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CompletedNCT00023777Updated Mar 6, 2015

S0112 Cytarabine and Daunorubicin in Treating Older Patients With Acute Myeloid Leukemia

A Phase 2 interventional study of filgrastim and sargramostim in Leukemia, sponsored by SWOG Cancer Research Network. Completed at 98 sites in United States. Open to participants aged 56 Years and older. Per ClinicalTrials.gov, last updated 2015-03-06.

Sponsored by SWOG Cancer Research Network · Phase 2, Interventional, and Treatment

Phase
Phase 2
Study type
Interventional
Enrollment
71
Allocation
Non-randomized
Ages
56 Years and older
Sex
All
01

Study summary

RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells.

PURPOSE: Phase II trial to study the effectiveness of combining cytarabine and daunorubicin in treating older patients who have acute myeloid leukemia that has not been previously treated.

Read the detailed description

OBJECTIVES:

  • Determine the efficacy of cytarabine and daunorubicin as induction chemotherapy in older patients with previously untreated non-M3 acute myeloid leukemia.
  • Determine the frequency and severity of toxic effects of this regimen in these patients.

OUTLINE: This is a multicenter study.

Patients receive induction chemotherapy comprising daunorubicin IV continuously over days 1-3 and cytarabine IV continuously over days 1-7. Patients may be treated with a second course of induction chemotherapy beginning on day 19 if remission is not achieved at that time. Patients also receive filgrastim (G-CSF) or sargramostim (GM-CSF) IV or subcutaneously daily beginning on day 15 and continuing until blood counts recover.

Patients who achieve remission after the first or second course of induction chemotherapy receive consolidation chemotherapy comprising daunorubicin IV continuously over days 1 and 2 and cytarabine IV continuously over days 1-5. Beginning no earlier than day 19, patients receive a second course of consolidation chemotherapy.

Patients are followed every 3 months for 1 year, every 6 months for 1 year, and then annually for 3 years.

PROJECTED ACCRUAL: Approximately 30-55 patients will be accrued for this study within 8-9 months.

02

Conditions studied

  • Leukemia

Keywords

  • untreated adult acute myeloid leukemia
  • adult acute erythroid leukemia (M6)
  • adult acute myeloblastic leukemia without maturation (M1)
  • adult acute myeloblastic leukemia with maturation (M2)
  • adult acute myelomonocytic leukemia (M4)
  • adult acute monoblastic leukemia (M5a)
  • adult acute eosinophilic leukemia
  • adult acute basophilic leukemia
  • adult acute megakaryoblastic leukemia (M7)
  • adult acute monocytic leukemia (M5b)
  • adult acute minimally differentiated myeloid leukemia (M0)
03

In context

Leukemia

5,441 studies on the registry are indexed under Leukemia; 636 are open to participants now.

This study's enrollment of 71 is above the median of 38 across 4,247 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

SWOG Cancer Research Network is the lead sponsor of 328 studies on the registry; 37 are open to participants now.

Of its 17 completed or terminated interventional studies of FDA-regulated products, 17 (100%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
56 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed acute myeloid leukemia (AML)

    • No M3 AML or blastic transformation of chronic myelogenous leukemia
  • Must be enrolled on SWOG-9007 and S9910 protocols

PATIENT CHARACTERISTICS:

Age:

  • 56 and over

Performance status:

  • Zubrod 0-3

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Bilirubin no greater than 2 times upper limit of normal (ULN)
  • SGOT or SGPT no greater than 4 times ULN

Renal:

  • Creatinine no greater than 1.5 times ULN OR
  • Creatinine clearance greater than 40 mL/min

Cardiovascular:

  • LVEF at least 50% by MUGA scan or 2-dimensional echocardiogram
  • No unstable cardiac arrhythmias
  • No unstable angina

Other:

  • Not pregnant or nursing
  • Fertile patients must use effective contraception
  • No other prior malignancy within the past 5 years except adequately treated basal cell or squamous cell skin cancer, carcinoma in situ of the cervix, or other adequately treated stage I or II cancer in complete remission

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • Not specified

Chemotherapy:

  • No prior systemic chemotherapy for acute leukemia
  • Prior hydroxyurea to control high cell counts allowed
  • Prior low-dose cytarabine (less than 100 mg/m\^2/day) for treatment of myelodysplastic syndrome allowed
  • At least 30 days since prior chemotherapy and recovered
  • Concurrent single-dose intrathecal chemotherapy allowed

Endocrine therapy:

  • Not specified

Radiotherapy:

  • Not specified

Surgery:

  • Not specified
05

Study design

Phase
Phase 2
Primary purpose
Treatment
Allocation
Non-randomized
Intervention model
Single group
Masking
None (open label)
Enrollment
71 participants (actual)

Interventions

  • Biologicalfilgrastim

    induction: 5 mcg/kg/d IV or SC starting apx day 15

  • Biologicalsargramostim

    induction: 250 mcg/m2/d IV or SC starting apx day 1

  • Drugcytarabine

    ind: 200 mg/m2/d continuous IV days 1-7 consol: 200 mg/m2/d continuous IV days 1-5

  • Drugdaunorubicin hydrochloride

    ind and consol: 45 mg/m2/d continuous IV days 1-3

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What researchers measure

Primary outcomes

  1. CR

    Time frame: After induction therapy is completed

07

Study locations

98 sites
  • MBCCOP - Gulf Coast
    Mobile, Alabama 36688, United States
  • CCOP - Greater Phoenix
    Phoenix, Arizona 85006-2726, United States
  • Veterans Affairs Medical Center - Phoenix (Carl T. Hayden)
    Phoenix, Arizona 85012, United States
  • Veterans Affairs Medical Center - Tucson
    Tucson, Arizona 85723, United States
  • Arizona Cancer Center
    Tucson, Arizona 85724, United States
  • University of Arkansas for Medical Sciences
    Little Rock, Arkansas 72205, United States
  • Veterans Affairs Medical Center - Little Rock (McClellan)
    Little Rock, Arkansas 72205, United States
  • City of Hope Comprehensive Cancer Center
    Duarte, California 91010, United States
  • USC/Norris Comprehensive Cancer Center and Hospital
    Los Angeles, California 90033-0804, United States
  • Veterans Affairs Medical Center - West Los Angeles
    Los Angeles, California 90073, United States
  • Jonsson Comprehensive Cancer Center, UCLA
    Los Angeles, California 90095-1781, United States
  • Veterans Affairs Outpatient Clinic - Martinez
    Martinez, California 94553, United States
  • CCOP - Bay Area Tumor Institute
    Oakland, California 94609-3305, United States
  • Chao Family Comprehensive Cancer Center
    Orange, California 92868, United States
  • University of California Davis Medical Center
    Sacramento, California 95817, United States
  • CCOP - Santa Rosa Memorial Hospital
    Santa Rosa, California 95403, United States
  • David Grant Medical Center
    Travis Air Force Base, California 94535, United States
  • University of Colorado Cancer Center
    Denver, Colorado 80010, United States
  • Veterans Affairs Medical Center - Denver
    Denver, Colorado 80220, United States
  • MBCCOP - Howard University Cancer Center
    Washington, District of Columbia 20060, United States
  • CCOP - Atlanta Regional
    Atlanta, Georgia 30342-1701, United States
  • Dwight David Eisenhower Army Medical Center
    Fort Gordon, Georgia 30905-5650, United States
  • Cancer Research Center of Hawaii
    Honolulu, Hawaii 96813-2424, United States
  • Tripler Army Medical Center
    Honolulu, Hawaii 96859-5000, United States
  • MBCCOP - University of Illinois at Chicago
    Chicago, Illinois 60612-7323, United States
  • Veterans Affairs Medical Center - Chicago (Westside Hospital)
    Chicago, Illinois 60612, United States
  • CCOP - Central Illinois
    Decatur, Illinois 62526, United States
  • Veterans Affairs Medical Center - Hines (Hines Junior VA Hospital)
    Hines, Illinois 60141, United States
  • Loyola University Medical Center
    Maywood, Illinois 60153-5500, United States
  • University of Kansas Medical Center
    Kansas City, Kansas 66160-7353, United States
  • CCOP - Wichita
    Wichita, Kansas 67214-3882, United States
  • Veterans Affairs Medical Center - Wichita
    Wichita, Kansas 67218, United States
  • Veterans Affairs Medical Center - Lexington
    Lexington, Kentucky 40502-2236, United States
  • Albert B. Chandler Medical Center, University of Kentucky
    Lexington, Kentucky 40536-0084, United States
  • MBCCOP - LSU Medical Center
    New Orleans, Louisiana 70112, United States
  • Tulane University School of Medicine
    New Orleans, Louisiana 70112, United States
  • Veterans Affairs Medical Center - New Orleans
    New Orleans, Louisiana 70112, United States
  • Louisiana State University Health Sciences Center - Shreveport
    Shreveport, Louisiana 71130-3932, United States
  • Veterans Affairs Medical Center - Shreveport
    Shreveport, Louisiana 71130, United States
  • Boston Medical Center
    Boston, Massachusetts 02118, United States
  • Veterans Affairs Medical Center - Boston (Jamaica Plain)
    Jamaica Plain, Massachusetts 02130, United States
  • Veterans Affairs Medical Center - Ann Arbor
    Ann Arbor, Michigan 48105, United States
  • CCOP - Ann Arbor Regional
    Ann Arbor, Michigan 48106, United States
  • University of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109-0912, United States
  • Barbara Ann Karmanos Cancer Institute
    Detroit, Michigan 48201-1379, United States
  • Veterans Affairs Medical Center - Detroit
    Detroit, Michigan 48201-1932, United States
  • Henry Ford Hospital
    Detroit, Michigan 48202, United States
  • CCOP - Grand Rapids
    Grand Rapids, Michigan 49503, United States
  • CCOP - Beaumont
    Royal Oak, Michigan 48073-6769, United States
  • Providence Hospital - Southfield
    Southfield, Michigan 48075-9975, United States
  • CCOP - Duluth
    Duluth, Minnesota 55805, United States
  • Veterans Affairs Medical Center - Biloxi
    Biloxi, Mississippi 39531-2410, United States
  • University of Mississippi Medical Center
    Jackson, Mississippi 39216-4505, United States
  • Veterans Affairs Medical Center - Jackson
    Jackson, Mississippi 39216, United States
  • Keesler Medical Center - Keesler AFB
    Keesler AFB, Mississippi 39534-2576, United States
  • Veterans Affairs Medical Center - Kansas City
    Kansas City, Missouri 64128, United States
  • CCOP - Kansas City
    Kansas City, Missouri 64131, United States
  • St. Louis University Health Sciences Center
    Saint Louis, Missouri 63110, United States
  • CCOP - St. Louis-Cape Girardeau
    Saint Louis, Missouri 63141, United States
  • CCOP - Cancer Research for the Ozarks
    Springfield, Missouri 65807, United States
  • CCOP - Montana Cancer Consortium
    Billings, Montana 59101, United States
  • Veterans Affairs Medical Center - Albuquerque
    Albuquerque, New Mexico 87108-5138, United States
  • MBCCOP - University of New Mexico HSC
    Albuquerque, New Mexico 87131, United States
  • Veterans Affairs Medical Center - Albany
    Albany, New York 12208, United States
  • Herbert Irving Comprehensive Cancer Center
    New York, New York 10032, United States
  • University of Rochester Medical Center
    Rochester, New York 14642, United States
  • CCOP - Southeast Cancer Control Consortium
    Winston-Salem, North Carolina 27104-4241, United States
  • Veterans Affairs Medical Center - Cincinnati
    Cincinnati, Ohio 45220-2288, United States
  • Barrett Cancer Center
    Cincinnati, Ohio 45267-0501, United States
  • Cleveland Clinic Taussig Cancer Center
    Cleveland, Ohio 44195-9001, United States
  • CCOP - Columbus
    Columbus, Ohio 43206, United States
  • Arthur G. James Cancer Hospital - Ohio State University
    Columbus, Ohio 43210-1240, United States
  • Veterans Affairs Medical Center - Dayton
    Dayton, Ohio 45428, United States
  • CCOP - Dayton
    Kettering, Ohio 45429, United States
  • Oklahoma Medical Research Foundation
    Oklahoma City, Oklahoma 73104, United States
  • Veterans Affairs Medical Center - Oklahoma City
    Oklahoma City, Oklahoma 73104, United States
  • Veterans Affairs Medical Center - Portland
    Portland, Oregon 97207, United States
  • CCOP - Columbia River Program
    Portland, Oregon 97225, United States
  • Oregon Cancer Institute
    Portland, Oregon 97239, United States
  • Veterans Affairs Medical Center - Charleston
    Charleston, South Carolina 29401-5799, United States
  • Medical University of South Carolina
    Charleston, South Carolina 29425-0721, United States
  • CCOP - Greenville
    Greenville, South Carolina 29615, United States
  • CCOP - Upstate Carolina
    Spartanburg, South Carolina 29303, United States
  • Brooke Army Medical Center
    Fort Sam Houston, Texas 78234-6200, United States
  • University of Texas Medical Branch
    Galveston, Texas 77555-0565, United States
  • Veterans Affairs Medical Center - Houston
    Houston, Texas 77030, United States
  • University of Texas Health Science Center at San Antonio
    San Antonio, Texas 78284-7845, United States
  • Veterans Affairs Medical Center - San Antonio (Murphy)
    San Antonio, Texas 78284, United States
  • Veterans Affairs Medical Center - Temple
    Temple, Texas 76504, United States
  • CCOP - Scott and White Hospital
    Temple, Texas 76508, United States
  • Huntsman Cancer Institute
    Salt Lake City, Utah 84112-5550, United States
  • Veterans Affairs Medical Center - Salt Lake City
    Salt Lake City, Utah 84148, United States
  • CCOP - Virginia Mason Research Center
    Seattle, Washington 98101, United States
  • Swedish Cancer Institute
    Seattle, Washington 98104, United States
  • Veterans Affairs Medical Center - Seattle
    Seattle, Washington 98108, United States
  • University of Washington School of Medicine
    Seattle, Washington 98195, United States
  • CCOP - Northwest
    Tacoma, Washington 98405-0986, United States
  • Madigan Army Medical Center
    Tacoma, Washington 98431-5000, United States
08

References and documents

Publications

  • Appelbaum FR, Gundacker H, Head DR, Slovak ML, Willman CL, Godwin JE, Anderson JE, Petersdorf SH. Age and acute myeloid leukemia. Blood. 2006 May 1;107(9):3481-5. doi: 10.1182/blood-2005-09-3724. Epub 2006 Feb 2. PubMed 16455952 ↗
  • Medeiros BC, Othus M, Fang M, Appelbaum FR, Erba HP. Cytogenetic heterogeneity negatively impacts outcomes in patients with acute myeloid leukemia. Haematologica. 2015 Mar;100(3):331-5. doi: 10.3324/haematol.2014.117267. Epub 2014 Dec 19. PubMed 25527568 ↗
  • Medeiros BC, Othus M, Estey EH, Fang M, Appelbaum FR. Unsuccessful diagnostic cytogenetic analysis is a poor prognostic feature in acute myeloid leukaemia. Br J Haematol. 2014 Jan;164(2):245-50. doi: 10.1111/bjh.12625. Epub 2013 Oct 28. PubMed 24383844 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Mar 6, 2015, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00023777
Lead sponsor
SWOG Cancer Research Network
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Jan 27, 2003
Start date
Aug 2001
Primary completion
Jun 2003
Completion
Apr 2008
Last update
Mar 6, 2015

Study contacts

Thomas R. Chauncey, MD, PhD
study chair · University of Washington
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Mar 2015. You cannot join it, but the record below documents what was studied.

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