About this trial
This phase II trial studies the side effects and how well combination chemotherapy and nelarabine work in treating patients with T-cell acute lymphoblastic leukemia or lymphoblastic lymphoma. Drugs used in chemotherapy, such as cyclophosphamide, vincristine, doxorubicin, dexamethasone, methotrexate, cytarabine, mercaptopurine, prednisone, pegaspargase, nelarabine, and venetoclax work in different ways to stop the growth of cancer cells, either by killing the cells, by stopping them from dividing, or by stopping them from spreading.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Previously untreated T cell ALL including T cell lymphoblastic lymphoma; failure to one induction course of chemotherapy are eligible; patients in CR after =< 2 courses are also eligible
Eastern Cooperative Oncology Group (ECOG) performance status less than or equal to 3
Serum bilirubin less than or equal to 2.0 mg/dL unless considered due to involvement by tumor when an upper limit of 5.0 mg/dL is acceptable
Serum glutamic oxaloacetic transaminase (SGOT) or serum glutamate pyruvate transaminase (SGPT) less than or equal to 4 x upper limit of normal (ULN)
Disqualifiers
Pregnant or nursing women
Trial design
Single group
Treatments tested in this trial
Cyclophosphamide
DrugGiven IV
Cytarabine
DrugGiven IV
Dexamethasone
DrugGiven IV or PO
Doxorubicin Hydrochloride
DrugGiven IV
Mercaptopurine
DrugGiven PO
Methotrexate
DrugGiven IV and PO
Nelarabine
DrugGiven IV
Pegaspargase
DrugGiven IV
Prednisone
DrugGiven PO
Venetoclax
DrugGiven PO
Vincristine Sulfate
DrugGiven IV
Treatment groups
Trial outcomes
Primary outcomes
Complete remission rate
The sample size will provide an estimate of relapse rate at 3 years with a 95% confidence interval of width +/- 10%.
Duration of remission
Duration of remission will be evaluated.
Progression-free survival
Progression-free survival will be estimated.
Overall survival
Overall survival will be estimated.
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
M.D. Anderson Cancer Center
Lead sponsor
National Cancer Institute (NCI)
Collaborator