Tipifarnib in Treating Patients With Acute Myeloid Leukemia in Remission
Condition: Acute Myeloid Leukemia Arising From Previous Myelodysplastic Syndrome; Adult Acute Megakaryoblastic Leukemia; Adult Acute Monocytic Leukemia; Adult Acute Myeloid Leukemia in Remission; Adult Acute Myeloid Leukemia With Inv(16)(p13.1q22); CBFB-MYH11; Adult Acute Myeloid Leukemia With Maturation; Adult Acute Myeloid Leukemia With Minimal Differentiation; Adult Acute Myeloid Leukemia With t(16;16)(p13.1;q22); CBFB-MYH11; Adult Acute Myeloid Leukemia With t(8;21); (q22; q22.1); RUNX1-RUNX1T1; Adult Acute Myeloid Leukemia With t(9;11)(p22.3;q23.3); MLLT3-KMT2A; Adult Acute Myeloid Leukemia Without Maturation; Adult Acute Myelomonocytic Leukemia; Adult Erythroleukemia; Adult Pure Erythroid Leukemia; Alkylating Agent-Related Acute Myeloid Leukemia; Myelodysplastic Syndrome With Excess Blasts; Recurrent Adult Acute Myeloid Leukemia
MeSH terms: Leukemia; Leukemia, Myeloid; Leukemia, Myeloid, Acute; Preleukemia; Leukemia, Monocytic, Acute; Leukemia, Myelomonocytic, Acute; Leukemia, Megakaryoblastic, Acute; Leukemia, Erythroblastic, Acute; Myelodysplastic Syndromes; Anemia, Refractory, with Excess of Blasts; Syndrome
Intervention: Clinical Observation; Tipifarnib
Intervention description: Undergo observation; Given PO
Intervention MeSH terms: Tipifarnib
Phase: Phase 3
Study type: Interventional
Primary purpose: Treatment
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Enrollment: 144.0
Sex: All
Minimum age: 18 Years
Healthy volunteers: No

Summary:

      This randomized phase III trial studies tipifarnib in treating patients with acute myeloid
      leukemia (AML) in remission. Tipifarnib may stop the growth of cancer cells by blocking the
      enzymes necessary for their growth. It is not yet known whether tipifarnib is more effective
      than observation alone in preventing the recurrence of AML.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Patients eligible to enter this study must fall into one of these categories:

               -  Patients in first remission following primary induction failure

               -  Patients must have received at least two chemotherapy induction regimens

               -  Patients in second or subsequent remission

               -  Patients > 60 years old in first remission

          -  Patients must be in complete remission (CR) or morphologic remission (MR) by blood
             counts and bone marrow studies to enter the study

               -  Confirmatory bone marrow must be performed =< 2 weeks prior to randomization

          -  Patients must have morphologic proof (from bone marrow aspirate, smears or touch preps
             of marrow biopsy) that they had AML of one of the following types prior to achievement
             of CR/MR

               -  Acute myeloblastic leukemia, minimal differentiation (French-American-British
                  [FAB] M0)

               -  Acute myeloblastic leukemia without differentiation (FAB M1)

               -  Acute myeloblastic leukemia with maturation (FAB M2)

               -  Acute myelomonocytic leukemia (FAB M4)

               -  Acute monocytic leukemia (FAB M5)

               -  Acute erythroleukemia (FAB M6)

               -  Acute megakaryocytic leukemia (FAB M7)

               -  Refractory anemia with excess blasts in transformation (RAEB-T)

               -  AML by World Health Organization (WHO) criteria

               -  Acute myeloid leukemia with multilineage dysplasia

          -  Patients with acute promyelocytic leukemia (FAB M3) are not eligible

          -  Patients must be registered within 60 days of completion of therapy for the current
             remission; patients are eligible if they meet any of the criteria below:

               -  Within 60 days of remission (CR or MR) by peripheral blood counts following
                  induction therapy or

               -  Within 60 days of discharge from the hospital following induction therapy or

               -  Within 60 days of discharge from the hospital following post-remission therapy or

               -  Within 60 days of recovery of blood counts following last dose of chemotherapy

          -  All of the patients below are eligible for study entry:

               -  Patients who have received consolidation therapy

               -  Patients who have not received any consolidation or post remission therapy

               -  Patients who have had an autologous stem cell transplant

          -  Patients who have received an allogeneic transplant (bone marrow transplant [BMT] or
             peripheral stem cell transplant [PSCT]) in their current remission are ineligible;
             patients who have had an allogeneic transplant in a previous remission and are
             currently in remission after subsequent relapse are eligible

          -  Patients with a history of extramedullary disease are eligible if they are in complete
             remission at the time of study entry and no longer requiring therapy for their
             extramedullary disease

          -  Patients must not be pregnant or breast-feeding; all females of childbearing potential
             must have a blood test or urine study < 2 weeks prior to randomization to rule out
             pregnancy

          -  Women of childbearing potential and sexually active males are strongly advised to use
             an accepted and effective method of contraception

          -  Patients must not be known to have an allergy to imidazole drugs, such as clotrimazole
             ketoconazole, miconazole, econazole, or terconazole; this does not include
             fluconazole, voriconazole, or itraconazole

          -  Eastern Cooperative Oncology Group (ECOG) performance status of 0 - 2

          -  Patients must not have active cardiac or pulmonary disease; but patient will be
             eligible if disease is medically controlled

          -  Patients must not have active renal disease; creatinine must be =< 1.5 x upper limit
             of normal

          -  Patients must not have active hepatic disease; total or direct bilirubin must be < 2
             mg/dl

          -  Serum glutamic oxaloacetic transaminase (SGOT) (aspartate aminotransferase [AST]) and
             serum glutamate pyruvate transaminase (SGPT) (alanine aminotransferase [ALT]) must be
             =< 2.5 times the upper limit of normal

          -  Absolute neutrophil count (ANC) >= 1000/mm^3

          -  Platelet count >= 50,000/mm^3

          -  Patients must not be taking a hepatic enzyme-inducing anti-convulsant; a patient will
             not be eligible for the study if the patient is currently taking one of these agents
             and cannot be switched to a non-hepatic enzyme-inducing anti-convulsant