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Phase 3 N=170 Randomized Treatment

Comparison of Two Combination Chemotherapy Regimens in Treating Adults With Previously Untreated Leukemia or Lymphoma

Leukemia · Lymphoma

Enrolled (actual)
170
Serious AEs
42.4%
Results posted
Feb 2016
Primary outcome: Primary: Complete Remission (CR) — 50; 50; 14; 11 participants

Study Design & Population

Study type
Interventional
Phase
Phase 3
Interventions
dactinomycin (Biological); sargramostim (Biological); carmustine (Drug); cyclophosphamide (Drug); cytarabine (Drug); daunorubicin hydrochloride (Drug); doxorubicin hydrochloride (Drug); etoposide (Drug); mercaptopurine (Drug); methotrexate (Drug); mitoxantrone hydrochloride (Drug); pegaspargase (Drug); prednisone (Drug); vincristine sulfate (Drug); radiation therapy (Radiation)
Age
Adult, Older Adult · 18+ yrs
Sex
All
Sponsor
Memorial Sloan Kettering Cancer Center
Primary completion
Sep 2011

Outcome Measures

OutcomeResultp-value
PRIMARY
Complete Remission (CR)
50; 50; 14; 11; 5; 14

Summary

RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die. Combining more than one drug may kill more tumor cells. It is not yet known which regimen of combination chemotherapy is more effective for acute lymphoblastic leukemia, lymphoblastic lymphoma, or chronic myelogenous leukemia. PURPOSE: This randomized phase III trial is studying two different chemotherapy regimens and comparing them to see how well they work in treating adults with acute lymphoblastic leukemia, lymphoblastic lymphoma, or chronic myelogenous leukemia.

Eligibility Criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of one of the following malignancies:
  • Acute lymphoblastic leukemia (ALL) of B- or T-cell lineage
  • Philadelphia chromosome-positive ALL eligible
  • Lymphoblastic lymphoma
  • Chronic myelogenous leukemia in lymphoid blast crisis

PATIENT CHARACTERISTICS:

Age:

  • 18 and over

Performance status:

  • Karnofsky 20-100%

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Bilirubin no greater than 2.0 mg/dL
  • Glucocorticoids for higher bilirubin allowed prior to entry, at principal investigator's discretion

Renal:

  • Creatinine no greater than 2.0 mg/dL
  • Glucocorticoids or renal radiotherapy for higher creatinine allowed prior to entry, at principal investigator's discretion

Cardiovascular:

  • Left ventricular ejection fraction at least 50%

Other:

  • Not pregnant

PRIOR CONCURRENT THERAPY:

Biologic therapy

  • No prior biologic therapy

Chemotherapy

  • No prior chemotherapy

Endocrine therapy

  • No prior endocrine therapy

Radiotherapy

  • No prior radiotherapy

Surgery

  • No prior surgery
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT00002766). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.

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