SWOG clinical trial number
S0432

Phase II Studies of Two Different Schedules and Two Different Doses of the Farnesyl Transferase Inhibitor R115777 (Tipifarnib, Zarnestra�, NSC-702818)for Previously Untreated Acute Myeloid Leukemia (AML) in Patients of Age 70 or Older.

Closed
Phase
Accrual
100%
Published
Abbreviated Title
Phase II Previously Untreated AML in Patients of Age 70 or Older
Activated
09/15/2004
Closed
02/21/2006
Participants
NCORP, Members, Medical Oncologists, Pathologists, CTSU

Research committees

Leukemia

Treatment

R115777

Eligibility Criteria Expand/Collapse

Pts must have a morphologically confirmed diagnosis of AML with classification other than WHO Acute Promyelocytic Leukemia (FAB M3), based on bone marrow aspiration and biopsy performed within 14 days prior to registration. If a diagnostic biopsy has been performed within 28 days prior to registration, the marrow blast percentage is >/= 70%, and no potentially anti-leukemic therapy has been given in the interim, then this bone marrow examination may be used for registration purposes. Pts with WHO Acute Promyelocytic Leukemia (FAB M3) or blastic transformation of CML are not eligible. Pts must not be candidates for or must have refused standard AML cytotoxic chemotherapy regimens. Pts must have reached their 70th birthday. Pts must not have received prior systemic chemotherapy for acute leukemia with the exception of hydroxyurea. Pts must have a WBC less than or equal to 30,000/cmm within 1 day prior to registration. Administration of hydroxyurea to control high WBC count prior to, during and after registration is permitted. Pts with a history of prior MDS are eligible. Pts must have a bilirubin less than or equal to 1.5 x IULN, unless the elevation is due primarily to elevated unconjugated hyperbilirubinemia secondary to Gilbert's syndrome or hemolysis and not to liver dysfunction. Pts should also have a SGOT (AST) less than or equal to 2.5 x IULN, or SGPT (ALT) less than or equal to 2.5 x IULN, or both within 14 days prior to registration. Pts must have a serum creatinine less than or equal to 1.5 x IULN within 14 days prior to registration. Southwest Oncology Group pts must be registered on SWOG-9007 and must be offered participation in S9910. Pts of reproductive potential must have agreed to use an effective contraceptive method. Pts with a prior malignancy are eligible. However, the pt must have completed all chemotherapy and radiotherapy at least 6 months prior to study registration. There should be no plan to begin therapy for the prior malignancy at the time of study registration. Concurrent hormonal therapy is allowed. Pts who are expected to require treatment with enzyme inducing anti-epileptic drugs (EIAED) are not eligible for this study.

Publication Information Expand/Collapse

2023

Early Mortality Risk with Non-Intensive Acute Myeloid Leukemia (AML) Therapies: Analysis of 1,336 Patients from MRC/NCRI and SWOG

M Othus;I Thomas;X Wang;C Ariti;P Mehta;M Sydenham;R Hills;A Burnett;S Nand;S Assouline;L Michaelis;H Erba;N Russell;K Kerr;R Walter;M Dennis Leukemia and Lymphoma Jan;64(1):250-252

PMid: PMID36226777

2021

Prediction Of Early Mortality With Non-Intensive Acute Myeloid Leukemia (AML) Therapies: Analysis of 1336 Patients From MRC/NCRI and SWOG

X Wang;I Thomas;C Ariti;M Dennis;P Mehta;N Russell;M Sydenham;R Hills;A Burnett;S Nand;S Assouline;L Michaelis;H Erba;K Kerr;R Walter;M Othus American Society of Hematology (Dec 11-14, 2021, Atlanta, GA), oral, #220

2019

Allogeneic Hematopoietic Cell Transplantation Compared to Chemotherapy Consolidation in older Acute Myeloid Leukemia (AML) Patients 60-75 Years in First Complete Remission (CR1): An Alliance (A151509), SWOG, ECOG-ACRIN and CIBMTR Study

C Ustun;J Le-Rademacher;H-L Wang;M Othus;Z Sun;B Major;M-J Zhang;E Storrick;J Lafky;S Chow;K Mrozek;E Attar;C Bloomfield;L Cripe;M Tallman;F Appelbaum;S Nand;R Larson;G Marcucci;G Roboz;GL Uy;RM Stone;A Jatoi;T Shea;M di Lima;J Foran;B Sandmaier;M Litzow;H Erba;A Hurria;D Weisdorf;A Artz Leukemia Nov;33(11):2599-2609

PMid: PMID31073153 | PMC number: PMC6842042

2018

Comparable Outcomes of Patients Eligible versus Ineligible for SWOG Leukemia Studies

A Statler;M Othus;H Erba;T Chauncey;J Radich;S Coutre;A Advani;S Nand;F Ravandi;S Mukherjee;M Sekeres Blood Jun 21;131(25):2782-2788; Apr 4 [Epub ahead of print]

PMid: PMID29618479 | PMC number: PMC6014358

2016

Comparable outcomes of patients eligible versus ineligible for SWOG leukemia studies

A Statler;M Othus;H Erba;T Chauncey;J Radich;S Coutre;A Advani;S Nand;F Ravandi;S Mukherjee;M Sekeres Blood 128:4002; American Society of Hematology Annual Meeting (December 3-6, 2016, San Diego, CA), poster

2014

Four Different Regimens of Farnesyltransferase Inhibitor Tipifarnib in Older, Untreated Acute Myeloid Leukemia Patients: North American Intergroup Phase II study SWOG S0432

H Erba;M Othus;R Walter;M Kirschbaum;M Tallman;RA Larson;M Slovak;K Kopecky;H Gundacker;F Appelbaum Leukemia Research 38(3):329-333;

PMid: PMID24411921 | PMC number: PMC4247790

2013

Alteration of cytogenetic risk stratification in new diagnosis of leukemia by FISH testing - the SWOG experience

M Fang;S McDonough;M Othus;L Zhuo;D Roulston;H Erba;F Appelbaum Blood 122:1383; American Society of Hematology annual meeting (Dec 7-10, 2013, New Orleans, LA), poster;

2008

Phase II studies of different schedules and doses of the farnesyltransferase inhibitor tipifarnib (R11577, zarnestra) for patients age 70 or older with previously untreated acute myeloid leukemia (AML): North American Intergroup Study S0432.

HP Erba;KJ Kopecky;MH Kirschbaum;MS Tallman;RA Larson;CL Willman;ML Slovak;HM Gundacker;FR Appelbaum Annals of Hematology 87(Suppl.1):S57-S59

2007

Phase II studies of different schedules and doses of the farnesyl transferase inhibitor tipifarnib (R115777, Zarnestra, NSC-702818) for patients of age 70 or older with previously untreated acute myeloid leukemia (AML): A North American Intergroup study (S0432)

HP Erba;KJ Kopecky;MH Kirschbaum;MS Tallman;RA Larson;CL Willman;ML Slovak;HM Gundacker;FR Appelbaum Blood 110(11):#440