Role of the Therapy Tailored to Risk Factors in Treating Adult Patients (≤60) With Acute Myeloid Leukemia
NCT02072811 · Status: UNKNOWN · Phase: PHASE3 · Type: INTERVENTIONAL · Enrollment: 400
Last updated 2014-02-27
Summary
In view of the diversity of the biology of acute myeloid leukemia (AML) therapy in individual patients must be individualized. One of the tools for this is molecular-cytogenetic stratification. It divides patients into five categories (prognostic groups): Favorable, Intermediate-1, Intermediate-2, Adverse and Very adverse risk. After remission proceedings are tailored depending on prognostic determined groups.
Research of PALG group in the application in the second line regimen CLAG and CLAG-M proved high effectiveness of this treatment with low toxicity. Considering experience of PALG groups, it seems that the use of the schema CLAG early as the second induction therapy is a viable treatment option.
Conditions
Interventions
- DRUG
-
CLAG
* G-CSF 30MU sc, on 0-5 days * Mitoxantrone 10mg/m2 30 min infusion iv, on 1-3 days * Cladribine 5mg/m2 in 2h infusion iv, on 1-5 days * Ara-C 2000mg/m2 4h infusion iv, infusion start after 2h of Cladribine infusion end, on 1-5 day
- DRUG
-
Consolidation, I HAM cycle
* Ara-C 3g/m2; 3h infusion iv every 12h on 1,2,3 days * Mitoxantrone 10mg/m2; 0,5h infusion iv on 3,4,5 days
- DRUG
-
II Consolidation HiDAraC
• Ara-C 3g/m2 every 12h; 3h infusion iv on 1,3,5 days (+ mobilization of CD34+)
- DRUG
-
Consolidation, III HiDAraC cycle
* Ara-C 3g/m2 every 12h; 3h infusion iv on 1,3,5 days * 2-CdA 5 mg/m2 2h infusion iv on 1,3,5 days, 2h before Ara-C
- DRUG
-
DAC
* DNR 60 mg/m2 0,5h infusion iv on 1-3 days * 2-CdA 5 mg/m2 2h. infusion iv on 1-5 days * Ara-C 200 mg/m2 12h infusion iv 2h after end of infusion with 2CdA on 1-7 days
Sponsors & Collaborators
-
Polish Adult Leukemia Group
collaborator OTHER -
Copernicus Memorial Hospital
collaborator OTHER -
dr hab. n. med. Agnieszka Wierzbowska
lead OTHER
Study Design
- Allocation
- NON_RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 60 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2014-02-28
- Primary Completion
- 2018-02-28
- Completion
- 2018-02-28
Countries
- Poland
Study Locations
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