Overview

Combination Chemotherapy Plus Peripheral Stem Cell Transplantation in Treating Patients With Refractory Chronic Lymphocytic Leukemia

Status:
Completed
Trial end date:
2002-07-01
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 chemotherapy with peripheral stem cell transplantation may allow the doctor to give higher doses of chemotherapy and kill more cancer cells. PURPOSE: Phase I/II trial to study the effectiveness of combination chemotherapy plus peripheral stem cell transplantation in treating patients with refractory chronic lymphocytic leukemia.
Phase:
Phase 1/Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
M.D. Anderson Cancer Center
Collaborator:
National Cancer Institute (NCI)
Treatments:
Cyclophosphamide
Fludarabine
Fludarabine phosphate
Criteria
DISEASE CHARACTERISTICS: Advanced chronic lymphocytic leukemia (Rai stage 3 or 4) with at
least one of the following high-risk factors: Beta-2 microglobulin 3 or greater
Abnormalities of chromosome 17 Other cytogenetic abnormalities Refractory to
fludarabine-based chemotherapy or failure to achieve complete remission after 6 courses of
a fludarabine-based regimen HLA-identical sibling donor willing and able to undergo
apheresis for harvest of G-CSF-stimulated peripheral blood stem cells

PATIENT CHARACTERISTICS: Age: 65 and under Performance status: Zubrod 0 or 1 Hematopoietic:
Not specified Hepatic: Bilirubin less than 1.5 mg/dL Renal: Creatinine less than 1.5 mg/dL
Cardiovascular: No symptomatic cardiac disease Pulmonary: No symptomatic pulmonary disease
Other: No active uncontrolled infection

PRIOR CONCURRENT THERAPY: See Disease Characteristics