Flavopiridol and Imatinib Mesylate in Treating Patients With Hematologic Cancer

• Status: Completed
• Trial end date: 1969-12-31
• Target enrollment: 0
• Participant gender: All

Summary

RATIONALE: Imatinib mesylate may stop the growth of cancer cells by blocking the enzymes necessary for cancer cell growth. Drugs used in chemotherapy such as flavopiridol use different ways to stop cancer cells from dividing so they stop growing or die. Combining imatinib mesylate with flavopiridol may kill more cancer cells.

PURPOSE: This phase I trial is studying the side effects and best dose of flavopiridol and imatinib mesylate in treating patients with hematologic cancer.

• Phase: Phase 1
• Accepts Healthy Volunteers?: No

Details

• Lead Sponsor: Virginia Commonwealth University
• Collaborator: National Cancer Institute (NCI)
• Treatments: Alvocidib; Imatinib Mesylate

Criteria

DISEASE CHARACTERISTICS:

• Diagnosis of 1 of the following:

• Chronic or accelerated phase chronic myelogenous leukemia (CML) with 1 of the following:

• Hematologic progression during prior imatinib mesylate treatment

• Less than a complete hematologic response after at least 3 months of prior imatinib mesylate treatment

• Less than a major cytogenetic response after at least 6 months of imatinib mesylate treatment (cytogenetic response documented by karyotype or fluorescence in situ hybridization [FISH])

• Blastic phase CML*

• Acute lymphoblastic leukemia*

• Acute myeloid leukemia* NOTE: *Patients may be enrolled at presentation, in remission, or upon relapse

• Bcr/Abl+ in bone marrow confirmed by karyotype or FISH

• No known CNS malignancy

PATIENT CHARACTERISTICS:

Age

• 18 and over

Performance status

• ECOG 0-2

Life expectancy

• Not specified

Hematopoietic

• See Disease Characteristics

Hepatic

• Bilirubin no greater than 1.5 times upper limit of normal (ULN)

• AST and ALT no greater than 2.5 times ULN (5 times ULN if hepatic involvement suspected [stratum 2 only])

Renal

• Creatinine no greater than 2 times ULN

Cardiovascular

• No symptomatic congestive heart failure

• No unstable angina pectoris

• No cardiac arrhythmia

Other

• Not pregnant or nursing

• Fertile patients must use effective contraception during and for 3 months after study participation

• No prior allergic reaction attributed to compounds of similar chemical or biological composition to study agents

• No other concurrent uncontrolled medical illness

• No ongoing or active infection

• No psychiatric illness or social situation that would preclude study participation

PRIOR CONCURRENT THERAPY:

Biologic therapy

• No concurrent filgrastim (G-CSF), sargramostim (GM-CSF), or interleukin-2 during the first course of study therapy unless clinically indicated for management of febrile neutropenia or thrombocytopenia

• Concurrent epoetin alfa allowed if started before study entry and it remains clinically appropriate

Chemotherapy

• Not specified

Endocrine therapy

• Not specified

Radiotherapy

• Not specified

Surgery

• Not specified

Other

• See Disease Characteristics

• Recovered from all prior therapy

• No other concurrent investigational or anticancer agents

• No concurrent combination antiretroviral therapy for HIV-positive patients