Combination Chemotherapy and Radiation Therapy in Treating Patients With Acute Lymphoblastic Leukemia That Has Relapsed in the CNS or Testes

NACompletedINTERVENTIONAL
Enrollment

168

Participants

Timeline

Start Date

November 30, 2004

Primary Completion Date

September 30, 2013

Conditions
Leukemia
Interventions
BIOLOGICAL

filgrastim

given subcutaneously (SC)

DRUG

cyclophosphamide

IV over 15-30 minutes

DRUG

cytarabine

IV over 3 hours twice daily

DRUG

daunorubicin hydrochloride

IV over 15 minutes

DRUG

dexamethasone

oral twice daily

DRUG

etoposide

IV over 1 hour

DRUG

leucovorin calcium

rescue IV over 24 hours

DRUG

mercaptopurine

oral

DRUG

methotrexate

intramuscularly (IM)

DRUG

pegaspargase

intramuscularly (IM)

DRUG

therapeutic hydrocortisone

DRUG

vincristine sulfate

given IV

RADIATION

radiation therapy

Patients with isolated testicular relapse will start Induction with a single dose of high-dose methotrexate (HDMTX) and will not receive either testicular or cranial radiation. Patients with isolated CNS relapse will NOT receive the initial dose of HDMTX prior to Induction, but will receive 1200 cGy of cranial radiation after completing the initial 12 months of intensive systemic chemotherapy.

Trial Locations (153)

1

Starship Children's Health, Auckland

1011

Swiss Pediatric Oncology Group Lausanne, Lausanne

1205

Swiss Pediatric Oncology Group Geneva, Geneva

3010

Swiss Pediatric Oncology Group Bern, Bern

6001

Princess Margaret Hospital for Children, Perth

8140

Christchurch Hospital, Christchurch

10016

NYU Cancer Institute at New York University Medical Center, New York

10032

Herbert Irving Comprehensive Cancer Center at Columbia University Medical Center, New York

10461

Albert Einstein Cancer Center at Albert Einstein College of Medicine, The Bronx

10595

New York Medical College, Valhalla

11040

Schneider Children's Hospital, New Hyde Park

11219

Maimonides Cancer Center at Maimonides Medical Center, Brooklyn

11501

Winthrop University Hospital, Mineola

13210

SUNY Upstate Medical University Hospital, Syracuse

14642

James P. Wilmot Cancer Center at University of Rochester Medical Center, Rochester

15213

Children's Hospital of Pittsburgh of UPMC, Pittsburgh

18017

Lehigh Valley Hospital - Muhlenberg, Bethlehem

19803

Alfred I. duPont Hospital for Children, Wilmington

21215

Alvin and Lois Lapidus Cancer Institute at Sinai Hospital, Baltimore

24014

Carilion Medical Center for Children at Roanoke Community Hospital, Roanoke

25302

West Virginia University Health Sciences Center - Charleston, Charleston

26506

Mary Babb Randolph Cancer Center at West Virginia University Hospitals, Morgantown

27710

Duke Comprehensive Cancer Center, Durham

29425

Hollings Cancer Center at Medical University of South Carolina, Charleston

29605

Greenville Hospital Cancer Center, Greenville

30322

AFLAC Cancer Center and Blood Disorders Service of Children's Healthcare of Atlanta - Egleston Campus, Atlanta

32207

Nemours Children's Clinic, Jacksonville

32504

Sacred Heart Cancer Center at Sacred Heart Hospital, Pensacola

32806

M.D. Anderson Cancer Center at Orlando, Orlando

Nemours Children's Clinic - Orlando, Orlando

33021

Memorial Cancer Institute at Memorial Regional Hospital, Hollywood

33136

University of Miami Sylvester Comprehensive Cancer Center - Miami, Miami

33155

Miami Children's Hospital, Miami

33176

Baptist-South Miami Regional Cancer Program, Miami

33316

Broward General Medical Center Cancer Center, Fort Lauderdale

33407

Kaplan Cancer Center at St. Mary's Medical Center, West Palm Beach

33607

St. Joseph's Cancer Institute at St. Joseph's Hospital, Tampa

33701

All Children's Hospital, St. Petersburg

33901

Lee Cancer Care of Lee Memorial Health System, Fort Myers

35294

UAB Comprehensive Cancer Center, Birmingham

37403

T.C. Thompson Children's Hospital, Chattanooga

37901

East Tennessee Children's Hospital, Knoxville

40232

Kosair Children's Hospital, Louisville

43614

Medical University of Ohio Cancer Center, Toledo

44195

Cleveland Clinic Taussig Cancer Center, Cleveland

44501

Tod Children's Hospital, Youngstown

46260

St. Vincent Indianapolis Hospital, Indianapolis

48236

Van Elslander Cancer Center at St. John Hospital and Medical Center, Grosse Pointe Woods

48503

Hurley Medical Center, Flint

48910

Breslin Cancer Center at Ingham Regional Medical Center, Lansing

50309

Blank Children's Hospital, Des Moines

53226

Midwest Children's Cancer Center at Children's Hospital of Wisconsin, Milwaukee

54449

Marshfield Clinic - Marshfield Center, Marshfield

54601

Gundersen Lutheran Center for Cancer and Blood, La Crosse

55404

Children's Hospitals and Clinics of Minnesota - Minneapolis, Minneapolis

55905

Mayo Clinic Cancer Center, Rochester

58122

CCOP - MeritCare Hospital, Fargo

60153

Cardinal Bernardin Cancer Center at Loyola University Medical Center, Maywood

60453

Keyser Family Cancer Center at Advocate Hope Children's Hospital, Oak Lawn

64108

Children's Mercy Hospital, Kansas City

65203

Ellis Fischel Cancer Center at University of Missouri - Columbia, Columbia

72205

Arkansas Cancer Research Center at University of Arkansas for Medical Sciences, Little Rock

73104

Oklahoma University Cancer Institute, Oklahoma City

75230

Medical City Dallas Hospital, Dallas

75390

Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas, Dallas

76104

Cook Children's Medical Center - Fort Worth, Fort Worth

78207

University of Texas Health Science Center at San Antonio, San Antonio

78411

Driscoll Children's Hospital, Corpus Christi

79106

Texas Tech University Health Sciences Center School of Medicine - Amarillo, Amarillo

80045

Children's Hospital Center for Cancer and Blood Disorders, Aurora

80218

Presbyterian - St. Luke's Medical Center, Denver

90027

Southern California Permanente Medical Group, Downey

Childrens Hospital Los Angeles, Los Angeles

90801

Jonathan Jaques Children's Cancer Center at Miller Children's Hospital, Long Beach

92354

Loma Linda University Cancer Institute at Loma Linda University Medical Center, Loma Linda

92868

Children's Hospital of Orange County, Orange

94115

UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco

94609

Children's Hospital and Research Center Oakland, Oakland

95798

Lucile Packard Children's Hospital at Stanford University Medical Center, Palo Alto

95816

Sutter Cancer Center, Sacramento

95825

Kaiser Permanente Medical Center - Oakland, Sacramento

96813

Cancer Research Center of Hawaii, Honolulu

97227

Legacy Emanuel Hospital and Health Center and Children's Hospital, Portland

85016-7710

Phoenix Children's Hospital, Phoenix

85724-5024

Arizona Cancer Center at University of Arizona Health Sciences Center, Tucson

91010-3000

City of Hope Comprehensive Cancer Center, Duarte

90095-1781

Jonsson Comprehensive Cancer Center at UCLA, Los Angeles

93638-8762

Children's Hospital Central California, Madera

06106

Connecticut Children's Medical Center, Hartford

20010-2970

Children's National Medical Center, Washington D.C.

32610-0232

University of Florida Shands Cancer Center, Gainesville

32803-1273

Florida Hospital Cancer Institute at Florida Hospital Orlando, Orlando

83712-6297

Mountain States Tumor Institute at St. Luke's Regional Medical Center, Boise

60612-7243

University of Illinois Cancer Center, Chicago

60068-1174

Advocate Lutheran General Cancer Care Center, Park Ridge

62794-9677

Simmons Cooper Cancer Institute, Springfield

46202-5289

Indiana University Melvin and Bren Simon Cancer Center, Indianapolis

52242-1002

Holden Comprehensive Cancer Center at University of Iowa, Iowa City

66160-7357

Kansas Masonic Cancer Research Institute at the University of Kansas Medical Center, Kansas City

40536-0093

Lucille P. Markey Cancer Center at University of Kentucky, Lexington

04401

CancerCare of Maine at Eastern Maine Medical Center, Bangor

02111

Floating Hospital for Children at Tufts - New England Medical Center, Boston

48109-0286

C.S. Mott Children's Hospital at University of Michigan Medical Center, Ann Arbor

48201-1379

Barbara Ann Karmanos Cancer Institute, Detroit

49503-2560

Butterworth Hospital at Spectrum Health, Grand Rapids

49007-5381

CCOP - Kalamazoo, Kalamazoo

39216-4505

University of Mississippi Cancer Clinic, Jackson

89109-2306

CCOP - Nevada Cancer Research Foundation, Las Vegas

03756-0002

Norris Cotton Cancer Center at Dartmouth-Hitchcock Medical Center, Lebanon

07601

Hackensack University Medical Center Cancer Center, Hackensack

07962

Overlook Hospital, Morristown

08901

Saint Peter's University Hospital, New Brunswick

08903

Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School, New Brunswick

07112

Newark Beth Israel Medical Center, Newark

07503

St. Joseph's Hospital and Medical Center, Paterson

87131-5636

University of New Mexico Cancer Center, Albuquerque

11201-5493

Brooklyn Hospital Center, Brooklyn

14263-0001

Roswell Park Cancer Institute, Buffalo

11794-9446

Stony Brook University Cancer Center, Stony Brook

28232-2861

Blumenthal Cancer Center at Carolinas Medical Center, Charlotte

28233-3549

Presbyterian Cancer Center at Presbyterian Hospital, Charlotte

27157-1096

Wake Forest University Comprehensive Cancer Center, Winston-Salem

44308-1062

Akron Children's Hospital, Akron

44106-5000

Rainbow Babies and Children's Hospital, Cleveland

43205-2696

Nationwide Children's Hospital, Columbus

45404-1815

Dayton Children's - Dayton, Dayton

97239-3098

Knight Cancer Institute at Oregon Health and Science University, Portland

17822-0001

Geisinger Cancer Institute at Geisinger Health, Danville

17033-0850

Penn State Children's Hospital, Hershey

19104-9786

Children's Hospital of Philadelphia, Philadelphia

19134-1095

St. Christopher's Hospital for Children, Philadelphia

02903

Rhode Island Hospital Comprehensive Cancer Center, Providence

57117-5039

Sanford Cancer Center at Sanford USD Medical Center, Sioux Falls

37232-6838

Vanderbilt-Ingram Cancer Center, Nashville

77030-2399

Baylor University Medical Center - Houston, Houston

78229-3993

Methodist Children's Hospital of South Texas, San Antonio

84113-1100

Primary Children's Medical Center, Salt Lake City

05401

Fletcher Allen Health Care - University Health Center Campus, Burlington

22042-3300

Inova Fairfax Hospital, Falls Church

99220-2555

Providence Cancer Center at Sacred Heart Medical Center, Spokane

54307-3508

St. Vincent Hospital Regional Cancer Center, Green Bay

T6G 1Z2

University of Alberta Hospital, Edmonton

V6H 3V4

Children's & Women's Hospital of British Columbia, Vancouver

R3E 0V9

CancerCare Manitoba, Winnipeg

A1B 3V6

Janeway Children's Health and Rehabilitation Centre, St. John's

B3J 3G9

IWK Health Centre, Halifax

L8N 3Z5

McMaster Children's Hospital at Hamilton Health Sciences, Hamilton

K7L 2V7

Cancer Centre of Southeastern Ontario at Kingston General Hospital, Kingston

K1H 8L1

Children's Hospital of Eastern Ontario, Ottawa

H3T 1C5

Hopital Sainte Justine, Montreal

S4T 7T1

Allan Blair Cancer Centre at Pasqua Hospital, Regina

S7N 4H4

Saskatoon Cancer Centre at the University of Saskatchewan, Saskatoon

G1V 4G2

Centre Hospitalier Universitaire de Quebec, Québec

All Listed Sponsors
collaborator

National Cancer Institute (NCI)

NIH

lead

Children's Oncology Group

NETWORK

NCT00096135 - Combination Chemotherapy and Radiation Therapy in Treating Patients With Acute Lymphoblastic Leukemia That Has Relapsed in the CNS or Testes | Biotech Hunter | Biotech Hunter