A Phase 1 Study of Temsirolimus (CCI-779, IND# 61010) in Combination With Intensive Re-Induction Therapy for Children With Relapsed Acute Lymphoblastic Leukemia and Non-Hodgkin Lymphoma
PRIMARY OBJECTIVES:
I. To estimate the maximum-tolerated dose (MTD) and/or recommended phase 2 dose of
temsirolimus administered weekly for 3 doses in combination with intensive re-induction
chemotherapy in children with relapsed acute lymphoblastic leukemia (ALL) or non-Hodgkin
lymphoma (NHL).
II. To define and describe the toxicities of temsirolimus in combination with intensive
re-induction chemotherapy in children with relapsed ALL or NHL administered on this
schedule.
SECONDARY OBJECTIVES:
I. To compare minimal-residual disease (MRD) levels present at end of induction to
historical control in patients with relapsed ALL or NHL with bone marrow involvement of
disease.
II. To determine the complete remission (CR) rate in patients with ALL or NHL who receive
this regimen.
III. To evaluate responsiveness of patient ALL cells to mTOR inhibition using in vitro and
in vivo pharmacodynamic assessment of the response of ALL blasts to temsirolimus.
OUTLINE: This is a multicenter, dose-escalation study of temsirolimus.
Patients receive dexamethasone orally (PO) or IV on days 1-5 and 15-19; mitoxantrone
hydrochloride IV over 30 minutes on days 1-2; temsirolimus IV over 30 minutes on days 1 and
8; vincristine sulfate IV on days 1, 8, 15, and 22; and pegaspargase IV over 1 hour on days
3 and 17. Some patients may also receive methotrexate intrathecally (IT) up to 72 hours
prior to or on day 1 and on day 8.
Patients undergo blood and bone marrow collection at baseline, during, and after completion
of study for in vitro and in vivo pharmacodynamic studies.
After completion of study therapy, patients are followed up for 30 days.
Interventional
Endpoint Classification: Safety Study, Intervention Model: Single Group Assignment, Masking: Open Label, Primary Purpose: Treatment
MTD and/or recommended phase II dose of temsirolimus in combination with intensive re-induction chemotherapy, graded according to the National Cancer Institute Common Terminology Criteria for Adverse Events (NCI CTCAE) v4.0
A descriptive summary of all toxicities will be reported.
Up to day 36
Yes
Susan Rheingold
Principal Investigator
COG Phase I Consortium
United States: Food and Drug Administration
NCI-2011-02679
NCT01403415
September 2011
Name | Location |
---|---|
Baylor College of Medicine | Houston, Texas 77030 |
Children's Hospital of Philadelphia | Philadelphia, Pennsylvania 19104 |
University of Mississippi Medical Center | Jackson, Mississippi 39216-4505 |
Washington University School of Medicine | Saint Louis, Missouri 63110 |
Midwest Children's Cancer Center | Milwaukee, Wisconsin 53226 |
Children's National Medical Center | Washington, District of Columbia 20010-2970 |
University of Oklahoma Health Sciences Center | Oklahoma City, Oklahoma 73104 |
Children's Hospital Central California | Madera, California 93638-8762 |
Cincinnati Children's Hospital Medical Center | Cincinnati, Ohio 45229-3039 |
Rady Children's Hospital - San Diego | San Diego, California 92123-4282 |
Children's Hospitals and Clinics of Minnesota - Minneapolis | Minneapolis, Minnesota 55404 |
Nationwide Children's Hospital | Columbus, Ohio 43205-2696 |
Children's Hospital of Pittsburgh of UPMC | Pittsburgh, Pennsylvania 15213 |
University of Alabama at Birmingham | Birmingham, Alabama 35294-3300 |
Children's Hospital of Alabama | Birmingham, Alabama 35233 |
Vanderbilt University | Nashville, Tennessee 37232-6305 |
University of North Carolina | Chapel Hill, North Carolina 27599 |
Oregon Health and Science University | Portland, Oregon 97201 |
Childrens Memorial Hospital | Chicago, Illinois 60614 |
Columbia University Medical Center | New York, New York 10032 |
Children's Oncology Group | Arcadia, California 91006-3776 |
C S Mott Children's Hospital | Ann Arbor, Michigan 48109 |
Riley Hospital for Children | Indianapolis, Indiana 46202 |
Childrens Hospital of Orange County | Orange, California 92868-3874 |
Children's Healthcare of Atlanta - Egleston | Atlanta, Georgia 30322 |
The Childrens Mercy Hospital | Kansas City, Missouri 64108 |
University of California San Francisco Medical Center-Parnassus | San Francisco, California 94143 |