Gemtuzumab Ozogamicin in Treating Older Patients With Previously Untreated Acute Myeloid Leukemia

• Status: Unknown status
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: All

Summary

RATIONALE: Monoclonal antibodies such as gemtuzumab ozogamicin can locate cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells. It is not yet known whether gemtuzumab ozogamicin is more effective than standard supportive care in treating older patients who have acute myeloid leukemia.

PURPOSE: This randomized phase II/III trial is studying two different gemtuzumab ozogamicin regimens to see how well they work compared to standard supportive care in treating older patients with previously untreated acute myeloid leukemia.

• Phase: Phase 2/Phase 3
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: European Organisation for Research and Treatment of Cancer - EORTC
• Collaborator: Gruppo Italiano Malattie EMatologiche dell'Adulto
• Treatments: Gemtuzumab

Criteria

DISEASE CHARACTERISTICS:

• Histologically confirmed acute myeloid leukemia (AML)

• At least 20% bone marrow blasts by bone marrow aspiration or biopsy

• All subtypes except M3 (acute promyelocytic leukemia) are allowed

• Previously untreated primary or secondary disease (including AML after myelodysplastic syndromes)

• Ineligible for intensive chemotherapy, as defined by 1 of the following criteria:

• 61 to 75 years old AND WHO performance status > 2 AND/OR unwilling to receive intensive chemotherapy

• Over 75 years old

• No blast crisis of chronic myeloid leukemia

• No AML supervention after other myeloproliferative disease

• WBC < 30,000/mm^3 and meets 1 of the following criteria:

• WBC < 30,000/mm^3 at diagnosis AND had no prior treatment with hydroxyurea

• WBC ≥ 30,000/mm^3 at diagnosis AND received mandatory pretreatment with hydroxyurea (up to 14 days duration) until WBC < 30,000/mm^3

• No active CNS leukemia

PATIENT CHARACTERISTICS:

Age

• See Disease Characteristics

• 61 and over

Performance status

• See Disease Characteristics

Life expectancy

• Not specified

Hematopoietic

• See Disease Characteristics

Hepatic

• Bilirubin ≤ 1.5 times upper limit of normal (ULN)

Renal

• Creatinine ≤ 1.5 times ULN

Cardiovascular

• No arrhythmia requiring chronic treatment

• No congestive heart failure

• No symptomatic ischemic heart disease

• No other severe cardiovascular disease

Pulmonary

• No severe pulmonary dysfunction ≥ grade 3

Other

• No alcohol abuse

• No severe neurological or psychiatric disease

• No active uncontrolled infection or severe systemic infection

• No other malignancy

• No psychological, familial, sociological, or geographical condition that would preclude study compliance and follow-up

• HIV negative

PRIOR CONCURRENT THERAPY:

Biologic therapy

• No concurrent filgrastim (G-CSF) or sargramostim (GM-CSF)

• No concurrent antiangiogenic drugs

Chemotherapy

• See Disease Characteristics

• Concurrent low-dose cytostatic agents (i.e., thioguanine or mercaptopurine) allowed for palliative care (standard supportive care arm only)

Endocrine therapy

• Prior corticosteroids (duration ≤ 14 days ) for primary or secondary AML allowed

Radiotherapy

• Not specified

Surgery

• Not specified

Other

• No other concurrent cytotoxic drugs

• No other concurrent experimental therapy

• No concurrent tyrosine kinase inhibitors