Leukemia Clinical Trial
Official title:
Phase II Study of Arsenic Trioxide (NSC #706363) Therapy for Fludarabine Refractory or Relapsed Chronic Lymphocytic Leukemia
RATIONALE: Drugs used in chemotherapy use different ways to stop tumor cells from dividing
so they stop growing or die.
PURPOSE: Phase II trial to study the effectiveness of arsenic trioxide in treating patients
who have chronic lymphocytic leukemia that has relapsed or has not responded to treatment
with fludarabine.
OBJECTIVES: I. Determine the clinical efficacy and safety of arsenic trioxide in patients
with chronic lymphocytic leukemia (CLL) that is refractory to fludarabine or in relapse. II.
Determine the pattern of clinical adverse experience in these patients when treated with
this regimen. III. Evaluate the effects of this drug on cytokines, apoptosis, and
angiogenesis in these patients.
OUTLINE: Patients receive arsenic trioxide IV over 2 hours on days 1-15 OR on days 1-5,
8-12, and 15-19. Courses repeat with 2 to 5 week intervals between courses for 10-12 courses
(about 1 year) in the absence of disease progression or unacceptable toxicity. Patients are
followed every 3 months for 1 year, every 6 months for the second year, and then annually
thereafter.
PROJECTED ACCRUAL: A total of 17-37 patients will be accrued for this study.
;
Endpoint Classification: Efficacy Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
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