Overview

Chemotherapy in Treating Children With Recurrent Acute Myeloid Leukemia

Status:
Completed
Trial end date:
2007-03-01
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells. PURPOSE: Phase II trial to study the effectiveness of idarubicin and cladribine in treating children who have recurrent acute myeloid leukemia.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Children's Oncology Group
Collaborator:
National Cancer Institute (NCI)
Treatments:
Cladribine
Idarubicin
Lenograstim
Sargramostim
Criteria
DISEASE CHARACTERISTICS:

- One of the following diagnoses:

- Acute myeloid leukemia (AML) (FAB M0-M7)

- Secondary AML in first relapse (Secondary AML stratum closed as of 04/02/02)

- AML in primary induction failure (Refractory AML stratum closed as of 04/03/01)

- Myelodysplastic syndromes (MDS) (not related to Down syndrome) (MDS stratum
closed as of 04/03/01)

- Extramedullary disease allowed

- Relapse more than 6 months after allogeneic or autologous bone marrow transplantation
allowed

PATIENT CHARACTERISTICS:

Age:

- Under 21 at diagnosis

Performance status:

- Karnofsky 50-100% (over 10 years)

- Lansky 50-100% (10 years and under)

Life expectancy:

- Not specified

Hematopoietic:

- Not specified

Hepatic:

- Bilirubin less than 1.5 mg/dL

- ALT less than 3 times normal

Renal:

- Creatinine less than 2 times normal

Cardiovascular:

- Shortening fraction greater than 29%

- Ejection fraction greater than 55% with normal wall motion

Other:

- No uncontrolled infection

- Not pregnant or nursing

PRIOR CONCURRENT THERAPY:

Biologic therapy:

- See Disease Characteristics

Chemotherapy:

- At least 12 weeks since prior idarubicin and recovered

- At least 2 weeks since other prior chemotherapy and recovered

Endocrine therapy:

- Not specified

Radiotherapy:

- Not specified

Surgery:

- Not specified