NCT00039377

Brief Summary

This phase II trial studies how well giving imatinib mesylate together with chemotherapy and peripheral stem cell transplantation works in treating patients with newly diagnosed acute lymphoblastic leukemia. Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Imatinib mesylate may stop the growth of cancer cells by blocking the enzymes necessary for cancer cell growth. Giving imatinib mesylate together with chemotherapy and peripheral stem cell transplantation may be an effective treatment for acute lymphoblastic leukemia.

Trial Health

87
On Track

Trial Health Score

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

Enrollment
58

participants targeted

Target at P25-P50 for phase_2

Timeline
Completed

Started Apr 2002

Longer than P75 for phase_2

Geographic Reach
1 country

97 active sites

Status
completed

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

Study Start

First participant enrolled

April 1, 2002

Completed
2 months until next milestone

First Submitted

Initial submission to the registry

June 6, 2002

Completed
8 months until next milestone

First Posted

Study publicly available on registry

January 27, 2003

Completed
9.2 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2012

Completed
1.8 years until next milestone

Study Completion

Last participant's last visit for all outcomes

February 1, 2014

Completed
2 months until next milestone

Results Posted

Study results publicly available

March 18, 2014

Completed
Last Updated

November 24, 2014

Status Verified

June 1, 2014

Enrollment Period

10 years

First QC Date

June 6, 2002

Results QC Date

November 27, 2013

Last Update Submit

November 13, 2014

Conditions

Outcome Measures

Primary Outcomes (1)

  • Disease Free Survival

    Disease-free survival (DFS) was measured as the interval from achievement of complete remission (CR) until relapse or death, regardless of cause; patients alive and in CR were censored at last follow-up. DFS was estimated using the Kaplan Meier method. A complete remission (CR) was defined as recovery of morphologically normal bone marrow and blood counts (i.e., neutrophils \>= 1.5 x 10\^9/L and platelets \> 100 x 10\^9/L) and no circulating leukemic blasts or evidence of extramedullary leukemia and persisting for at least one month.

    Duration of treatment (up to 10 years)

Secondary Outcomes (4)

  • Overall Survival

    Duration of study (up to 10 years)

  • Number of Participants Who Achieved a BCR-ABL Response at 12 Months

    12 months

  • 5 Year Disease-free Survival for Autologous & Allogeneic Transplant Groups

    5 years from CR

  • 5 Year Overall Survival for Autologous & Allogeneic Transplant Groups

    5 years from registration

Study Arms (1)

Treatment (imatinib mesylate, chemotherapy, PBSCT)

EXPERIMENTAL

See Detailed Description.

Drug: imatinib mesylateDrug: methotrexateDrug: vincristine sulfateDrug: leucovorin calciumProcedure: peripheral blood stem cell transplantationProcedure: autologous hematopoietic stem cell transplantationProcedure: allogeneic hematopoietic stem cell transplantationRadiation: total-body irradiationDrug: tacrolimusBiological: filgrastimDrug: etoposideDrug: cyclophosphamideDrug: cytarabineOther: laboratory biomarker analysis

Interventions

Given PO

Also known as: CGP 57148, Gleevec, Glivec
Treatment (imatinib mesylate, chemotherapy, PBSCT)

Given IT and IV

Also known as: amethopterin, Folex, methylaminopterin, Mexate, MTX
Treatment (imatinib mesylate, chemotherapy, PBSCT)

Given IV

Also known as: leurocristine sulfate, VCR, Vincasar PFS
Treatment (imatinib mesylate, chemotherapy, PBSCT)

Given IV and PO

Also known as: CF, CFR, LV
Treatment (imatinib mesylate, chemotherapy, PBSCT)

Undergo PBSCT

Also known as: PBPC transplantation, PBSC transplantation, peripheral blood progenitor cell transplantation, transplantation, peripheral blood stem cell
Treatment (imatinib mesylate, chemotherapy, PBSCT)

Undergo autologous PBSCT

Treatment (imatinib mesylate, chemotherapy, PBSCT)

Undergo allogeneic PBSCT

Treatment (imatinib mesylate, chemotherapy, PBSCT)

Undergo TBI

Also known as: TBI
Treatment (imatinib mesylate, chemotherapy, PBSCT)

Given IV or PO

Also known as: FK 506, Prograf
Treatment (imatinib mesylate, chemotherapy, PBSCT)
filgrastimBIOLOGICAL

Given SC

Also known as: G-CSF, Neupogen
Treatment (imatinib mesylate, chemotherapy, PBSCT)

Given IV

Also known as: EPEG, VP-16, VP-16-213
Treatment (imatinib mesylate, chemotherapy, PBSCT)

Given IV

Also known as: CPM, CTX, Cytoxan, Endoxan, Endoxana
Treatment (imatinib mesylate, chemotherapy, PBSCT)

Given IV

Also known as: ARA-C, arabinofuranosylcytosine, arabinosylcytosine, Cytosar-U, cytosine arabinoside
Treatment (imatinib mesylate, chemotherapy, PBSCT)

Correlative studies

Treatment (imatinib mesylate, chemotherapy, PBSCT)

Eligibility Criteria

Age15 Years - 59 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Unequivocal histologic diagnosis of ALL
  • Detection of the t(9;22)(q34;q11) or 3-way variant by metaphase cytogenetics or BCR-ABL positive by molecular analysis (RT-PCR or fluorescence in situ hybridization \[FISH})
  • Prior Therapy:
  • Complete or partial remission following one course of induction chemotherapy with an intensive 4 or 5 drug regimen (with or without imatinib mesylate) on a CALGB or SWOG ALL protocol for previously untreated ALL patients
  • Note: The double induction regimen of SWOG S0333 is considered to be one course of induction chemotherapy for the purpose of this eligibility criterion; therefore, patients from S0333 may be eligible for this study only after completing the entire double induction regimen
  • Complete or partial remission following one course of therapy on any standard induction regimen (with or without imatinib mesylate) without prior enrollment on a cooperative group frontline protocol; in these instances, documentation of Philadelphia chromosome (Ph)+ positivity may occur outside a CALGB or SWOG laboratory
  • Note: CALGB institutions must enroll patients on CALGB 9862 and submission of an initial sample for the companion trial must occur at time of enrollment on CALGB C10001; enrollment on companion studies CALGB 8461 and 9665 is not required
  • No more than six weeks of prior imatinib mesylate during induction therapy before study enrollment
  • Non-pregnant and non-nursing; treatment under this protocol would expose an unborn child to significant risks; women and men of reproductive potential should agree to use an effective means of birth control and contraception should continue for three months after the last dose of imatinib mesylate (Gleevec) to allow complete clearance of drug and its principle metabolites from the body; in women of childbearing potential, a pregnancy test will be required at study entry

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (97)

Blood and Marrow Transplant Group of Georgia

Atlanta, Georgia, 30342, United States

Location

Saint Joseph Medical Center

Bloomington, Illinois, 61701, United States

Location

Graham Hospital Association

Canton, Illinois, 61520, United States

Location

Memorial Hospital

Carthage, Illinois, 62321, United States

Location

University of Chicago

Chicago, Illinois, 60637, United States

Location

Weiss Memorial Hospital

Chicago, Illinois, 60640, United States

Location

Eureka Hospital

Eureka, Illinois, 61530, United States

Location

Galesburg Cottage Hospital

Galesburg, Illinois, 61401, United States

Location

Illinois CancerCare Galesburg

Galesburg, Illinois, 61401, United States

Location

Mason District Hospital

Havana, Illinois, 62644, United States

Location

Hopedale Medical Complex - Hospital

Hopedale, Illinois, 61747, United States

Location

Mcdonough District Hospital

Macomb, Illinois, 61455, United States

Location

Loyola University Medical Center

Maywood, Illinois, 60153, United States

Location

Bromenn Regional Medical Center

Normal, Illinois, 61761, United States

Location

Community Cancer Center Foundation

Normal, Illinois, 61761, United States

Location

Illinois CancerCare-Ottawa Clinic

Ottawa, Illinois, 61350, United States

Location

Ottawa Regional Hospital and Healthcare Center

Ottawa, Illinois, 61350, United States

Location

Pekin Cancer Treatment Center

Pekin, Illinois, 61554, United States

Location

Pekin Hospital

Pekin, Illinois, 61554, United States

Location

Methodist Medical Center of Illinois

Peoria, Illinois, 61603, United States

Location

Proctor Hospital

Peoria, Illinois, 61614, United States

Location

Illinois CancerCare-Peoria

Peoria, Illinois, 61615, United States

Location

Illinois Oncology Research Association CCOP

Peoria, Illinois, 61615, United States

Location

OSF Saint Francis Medical Center

Peoria, Illinois, 61637, United States

Location

Illinois Valley Hospital

Peru, Illinois, 61354, United States

Location

Perry Memorial Hospital

Princeton, Illinois, 61356, United States

Location

Saint Margaret's Hospital

Spring Valley, Illinois, 61362, United States

Location

Fort Wayne Medical Oncology and Hematology Inc-Parkview

Fort Wayne, Indiana, 46845, United States

Location

Cancer Center of Kansas - Chanute

Chanute, Kansas, 66720, United States

Location

Cancer Center of Kansas - Dodge City

Dodge City, Kansas, 67801, United States

Location

Cancer Center of Kansas - El Dorado

El Dorado, Kansas, 67042, United States

Location

Providence Medical Center

Kansas City, Kansas, 66112, United States

Location

Cancer Center of Kansas-Kingman

Kingman, Kansas, 67068, United States

Location

Lawrence Memorial Hospital

Lawrence, Kansas, 66044, United States

Location

Cancer Center of Kansas - Newton

Newton, Kansas, 67114, United States

Location

Radiation Oncology Center of Olathe

Olathe, Kansas, 66061, United States

Location

Radiation Oncology Practice Corporation Southwest

Overland Park, Kansas, 66210, United States

Location

Cancer Center of Kansas - Parsons

Parsons, Kansas, 67357, United States

Location

Cancer Center of Kansas - Pratt

Pratt, Kansas, 67124, United States

Location

Cancer Center of Kansas - Salina

Salina, Kansas, 67401, United States

Location

Salina Regional Health Center

Salina, Kansas, 67401, United States

Location

Cancer Center of Kansas - Wellington

Wellington, Kansas, 67152, United States

Location

Associates In Womens Health

Wichita, Kansas, 67208, United States

Location

Cancer Center of Kansas-Wichita Medical Arts Tower

Wichita, Kansas, 67208, United States

Location

Cancer Center of Kansas - Main Office

Wichita, Kansas, 67214, United States

Location

Via Christi Regional Medical Center

Wichita, Kansas, 67214, United States

Location

Wichita CCOP

Wichita, Kansas, 67214, United States

Location

Cancer Center of Kansas - Winfield

Winfield, Kansas, 67156, United States

Location

Eastern Maine Medical Center

Bangor, Maine, 04401, United States

Location

Beverly Hospital

Beverly, Massachusetts, 01915, United States

Location

Addison Gilbert Hospital

Gloucester, Massachusetts, 01930, United States

Location

Commonwealth Hematology Oncology PC-Worcester

Worcester, Massachusetts, 01605, United States

Location

Centerpoint Medical Center LLC

Independence, Missouri, 64057, United States

Location

Saint Luke's Cancer Institute

Kansas City, Missouri, 64111, United States

Location

Radiation Oncology Practice Corporation South

Kansas City, Missouri, 64114, United States

Location

Radiation Oncology Practice Corporation - North

Kansas City, Missouri, 64154, United States

Location

Liberty Hospital

Liberty, Missouri, 64068, United States

Location

Washington University School of Medicine

St Louis, Missouri, 63110, United States

Location

Montana Cancer Consortium CCOP

Billings, Montana, 59101, United States

Location

Northern Rockies Radiation Oncology Center

Billings, Montana, 59101, United States

Location

Saint Vincent Healthcare

Billings, Montana, 59101, United States

Location

Hematology-Oncology Centers of the Northern Rockies PC

Billings, Montana, 59102, United States

Location

Billings Clinic

Billings, Montana, 59107-7000, United States

Location

Deaconess Medical Center

Billings, Montana, 59107, United States

Location

Bozeman Deaconess Cancer Center

Bozeman, Montana, 59715, United States

Location

Bozeman Deaconess Hospital

Bozeman, Montana, 59715, United States

Location

Internal Medicine of Bozeman

Bozeman, Montana, 59715, United States

Location

Saint James Community Hospital and Cancer Treatment Center

Butte, Montana, 59701, United States

Location

Berdeaux, Donald MD (UIA Investigator)

Great Falls, Montana, 59405, United States

Location

Great Falls Clinic

Great Falls, Montana, 59405, United States

Location

Saint Peter's Community Hospital

Helena, Montana, 59601, United States

Location

Glacier Oncology PLLC

Kalispell, Montana, 59901, United States

Location

Kalispell Medical Oncology

Kalispell, Montana, 59901, United States

Location

Kalispell Regional Medical Center

Kalispell, Montana, 59901, United States

Location

Community Medical Hospital

Missoula, Montana, 59801, United States

Location

Montana Cancer Specialists

Missoula, Montana, 59802, United States

Location

Saint Patrick Hospital - Community Hospital

Missoula, Montana, 59802, United States

Location

Guardian Oncology and Center for Wellness

Missoula, Montana, 59804, United States

Location

Cheshire Medical Center-Dartmouth-Hitchcock Keene

Keene, New Hampshire, 03431, United States

Location

Frisbie Hospital

Rochester, New Hampshire, 03867, United States

Location

Roswell Park Cancer Institute

Buffalo, New York, 14263, United States

Location

North Shore University Hospital

Manhasset, New York, 11030, United States

Location

North Shore-LIJ Health System CCOP

Manhasset, New York, 11030, United States

Location

Long Island Jewish Medical Center

New Hyde Park, New York, 11040, United States

Location

North Shore-LIJ Health System/Center for Advanced Medicine

New Hyde Park, New York, 11040, United States

Location

Weill Medical College of Cornell University

New York, New York, 10065, United States

Location

Oswego Hospital

Oswego, New York, 13126, United States

Location

University of Rochester

Rochester, New York, 14642, United States

Location

State University of New York Upstate Medical University

Syracuse, New York, 13210, United States

Location

Kinston Medical Specialists PA

Kinston, North Carolina, 28501, United States

Location

Wake Forest University Health Sciences

Winston-Salem, North Carolina, 27157, United States

Location

Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center

Columbus, Ohio, 43210, United States

Location

Western Pennsylvania Hospital

Pittsburgh, Pennsylvania, 15224-1791, United States

Location

Medical University of South Carolina

Charleston, South Carolina, 29425, United States

Location

Northeastern

St. Johnsbury, Vermont, 05819, United States

Location

Virginia Commonwealth University

Richmond, Virginia, 23298, United States

Location

Welch Cancer Center

Sheridan, Wyoming, 82801, United States

Location

Related Publications (2)

  • Wetzler M, Watson D, Stock W, Koval G, Mulkey FA, Hoke EE, McCarty JM, Blum WG, Powell BL, Marcucci G, Bloomfield CD, Linker CA, Larson RA. Autologous transplantation for Philadelphia chromosome-positive acute lymphoblastic leukemia achieves outcomes similar to allogeneic transplantation: results of CALGB Study 10001 (Alliance). Haematologica. 2014 Jan;99(1):111-5. doi: 10.3324/haematol.2013.085811. Epub 2013 Sep 27.

  • Mims AS, Kohlschmidt J, Borate U, Blachly JS, Orwick S, Eisfeld AK, Papaioannou D, Nicolet D, Mromicronzek K, Stein E, Bhatnagar B, Stone RM, Kolitz JE, Wang ES, Powell BL, Burd A, Levine RL, Druker BJ, Bloomfield CD, Byrd JC. A precision medicine classification for treatment of acute myeloid leukemia in older patients. J Hematol Oncol. 2021 Jun 23;14(1):96. doi: 10.1186/s13045-021-01110-5.

MeSH Terms

Interventions

Imatinib MesylateMethotrexatemerphosVincristineLeucovorinPeripheral Blood Stem Cell TransplantationWhole-Body IrradiationTacrolimusFilgrastimGranulocyte Colony-Stimulating FactorEtoposideCyclophosphamideCytarabine

Intervention Hierarchy (Ancestors)

BenzamidesAmidesOrganic ChemicalsBenzoatesAcids, CarbocyclicCarboxylic AcidsBenzene DerivativesHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsPiperazinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsPyrimidinesAminopterinPterinsPteridinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingVinca AlkaloidsSecologanin Tryptamine AlkaloidsIndole AlkaloidsAlkaloidsIndolesIndolizidinesIndolizinesFormyltetrahydrofolatesTetrahydrofolatesFolic AcidCoenzymesEnzymes and CoenzymesHematopoietic Stem Cell TransplantationStem Cell TransplantationCell TransplantationCell- and Tissue-Based TherapyBiological TherapyTherapeuticsTransplantationSurgical Procedures, OperativeRadiotherapyInvestigative TechniquesMacrolidesLactonesColony-Stimulating FactorsGlycoproteinsGlycoconjugatesCarbohydratesHematopoietic Cell Growth FactorsCytokinesIntercellular Signaling Peptides and ProteinsPeptidesAmino Acids, Peptides, and ProteinsProteinsBiological FactorsPodophyllotoxinTetrahydronaphthalenesNaphthalenesPolycyclic Aromatic HydrocarbonsPolycyclic CompoundsGlucosidesGlycosidesPhosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedPhosphoramidesOrganophosphorus CompoundsCytidinePyrimidine NucleosidesArabinonucleosidesNucleosidesNucleic Acids, Nucleotides, and Nucleosides

Results Point of Contact

Title
Meir Wetzler, M.D.
Organization
Roswell Park Cancer Institute

Study Officials

  • Meir Wetzler

    Cancer and Leukemia Group B

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
LTE60
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 2
Allocation
NA
Masking
NONE
Purpose
TREATMENT
Intervention Model
SINGLE GROUP
Sponsor Type
NIH
Responsible Party
SPONSOR

Study Record Dates

First Submitted

June 6, 2002

First Posted

January 27, 2003

Study Start

April 1, 2002

Primary Completion

April 1, 2012

Study Completion

February 1, 2014

Last Updated

November 24, 2014

Results First Posted

March 18, 2014

Record last verified: 2014-06

Locations