LeukemiaPhase 3NCT00025402
Chemotherapy and Biological Therapy With or Without Bone Marrow or Peripheral Stem Cell Transplant in Treating Patients With Chronic Myelogenous Leukemia
A Phase 3 study testing filgrastim, recombinant interferon alfa and busulfan in people with Leukemia, run by III. Medizinische Klinik Mannheim at 188 sites in 5 countries.
Trial summary
RATIONALE: Giving chemotherapy, such as hydroxyurea, cytarabine, idarubicin, and etoposide before a donor bone marrow transplant or stem cell transplant helps stop the growth of cancer cells. It also helps stop the patient's immune system from rejecting the donor's stem cells. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Leukemia
- What is being tested?
- filgrastim, recombinant interferon alfa and busulfan
- Type of treatment
- Surgery or procedure
- How many people
- 1,000 participants
- Where
- 188 sitesin 5 countries
- Study dates
- Jul 1997to not given
- Phase
- Phase 3
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
DISEASE CHARACTERISTICS:
- Diagnosis of chronic myelogenous leukemia in chronic phase
- Previously untreated
- Patients negative for Philadelphia chromosome and BCR-ABL translocation must fulfill at least 1 of the following criteria:
- Impaired health status with reduced exercise tolerance
- Spleen-related symptoms in cases of splenomegaly
- Weight loss greater than 10% in 6 months
- Fever greater than 38.5 degrees C on 5 consecutive days
- Clinically relevant bone pain
- Leukocytosis greater than 5,000/mm^3
- Thrombocytosis greater than 100,000/mm^3
PATIENT CHARACTERISTICS:
Age:
- Any age
Performance status:
- Not specified
Life expectancy:
- Not specified
Hematopoietic:
- See Disease Characteristics
Hepatic:
- Not specified
Renal:
- Not specified
Other:
- No other concurrent malignancy that is likely to require treatment during study or that is likely to reduce life expectancy
- No severe concurrent disease or other cause that would preclude study
- Not pregnant
PRIOR CONCURRENT THERAPY:
Biologic therapy:
- No prior interferon
Chemotherapy:
- No prior chemotherapy
Endocrine therapy:
- Not specified
Radiotherapy:
- No prior radiotherapy
Surgery:
- Not specified
Trial locations and contacts
188 sites in 5 countries.
188 sites in 5 countries
Germany167 sites
Haematologisch Onkologische Praxis
Aachen, D-52070
Kinderklinik - Universitaetsklinikum Aachen
Aachen, D-52074
Urologische Klinik - Universitaetsklinikum Aachen
Aachen, D-52074
Kreiskrankenhaus
Aalen, 73430
Klinikum St. Marien
Amberg, D-92224
Gemeinschaftspraxis Fuer Innere Medizin, Haematologie Und Internistische Onkologie
Ansbach, 91522
II. Medizinische Klinik
Aschaffenburg, RG 63739
Haematologische Praxis
Augsburg, 86150
Klinikum Augsburg
Augsburg, DOH-86156
Kreiskrankenhaus
Bad Hersfeld, 36251
Krankenhaus Hohe Warte Mediziniche Klinik
Bayreuth, 95445
St. Hedwig Kranken Haus
Berlin, 10115
Tumorzentrum Berlin-Moabit
Berlin, 10967
Wenckebach - Krankenhaus
Berlin, 12099
Helios Klinikum Berlin
Berlin, 13125
Haematologisch-Onkologische Schwerpunktpraxis
Berlin, 13357
Charite - Campus Charite Mitte
Berlin, D-10117
Onkolog - Haematolog Schwerpunktpraxis
Berlin, D-10559
Krankenhaus Neukoelln
Berlin, D-12313
Charite - Campus Virchow Klinikum
Berlin, D-13353
Kinderklinik der Freier Universitaet Berlin
Berlin, D-14059
Onkologische Schwerpunktpraxis Bielefeld
Bielefeld, D-33602
Franziskus Hospital
Bietigheim, 74321
Krankenhaus Bietigheim
Bietigheim, 74321
Kreiskrankenhaus Boeblingen
Böblingen, 71032
Europahochhaus
Bochum, 44787
Universitaetsklinikum Bonn
Bonn, D-53105
Medizinische Poliklinik
Bonn, D-53111
Marienhospital Bottrop gGmbH
Bottrop, D-46236
Staedtisches Klinikum Braunschweig
Braunschweig, D-38114
Klinikum Bremen-Mitte
Bremen, D-28205
St. Joseph Hospital
Bremerhaven, D-27568
Zentralkrankenhaus
Bremerhaven, N 27574
Medizinische Klinik Am Lukas - Krankenhaus
Bünde, 32257
Klinikum Coburg
Coburg, 96450
Praxis Gemeinschaft
Cologne, D-50676
Praxis Fuer Haematologie Internistische Onkologie
Cologne, D-50677
Medizinische Universitaetsklinik I at the University of Cologne
Cologne
Onkologische Schwerpunktpraxis
Cottbus, D-03046
Stadt. KH Dresden - Neustadt
Dresden, 01129
Medizinische Klinik I
Dresden, D-01307
Michael Schaefers und Partner
Duisburg, D-47051
St. Johannes Hospital - Medical Klinik II
Duisburg, D-47166
Krankenhaus Dueren
Düren, 52351
Universitaetsklinikum Duesseldorf
Düsseldorf, D-40225
Hans - Susemihl - Krankenhaus
Emden, 26721
Internistiche Praxis
Erfurt, 99084
Klinikum Erfurt
Erfurt, 99089
Praxis DR. J. Weniger
Erfurt, D-99085
Onkologische Schwerpunkt Praxis
Erlangen, D-91052
Medizinische Klinik III - Universitaetsklinikum Erlangen
Erlangen, D-91054
St. Antonius Hospital
Eschweiler, DOH-52249
Universitaetsklinikum Essen
Essen, D-45122
Evangelisches Krankenhaus Essen Werden
Essen, D-45239
Malteser Krankenhaus
Flensburg, D-24939
Onkolog Gemeinschaftspraxis
Frankfurt, 60389
Klinikum der J.W. Goethe Universitaet
Frankfurt, D-60590
Universitaetsklinikum Freiburg
Freiburg im Breisgau, D-79106
II Medizinische Klinik - Klinikum Fuerth
Fürth, D-90766
Kreiskrankenhaus Fuessen
Füssen, 87629
Klinikum Garmisch - Partenkirchen GmbH
Garmisch-Partenkirchen, D-82467
Gemeinschaftspraxis Fuer Innere Medizin, Hematologie Und Onkologie
Giessen, 35392
Klinik und Poliklinik fuer Urologie und Kinderurologie
Giessen, D-35392
Klinik fuer Radioonkologie und Strahlentherapie
Göppingen, 73035
DR Herbert - Nieper Krankenhaus Goslar
Goslar, 38642
Universitaetsklinikum Goettingen
Göttingen, D-37075
Allgemeines Krankenhaus Hagen
Hagen, D-58095
St. Marien Hospital - Katholisches Krankenhaus Hagen gGmbH
Hagen, D-58095
Allgemeines Krankenhaus Altona
Hamburg, 22763
Hermann - Holthusen Institute for Radiotherapy
Hamburg, D-20099
Universitaetsklinikum Hamburg-Eppendorf
Hamburg, D-20246
Onkologischer Schwerpunkt Lerchenfeld
Hamburg, D-22081
Asklepios Klinik Barmbek
Hamburg, D-22291
Haematologisch-Onkologische Praxis Altona
Hamburg, D-22767
Evangelische Krankenhaus Hamm
Hamm, D-59063
St. Marien-Hospital Hamm - Klinik Knappenstrasse
Hamm, D-59071
Haematologie Und Internistische Onkologie
Hanau, 63450
Krankenhaus Siloah - Medizinische Klinik II
Hanover, D-30449
Medizinische Hochschule Hannover
Hanover, D-30625
Medizinische Universitaetsklinik und Poliklinik
Heidelberg, 69115
Klinikum Herford
Herford, D-32049
Universitaetsklinikum des Saarlandes
Homburg, 66424
Clinic for Bone Marrow Transplantation and Hematology and Oncology
Idar-Oberstein, D-55743
Praxis am Evangelischen Krankenhaus Bethanien
Iserlohn, D-58644
Klinikum der Friedrich-Schiller Universitaet Jena
Jena, D-07740
Staedtisches Klinikum Karlsruhe gGmbH
Karlsruhe, 76133
Gemeinschaftspraxis Brunoehler
Karlsruhe, 76135
St. Vincentius-Kliniken
Karlsruhe, D-76137
Diakonissen - Krankenhaus
Karlsruhe-Rueppur, 76199
Klinikum Kassel
Kassel, D-34125
Klinikum Kempten Oberallgaeu
Kempten, D-87439
University Hospital Schleswig-Holstein - Kiel Campus
Kiel, D-24105
Klinik Konstanz
Konstanz, 78461
Haematologische / Onkologische Schwerpunktpraxis
Krefeld, 47798
Klinikum Krefeld GmbH
Krefeld, D-47805
Vinzentiuskrankenhaus
Landau, D-76829
Caritas - Krakenhaus Lebach
Lebach, 66822
Onkologische Schwerpunktpraxis - Leer
Leer, D-26789
Klinikum Lippe - Lemgo
Lemgo, D-32657
Luisenkrankenhaus
Lindenfels, 64678
Praxis Fuer Haematologie/Onkologie
Lübeck, D-23560
Klinikum der Stadt Ludwigshafen am Rhein
Ludwigshafen am Rhein, D-67063
St Marienkrankenhaus
Ludwigshafen, Rhein, D-67067
Onkologische Schwerpunktpraxis Lueneburg
Lüneburg, D-21391
Gemeinschaftspraxis
Mannheim, D-68161
III Medizinische Klinik Mannheim
Mannheim, D-68305
Philipps-Universitaet Marburg Klinikum
Marburg, D-35033
Kreiskrankenhaus Mellrichstadt
Mellrichstad, DT-97638
Klinikum Minden
Minden, D-32423
Krankenhaus Maria Hilf GmbH
Mönchengladbach, DOH-41063
Universitaets - Kinderpoliklinik
München, 80336
Gemeinschaftspraxis
Munich, 80331
Study site
Munich, 80637
Krankenhaus Muenchen Schwabing
Munich, 80804
Medizinische Kl. Klinikum Innenstadt Universitaet Muenchen
Munich, D-80336
Praxis fuer Innere Medizin und Haematologie
Munich, D-80797
Study site
Munich, D-81241
Klinikum der Universitaet Muenchen - Grosshadern Campus
Munich, D-81377
Staedtisches Krankenhaus Muenchen - Harlaching
Munich, D-81545
Klinikum Rechts Der Isar - Technische Universitaet Muenchen
Munich, D-81675
Krankenhaus Muenchen Neuperlach
Munich, D-81737
Klinik und Poliklinik fuer Kinder und Jugendmedizin - Universitaetsklinikum Muenster
Münster, D-48129
Ruppiner Klinikum GMBH
Neuruppin, 16816
Gemeinschaftspraxis
Niddatel-IIbenstadt, 61194
Praxis fuer Haematologie und Interne Onkologie
Norderstedt, 22844
Gemeinschaftspraxis
Nuremberg, D-90402
Klinikum Nuernberg - Klinikum Nord
Nuremberg, D-90419
Klinikum Nuernberg - Klinikum Sued
Nuremberg, D-90471
Hematologische Praxis
Oldenburg, 26121
Klinikum Oldenburg
Oldenburg, D-26133
Paracelsus - Klinik Osnabrueck
Osnabrück, D-49076
Staedtisches Krankenhaus
Pforzheim, 75175
Kreiskrankenhaus Radebeul
Radebeul, D-01445
St. Elisabeth Krankenhaus
Ravensburg, 88212
Prosper-Hospital Recklinghausen
Recklinghausen, D-45659
Hematologische Onkologische Praxis
Regensburg, 93047
Krankenhaus Barmherzige Brueder Regensburg
Regensburg, D-93049
Klinikum der Universitaet Regensburg
Regensburg, D-93053
Klinikum Remscheid GmbH
Remscheid, D-42859
Jakobi Krankenhaus
Rheine, 48431
Caritasklinik St. Theresia
Saarbrücken, D-66113
Schwerpunktpraxis fuer Haematologie und Onkologie
Saarbrücken, D-66113
Saechsische Schweiz Klinik
Sebnitz, D-01855
Staedt Krankenhaus
Sebnitz, D-01855
St. Marien - Krankenhaus Siegen GMBH
Siegen, D-57072
Kreiskrankenhaus Siegen
Siegen, D-57076
Klinikum Der Hansestadt Stralsund - Klin. West
Stralsund, D-18410
Robert-Bosch-Krankenhaus
Stuttgart, 70376
Haematologische Praxis
Stuttgart, D-70173
Klinik fuer Onkologie - Katharinenhospital Stuttgart
Stuttgart, D-70174
Diakonie Klinikum Stuttgart
Stuttgart, D-70176
Krankenanstalt Mutterhaus der Borromaerinnen
Trier, D-54219
Study site
Trier, D-54290
Praxis Fuer Internistische Haematologie / Onkologie
Troisdorf, 53840
Schwerpunktpraxis für Rheumatologie und Haematologie/Internistische Onkologie
Tübingen, D-72072
Southwest German Cancer Center at Eberhard-Karls-University
Tübingen, D-72076
Bundeswehr Krakenhaus
Ulm, D-89070
Universitaetsklinikum Ulm
Ulm, D-89081
St. Irmgardis Krankenhaus
Viersen-Suechteln, 41749
Klinikum Der Stadt Villingen - Schwenningen
Villingen-Schwenningen, D-78054
Krankenhaus St. Michael
Voeklingen, 66333
Kreiskrankenhaus
Waldroel, 51545
Deutsche Klinik fuer Diagnostik
Wiesbaden, D-65191
St. Willehad Hospital
Wilhelmshaven, D-26382
Praxis Fuer Haemotologie Und Internistischer Onkologie
Wuppertal, 42105
Helios Kliniken Wuppertal University Hospital
Wuppertal, D-42283
Kliniken St. Antonius
Wuppertal, D-42283
Switzerland17 sites
Kantonspital Aarau
Aarau, CH-5001
Facharzt FMH Fuer Innere Medizin and Oncology
Baar, CH-6340
Study site
Basel, CH 4051
Universitaetsspital-Basel
Basel, CH-4031
Oncology Institute of Southern Switzerland
Bellinzona, CH-6500
Facharzt Fuer Onkologie-Hematologie
Bern, 3013
Inselspital Bern
Bern, CH-3010
Inneremedizin FMH
Breitenbach, 4226
Bezirksspital Dornach
Dornach, CH-4143
Hopital Cantonal Universitaire de Geneve
Geneva, CH-1211
FMH f. Innere Medizin and Hematologie
Gross Höchstetten, 3506
Centre Hospitalier Universitaire Vaudois
Lausanne, CH-1011
Kantonsspital, Luzerne
Luzerne, CH-6016
Kantonsspital - St. Gallen
Sankt Gallen, CH-9007
Institut Central des Hopitaux Valaisans
Sion, CH-1951
Klinik Hirslanden
Zurich, CH-8008
UniversitaetsSpital Zuerich
Zurich, CH-8091
Poland2 sites
Medical University of Gdansk
Gdansk, 80-211
Silesian Medical Academy
Katowice, 40-029
About this study
Official title: Randomized Multicenter Treatment Optimization Study In Chronic Myeloid Leukemia (CML) Interferon-a Vs. Allogeneic Stem Cell Transplantation Vs. High-Dose Chemotherapy Followed By Autografting And Interferon-a Maintainance In Early Chronic Phase
RATIONALE: Giving chemotherapy, such as hydroxyurea, cytarabine, idarubicin, and etoposide before a donor bone marrow transplant or stem cell transplant helps stop the growth of cancer cells. It also helps stop the patient's immune system from rejecting the donor's stem cells. Interferon alfa may interfere with the growth of cancer cells and slow the growth of cancer. When the healthy stem cells from a donor are infused into the patient they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets. It is not yet known whether chemotherapy is more effective with or without interferon alfa and/or bone marrow or stem cell transplant in treating patients with chronic myelogenous leukemia.
PURPOSE: This randomized phase III trial is studying chemotherapy and biological therapy to see how well it works compared with chemotherapy, biological therapy, and donor bone marrow transplant or autologous stem cell transplant in treating patients with chronic phase chronic myelogenous leukemia.
Read the detailed description
OBJECTIVES:
- Compare survival in patients with chronic myelogenous leukemia in early chronic phase treated with allogeneic bone marrow transplantation vs drug treatment with or without autologous peripheral blood stem cell transplantation.
- Compare survival of patients with late-phase disease treated with high-dose cytarabine vs low-dose cytarabine followed by autografting and interferon alfa maintenance.
- Compare survival of patients not responding cytogenetically to treatment with continued interferon alfa vs hydroxyurea.
- Determine frequency, time-point, and duration of hematological and cytogenetic remissions and of Philadelphia chromosome-negative and/or BCR-ABL-positive cells on the various treatments.
- Correlate the quality of hematological and cytogenetic remissions with survival time in patients treated with these regimens.
- Compare the course of the terminal phase in patients treated with these regimens.
- Compare the toxic effects of these regimens in these patients.
- Determine the effect of prognostic criteria and normal or subnormal WBC on chronic phase duration and survival time in patients treated with these regimens.
- Compare the effect of early vs late high-dose therapy plus autografting on feasibility, toxicity, and survival times in these patients.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to eligibility for transplantation (yes vs no).
All patients undergo cytoreduction comprising hydroxyurea (HU) IV daily.
Patients who are ineligible for or refuse transplantation are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive interferon alfa (IFN) subcutaneously (SC) daily. After 2 weeks of IFN therapy, patients also receive low-dose cytarabine (ARA-C) SC once daily for 10-15 days each month. Patients who do not achieve cytogenetic remission within 12 months continue to receive HU.
- Arm II: Patients receive IFN SC daily. After 2 weeks of IFN therapy, patients also receive low-dose ARA-C SC daily for 10-15 days each month. Patients who do not achieve cytogenetic remission within 12 months continue to receive IFN therapy SC daily.
Patients who are eligible for transplantation with a related donor undergo allogeneic bone marrow transplantation. Patients may receive HU or IFN prior to transplantation. Patients may also receive oral high-dose busulfan daily for 4 days with or without cyclophosphamide or cyclophosphamide with total body irradiation.
Patients who are eligible for transplantation but do not have a related donor undergo peripheral blood stem cell (PBSC) harvest and are randomized to 1 of 2 treatment arms.
- Arm III: Patients receive IFN and low-dose ARA-C as in arm I. Patients who accelerate on treatment may undergo autologous PBSC transplantation.
- Arm IV: Patients receive idarubicin IV, ARA-C IV over 2 hours, and etoposide IV on days 1-3. Patients then undergo leukapheresis. Beginning on day 8, patients receive filgrastim (G-CSF) SC daily until end of leukapheresis. Patients then receive oral high-dose busulfan daily for 4 consecutive days. The following day, patients undergo reinfusion of autologous PBSC. After blood count recovery, patients receive maintenance IFN 3 times weekly for 8 weeks and then daily.
Patients are followed every 3 months for 3 years and then every 6 months thereafter.
PROJECTED ACCRUAL: A total of 1,000 patients will be accrued for this study within 5 years.
- Conditions
- Leukemia
- Being tested
- filgrastim, recombinant interferon alfa, busulfan, cyclophosphamide, cytarabine
- Keywords
- chronic phase chronic myelogenous leukemia, chronic myelogenous leukemia, BCR-ABL1 positive, Philadelphia chromosome negative chronic myelogenous leukemia, childhood chronic myelogenous leukemia, atypical chronic myeloid leukemia, BCR-ABL1 negative
- Medical subject headings
- Leukemia, Leukemia, Myeloid, Chronic-Phase, Leukemia, Myelogenous, Chronic, BCR-ABL Positive, Leukemia, Myeloid, Chronic, Atypical, BCR-ABL Negative
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
filgrastimBiological
recombinant interferon alfaBiological
busulfanDrug
cyclophosphamideDrug
cytarabineDrug
etoposideDrug
hydroxyureaDrug
idarubicinDrug
allogeneic bone marrow transplantationProcedure or surgery
peripheral blood stem cell transplantationProcedure or surgery
radiation therapyRadiation
What is being measured
The primary outcome is the main question the study is designed to answer.
Survival
Frequency, time-point, and duration of hematologic and cytogenetic remissions and of Philadelphia chromosome-negative and/or BCL-ABL-positive cells
Correlation of quality of hematological and cytogenetic remission with survival time
Course of the terminal phase
Toxicity
Effect of prognostic criteria and normal or subnormal WBC on chronic phase duration and survival time
Effect of early vs late high-dose therapy and autografting on feasibility, toxicity and survival times
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Jan 2003 (estimated)
- Study startJul 1997
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for LeukemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Randomised
- Enrolment
- 1,000 participants (estimated)
Sponsor and investigators
- Lead sponsor
- III. Medizinische Klinik Mannheim
- Sponsor type
- University, hospital or other
- Investigators
- Ruediger Hehlmann, MD, Study chair, III. Medizinische Klinik Mannheim
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00025402
- Sponsor's protocol ID
- CDR0000068957
- Other IDs
- III-MK-CML-3A, EU-20118
- Status last verified
- Jul 2002
- First submitted
- 11 Oct 2001
- Last updated
- 18 Dec 2013
- Results posted
- No
Study at a glance
From the registry record, last updated by the sponsor on 18 Dec 2013. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Multicenter Treatment Optimization Study In Chronic Myeloid Leukemia (CML) Interferon-a Vs. Allogeneic Stem Cell Transplantation Vs. High-Dose Chemotherapy Followed By Autografting And Interferon-a Maintainance In Early Chronic Phase
- ClinicalTrials.gov ID
- NCT00025402
- Acronym / sponsor ID
- CDR0000068957
- Conditions
- Leukemia
- Keywords
- chronic phase chronic myelogenous leukemia, chronic myelogenous leukemia, BCR-ABL1 positive, Philadelphia chromosome negative chronic myelogenous leukemia, childhood chronic myelogenous leukemia, atypical chronic myeloid leukemia, BCR-ABL1 negative
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 1,000 participants (estimated)
- Lead sponsor
- III. Medizinische Klinik MannheimUniversity, hospital or other
- Study start
- Jul 1997
- First posted
- 27 Jan 2003 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
RATIONALE: Giving chemotherapy, such as hydroxyurea, cytarabine, idarubicin, and etoposide before a donor bone marrow transplant or stem cell transplant helps stop the growth of cancer cells. It also helps stop the patient's immune system from rejecting the donor's stem cells. Interferon alfa may interfere with the growth of cancer cells and slow the growth of cancer. When the healthy stem cells from a donor are infused into the patient they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets. It is not yet known whether chemotherapy is more effective with or without interferon alfa and/or bone marrow or stem cell transplant in treating patients with chronic myelogenous leukemia.
PURPOSE: This randomized phase III trial is studying chemotherapy and biological therapy to see how well it works compared with chemotherapy, biological therapy, and donor bone marrow transplant or autologous stem cell transplant in treating patients with chronic phase chronic myelogenous leukemia.
Detailed description
OBJECTIVES:
- Compare survival in patients with chronic myelogenous leukemia in early chronic phase treated with allogeneic bone marrow transplantation vs drug treatment with or without autologous peripheral blood stem cell transplantation.
- Compare survival of patients with late-phase disease treated with high-dose cytarabine vs low-dose cytarabine followed by autografting and interferon alfa maintenance.
- Compare survival of patients not responding cytogenetically to treatment with continued interferon alfa vs hydroxyurea.
- Determine frequency, time-point, and duration of hematological and cytogenetic remissions and of Philadelphia chromosome-negative and/or BCR-ABL-positive cells on the various treatments.
- Correlate the quality of hematological and cytogenetic remissions with survival time in patients treated with these regimens.
- Compare the course of the terminal phase in patients treated with these regimens.
- Compare the toxic effects of these regimens in these patients.
- Determine the effect of prognostic criteria and normal or subnormal WBC on chronic phase duration and survival time in patients treated with these regimens.
- Compare the effect of early vs late high-dose therapy plus autografting on feasibility, toxicity, and survival times in these patients.
OUTLINE: This is a randomized, multicenter study. Patients are stratified according to eligibility for transplantation (yes vs no).
All patients undergo cytoreduction comprising hydroxyurea (HU) IV daily.
Patients who are ineligible for or refuse transplantation are randomized to 1 of 2 treatment arms.
- Arm I: Patients receive interferon alfa (IFN) subcutaneously (SC) daily. After 2 weeks of IFN therapy, patients also receive low-dose cytarabine (ARA-C) SC once daily for 10-15 days each month. Patients who do not achieve cytogenetic remission within 12 months continue to receive HU.
- Arm II: Patients receive IFN SC daily. After 2 weeks of IFN therapy, patients also receive low-dose ARA-C SC daily for 10-15 days each month. Patients who do not achieve cytogenetic remission within 12 months continue to receive IFN therapy SC daily.
Patients who are eligible for transplantation with a related donor undergo allogeneic bone marrow transplantation. Patients may receive HU or IFN prior to transplantation. Patients may also receive oral high-dose busulfan daily for 4 days with or without cyclophosphamide or cyclophosphamide with total body irradiation.
Patients who are eligible for transplantation but do not have a related donor undergo peripheral blood stem cell (PBSC) harvest and are randomized to 1 of 2 treatment arms.
- Arm III: Patients receive IFN and low-dose ARA-C as in arm I. Patients who accelerate on treatment may undergo autologous PBSC transplantation.
- Arm IV: Patients receive idarubicin IV, ARA-C IV over 2 hours, and etoposide IV on days 1-3. Patients then undergo leukapheresis. Beginning on day 8, patients receive filgrastim (G-CSF) SC daily until end of leukapheresis. Patients then receive oral high-dose busulfan daily for 4 consecutive days. The following day, patients undergo reinfusion of autologous PBSC. After blood count recovery, patients receive maintenance IFN 3 times weekly for 8 weeks and then daily.
Patients are followed every 3 months for 3 years and then every 6 months thereafter.
PROJECTED ACCRUAL: A total of 1,000 patients will be accrued for this study within 5 years.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| filgrastim | Biological | – |
| recombinant interferon alfa | Biological | – |
| busulfan | Drug | – |
| cyclophosphamide | Drug | – |
| cytarabine | Drug | – |
| etoposide | Drug | – |
| hydroxyurea | Drug | – |
| idarubicin | Drug | – |
| allogeneic bone marrow transplantation | Procedure or surgery | – |
| peripheral blood stem cell transplantation | Procedure or surgery | – |
| radiation therapy | Radiation | – |
Primary outcome
Survival
Frequency, time-point, and duration of hematologic and cytogenetic remissions and of Philadelphia chromosome-negative and/or BCL-ABL-positive cells
Correlation of quality of hematological and cytogenetic remission with survival time
Course of the terminal phase
Toxicity
Effect of prognostic criteria and normal or subnormal WBC on chronic phase duration and survival time
Effect of early vs late high-dose therapy and autografting on feasibility, toxicity and survival times
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Dec 2013.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Ruediger Hehlmann, MD study chair
III. Medizinische Klinik Mannheim
188 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing filgrastim, recombinant interferon alfa and busulfan in people with Leukemia, run by III. Medizinische Klinik Mannheim at 188 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 18 Dec 2013. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 188 sites in Germany, Switzerland, Poland, Czechia, Spain. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Survival. The study lists 7 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 18 Dec 2013.