Overview

Chemotherapy in Treating Patients With Chronic Lymphocytic Leukemia

Status:
Completed
Trial end date:
2005-07-01
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. PURPOSE: Phase I/II trial to study the effectiveness of CC-1088 in treating patients who have chronic lymphocytic leukemia that has not responded to previous therapy.
Phase:
Phase 1/Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Boston Medical Center
Criteria
DISEASE CHARACTERISTICS: Histologically or cytologically confirmed refractory, progressive,
B-cell chronic lymphocytic leukemia Failed prior first line therapy of chlorambucil or
fludarabine (or their equivalent) Progressive disease as defined by at least one of the
following: Greater than 50% increase in the sum of the products of at least 2 lymph nodes
on two consecutive determinations 2 weeks apart (at least one lymph node must be greater
than 2 cm) Appearance of new palpable lymph nodes At least a 50% increase in size of
previously palpable liver or spleen Appearance of palpable hepatomegaly or splenomegaly not
previously present At least a 50% increase in the absolute lymphocyte count to at least
5,000/mm3 Transformation to an aggressive histology (e.g., Richter's or prolymphocytic
leukemia) High risk OR Intermediate risk with active disease, as defined by the following:
Greater than 10% weight loss Extreme fatigue Fevers greater than 100.5 Fahrenheit for
greater than 2 weeks without infection Night sweats Splenomegaly greater than 6 cm
Lymphadenopathy greater than 10 cm Lymphocytosis with a doubling time less than 6 months

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG or Zubrod 0-2 Life
expectancy: Not specified Hematopoietic: See Disease Characteristics Hepatic: Bilirubin no
greater than 2.5 times upper limit of normal (ULN) ALT and AST no greater than 2.5 times
ULN Renal: Creatinine no greater than 2.0 mg/dL Other: Not pregnant Negative pregnancy test
Fertile patients must use effective contraception during and for 2 weeks after study

PRIOR CONCURRENT THERAPY: Biologic therapy: Not specified Chemotherapy: See Disease
Characteristics Endocrine therapy: Not specified Radiotherapy: Not specified Surgery: Not
specified