disease
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
RobertComis,  Study Chair,  Eastern Cooperative Oncology Group

UCSF Cancer Center and Cancer Research Institute
San Francisco,  California,  94143-0128
United States
 

University of Chicago Cancer Research Center
Chicago,  Illinois,  60637-1470
United States
 

University of Tennessee, Memphis Cancer Center
Memphis,  Tennessee,  38103
United States
 

CCOP - Southeast Cancer Control Consortium
Winston Salem,  North Carolina,  27104-4241
United States
 

Veterans Affairs Medical Center - Columbia (Truman Memorial)
Columbia,  Missouri,  65201
United States
 

University of Nebraska Medical Center
Omaha,  Nebraska,  68198-3330
United States
 

Rhode Island Hospital
Providence,  Rhode Island,  02903
United States
 

Veterans Affairs Medical Center - Memphis
Memphis,  Tennessee,  38104
United States
 

New York Presbyterian Hospital - Cornell Campus
New York City,  New York,  10021
United States
 

Schneider Children's Hospital at North Shore
Manhasset,  New York,  11030
United States
 

Veterans Affairs Medical Center - White River Junction
White River Junction,  Vermont,  05009
United States
 

Holden Comprehensive Cancer Center at The University of Iowa
Iowa City,  Iowa,  52242-1009
United States
 

Norris Cotton Cancer Center
Lebanon,  New Hampshire,  03756-0002
United States
 

State University of New York - Upstate Medical University
Syracuse,  New York,  13210
United States
 

Vermont Cancer Center
Burlington,  Vermont,  05401-3498
United States
 

CCOP - Mount Sinai Medical Center
Miami,  Florida,  33140
United States
 

Veterans Affairs Medical Center - Richmond
Richmond,  Virginia,  23249
United States
 

Veterans Affairs Medical Center - Buffalo
Buffalo,  New York,  14215
United States
 

Memorial Sloan-Kettering Cancer Center
New York City,  New York,  10021
United States
 

Lineberger Comprehensive Cancer Center, UNC
Chapel Hill,  North Carolina,  27599-7295
United States
 

Veterans Affairs Medical Center - Togus
Togus,  Maine,  04330
United States
 

CCOP - North Shore University Hospital
Manhasset,  New York,  11030
United States
 

CCOP - Syracuse Hematology-Oncology Associates of Central New York, P.C.
Syracuse,  New York,  13217
United States
 

University of Minnesota Cancer Center
Minneapolis,  Minnesota,  55455
United States
 

Veterans Affairs Medical Center - Syracuse
Syracuse,  New York,  13210
United States
 

Dana-Farber Cancer Institute
Boston,  Massachusetts,  02115
United States
 

Mount Sinai Medical Center, NY
New York City,  New York,  10029
United States
 

Arthur G. James Cancer Hospital - Ohio State University
Columbus,  Ohio,  43210-1240
United States
 

Roswell Park Cancer Institute
Buffalo,  New York,  14263-0001
United States
 

MBCCOP - Massey Cancer Center
Richmond,  Virginia,  23298-0037
United States
 

CCOP - Christiana Care Health Services
Wilmington,  Delaware,  19899
United States
 

Veterans Affairs Medical Center - San Francisco
San Francisco,  California,  94121
United States
 

Green Mountain Oncology Group
Bennington,  Vermont,  05201
United States
 

CCOP - Southern Nevada Cancer Research Foundation
Las Vegas,  Nevada,  89106
United States
 

Walter Reed Army Medical Center
Washington D.C.,  District of Columbia,  20307-5000
United States
 

Veterans Affairs Medical Center - Chicago (Westside Hospital)
Chicago,  Illinois,  60612
United States
 

Veterans Affairs Medical Center - Minneapolis
Minneapolis,  Minnesota,  55417
United States
 

Ellis Fischel Cancer Center - Columbia
Columbia,  Missouri,  65203
United States
 

University of Massachusetts Memorial Medical Center
Worcester,  Massachusetts,  01655
United States
 

University of California San Diego Cancer Center
La Jolla,  California,  92093-0658
United States
 

Veterans Affairs Medical Center - Durham
Durham,  North Carolina,  27705
United States
 

Barnes-Jewish Hospital
St. Louis,  Missouri,  63110
United States
 

Comprehensive Cancer Center at Wake Forest University
Winston Salem,  North Carolina,  27157-1082
United States
 

Marlene & Stewart Greenebaum Cancer Center, University of Maryland
Baltimore,  Maryland,  21201
United States
 

Duke Comprehensive Cancer Center
Durham,  North Carolina,  27710
United States
 

Veterans Affairs Medical Center - Birmingham
Birmingham,  Alabama,  35233-1996
United States
 

Lombardi Cancer Center
Washington D.C.,  District of Columbia,  20007
United States
 


Additional Information:
Study ID Numbers:
  CDR0000068143;  E-2998
Study Start Date: August 2000
Record last reviewed: September 2003
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00006223

Other Acute Myeloid Leukemia Studies:
1. An open-label, phase II trial of PKC412 monotherapy in patients with acute myeloid leukemia and patients with myelodysplastic syndrome

2. Chemotherapy Plus Bone Marrow Transplantation and Filgrastim in Treating Patients With Acute Myelogenous Leukemia or Myelodysplastic Syndrome

3. Intensive Compared With Nonintensive Chemotherapy in Treating Older Patients with Acute Myeloid Leukemia or Myelodysplastic Syndrome

4. flt3L in Treating Patients With Acute Myeloid Leukemia

5. Phase 2 Study of ZARNESTRA™ as Postconsolidation Therapy for Acute Myeloid Leukemia in Subjects 60 Years & Older

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