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临床试验/NCT01064570
NCT01064570Unknown2 期

Guidelines for Treatment of Acute Promyelocytic Leukemia

Gruppo Italiano Malattie EMatologiche dell'Adulto5 个研究点 分布在 1 个国家目标入组 600 人开始时间: 2000年5月最近更新:
适应症
相关药物

试验速览

阶段
2 期
入组人数
600
试验地点
5
主要终点
Treatment-related toxicity event rate during the ATRA-including consolidation treatment

研究概览

简要总结

Prospective use of RT-PCR for PML/RARa might be used to guide a total tehrapy approach in APL, including refined diagnosis, front-line treatment, assessment of response and anticipated salvage therapy for patients who undergo molecular relapse.

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
1 Year 至 60 Years(Child, Adult)
性别
All
接受健康志愿者

入选标准

  • Age >= 1 years and < 61 years
  • Morphologic diagnosis of APL
  • Presence in leukemic cells at diagnosis of t(15;17), and/or PML/RARa rearrangement by RT-PCR. T
  • The presence of additional cytogenetic lesions is not considered an exclusion criterion
  • Serum creatinine <=2.5 mg/dL
  • Serum bilirubin, alkaline phosphatase, or GOT/ASAT <= 3 times the upper normal limit
  • Negative pregnancy test
  • Written informed consent

排除标准

  • Age >= 61 years
  • Prior antileukemic chemotherapy for APL
  • Absence of PML-RARa rearrangement after successful RNA extraction and amplification of control gene
  • Prior antileikemic chemotherapy for APL
  • Presence of a concomitant malignant neoplasm, except basal cell carcinoma Concurrent treatment with cytotoxic chemotherapy or radiotherapy
  • Oteher progressive malignant disease. However, secondary acute promyelocytic leukemia following "cured" Hodgkin's disease or otehr cured malignancies may be included, as well as secondary leukemias following other exposure to alkylating agents or radiation for other reasons

结局指标

主要结局

Treatment-related toxicity event rate during the ATRA-including consolidation treatment

时间窗: At the end of the study

次要结局

  • The overall toxicity of induction, consolidation, and maintenance chemotherapy in each risk group(At the end of the study)
  • The impact on survival of a "total" treatment approach for APL including molecular evaluation of minimal residual disease and salvage tehrapy administration at the time of molecular or hematological relapse(At the end of the study)
  • The rates of molecular remission, after consolidation, in each risk group(At the end of the study)
  • Event Free Survival, Molecular and Hematological Disease-Free and Overall Survival in each risk group(At the end of the study)
  • Induction morbidity and mortality after the inclusion of the prophylactic measures for the ATRA Syndrome and hemorrhagic complications(At the end of the study)

研究者

研究点 (5)

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