Denileukine Diftitox for Relapsed ALCL
Withdrawn before enrolling · Phase 2
Conditions studied: Anaplastic Large-Cell Lymphoma
In brief
The purpose of this study is to determine is Denileukin diftitox will be safe, well tolerated and induce a significant overall response alone and in combination with chemotherapy: ifosfamide, carboplatin and etoposide (ICE) and will be safe and well tolerated in a population of children, adolescents and young adults with relapsed or refractory anaplastic large cell lymphoma (ALCL).
Key facts
- Study ID
- NCT00801918
- Run by
- Columbia University
- People needed
- 0
- Starts
- 2008-12-01
- Expected to finish
- 2012-06-01
- Last updated by the study team
- 2013-05-15
Who can join
Age: 2 and older, up to 24. Sex: any. Healthy volunteers: not accepted.
You may qualify if…
- Age: Patients must be ≥ 2.00 year and ≤ 24.99 years of age at the time of study entry.
- Diagnosis:
- Patients must have previous histologic verification of anaplastic large cell lymphoma (ALCL). Patients must be in first, second or third relapse or initial induction failure.
- Disease Status: Patients must have measurable radiographic disease.
- Performance Level: Karnofsky > 60% for patients > 16 years of age and Lansky > 60 for patients <16 years of age. Patients who are unable to walk because of paralysis, but who are up in a wheelchair, will be considered ambulatory for the purpose of assessing the performance score.
- Prior Therapy
- Patients must have fully recovered from the acute toxic effects of all prior chemotherapy, immunotherapy, or radiotherapy prior to entering this study. Patients who are post-allogeneic transplant should be off immunosuppressive agents prior to starting therapy. Steroid doses should also be stable or decreasing for at least 1 week prior to starting therapy.
- Myelosuppressive chemotherapy: Must not have received within 2 weeks of entry onto this study (6 weeks if prior nitrosourea).
- Biologic (anti-neoplastic agent): At least 7 days since the completion of therapy with a biologic agent. For agents that have known adverse events occurring beyond 7 days after administration, this period must be extended beyond the time during which adverse events are known to occur. These patients must be discussed with the Study Chair on a case-by-case basis.
- XRT: > 2 wks for local palliative XRT (small port); > 2 months must have elapsed if prior TBI, craniospinal XRT or if > 50% radiation of pelvis; > 6 wks must have elapsed if other substantial BM radiation.
- Stem Cell Transplant or Rescue: No evidence of active graft vs. host disease and > 2 months must have elapsed since SCT.
- Patients may not have received prior therapy with Denileukin Diftitox
- Organ Function Requirements
- Adequate Bone Marrow Function Defined As:
- For patients without bone marrow involvement:
- Peripheral absolute neutrophil count (ANC) > 1,000
- Platelet count > 100,000 (transfusion independent)
- Hemoglobin > 8.0 gm (RBC transfusion independent)
- For patients with bone marrow involvement:
- Peripheral absolute neutrophil count (ANC) > 1,0
- Platelet count > 20,000 (may receive platelet transfusions)
- Hemoglobin > 8.0 (may receive RBC transfusions)
- Adequate Renal Function Defined As:
- Creatinine clearance or radioisotope GFR 70mL/min/1.73m2
- OR
You may not qualify if…
- Patients must not be currently receiving another investigational drug.
- Patients must not be currently receiving other anti-cancer agents.
- Patients must have a negative pregnancy test and Nursing mothers must agree not to breast-feed.
- Patients who have a documented uncontrolled infection requiring IV antibiotics
- Patients with CNS disease are not eligible.
Where it is running
- Columbia University Medical Center — New York, New York, United States
Full record on ClinicalTrials.gov
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