Non Hodgkin Lymphoma Clinical Trial
Interferon Alfa in Treating Children With HIV-Related Cancer
Summary
RATIONALE: Interferon alfa may interfere with the growth of cancer cells.
PURPOSE: Phase II trial to study the effectiveness of interferon alfa in treating children with an HIV-related cancer including leukemia, non-Hodgkin's lymphoma, CNS lymphoma, or other solid tumors.
Full Description
OBJECTIVES:
Determine the complete response rate and one-year disease free survival of pediatric patients with HIV-related malignancies treated with interferon alfa.
Determine the toxicity of interferon alfa alone and in combination with antiretroviral therapy in these patients.
OUTLINE:
Induction: Patients receive interferon alfa subcutaneously (SC) daily on days 1-14. Patients with advanced stage III or IV undifferentiated lymphomas or B-cell acute lymphoblastic leukemia also receive hydrocortisone intrathecally (IT) combined with cytarabine IT on day 14.
Maintenance: Patients with stable or responding disease after completion of induction receive interferon alfa SC 3 times a week beginning on week 1. Treatment continues for a minimum of 4-12 weeks in the absence of disease progression or unacceptable toxicity. Patients who received IT therapy during induction receive the same IT therapy at 4, 8, and 12 weeks and then every 8 weeks thereafter.
Patients are followed every 6 months for 4 years and then annually for survival until entry on another POG protocol.
PROJECTED ACCRUAL: A total of 14-30 evaluable patients will be accrued for this study within 4.2 years.
Eligibility Criteria
DISEASE CHARACTERISTICS:
Histologically proven malignancy diagnosed at any time following confirmation of HIV-positivity, including the following:
Leukemia
Non-Hodgkin's lymphoma
CNS lymphoma
Other solid tumors
Measurable disease
Concurrent registration on protocol POG-9182 required
Confirmed HIV-positive by POG-9182 criteria
Required biology studies completed
PATIENT CHARACTERISTICS:
Age:
21 and under
Performance status:
Not specified
Life expectancy:
More than 4 weeks
Hematopoietic:
Absolute neutrophil count at least 1,000/mm^3
Platelet count at least 100,000/mm^3 (unless bone marrow involvement present)
Hepatic:
See Disease Characteristics
Bilirubin less than 1.5 times normal
SGPT and SGOT less than 2 times normal (may discuss with Study Coordinator)
Renal:
Creatinine less than 1.5 mg/dL
Cardiovascular:
Adequate cardiac function by echocardiogram/MUGA scan
Other:
Chronically infected patients must be stable enough to meet life expectancy requirement
PRIOR CONCURRENT THERAPY:
Biologic therapy:
No prior interferon for cancer
Prior interferon alfa for viral infections (i.e., hepatitis) must be discussed with Study Coordinator
Chemotherapy:
At least 1 week since prior chemotherapy
Endocrine therapy:
Not specified
Radiotherapy:
At least 1 week since prior radiotherapy
Surgery:
Not specified
Other:
Prior antiretroviral therapy allowed
At least 1 week since prior acute treatment for any serious or life-threatening infection
No concurrent local treatment unless discussed with the Study Coordinator
No concurrent acute treatment for any serious or life-threatening infection
Concurrent antiretroviral therapy allowed
Check Your Eligibility
Let’s see if you might be eligible for this study.
What is your age and gender ?
There are 10 Locations for this study
Wichita Kansas, 67214, United States
New Orleans Louisiana, 70112, United States
Hackensack New Jersey, 07601, United States
Asheville North Carolina, 28801, United States
Dallas Texas, 75230, United States
Lackland Air Force Base Texas, 78236, United States
San Antonio Texas, 78284, United States
Montreal Quebec, H3H 1, Canada
San Juan , 00936, Puerto Rico
Geneva , 1211, Switzerland
How clear is this clinincal trial information?

Please confirm you are a US based health care provider:
Yes, I am a health care Provider No, I am not a health care providerSign Up Now.
Take Control of Your Disease Journey.
Sign up now for expert patient guides, personalized treatment options, and cutting-edge insights that can help you push for the best care plan.