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Clinical Trials/NCT04216771
NCT04216771UnknownPhase 2

Randomized Comparison of Consolidation Treatment in Elderly Patients With Acute Myeloid Leukemia: Idarubicin (IDA) Combined With Intermediate-dose Cytarabine Versus Intermediate-dose Cytarabine Alone

Fujian Medical University1 site in 1 country320 target enrollmentStarted: January 2020Last updated:
Conditions
Interventions
Drugs

Trial Snapshot

Phase
Phase 2
Sponsor
Enrollment
320
Locations
1
Primary Endpoint
Relapse free survival

Study Overview

Brief Summary

This study evaluates Idarubicin (IDA) in combination with the intermediate-dose cytarabine, compared with intermediate-dose cytarabine alone, as a consolidation treatment for elderly AML in first remission.

Study Design

Study Type
Interventional
Allocation
Randomized
Intervention Model
Parallel
Primary Purpose
Treatment
Masking
None

Eligibility Criteria

Ages
60 Years to 75 Years (Adult, Older Adult)
Sex
All
Accepts Healthy Volunteers
No

Inclusion Criteria

  • Newly diagnosed de novo AML who achieved complete remission (CR), including CRi and CRp after a maximum number of 2 cycles of induction chemotherapy.
  • Histologically or morphologically confirmed diagnosis of AML except for AML M3 (acute promyelocytic leukemia)
  • No contraindication to anthracyclines : decompensated or uncontrolled heart failure, recent myocardial infarction, current signs of cardiac impairment, uncontrolled arrhythmias, LVEF (left ventricular ejection fraction) < 50%
  • Age ≥ 60 years and < 75 years
  • ECOG performance status ≤2
  • Written informed consent
  • No psychological, familial, social, or geographic reason that would compromise clinical follow up

Exclusion Criteria

  • Relapsed or refractory AML
  • Patients with acute promyelocytic leukemia (APL)
  • Patients with secondary type AML (post myelodysplastic syndrome MDS or therapy-related AML)
  • Severe pshyciatric or organic disorder, supposed to be independent from AML, that would contraindicate treatment
  • Subjects for which allogeneic HSCT is planned in CR1
  • Known allergic or hypersensitivity to idarubicin or cytarabine or to any of the test compounds, materials
  • Concurrent, uncontrolled medical condition, laboratory abnormality, or psychiatric illness which could place the subject at unacceptable risk
  • A co-morbid condition which, in the view of the Investigators, renders the subject at high risk from treatment complications

Arms & Interventions

IDA with ID Cytarabine

Experimental

Intervention: Idarubicin (Drug)

IDA with ID Cytarabine

Experimental

Intervention: ID cytarabine (Drug)

ID Cytarabine

Active Comparator

Intervention: ID cytarabine (Drug)

Outcomes

Primary Outcomes

Relapse free survival

Time Frame: 2 years

RFS

Secondary Outcomes

  • Overall survival(2 years)
  • Toxicities(enitire study course until 2 years)
  • Minimum Residual Disease(6, 9, 12,18 and 24 months)

Investigators

Sponsor
Fujian Medical University
Sponsor Class
Other
Responsible Party
Principal Investigator
Principal Investigator

Jianda Hu

Director of the department of Hematology

Fujian Medical University

Study Sites (1)

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