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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00004932
Registration number
NCT00004932
Ethics application status
Date submitted
7/03/2000
Date registered
27/01/2003
Date last updated
21/02/2014
Titles & IDs
Public title
STI571 in Treating Patients With Recurrent Leukemia
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Scientific title
A Phase I Study of STI571 in Ph+ Leukemia
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Secondary ID [1]
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COG-P9973
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Secondary ID [2]
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P9973
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Leukemia
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Condition category
Condition code
Cancer
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Leukaemia - Acute leukaemia
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Cancer
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Leukaemia - Chronic leukaemia
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Cancer
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Children's - Leukaemia & Lymphoma
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Experimental: 260 mg/m2 imatinib mesylate (ST571) -
Experimental: 340 mg/m2 imatinib mesylate (ST571) -
Experimental: 440 mg/m2 imatinib mesylate (ST571) -
Experimental: 570 mg/m2 imatinib mesylate (ST571) -
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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Survival
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Assessment method [1]
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To estimate the maximum tolerated dose (MTD) of STI571 administered orally once daily without interruption to children with recurrent Ph+ leukemia.
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Timepoint [1]
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Length of study
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Secondary outcome [1]
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Dose-limiting toxicities
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Assessment method [1]
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To determine the dose-limiting toxicities (DLT) of STI571 given on this schedule.
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Timepoint [1]
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Length of study
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Secondary outcome [2]
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Characterize the pharmacokinetic behavior
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Assessment method [2]
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To characterize the pharmacokinetic behavior of STI571 in children with recurrent Ph+ leukemia.
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Timepoint [2]
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Length of study
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Secondary outcome [3]
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Define the anti-leukemic activity of STI571
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Assessment method [3]
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To preliminarily define the anti-leukemic activity of STI571 within the confines of a Phase I study.
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Timepoint [3]
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Length of study
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Eligibility
Key inclusion criteria
DISEASE CHARACTERISTICS:
* Recurrent Philadelphia (Ph) chromosome-positive leukemia
* Recurrent or refractory acute lymphoblastic or myeloblastic leukemia OR
* Chronic myelogenous leukemia with resistance to interferon alfa with any of the following:
* WBC at least 20,000/mm^3 after at least 3 months of interferon therapy
* At least 100% increase in WBC to at least 20,000/mm^3 confirmed over 2 weeks while receiving interferon alfa
* At least 66% Ph chromosome-positive cells after 1 year of interferon therapy
* At least 30% increase in number of Ph chromosome-positive cells after an interferon-induced response while continuing interferon therapy
PATIENT CHARACTERISTICS:
Age:
* Under 22
Performance status:
* Karnofsky 50-100% if over 10 years of age OR
* Lansky 50-100% if 10 years of age and under
Life expectancy:
* At least 8 weeks
Hematopoietic:
* See Disease Characteristics
Hepatic:
* Bilirubin no greater than 1.5 times normal
* SGPT less than 3 times normal
* Albumin greater than 2 g/dL
Renal:
* Creatinine no greater than 1.5 times normal OR
* Creatinine clearance or radioisotope glomerular filtration rate at least 70 mL/min
Other:
* Not pregnant or nursing
* Negative pregnancy test
* Fertile patients must use effective contraception
* If prior allogeneic stem cell transplantation, no uncontrolled graft-versus -host disease
* No seizure disorder if on anticonvulsants
* No uncontrolled infection
* No CNS toxicity greater than grade 2
PRIOR CONCURRENT THERAPY:
Biologic therapy:
* See Disease Characteristics
* At least 1 week since prior biologic therapy and recovered
* At least 3 months since prior stem cell transplantation (SCT)
* At least 1 week since prior growth factors
* At least 1 week since prior interferon alfa
Chemotherapy:
* Recovered from prior chemotherapy
* At least 6 weeks since prior busulfan and nitrosoureas
* At least 2 weeks since prior homoharringtonine
* At least 1 week since low-dose cytarabine
* At least 2 weeks since prior moderate-dose cytarabine
* At least 4 weeks since prior high-dose cytarabine
* At least 3 weeks since all other prior cytotoxic chemotherapies
* No prior hydroxyurea
Endocrine therapy:
* Must be on a stable dose of steroids if received prior allogeneic SCT
Radiotherapy:
* Recovered from prior radiotherapy
* At least 2 weeks since prior local palliative radiotherapy (small port)
* At least 6 months since prior craniospinal radiotherapy
* At least 6 months since prior radiotherapy to 50% or more of the pelvis
* At least 6 weeks since other prior substantial bone marrow radiotherapy
Surgery:
* Not specified
Other:
* No other concurrent investigational agents
* No concurrent anticonvulsants
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Minimum age
No limit
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Maximum age
21
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
NA
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 1
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/01/2002
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/09/2005
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Sample size
Target
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Accrual to date
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Final
31
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Recruitment in Australia
Recruitment state(s)
NSW,QLD,SA,VIC,WA
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Recruitment hospital [1]
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Sydney Children's Hospital - Randwick
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Children's Hospital at Westmead - Westmead
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Royal Children's Hospital - Brisbane
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Women's and Children's Hospital - North Adelaide
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Royal Children's Hospital - Parkville
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Princess Margaret Hospital for Children - Perth
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2031 - Randwick
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2145 - Westmead
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4029 - Brisbane
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5006 - North Adelaide
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3052 - Parkville
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Recruitment postcode(s) [6]
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6001 - Perth
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Funding & Sponsors
Primary sponsor type
Other
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Name
Children's Oncology Group
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Address
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National Cancer Institute (NCI)
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Ethics approval
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Summary
Brief summary
RATIONALE: Imatinib mesylate may interfere with the growth of cancer cells and may be an effective treatment for leukemia. PURPOSE: Phase I trial to study the effectiveness of imatinib mesylate in treating patients who have recurrent leukemia.
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Trial website
https://clinicaltrials.gov/study/NCT00004932
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Trial related presentations / publications
Champagne MA, Capdeville R, Krailo M, Qu W, Peng B, Rosamilia M, Therrien M, Zoellner U, Blaney SM, Bernstein M; Children's Oncology Group phase 1 study. Imatinib mesylate (STI571) for treatment of children with Philadelphia chromosome-positive leukemia: results from a Children's Oncology Group phase 1 study. Blood. 2004 Nov 1;104(9):2655-60. doi: 10.1182/blood-2003-09-3032. Epub 2004 Jul 1. Champagne MA, Hershon L, Rosamilia M, et al.: STI571 in the Treatment of Pediatric Philadelphia (Ph+) Chromosome-Positive Leukemia: A Children's Oncology Group Phase 1 Study (P-9973). [Abstract] Proceedings of the American Society of Clinical Oncology 20: A-1466, 2001.
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Public notes
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Contacts
Principal investigator
Name
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Martin Champagne, MD
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Address
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Hopital Sainte Justine
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Type
Citations or Other Details
Journal
Champagne MA, Capdeville R, Krailo M, Qu W, Peng B...
[
More Details
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Journal
Champagne MA, Hershon L, Rosamilia M, et al.: STI5...
[
More Details
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Results not provided in
https://clinicaltrials.gov/study/NCT00004932
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