Thalidomide With or Without Fludarabine in Treating Patients With Hematologic Cancer
Randomized Phase II Study of Thalidomide Versus Thalidomide Plus Fludarabine for Patients With Chronic Lymphocytic Leukemia Previously Treated With Fludarabine
調査の概要
詳細な説明
OBJECTIVES:
I. Compare the safety and tolerability of thalidomide with or without fludarabine in patients with fludarabine-refractory chronic lymphocytic leukemia or small lymphocytic lymphoma.
II. Compare the incidence of complete and partial remission in patients treated with these regimens.
OUTLINE: This is a randomized, open-label study. Patients are stratified according to time to relapse from last fludarabine treatment (less than 6 months vs more than 6 months). Patients are randomized to one of two treatment arms.
Arm I: Patients receive oral thalidomide once daily in the absence of disease progression or unacceptable toxicity.
Arm II: Patients receive thalidomide as in arm I and fludarabine IV over 30 minutes on days 1-5. Treatment with fludarabine repeats every 28 days for 6 courses. Once fludarabine is completed, patients continue to receive thalidomide alone as in arm I.
PROJECTED ACCRUAL: A total of 24-70 patients (12-35 per treatment arm) will be accrued for this study within 1 year.
研究の種類
入学 (実際)
段階
- フェーズ2
連絡先と場所
研究場所
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New York
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Bronx、New York、アメリカ、10467-2490
- Montefiore Medical Center
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参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
Inclusion Criteria:
Diagnosis of one of the following:
Confirmed chronic lymphocytic leukemia (CLL), meeting the following criteria:
- Peripheral blood lymphocytosis greater than 5,000/mm^3
- Co-expression of the CD5, CD19, CD20, and CD23 surface antigens
- Clonal kappa and lambda light chain expression
- Dim surface immunoglobulin expression
- Small lymphocytic lymphoma
Relapsed or refractory disease
- Must have received at least 1 prior regimen containing fludarabine
Meets one of the following criteria:
- Recurrence of lymphocytosis greater than 5,000/mm^3 or an increase in lymph node volume greater than 50% after achieving complete (CR) or partial response (PR)
- Never achieved a CR or PR after receiving at least 2 courses of fludarabine IV for 5 days at a dose of 25 mg/m^2/day
- No other lymphoproliferative diseases or diseases due to transformation of CLL (e.g., prolymphocytic leukemia or Richter's syndrome)
- No known CNS disease
- Performance status - Karnofsky 60-100%
- At least 12 weeks
- See Disease Characteristics
- Bilirubin < 2.0 times upper limit of normal (ULN)*
- SGOT < 2.5 times ULN*
- Creatinine < 1.5 times ULN
- No history of cardiac arrhythmia
- No myocardial infarction within the past 6 months
- No other malignancy within the past 5 years except basal cell skin cancer or carcinoma in situ of the cervix
- No active serious infection uncontrolled by antibiotics
- No pre-existing neurotoxicity grade 3 or greater
- No other medical condition that would preclude study participation
- Not pregnant or nursing
- Negative pregnancy test
- Female patients must use 2 effective methods (at least 1 highly active method) of contraception 4 weeks before, during, and for 4 weeks after study participation and male patients must use effective barrier contraception during and for 4 weeks after study participation
- At least 4 weeks since prior biologic therapy and recovered
- No concurrent growth factors (epoetin alfa, filgrastim [G-CSF], or sargramostim [GM-CSF])
- See Disease Characteristics
- No more than 3 prior chemotherapy regimens
- At least 4 weeks since prior chemotherapy (6 weeks for nitrosoureas) and recovered
- No other concurrent chemotherapy
- At least 4 weeks since prior radiotherapy and recovered
- No concurrent radiotherapy
- Recovered from any prior investigational agents
- No other concurrent investigational agents
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：処理
- 割り当て：ランダム化
- 介入モデル：並列代入
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
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実験的：Arm I (thalidomide)
Patients receive oral thalidomide once daily in the absence of disease progression or unacceptable toxicity.
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経口投与
他の名前：
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実験的：Arm II (thalidomide, fludarabine phosphate)
Patients receive thalidomide as in arm I and fludarabine IV over 30 minutes on days 1-5.
Treatment with fludarabine repeats every 28 days for 6 courses.
Once fludarabine is completed, patients continue to receive thalidomide alone as in arm I.
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与えられた IV
他の名前：
経口投与
他の名前：
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
時間枠 |
|---|---|
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Toxicities graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v3.0
時間枠：Up to 5 years
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Up to 5 years
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Incidence of complete and partial remission
時間枠：Up to 5 years
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Up to 5 years
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協力者と研究者
捜査官
- 主任研究者：Richard Furman、Montefiore Medical Center
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (見積もり)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
追加の関連 MeSH 用語
その他の研究ID番号
- NCI-2012-02393
- N01CM62204 (米国 NIH グラント/契約)
- NYWCCC-MTS-00-0535ME
- CDR0000068429
- NCI-639
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