Cytarabine (Ara-C) in Children With Acute Promyelocytic Leukemia (APL)
NCT01191541 · Status: COMPLETED · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 65
Last updated 2021-08-10
Summary
Several groups, especially the PETHEMA group (in their LPA96 and 99 trials), obtained low relapse rates in newly diagnosed Acute Promyelocytic Leukemia (APL) patients by combining ll-transretinoic acid (ATRA) and anthracyclines without Ara-C, suggesting that avoiding Ara-C in the chemotherapy of APL reduced treatment toxicity without increasing relapses. While the relapse rate for the children with white blood cell(WBC) counts greater than 10×109/L at presentation were higher than those WBC counts less than 10×109/L (31% and 3.5%,respectively) in the LPA96 and 99 trials. A recent adult randomized trial show that avoiding Ara-C leads to an increased risk of relapse in the APL patients with WBC counts less than 10×109/L. The role of the Ara-C remains controversial. And there are very limited data reported on children with APL so far.
Conditions
Interventions
- DRUG
-
DNR:
DNR:45mg/m2 d1-3
- DRUG
-
Ara-c
DNR+ARA-C:DNR:45mg/m2 d1-3;Ara-C :1g/m2 d1-3
Sponsors & Collaborators
-
Xiaofan Zhu
lead UNKNOWN
Principal Investigators
-
Xiaofan Zhu, MD · Department of Pediatrics, CAMS&PUMC
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 1 Year
- Max Age
- 14 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-05-31
- Primary Completion
- 2017-02-28
- Completion
- 2017-02-28
Countries
- China
Study Locations
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