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Post remission therapy with arsenic trioxide and gemtuzumab ozogamicin in acute promylocytic leukemia (JALSG APL212)

Phase 2
Conditions
Adult acute promylocytic leukemia
Registration Number
JPRN-jRCTs041180100
Lead Sponsor
Takeshita Akihiro
Brief Summary

We conducted a prospective study in newly diagnosed adult APL with a median follow-up of 6.5(0-9.3)years. Of 218 eligible patients who had received ATRA and chemotherapy, 202 (93%) achieved complete remission. Within 30 days after starting induction, 8 cases died. After 4 courses of consolidation with ATO and chemotherapy, 186 patients (85%) achieved molecular remission, and underwent maintenance with tamibarotene. Eleven cases relapsed. EFS was 88%. OS and RFS was 91% and 94%, respectively.

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete
Sex
All
Target Recruitment
218
Inclusion Criteria

1. Newly diagnosed APL (FAB: M3 or M3v)
2. Performance status (ECOG): 0-2
3. Adequate cardiac, pulmonary, hepatic and renal function
4. Written informed consent

Exclusion Criteria

1. History of myelodysplastic syndrome
2. Atypical acute leukemia
3. Uncontrollable infection
4. Severe co-morbidity
5. Positive anti-HIV antibody, HBs antigen or anti-HCV antibody
6. Other active neoplasm
7. Pregnant and/or lactating woman
8. Psychological disorders
9. Patients who have a difficulty to enter the study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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