Overview

Chemotherapy in Treating Young Patients With Recurrent or Refractory Meningeal Leukemia, Lymphoma, or Solid Tumors

Status:
Unknown status
Trial end date:
1969-12-31
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase I trial to study the effectiveness of liposomal cytarabine in treating young patients who have recurrent or refractory meningeal leukemia, lymphoma, or solid tumors.
Phase:
Phase 1
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Pacira Pharmaceuticals, Inc
Treatments:
Cytarabine
Criteria
DISEASE CHARACTERISTICS: Histologically proven recurrent or refractory leukemia, lymphoma,
or other solid tumor that has overt meningeal involvement Definition of meningeal disease:
Leukemia/lymphoma: CSF cell count at least 5/mm3 and evidence of blast cells on cytospin
preparation or cytology Solid tumors: Presence of tumor cells on cytospin preparation or
cytology OR evidence of meningeal disease on CT or MRI scan No bone marrow disease

PATIENT CHARACTERISTICS: Age: 1 to 21 Performance Status: ECOG 0-2 Life Expectancy: At
least 8 weeks Hematopoietic: Platelet count greater than 40,000/mm3 Hepatic: Bilirubin less
than 2.0 mg/dL ALT less than 5 times upper limit of normal Renal: Creatinine less than 1.5
mg/dL Other: Not pregnant or nursing Negative pregnancy test Effective contraceptive method
used by fertile patients No uncontrolled illness or infection (except for HIV positive
patients) No obstructive hydrocephalus or compartmentalization of the CSF flow

PRIOR CONCURRENT THERAPY: Biologic therapy: No acute toxic effects from prior immunotherapy
No prior allogeneic or autologous bone marrow transplantations within 3 months of study
Chemotherapy: No prior systemic CNS directed chemotherapy within 3 weeks of study No prior
nitrosourea within 6 weeks of study No prior intrathecal chemotherapy within 1 week of
study No acute toxic effects from prior chemotherapy No prior DTC 101 Concurrent systemic
chemotherapy for management of primary cancer allowed Concurrent dexamethasone with
systemic chemotherapy regimen allowed No concurrent chemotherapy for leptomeningeal disease
No concurrent high dose methotrexate, high dose cytarabine, mercaptopurine, thiotepa,
fluorouracil, and topotecan Endocrine therapy: Concurrent prednisone therapy with systemic
chemotherapy allowed Radiotherapy: No prior craniospinal irradiation within 8 weeks of
study No acute toxic effects from prior radiotherapy Concurrent local radiation therapy
allowed No concurrent whole brain or craniospinal radiotherapy Surgery: Not specified
Other: At least 2 weeks since investigational drugs and recovered No other concurrent
investigational drugs Concurrent antibiotic therapy allowed