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临床试验/EUCTR2009-009457-13-DE
EUCTR2009-009457-13-DE进行中(未招募)1 期

A Phase I/II study of clofarabine in combination with cytarabine and liposomal daunorubicin in children with relapsed/refractory pediatric AML - CLARA-DNX

Erasmus MC0 个研究点目标入组 34 人开始时间: 2010年1月27日最近更新:
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试验速览

阶段
1 期
状态
进行中(未招募)
发起方
Erasmus MC
入组人数
34

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional clinical trial of medicinal product

入排标准

性别
All

入选标准

  • 2nd relapse of AML
  • refractory AML in 1st relapse (defined as = 20% blasts in the bone marrow after the 1st course of re-induction therapy according to the AML 2001/01 protocol)
  • 1st early relapse (relapse within one year from initial diagnosis) of AML (only when the Relapsed AML 2001/01 study is closed)
  • = 18 years old at initial diagnosis
  • Lansky play score > 60; or Karnofsky performance status > 60
  • Life expectancy > 6 weeks
  • Calculated creatinine clearance = 90 ml/min/1.73m2 as calculated by the Schwartz formula for estimated glomerular filtration rate (GFR) where GFR (ml/min/1.73 m2) = k*Height (cm)/serum creatinine (mg/dl). k is a proportionality constant which varies with age and is a function of urinary creatinine excretion per unit of body size; 0.45 up to 12 months of age; 0.55 children and adolescent girls; and 0.70 adolescent boys.
  • Liver function:
  • Serum bilirubin =1.5 × upper limit of normal (ULN)
  • Aspartate transaminase (AST)/alanine transaminase (ALT) >2.5 × ULN
  • Alkaline phosphatase > 2.5 × ULN
  • Able to comply with scheduled follow-up and with management of toxicity.
  • For female patients with childbearing potential, a negative test for pregnancy is to be considered before entry on study
  • Male and female patients must use an effective contraceptive method during the study and for a minimum of 6 months after study treatment.
  • Written informed consent from patients or from parents or legal guardians for minor patients, according to local law and regulations
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 39
  • F.1.2 Adults (18-64 years) yes
  • F.1.2.1 Number of subjects for this age range 10
  • F.1.3 Elderly (>=65 years) no
  • F.1.3.1 Number of subjects for this age range

排除标准

  • Isolated extramedullary relapse, including isolated CNS-relapse
  • Symptomatic CNS leukemia in case of combined relapse
  • Relapsed/refractory acute promyelocytic leukemia (APL)
  • Relapsed/refractory myeloid leukemia of Down Syndrome (ML DS)
  • Other serious illnesses or medical conditions
  • Current uncontrolled infection
  • Evidence of cardiac dysfunction (shortening fraction below 28%)
  • Pregnant or lactating patients
  • Prior or current history:
  • Use of any anticancer therapy within 2 weeks before study entry. The patient must have recovered from all acute toxicities from any previous therapy (note: hematological toxicities do not need to be considered since the patient has overt leukemia).
  • History of prior veno-occlusive disease (VOD)
  • Hypersensitivity to cytarabine, clofarabine or liposomal daunorubicin

研究者

发起方
Erasmus MC

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