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Bone Marrow Transplantation in Treating Patients With Chronic Myelogenous Leukemia



Bone Marrow Transplantation in Treating Patients With Chronic Myelogenous Leukemia

For Condition: accelerated phase chronic myelogenous leukemia,refractory chronic myelogenous leukemia,chronic phase chronic myelogenous leukemia
Status: No longer recruiting
Sponsor(s): National Cancer Institute (NCI) , University of Pennsylvania Cancer Center
Synopsis: RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining chemotherapy with bone marrow transplantation may allow the doctor to give higher doses of chemotherapy and kill more cancer cells. PURPOSE: Phase II trial to study the effectiveness of bone marrow transplantation in treating patients with chronic myelogenous leukemia.
Details: OBJECTIVES: I. Evaluate the ability of c-myb antisense oligodeoxynucleotide to purge bone marrow cells of clonogenic chronic myelogenous leukemia tumor cells and repopulate the bone marrow with normal stem cells in patients treated with high-dose busulfan and cyclophosphamide followed by autologous bone marrow transplantation using marrow treated with c-myb antisense oligodeoxynucleotide. II. Determine the response rate, degree of hematopoietic reconstitution, overall survival, and relapse-free survival of these patients treated with this regimen. III. Determine the toxicity of this regimen in these patients. PROTOCOL OUTLINE: Patients undergo bone marrow harvest. The bone marrow is treated with c-myb antisense oligodeoxynucleotide and cryopreserved. A portion of the marrow is cryopreserved untreated in case of engraftment failure. Patients receive oral busulfan every 6 hours on days -7 to -4 for a total of 16 doses. Patients receive cyclophosphamide IV over 1 hour on days -3 and -2. Bone marrow is reinfused on day 0. Patients receive filgrastim (G-CSF) subcutaneously daily beginning on day 0 and continuing until blood counts recover. Patients are followed every 2-3 months for 2 years. PROJECTED ACCRUAL: A total of 40 patients will be accrued for this study within 18-24 months.
Eligibility:
Study Type:  Interventional, Treatment
Minimum Age/Maximum Age: 18 Years/60 Years
Genders: 
Protocol Entry Criteria: PROTOCOL ENTRY CRITERIA: --Disease Characteristics-- - Histologically and cytologically proven chronic myelogenous leukemia; Accelerated phase OR Chronic phase; Must have in vitro response to c-myb antisense oligodeoxynucleotide - No hypocellular marrow (less than 25% cellularity) - No patients under age 55 with a HLA-matched sibling donor --Prior/Concurrent Therapy-- - Biologic therapy: At least 3 months since prior interferon therapy - Chemotherapy: No prior busulfan - Endocrine therapy: Not specified - Radiotherapy: Not specified - Surgery: Not specified --Patient Characteristics-- - Age: 18 to 60 - Performance status: 0-1 - Hematopoietic: Granulocyte count greater than 1,000/mm3; Platelet count greater than 100,000/mm3 - Hepatic: Bilirubin less than 1.5 mg/dL; AST less than 3 times normal - Renal: Creatinine less than 2.0 mg/dL; Creatinine clearance greater than 60 mL/min - Cardiovascular: Left ventricular ejection fraction normal; No significant cardiac disease requiring digoxin, diuretics, antiarrhythmics, or antianginal medications - Pulmonary: PFTs normal with normal DLCO - Other: No persistent infection requiring antibiotics; No concurrent organ damage or medical problem that would preclude study; Not pregnant or nursing; Negative pregnancy test; Fertile patients must use effective contraception
Total Enrollment: 

Location and Contact Information:

Overall Study Official:
SelinaLuger,  Study Chair,  University of Pennsylvania Cancer Center

University of Pennsylvania Cancer Center
Philadelphia,  Pennsylvania,  19104-4283
United States
 


Additional Information:
Study ID Numbers:  CDR0000063772;  UPCC-3492,NCI-H94-0532
Study Start Date: June 1993
Record last reviewed: March 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00002592

Other Accelerated Phase Chronic Myelogenous Leukemia Studies:
1. Flavopiridol and Imatinib Mesylate in Treating Patients With Hematologic Cancer

2. Imatinib Mesylate and 17-N-Allylamino-17-Demethoxygeldanamycin in Treating Patients With Chronic Myelogenous Leukemia

3. Arsenic Trioxide in Treating Patients With Relapsed or Refractory Chronic Myelogenous Leukemia

4. Chemotherapy in Treating Patients With Newly Diagnosed Acute or Chronic Myelogenous Leukemia or Myelodysplastic Syndrome

5. Chemotherapy and Filgrastim Followed by Peripheral Stem Cell Transplantation in Treating Patients With Chronic Myelogenous Leukemia

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Bone Marrow Transplantation in Treating Patients With Chronic Myelogenous Leukemia
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