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Last Modified: 4/24/2009     First Published: 3/1/2002  
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Phase II Study of Cyclosporine For Cytopenia in Patients With T-Cell Large Granular Lymphocytic Leukemia

Alternate Title
Basic Trial Information
Objectives
Entry Criteria
Expected Enrollment
Outcomes
Outline
Trial Contact Information
Registry Information

Alternate Title

Cyclosporine in Treating Patients With Low Blood Counts Caused By Hematologic Cancer

Basic Trial Information

PhaseTypeStatusAgeSponsorProtocol IDs
Phase IISupportive careActive18 and overNCICALGB-10003
NCT00031980

Objectives

  1. Determine the frequency of cytopenic response in patients with T-cell large granular lymphocytic leukemia treated with cyclosporine.

Entry Criteria

Disease Characteristics:

  • Diagnosis of T-cell large granular lymphocytic leukemia
    • Increased numbers of large granular lymphocytes in peripheral blood smears
    • CD3+CD8+CD57+ immunophenotype by flow cytometry

      AND

    • CD3+CD57+ cell count at least 2,000/mm3

      OR

    • CD3+CD57+ cell count at least 500/mm3 with clonal T-cell receptor beta gene rearrangement


  • Patients must have at least 1 of the following:
    • Severe neutropenia (absolute neutrophil count (ANC) less than 500/mm3)
    • Neutropenia (ANC less than 1,000/mm3) and recurrent infections
    • Anemia (hemoglobin less than 9 g/dL)
    • Thrombocytopenia (platelet count less than 50,000/mm3)


Prior/Concurrent Therapy:

Biologic therapy:

  • Not specified

Chemotherapy:

  • No concurrent chemotherapy

Endocrine therapy:

  • No concurrent hormonal therapy except steroids for adrenal failure or hormones for nondisease-related conditions (e.g., insulin for diabetes)
  • No concurrent dexamethasone or other steroidal antiemetics

Radiotherapy:

  • Not specified

Surgery:

  • Not specified

Other:

  • No prior cyclosporine therapy for this leukemia

Patient Characteristics:

Age:

  • 18 and over

Performance status:

  • NCI CTC 0-3

Life expectancy:

  • Not specified

Hematopoietic:

  • See Disease Characteristics

Hepatic:

  • Bilirubin no greater than 2 times upper limit of normal (ULN)

Renal:

  • Creatinine no greater than 2 times ULN

Other:

  • Not pregnant or nursing
  • Fertile patients must use effective contraception

Expected Enrollment

A total of 9-30 patients will be accrued for this study within 3 years.

Outcomes

Primary Outcome(s)

Frequency of cytopemic response

Outline

This is a multicenter study.

Patients receive oral cyclosporine every 12 hours. Treatment continues in the absence of disease progression or unacceptable toxicity.

Patients are followed every 4 months for 1 year and then every 6 months for 9 years.

Trial Contact Information

Trial Lead Organizations

Cancer and Leukemia Group B

Maria Baer, MD, Protocol chair
Ph: 410-328-8708; 800-888-8823

Trial Sites

U.S.A.
New York
  Buffalo
 Roswell Park Cancer Institute
 Clinical Trials Office - Roswell Park Cancer Institute
Ph: 877-275-7724

Registry Information
Official Title Phase II Study of Cyclosporine in T-Cell Large Granular Lymphocytic Leukemia
Trial Start Date 2002-03-15
Trial Completion Date 2005-05-23
Registered in ClinicalTrials.gov NCT00031980
Date Submitted to PDQ 2002-01-24
Information Last Verified 2008-05-09
NCI Grant/Contract Number CA31946

Note: The purpose of most clinical trials listed in this database is to test new cancer treatments, or new methods of diagnosing, screening, or preventing cancer. Because all potentially harmful side effects are not known before a trial is conducted, dose and schedule modifications may be required for participants if they develop side effects from the treatment or test. The therapy or test described in this clinical trial is intended for use by clinical oncologists in carefully structured settings, and may not prove to be more effective than standard treatment. A responsible investigator associated with this clinical trial should be consulted before using this protocol.

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