NCT00005786

Brief Summary

Phase II trial to study the effectiveness of arsenic trioxide in treating patients who have relapsed or refractory lymphoma or leukemia. Drugs used in chemotherapy use different ways to stop tumor cells from dividing so they stop growing or die

Trial Health

35
At Risk

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
25

participants targeted

Target at below P25 for not_applicable

Geographic Reach
1 country

1 active site

Status
terminated

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

First Submitted

Initial submission to the registry

June 2, 2000

Completed
7 months until next milestone

Study Start

First participant enrolled

January 1, 2001

Completed
2.1 years until next milestone

First Posted

Study publicly available on registry

January 27, 2003

Completed
1.8 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

November 1, 2004

Completed
Last Updated

February 1, 2013

Status Verified

January 1, 2013

Enrollment Period

3.8 years

First QC Date

June 2, 2000

Last Update Submit

January 31, 2013

Conditions

Outcome Measures

Primary Outcomes (2)

  • Toxicity as assessed by Cancer Therapy Evaluation Program (CTEP) Common Terminology Criteria version 2.0

    Up to 2 years after completion of study treatment

  • Incidence of complete and partial response

    Up to 2 years

Secondary Outcomes (1)

  • Potential surrogate of arsenic trioxide clinical activity

    From baseline to up to 2 years

Study Arms (1)

Treatment (arsenic trioxide)

EXPERIMENTAL

Patients receive arsenic trioxide IV over 1-4 hours on days 1-5. Treatment repeats every 21 days for a maximum of 6 courses in the absence of unacceptable toxicity or disease progression. Patients with responding or stable disease may receive 6 additional courses.

Drug: arsenic trioxideOther: laboratory biomarker analysis

Interventions

Given IV

Also known as: Arsenic (III) Oxide, Arsenic Sesquioxide, Arsenous Acid Anhydride, AS2O3, Trisenox
Treatment (arsenic trioxide)

Correlative studies

Treatment (arsenic trioxide)

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Patients must have a diagnosis of relapsed or refractory low-grade lymphoma
  • Patients must have disease that has relapsed from or is refractory to standard cytotoxic therapy; patients must have received at least one standard cytotoxic drug regimen; there is no limit on the number of prior therapies, including high dose chemotherapy regimens, provided the patient has recovered from prior toxicities; relapsed disease is defined as the development of lymphadenopathy, splenomegaly, malignant lymphocytosis greater than 5,000, or infiltration of the bone marrow with malignant lymphocytes in a patient who had previously achieved a response of at least six months in duration; refractory disease is defined as never achieving a PR or a CR or PR that is less than six months in duration; prior total body irradiation is not allowed; radiation to individual site is permitted, and is not included as a regimen
  • Serum creatinine =\< 2.0 mg/dl
  • Total bilirubin =\< 2.0 mg/dl
  • Serum SGOT, SGPT =\< 2.5 times the upper limit of institutional normal
  • Patients who are female and have childbearing potential must have a negative pregnancy test; all patients who are engaging in sexual intercourse that may result in a pregnancy must use appropriate contraception while receiving treatment on this protocol
  • Patients must have sufficient mental capacity to understand the explanation of the study and to give his or her informed signed consent
  • Patients must display Karnofsky performance status of 60% or greater
  • Patients should have a life expectancy of \> 12 weeks so as to permit adequate follow-up of toxicity
  • Patients must have recovered from the toxicity of recent therapy prior to enrollment in this study
  • Absolute neutrophil count \> 1500/uL, unless cytopenias are the result of bone marrow infiltration by lymphoma; permission of the protocol PI is required in this situation
  • Platelet count \> 75,000/uL, unless cytopenias are the result of bone marrow infiltration by lymphoma; permission of the protocol PI is required in this situation; patients with thrombocytopenia secondary to active ITP or anemia secondary to an active autoimmune hemolytic anemia at the time of evaluation are excluded

You may not qualify if:

  • Pregnant or lactating women; arsenic compounds could be transferred to the fetus or child with resultant harm
  • Active serious infections not controlled by antibiotics
  • Inability to comply with the treatment protocol or follow-up testing
  • Patients with HIV infection; there are currently insufficient data to support the safety of administering arsenic compounds in combination with anti-retroviral drugs
  • Patients with active viral or autoimmune hepatitis
  • Patients with history of cardiac arrhythmia, heart block, or myocardial infarction within the past 6 months
  • Patients with known CNS disease
  • Patients requiring amphotericin B therapy
  • Patients with significant peripheral neuropathy (\>= grade 3), regardless of cause

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Mount Sinai Medical Center

New York, New York, 10029, United States

Location

MeSH Terms

Conditions

Lymphoma, B-Cell, Marginal ZoneLeukemia, ProlymphocyticLymphoma, Non-HodgkinLymphoma, FollicularLeukemia, Lymphocytic, Chronic, B-CellWaldenstrom Macroglobulinemia

Interventions

Arsenic Trioxide

Condition Hierarchy (Ancestors)

Lymphoma, B-CellLymphomaNeoplasms by Histologic TypeNeoplasmsLymphoproliferative DisordersLymphatic DiseasesHemic and Lymphatic DiseasesImmunoproliferative DisordersImmune System DiseasesLeukemia, LymphoidLeukemiaHematologic DiseasesLeukemia, B-CellChronic DiseaseDisease AttributesPathologic ProcessesPathological Conditions, Signs and SymptomsNeoplasms, Plasma CellHemostatic DisordersVascular DiseasesCardiovascular DiseasesParaproteinemiasBlood Protein DisordersHemorrhagic Disorders

Intervention Hierarchy (Ancestors)

ArsenicalsInorganic ChemicalsOxidesOxygen Compounds

Study Officials

  • Luis Isola

    Icahn School of Medicine at Mount Sinai

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 2, 2000

First Posted

January 27, 2003

Study Start

January 1, 2001

Primary Completion

November 1, 2004

Last Updated

February 1, 2013

Record last verified: 2013-01

Locations