Combination Chemotherapy in Treating Young Patients With Langerhans Cell Histiocytosis

OBJECTIVES:

Primary

- Compare the efficacy, in terms of response to initial therapy, of prednisolone,
vinblastine, and mercaptopurine with vs without methotrexate and leucovorin calcium in
young patients with Langerhans cell histiocytosis.

- Compare the progression-free survival of patients with low-risk Langerhans cell
histiocytosis who responded to initial therapy who are then treated with 6-month vs
12-month continuation therapy comprising prednisolone and vinblastine.

Secondary

- Compare the acute and long-term toxicity and the incidence of permanent effects.

- Compare the overall and progression-free survival, response rate, and time until
response.

OUTLINE: This is a randomized, multicenter study with one pilot nonrandomized stratum.
Patients are stratified according to number of systems involved (multiple vs single) and
organs involved (at risk vs low risk).

- Stratum 1 (at risk patients): Patients are further stratified according to
participating center. Patients are randomized to 1 of 2 treatment arms (arms I and II).

- Arm I:

- Initial therapy: Patients receive oral prednisolone 3 times daily on days
1-28 followed by a taper on days 29-42 and vinblastine IV on days 1, 8, 15,
22, 29, and 36. Patients achieving nonactive disease (NAD) after course 1
proceed to continuation therapy. Patients achieving intermediate response or
disease regression receive a second course* of initial therapy. Patients
achieving NAD or disease regression after course 2 proceed to continuation
therapy.

- Continuation therapy: Patients receive oral mercaptopurine daily for 3 weeks,
pulsed oral prednisolone 3 times daily on days 1-5, and vinblastine IV on day
1. Treatment repeats every 3 weeks until day 365 from the beginning of
therapy in the absence of disease progression or unacceptable toxicity.

- Arm II:

- Initial therapy: Patients receive prednisone and vinblastine as in arm I
initial therapy. Patients also receive methotrexate IV over 24 hours on days
1, 15, and 29 and oral leucovorin calcium twice daily on days 2,16, and 30.
Patients achieving NAD after course 1 proceed to continuation therapy.
Patients achieving intermediate response or disease regression receive a
second course* of initial therapy. Patients achieving NAD or disease
regression after course 2 proceed to continuation therapy.

- Continuation therapy: Patients receive oral mercaptopurine daily for 3 weeks,
pulsed oral prednisolone 3 times daily on days 1-5, vinblastine IV on day 1,
and oral methotrexate on day 1. Treatment repeats every 3 weeks until day 365
from the beginning of therapy in the absence of disease progression or
unacceptable toxicity.

- Stratum 2 (low-risk patients): Patients are stratified according to age at diagnosis (≤
2 vs > 2) and participating center. Patients are randomized to 1 of 2 treatment arms
(arms III and IV) after the first course of initial therapy.

- Arm III:

- Initial therapy: Patients receive prednisolone and vinblastine as in course 1
of stratum 1 arm I initial therapy. Patients achieving NAD or disease
regression after course 1 proceed to continuation therapy. Patients achieving
intermediate or worse response receive a second course* of initial therapy.
Patients achieving NAD, disease regression, or intermediate response after
course 2 proceed to continuation therapy.

- Continuation therapy: Patients receive prednisolone and vinblastine as in
stratum 1 arm I continuation therapy. Treatment continues until day 182 from
the beginning of initial therapy in the absence of disease progression or
unacceptable toxicity.

- Arm IV:

- Initial therapy: Patients receive 1-2 courses of prednisolone and vinblastine
as in stratum 2 arm III.

- Continuation therapy: Patients receive pulsed prednisolone and vinblastine as
in stratum 1 arm I continuation therapy. Treatment continues until day 365
from the beginning of initial therapy in the absence of disease progression
or unacceptable toxicity.

- Stratum 3 (pilot study) (patients with multifocal bone disease and/or special sites):

- Initial therapy: Patients receive prednisolone and vinblastine as in stratum 1 arm
I initial therapy. Patients achieving NAD or disease regression after course 1
proceed to continuation therapy. Patients with disease progression receive a
second course* of initial therapy. Patients achieving NAD or disease regression
after course 2 proceed to continuation therapy.

- Continuation therapy: Patients receive pulsed prednisolone and vinblastine as in
stratum 1 arm I continuation therapy. Treatment continues until day 182 from the
beginning of initial therapy in the absence of disease progression or unacceptable
disease.

NOTE: *Patients receive oral prednisolone 3 times daily on days 43-45, 50-52, 57-59, 64-66,
71-73, and 78-80 only during the second course of initial therapy.

After completion of study treatment, patients are followed periodically for 5 years.

PROJECTED ACCRUAL: A total of 376 patients will be accrued for this study.

DISEASE CHARACTERISTICS:

- Histopathologically confirmed diagnosis of Langerhans cell histiocytosis according to
the criteria defined by the Histiocyte Society

- Demonstration of CD1a antigenic determinants on the surface of lesional cells
(by immunocytology or immunohistology) or Birbeck granules in lesional cells by
electron microscopy

- Considered at risk or low risk according to the following criteria:

- Multi-system at risk disease, defined as involvement of one or more risk organs
(i.e., hematopoietic system, liver, spleen, or lungs)

- No single-system lung involvement

- Multi-system low-risk disease

- Multiple organs involved but without involvement of risk organs

- Single-system disease

- Multifocal bone disease (i.e., lesions in 2 or more different bones)

- Localized special site involvement, such as CNS-risk lesions with
intracranial soft tissue extension or vertebral lesions with intraspinal
soft tissue extension

- Vault lesions are not regarded as CNS-risk lesions

PATIENT CHARACTERISTICS:

- Not pregnant or nursing

- Negative pregnancy test

- Fertile patients must use effective contraception

PRIOR CONCURRENT THERAPY:

- No prior treatment for Langerhans cell histiocytosis