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Phase II Study of Clofarabine in Pediatric Acute Myelogenous Leukemia (AML) Patients



Phase II Study of Clofarabine in Pediatric Acute Myelogenous Leukemia (AML) Patients

For Condition: Leukemia, Myeloid
Status: Recruiting
Sponsor(s): ILEX Products ,
Synopsis: The purpose of this study is to determine whether Clofarabine is safe and effective in the treatment of Acute Myelogenous Leukemia (AML.)
Details: This is a non-randomized, open label, Phase II study of Clofarabine in pediatric patients with refractory or relapsed acute myelogenous leukemia (AML). Eligible patients must be in first or subsequent relapse or be refractory. Forty eligible patients will be enrolled in a Fleming 2-stage sequential study design in order to better assess the efficacy and safety of clofarabine in this patient population.
Eligibility:
Study Type:
  Interventional, Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Minimum Age/Maximum Age: /21 Years
Genders: Both
Protocol Entry Criteria: Inclusion Criteria Must: - Have a diagnosis of AML according to FAB classification with greater than or equal to 25% blasts in the bone marrow. - Be less than or equal to 21 years old at time of initial diagnosis. - Not be eligible for therapy of higher curative potential, and must be in first or subsequent relapse and/or refractory. Where an alternative therapy has been shown to prolong survival in an analogous population, this should be offered to the patient prior to discussing this study. - Patients with acute promyelocytic leukemia (M3) must have been treated with at least 2 regimens-a retinoic acid-containing regimen and an arsenic trioxide-containing regimen before being considered for this study. - Have a Karnofsky Performance Status (KPS) of greater than or equal to 70. - Provide signed, written informed consent from parent or guardian and assent from patients greater than or equal to 7 years old according to local IRB and institutional requirements. - Have adequate organ function as indicated by the following laboratory values, obtained within 2 weeks prior to registration: - Serum bilirubin less than or equal to 1.5 x ULN - AST and ALT less than or equal to 5 x ULN - Serum Creatinine less than 2 x ULN for age ULN= Institutional Upper Limit of Normal Exclusion Criteria - Received previous treatment with Clofarabine. - Have an active, uncontrolled systemic infection considered opportunistic, life threatening, or clinically significant at the time of treatment. - Are pregnant or lactating. Male and female patients who are fertile must agree to use an effective means of birth control (i.e., latex condom, diaphragm, cervical cap, etc) to avoid pregnancy. - Have psychiatric disorders that would interfere with consent, study participation, or follow up. - Are receiving any other chemotherapy. Patients must have been off previous therapy for at least 2 weeks (with the exception of intrathecal therapy, which is allowed up to 24hrs prio to 1st dose of study drug) and must have recovered from acute toxicity of all previous therapy prior to enrollment. Treatment may start earlier, following consultation with the ILEX Medical Monitor, if there is evidence of disease relapse prior to that time. - Have any other severe concurrent disease, which, in the judgment of the investigator, would make the patient inappropriate for entry into this study. - Have symptomatic CNS involvement. - Febrile neutropenia at time of study entry. - Known or suspected fungal infection (ie. patients on parenteral antifungal therapy).
Total Enrollment: 40

Location and Contact Information:

Children's Hospital *Recruiting*
San Diego,  California, 
United States
Recruiting Mehrzad  Milburn 858-966-8155

University of Nebraska Medical Center *Recruiting*
Omaha,  Nebraska,  67198
United States
Recruiting Sheree  Gilmore 402-559-8864

Children's Hospital *Recruiting*
Pittsburgh,  Pennsylvania,  15213
United States
Recruiting Beth  Killmeyer 412-692-7593

Children's Hospital *Recruiting*
Philadelphia,  Pennsylvania, 
United States
Recruiting Michele  Toms 215-590-7727

Children's Hospital *Recruiting*
Orange County,  California, 
United States
Recruiting Laura  Gates 714-516-4203

Texas Children's Cancer Center *Recruiting*
Houston,  Texas, 
United States
Recruiting Rene  Klenke 834-824-4570

University of Connecticut Health Center *Recruiting*
Hartford,  Connecticut,  06106
United States
Recruiting Robin  Arens 860-545-9614

Memorial Sloan-Kettering *Recruiting*
New York City,  New York, 
United States
Recruiting Elizabeth  deKosko 212-639-8430

Arkansas Children's Hospital *Recruiting*
Little Rock,  Arkansas,  72202
United States
Recruiting Bryce  Warren 501-364-4003

Children's Hospital *Recruiting*
Denver,  Colorado, 
United States
Recruiting Hazel  Senz 303-864-5380

St. Jude Children's Research Hospital *Recruiting*
Memphis,  Tennessee, 
United States
Recruiting Liza  Emanus 901-495-3688

Cook's Children's Medical Center *Recruiting*
Ft. Worth,  Texas,  76104
United States
Recruiting Amy  Rowell 682-885-1904

Children's Memorial Hospital *Recruiting*
Chicago,  Illinois,  60614
United States
Recruiting Rebecca  Kissane 773-883-6186

Children's Hospital *Recruiting*
St. Louis,  Missouri, 
United States
Recruiting Lisa  Garrett 314-454-4625

Johns Hopkins Children's Center *Recruiting*
Baltimore,  Maryland,  21231
United States
Recruiting Tammy  Scott 410-614-5990

Children's Hospital *Recruiting*
Los Angeles,  California,  90027
United States
Recruiting Colleen  McCarthy 323-660-2450

Children's Medical Center *Recruiting*
Dallas,  Texas, 
United States
Recruiting Tanja  Hoffman 214-456-2726

The University of Texas M.D. Anderson Cancer Center *Recruiting*
Houston,  Texas, 
United States
Recruiting Marily  Elopre 713-745-0774


Additional Information:
Study ID Numbers:
  CLO-222; 
Study Start Date: May 2002
Record last reviewed: February 2004
Additional information available at: clinicaltrials.gov
Clinicaltrials.gov Reference link: NCT00042354

Other Leukemia, Myeloid Studies:
1. Clofarabine plus cytarabine in patients with previously untreated acute myeloid leukemia and high-risk myelodysplastic syndrome

2. Phase II Study of Clofarabine in Pediatric Acute Myelogenous Leukemia (AML) Patients

3. Open Study of CEP-701 in Patients with Refractory Acute Myeloid Leukemia with FLT-3 Mutation

4. Selective T-Cell Depletion to Reduce Graft-Versus-Host-Disease in Patients Receiving Stem Cell Transplantation to Treat Leukemia, Lymphoma or Myelodysplastic Syndromes

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Phase II Study of Clofarabine in Pediatric Acute Myelogenous Leukemia (AML) Patients

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