CClinicalTrials.gg
Status unknownNCT00025402Updated Dec 18, 2013

Chemotherapy and Biological Therapy With or Without Bone Marrow or Peripheral Stem Cell Transplant in Treating Patients With Chronic Myelogenous Leukemia

A Phase 3 interventional study of filgrastim and recombinant interferon alfa in Leukemia, sponsored by III. Medizinische Klinik Mannheim. Status unknown at 188 sites in 5 countries. Per ClinicalTrials.gov, last updated 2013-12-18.

Sponsored by III. Medizinische Klinik Mannheim · Phase 3, Interventional, and Treatment

The sponsor has not verified this record recently (last verified Jul 2002), so the status shown — last known as Active, not recruiting — may be out of date.
Phase
Phase 3
Study type
Interventional
Enrollment
1,000
Allocation
Randomized
Sex
All
01

Study summary

RATIONALE: Giving chemotherapy, such as hydroxyurea, cytarabine, idarubicin, and etoposide before a donor bone marrow transplant or stem cell transplant helps stop the growth of cancer cells. It also helps stop the patient's immune system from rejecting the donor's stem cells. Interferon alfa may interfere with the growth of cancer cells and slow the growth of cancer. When the healthy stem cells from a donor are infused into the patient they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets. It is not yet known whether chemotherapy is more effective with or without interferon alfa and/or bone marrow or stem cell transplant in treating patients with chronic myelogenous leukemia.

PURPOSE: This randomized phase III trial is studying chemotherapy and biological therapy to see how well it works compared with chemotherapy, biological therapy, and donor bone marrow transplant or autologous stem cell transplant in treating patients with chronic phase chronic myelogenous leukemia.

Read the detailed description

OBJECTIVES:

  • Compare survival in patients with chronic myelogenous leukemia in early chronic phase treated with allogeneic bone marrow transplantation vs drug treatment with or without autologous peripheral blood stem cell transplantation.
  • Compare survival of patients with late-phase disease treated with high-dose cytarabine vs low-dose cytarabine followed by autografting and interferon alfa maintenance.
  • Compare survival of patients not responding cytogenetically to treatment with continued interferon alfa vs hydroxyurea.
  • Determine frequency, time-point, and duration of hematological and cytogenetic remissions and of Philadelphia chromosome-negative and/or BCR-ABL-positive cells on the various treatments.
  • Correlate the quality of hematological and cytogenetic remissions with survival time in patients treated with these regimens.
  • Compare the course of the terminal phase in patients treated with these regimens.
  • Compare the toxic effects of these regimens in these patients.
  • Determine the effect of prognostic criteria and normal or subnormal WBC on chronic phase duration and survival time in patients treated with these regimens.
  • Compare the effect of early vs late high-dose therapy plus autografting on feasibility, toxicity, and survival times in these patients.

OUTLINE: This is a randomized, multicenter study. Patients are stratified according to eligibility for transplantation (yes vs no).

All patients undergo cytoreduction comprising hydroxyurea (HU) IV daily.

Patients who are ineligible for or refuse transplantation are randomized to 1 of 2 treatment arms.

  • Arm I: Patients receive interferon alfa (IFN) subcutaneously (SC) daily. After 2 weeks of IFN therapy, patients also receive low-dose cytarabine (ARA-C) SC once daily for 10-15 days each month. Patients who do not achieve cytogenetic remission within 12 months continue to receive HU.
  • Arm II: Patients receive IFN SC daily. After 2 weeks of IFN therapy, patients also receive low-dose ARA-C SC daily for 10-15 days each month. Patients who do not achieve cytogenetic remission within 12 months continue to receive IFN therapy SC daily.

Patients who are eligible for transplantation with a related donor undergo allogeneic bone marrow transplantation. Patients may receive HU or IFN prior to transplantation. Patients may also receive oral high-dose busulfan daily for 4 days with or without cyclophosphamide or cyclophosphamide with total body irradiation.

Patients who are eligible for transplantation but do not have a related donor undergo peripheral blood stem cell (PBSC) harvest and are randomized to 1 of 2 treatment arms.

  • Arm III: Patients receive IFN and low-dose ARA-C as in arm I. Patients who accelerate on treatment may undergo autologous PBSC transplantation.
  • Arm IV: Patients receive idarubicin IV, ARA-C IV over 2 hours, and etoposide IV on days 1-3. Patients then undergo leukapheresis. Beginning on day 8, patients receive filgrastim (G-CSF) SC daily until end of leukapheresis. Patients then receive oral high-dose busulfan daily for 4 consecutive days. The following day, patients undergo reinfusion of autologous PBSC. After blood count recovery, patients receive maintenance IFN 3 times weekly for 8 weeks and then daily.

Patients are followed every 3 months for 3 years and then every 6 months thereafter.

PROJECTED ACCRUAL: A total of 1,000 patients will be accrued for this study within 5 years.

02

Conditions studied

  • Leukemia

Keywords

  • chronic phase chronic myelogenous leukemia
  • chronic myelogenous leukemia, BCR-ABL1 positive
  • Philadelphia chromosome negative chronic myelogenous leukemia
  • childhood chronic myelogenous leukemia
  • atypical chronic myeloid leukemia, BCR-ABL1 negative
03

In context

Leukemia

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

This study's planned enrollment of 1,000 is above the median of 38 across 4,247 interventional studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

This is the only study on the registry with III. Medizinische Klinik Mannheim as lead sponsor.

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

04

Who can participate

Ages eligible
Child (0–17), Adult (18–64), Older adult (65+)
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

DISEASE CHARACTERISTICS:

  • Diagnosis of chronic myelogenous leukemia in chronic phase

    • Previously untreated
  • Patients negative for Philadelphia chromosome and BCR-ABL translocation must fulfill at least 1 of the following criteria:

    • Impaired health status with reduced exercise tolerance
    • Spleen-related symptoms in cases of splenomegaly
    • Weight loss greater than 10% in 6 months
    • Fever greater than 38.5 degrees C on 5 consecutive days
    • Clinically relevant bone pain
    • Leukocytosis greater than 5,000/mm\^3
    • Thrombocytosis greater than 100,000/mm\^3

PATIENT CHARACTERISTICS:

Age:

  • Any age

Performance status:

  • Not specified

Life expectancy:

  • Not specified

Hematopoietic:

  • See Disease Characteristics

Hepatic:

  • Not specified

Renal:

  • Not specified

Other:

  • No other concurrent malignancy that is likely to require treatment during study or that is likely to reduce life expectancy
  • No severe concurrent disease or other cause that would preclude study
  • Not pregnant

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No prior interferon

Chemotherapy:

  • No prior chemotherapy

Endocrine therapy:

  • Not specified

Radiotherapy:

  • No prior radiotherapy

Surgery:

  • Not specified
05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Enrollment
1,000 participants (estimated)

Interventions

  • Biologicalfilgrastim
  • Biologicalrecombinant interferon alfa
  • Drugbusulfan
  • Drugcyclophosphamide
  • Drugcytarabine
  • Drugetoposide
  • Drughydroxyurea
  • Drugidarubicin
  • Procedureallogeneic bone marrow transplantation
  • Procedureperipheral blood stem cell transplantation
  • Radiationradiation therapy
06

What researchers measure

Primary outcomes

  1. Survival

  2. Frequency, time-point, and duration of hematologic and cytogenetic remissions and of Philadelphia chromosome-negative and/or BCL-ABL-positive cells

  3. Correlation of quality of hematological and cytogenetic remission with survival time

  4. Course of the terminal phase

  5. Toxicity

  6. Effect of prognostic criteria and normal or subnormal WBC on chronic phase duration and survival time

  7. Effect of early vs late high-dose therapy and autografting on feasibility, toxicity and survival times

07

Study locations

188 sites
  • Masaryk University Hospital
    Brno, 62500, Czech Republic
  • Haematologisch Onkologische Praxis
    Aachen, D-52070, Germany
  • Kinderklinik - Universitaetsklinikum Aachen
    Aachen, D-52074, Germany
  • Urologische Klinik - Universitaetsklinikum Aachen
    Aachen, D-52074, Germany
  • Kreiskrankenhaus
    Aalen, 73430, Germany
  • Klinikum St. Marien
    Amberg, D-92224, Germany
  • Gemeinschaftspraxis Fuer Innere Medizin, Haematologie Und Internistische Onkologie
    Ansbach, 91522, Germany
  • II. Medizinische Klinik
    Aschaffenburg, RG 63739, Germany
  • Haematologische Praxis
    Augsburg, 86150, Germany
  • Klinikum Augsburg
    Augsburg, DOH-86156, Germany
  • Kreiskrankenhaus
    Bad Hersfeld, 36251, Germany
  • Krankenhaus Hohe Warte Mediziniche Klinik
    Bayreuth, 95445, Germany
  • St. Hedwig Kranken Haus
    Berlin, 10115, Germany
  • Tumorzentrum Berlin-Moabit
    Berlin, 10967, Germany
  • Wenckebach - Krankenhaus
    Berlin, 12099, Germany
  • Helios Klinikum Berlin
    Berlin, 13125, Germany
  • Haematologisch-Onkologische Schwerpunktpraxis
    Berlin, 13357, Germany
  • Charite - Campus Charite Mitte
    Berlin, D-10117, Germany
  • Onkolog - Haematolog Schwerpunktpraxis
    Berlin, D-10559, Germany
  • Krankenhaus Neukoelln
    Berlin, D-12313, Germany
  • Charite - Campus Virchow Klinikum
    Berlin, D-13353, Germany
  • Kinderklinik der Freier Universitaet Berlin
    Berlin, D-14059, Germany
  • Onkologische Schwerpunktpraxis Bielefeld
    Bielefeld, D-33602, Germany
  • Franziskus Hospital
    Bietigheim, 74321, Germany
  • Krankenhaus Bietigheim
    Bietigheim, 74321, Germany
  • Europahochhaus
    Bochum, 44787, Germany
  • Kreiskrankenhaus Boeblingen
    Boeblingen, 71032, Germany
  • Universitaetsklinikum Bonn
    Bonn, D-53105, Germany
  • Medizinische Poliklinik
    Bonn, D-53111, Germany
  • Marienhospital Bottrop gGmbH
    Bottrop, D-46236, Germany
  • Staedtisches Klinikum Braunschweig
    Braunschweig, D-38114, Germany
  • Klinikum Bremen-Mitte
    Bremen, D-28205, Germany
  • St. Joseph Hospital
    Bremerhaven, D-27568, Germany
  • Zentralkrankenhaus
    Bremerhaven, N 27574, Germany
  • Medizinische Klinik Am Lukas - Krankenhaus
    Buende, 32257, Germany
  • Klinikum Coburg
    Coburg, 96450, Germany
  • Praxis Gemeinschaft
    Cologne, D-50676, Germany
  • Praxis Fuer Haematologie Internistische Onkologie
    Cologne, D-50677, Germany
  • Medizinische Universitaetsklinik I at the University of Cologne
    Cologne, Germany
  • Onkologische Schwerpunktpraxis
    Cottbus, D-03046, Germany
  • Stadt. KH Dresden - Neustadt
    Dresden, 01129, Germany
  • Medizinische Klinik I
    Dresden, D-01307, Germany
  • Krankenhaus Dueren
    Dueren, 52351, Germany
  • Universitaetsklinikum Duesseldorf
    Duesseldorf, D-40225, Germany
  • Michael Schaefers und Partner
    Duisburg, D-47051, Germany
  • St. Johannes Hospital - Medical Klinik II
    Duisburg, D-47166, Germany
  • Hans - Susemihl - Krankenhaus
    Emden, 26721, Germany
  • Internistiche Praxis
    Erfurt, 99084, Germany
  • Klinikum Erfurt
    Erfurt, 99089, Germany
  • Praxis DR. J. Weniger
    Erfurt, D-99085, Germany
  • Onkologische Schwerpunkt Praxis
    Erlangen, D-91052, Germany
  • Medizinische Klinik III - Universitaetsklinikum Erlangen
    Erlangen, D-91054, Germany
  • St. Antonius Hospital
    Eschweiler, DOH-52249, Germany
  • Universitaetsklinikum Essen
    Essen, D-45122, Germany
  • Evangelisches Krankenhaus Essen Werden
    Essen, D-45239, Germany
  • Malteser Krankenhaus
    Flensburg, D-24939, Germany
  • Onkolog Gemeinschaftspraxis
    Frankfurt, 60389, Germany
  • Klinikum der J.W. Goethe Universitaet
    Frankfurt, D-60590, Germany
  • Universitaetsklinikum Freiburg
    Freiburg, D-79106, Germany
  • II Medizinische Klinik - Klinikum Fuerth
    Fuerth, D-90766, Germany
  • Kreiskrankenhaus Fuessen
    Fuessen, 87629, Germany
  • Klinikum Garmisch - Partenkirchen GmbH
    Garmisch-Partenkirchen, D-82467, Germany
  • Gemeinschaftspraxis Fuer Innere Medizin, Hematologie Und Onkologie
    Giessen, 35392, Germany
  • Klinik und Poliklinik fuer Urologie und Kinderurologie
    Giessen, D-35392, Germany
  • Klinik fuer Radioonkologie und Strahlentherapie
    Goeppingen, 73035, Germany
  • Universitaetsklinikum Goettingen
    Goettingen, D-37075, Germany
  • DR Herbert - Nieper Krankenhaus Goslar
    Goslar, 38642, Germany
  • Allgemeines Krankenhaus Hagen
    Hagen, D-58095, Germany
  • St. Marien Hospital - Katholisches Krankenhaus Hagen gGmbH
    Hagen, D-58095, Germany
  • Allgemeines Krankenhaus Altona
    Hamburg, 22763, Germany
  • Hermann - Holthusen Institute for Radiotherapy
    Hamburg, D-20099, Germany
  • Universitaetsklinikum Hamburg-Eppendorf
    Hamburg, D-20246, Germany
  • Onkologischer Schwerpunkt Lerchenfeld
    Hamburg, D-22081, Germany
  • Asklepios Klinik Barmbek
    Hamburg, D-22291, Germany
  • Haematologisch-Onkologische Praxis Altona
    Hamburg, D-22767, Germany
  • Evangelische Krankenhaus Hamm
    Hamm, D-59063, Germany
  • St. Marien-Hospital Hamm - Klinik Knappenstrasse
    Hamm, D-59071, Germany
  • Haematologie Und Internistische Onkologie
    Hanau, 63450, Germany
  • Krankenhaus Siloah - Medizinische Klinik II
    Hannover, D-30449, Germany
  • Medizinische Hochschule Hannover
    Hannover, D-30625, Germany
  • Medizinische Universitaetsklinik und Poliklinik
    Heidelberg, 69115, Germany
  • Klinikum Herford
    Herford, D-32049, Germany
  • Universitaetsklinikum des Saarlandes
    Homburg, 66424, Germany
  • Clinic for Bone Marrow Transplantation and Hematology and Oncology
    Idar-Oberstein, D-55743, Germany
  • Praxis am Evangelischen Krankenhaus Bethanien
    Iserlohn, D-58644, Germany
  • Klinikum der Friedrich-Schiller Universitaet Jena
    Jena, D-07740, Germany
  • Diakonissen - Krankenhaus
    Karlsruhe-Rueppur, 76199, Germany
  • Staedtisches Klinikum Karlsruhe gGmbH
    Karlsruhe, 76133, Germany
  • Gemeinschaftspraxis Brunoehler
    Karlsruhe, 76135, Germany
  • St. Vincentius-Kliniken
    Karlsruhe, D-76137, Germany
  • Klinikum Kassel
    Kassel, D-34125, Germany
  • Klinikum Kempten Oberallgaeu
    Kempten, D-87439, Germany
  • University Hospital Schleswig-Holstein - Kiel Campus
    Kiel, D-24105, Germany
  • Klinik Konstanz
    Konstanz, 78461, Germany
  • Haematologische / Onkologische Schwerpunktpraxis
    Krefeld, 47798, Germany
  • Klinikum Krefeld GmbH
    Krefeld, D-47805, Germany
  • Vinzentiuskrankenhaus
    Landau, D-76829, Germany
  • Caritas - Krakenhaus Lebach
    Lebach, 66822, Germany
  • Onkologische Schwerpunktpraxis - Leer
    Leer, D-26789, Germany
  • Klinikum Lippe - Lemgo
    Lemgo, D-32657, Germany

Showing the first 100 of 188 sites across 5 countries.

08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Dec 18, 2013, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00025402
Lead sponsor
III. Medizinische Klinik Mannheim
First posted
Jan 27, 2003
Start date
Jul 1997
Last update
Dec 18, 2013

Study contacts

Ruediger Hehlmann, MD
study chair · III. Medizinische Klinik Mannheim
View the source record on ClinicalTrials.gov ↗

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