Overview

High-Dose Chemotherapy and Radiation Therapy Followed by Peripheral Stem Cell Transplantation in Treating Patients With Acute Leukemia in Remission

Status:
Completed
Trial end date:
2000-11-01
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining chemotherapy with peripheral stem cell transplantation may allow the doctor to give higher doses of chemotherapy drugs and kill more cancer cells. PURPOSE: Phase II trial to study the effectiveness of high-dose radiation therapy and etoposide followed by peripheral stem cell transplantation in treating patients with acute leukemia.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Memorial Sloan Kettering Cancer Center
Collaborator:
National Cancer Institute (NCI)
Treatments:
Etoposide
Criteria
DISEASE CHARACTERISTICS: Previously diagnosed acute leukemia in one of the following
categories: Acute myelogenous leukemia (any subtype) in first or subsequent remission Ph+
acute lymphoblastic leukemia (ALL) in first or greater remission Ph- ALL in second or
subsequent remission Cellular marrow with no morphologic evidence of residual leukemia
within approximately 2 weeks of cryopreservation Negative CSF cytology required of ALL
patients Allogeneic marrow transplant considered for patients under age 55 with a healthy
HLA-identical family member available

PATIENT CHARACTERISTICS: Age: Over 16 to 65 Performance status: Not specified
Hematopoietic: WBC greater than 3,500/mm3 Platelet count greater than 100,000/mm3 Hepatic:
Bilirubin less than 2.0 mg/dl Renal: Creatinine no greater than 1.5 mg/dl OR Creatinine
clearance at least 60 ml/min Cardiovascular: LVEF at least 50% by MUGA or normal on
echocardiogram Pulmonary: DLCO at least 50% of predicted Other: HIV seronegative No
uncontrolled infection Negative pregnancy test required of fertile women

PRIOR CONCURRENT THERAPY: See Disease Characteristics