Overview

Peripheral Stem Cell Transplantation Plus Filgrastim in Treating Patients With Acute or Chronic Myelogenous Leukemia

Status:
Completed
Trial end date:
2002-04-01
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. Combining chemotherapy with peripheral stem cell transplantation may allow the doctor to give higher doses of chemotherapy drugs and kill more cancer cells. Colony stimulating factors such as filgrastim may increase the number of immune cells found in bone marrow or peripheral blood and may help a person's immune system recover from the side effects of chemotherapy. PURPOSE: Phase II trial to study the effectiveness of peripheral stem cell transplantation plus filgrastim in treating patients who have acute or chronic myelogenous leukemia.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
M.D. Anderson Cancer Center
Collaborator:
National Cancer Institute (NCI)
Treatments:
Cladribine
Cyclosporine
Cyclosporins
Cytarabine
Fludarabine
Fludarabine phosphate
Idarubicin
Lenograstim
Methylprednisolone
Methylprednisolone Acetate
Methylprednisolone Hemisuccinate
Prednisolone
Prednisolone acetate
Prednisolone hemisuccinate
Prednisolone phosphate
Vidarabine
Criteria
DISEASE CHARACTERISTICS: Acute leukemia with poor risk cytogenetic features (-5,-7, +8) in
first complete remission Poor risk myelodysplasia Refractory anemia with excess blasts
(RAEB) RAEB in transformation (RAEB-T) Chronic myelomonocytic leukemia (CMML) Chronic
myelogenous leukemia (CML) in late chronic phase Acute leukemia with greater than first
complete remission or transformed CML or CMML

PATIENT CHARACTERISTICS: Age: 55 to 65 65 to 70 (at the discretion of study chairperson on
basis of performance status) 55 and under (if declined for conventional high dose
chemotherapy due to concurrent medical conditions (i.e. ejection fraction less than 50,
FEV1, FVC, or DLCO less than 50%, abnormal LFTs) Performance status: Zubrod less than 2
Life expectancy: Not specified Hematopoietic: Not specified Hepatic: Bilirubin less than 3
mg/dL Renal: Serum creatinine less than 2 mg/dL Cardiovascular: Ejection fraction greater
than 40% per MUGA scan Pulmonary: Not specified Other: No active uncontrolled infection HLA
compatible donor capable of donating stem cells via apheresis

PRIOR CONCURRENT THERAPY: Not specified