Overview

STI571 in Treating Patients With Chronic Myelogenous Leukemia in Blast Crisis

Status:
Completed
Trial end date:
2002-12-01
Target enrollment:
0
Participant gender:
All
Summary
RATIONALE: STI571 may interfere with the growth of cancer cells and may be an effective treatment for leukemia. PURPOSE: Phase II trial to study the effectiveness of STI571 in treating patients who have chronic myelogenous leukemia in blast crisis.
Phase:
Phase 2
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
Novartis
Treatments:
Imatinib Mesylate
Criteria
DISEASE CHARACTERISTICS: Diagnosis of chronic myelogenous leukemia (CML) in blast crisis,
defined by at least one of the following: 30% blasts in peripheral blood and/or bone marrow
Flow cytometry criteria Extramedullary disease other than spleen, lymph node, and/or liver
involvement Newly diagnosed CML in blast crisis OR CML in blast crisis with prior therapy
for accelerated or blastic phases Philadelphia (Ph) chromosome positive OR Ph chromosome
negative and Bcr/Abl positive

PATIENT CHARACTERISTICS: Age: 18 and over Performance status: ECOG 0-2 Life expectancy: Not
specified Hematopoietic: See Disease Characteristics Hepatic: SGOT and SGPT no greater than
3 times upper limit of normal (ULN) (no greater than 5 times ULN if liver involvement)
Bilirubin no greater than 3 times ULN Renal: Creatinine no greater than 2 times ULN
Cardiovascular: No grade 3 or 4 cardiac disease Other: Not pregnant or nursing Negative
pregnancy test Fertile patients must use effective barrier contraception during and for at
least 2 weeks after study for women and for at least 3 months after study for men No
history of noncompliance with medical regimens No serious concurrent medical condition

PRIOR CONCURRENT THERAPY: Biologic therapy: At least 48 hours since prior interferon alfa
At least 6 weeks since prior hematopoietic stem cell transplantation No concurrent
anticancer biologic therapy Chemotherapy: At least 6 weeks since prior busulfan At least 24
hours since prior hydroxyurea At least 2 weeks since prior homoharringtonine At least 1
week since prior low-dose cytarabine (less than 30 mg/m2 every 12-24 hours daily) At least
2 weeks since prior moderate-dose cytarabine (100-200 mg/m2 for 5-7 days) At least 4 weeks
since prior high-dose cytarabine (1-3 g/m2 every 12-24 hours for 6-12 doses) At least 3
weeks since prior anthracyclines, mitoxantrone, or etoposide No concurrent anticancer
chemotherapy Endocrine therapy: Not specified Radiotherapy: Not specified Surgery: Not
specified Other: At least 4 weeks since other prior investigational agents No other
concurrent anticancer investigational agents