Overview

Cladribine in Patients With Mantle Cell Lymphoma

Status:
Completed
Trial end date:
2008-12-01
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 II trial to study the effects of cladribine in previously treated or untreated patients with mantle cell lymphoma.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Alliance for Clinical Trials in Oncology
Collaborator:
National Cancer Institute (NCI)
Treatments:
Cladribine
Criteria
DISEASE CHARACTERISTICS: Histologically confirmed mantle cell lymphoma (MCL) requiring
therapy NCCTG pathology review required - Repeat biopsy is required for previously treated
patients with previously biopsy proven MCL who relapse after achieving a partial or
complete remission - Rebiopsy is not required for patients with: Progression of previously
biopsy proven MCL who have not received therapy since the diagnostic biopsy OR Previously
biopsy proven MCL who progress or achieve less than a partial remission following initial
therapy Measurable or evaluable disease

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-3 Life expectancy: At
least 12 weeks Hematopoietic: Absolute neutrophil count at least 1,500/mm3 Platelet count
at least 100,000/mm3 Hepatic: Bilirubin normal AST no greater than 3 times normal (5 times
normal with liver involvement) Renal: Creatinine no greater than 2.0 mg/dL Cardiovascular:
No uncontrolled hypertension No unstable angina No active congestive heart failure No
myocardial infarction within 6 months No serious uncontrolled arrhythmia Other: No active
or uncontrolled infection No HIV antibody No medical or psychiatric condition that
precludes participation No malignancy in the past 5 years, except carcinoma in situ of the
cervix, resected basal cell or squamous cell carcinomas of the skin, or prostate cancer
that is in remission following a radical retropubic prostatectomy or radiation therapy No
pregnant or nursing women Negative pregnancy test required of fertile women within 7 days
prior to entry Effective contraception required of fertile patients throughout study and at
least 30 days thereafter

PRIOR CONCURRENT THERAPY: Recovered from any reversible acute toxic effects of previous
therapy Biologic therapy: Not specified Chemotherapy: At least 4 weeks since chemotherapy
(8 weeks since nitrosoureas or mitomycin) No prior fludarabine, pentostatin, or cladribine
Endocrine therapy: Not specified Radiotherapy: No prior radiotherapy to greater than 25% of
bone marrow Surgery: Not specified