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To examine the safety and tolerability of lenalidomide in combination with 5-azacitidine as maintenance therapy for Acute Myeloid Leukaemia (AML) in complete remission after intensive chemotherapy.

Phase 1
Completed
Conditions
Acute Myeloid Leukaemia in complete remission.
Blood - Haematological diseases
Cancer - Leukaemia - Acute leukaemia
Registration Number
ACTRN12611000110987
Lead Sponsor
Andrew Wei
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
30
Inclusion Criteria

Acute Myeloid Leukaemia (AML) patients in complete remission (CR) or complete remission with incomplete count recovery (CRi).
-Life expectancy greater than 3 months.
-Eastern cooperative oncology group (ECOG) status 0-3
-Blood electrolytes level within normal limits.
-Adequate renal functions.
-Adequate hepatic functions
-No uncontrolled active infection.
-Women of child bearing age must have a negative pregnancy test prior to start of study therapy, and she must agree to ongoing pregnancy tests.
-Male subjects must agree to use protection during sexual contact with a woman of child bearing potential. They must also agree not to donate semen during study drug therapy and for a period after study drug therapy.

Exclusion Criteria

-Any serious medical or psychiatric conditions.
-History of major non-compliance to medication.
-Evidence of Central Nervous System (CNS) leukemia.
-Uncontrolled viral infection with known Human Immunodeficiency Virus (HIV) or Hepatitis type B or C.
-Previous failure of response to azacitidine therapy.
-Currently active gastrointestinal disease.
-Any other concurrent severe and/or oncontrolled medical conditions.
-Female patients who are pregnant or breastfeeding and the lack of adequate contraception in females.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Maximal tolerated dose of lenalidomide in combination with a 5 day regimen of 5-azacitidine.[Assessed at Day 1-5, 12, 19 and 26 of each cycle.];Dose limiting toxicities of lenalidomide in combination with a 5 day regimen of 5-azacitidine.[Assessed at Day 1-5, 12, 19 and 26 of each cycle.]
Secondary Outcome Measures
NameTimeMethod
Adverse events as defined by type, frequency, severity, timing and relatedness of adverse events(AEs) of lenalidomide in combination with 5-azacitidine. AEs are assessed by Common Terminology Criteria for Adverse Events (CTCAE) by blood tests and medical consultations with patients.[For the duration the patient is on treatment plus one month follow up.];Treatment related mortality by weekly blood tests, consultations with a physician and data linkage to patient medical records.[As they occur during time patient is on trial and and for up to 12 months following study completion.];Laboratory assessments of haematology, coagulation, blood chemistry and vital signs.[Each cycle on day 1, 12, 19 and 26.]
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