Overview

Combination Chemotherapy Plus Biological Therapy in Treating Patients With Acute Myelogenous Leukemia

Status:
Withdrawn
Trial end date:
1999-04-01
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. Biological therapies use different ways to stimulate the immune system and stop cancer cell from growing. Combining more than one chemotherapy drug with biological therapy may kill more cancer cells. PURPOSE: Phase II trial to study the effectiveness of combination chemotherapy, isotretinoin, and interferon alfa in treating patients who have acute myelogenous leukemia.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Rush University Medical Center
Collaborator:
National Cancer Institute (NCI)
Treatments:
5-bromouridine
Amifostine
Bromodeoxyuridine
Cytarabine
Idarubicin
Idoxuridine
Interferon-alpha
Interferons
Isotretinoin
Mitoxantrone
Criteria
DISEASE CHARACTERISTICS: Histologically confirmed previously untreated acute myelogenous
leukemia (AML) FAB M1, M2, M4, M5, M6, or M7 No AML secondary to chemotherapy, radiation
therapy, or toxic agents No history of myelodysplastic syndromes If possible, patient
should be enrolled on protocol RUSH-CYL-9003

PATIENT CHARACTERISTICS: Age: 70 and under Performance status: 0-3 Life expectancy: Not
specified Hematopoietic: Not specified Hepatic: Bilirubin greater than 2.0 mg/dL and no
greater than 3.0 mg/dL allowed with 50% reduction in drug doses Renal: Creatinine less than
3.0 mg/dL Cardiovascular: No overt congestive heart failure No uncontrollable ventricular
arrhythmias No uncontrollable hypertension If cardiac ejection fraction is less than 45% of
predicted, an echocardiogram and a cardiac consult must be obtained to ascertain cardiac
tolerance of anthracycline therapy Neurological: No cerebellar dysfunction Other: Fever,
infection, or other complications of disease allowed Not pregnant or nursing Effective
contraception required of all fertile patients

PRIOR CONCURRENT THERAPY: Biologic therapy: At least 2 weeks since prior interferon At
least 2 weeks since prior hematopoietic growth factors (including erythropoietin)
Chemotherapy: At least 2 weeks since prior chemotherapy Endocrine therapy: At least 2 weeks
since prior steroids Radiotherapy: Not specified Surgery: Not specified Other: At least 2
weeks since prior retinoids