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FLAMSA chemotherapy directly followed by donor stem cell transplantation in elderly patients with acute myeloid leukemia (AML) or high risk myelodysplasia (MDS)

Recruiting
Conditions
AML, acute myeloid leukemia, acute myeloide leukemie, MDS, myelodysplasia, myelodysplasie, allogeneic stem cell transplantation, allogene stamcel transplantatie, donor lymphocyte infusion, DLI, donor lymfocyten infusie.
Registration Number
NL-OMON22287
Lead Sponsor
eiden University Medical Center
Brief Summary

/A

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
Not specified
Target Recruitment
15
Inclusion Criteria

1. Patients with AML or high risk MDS (IPSS >= 1.5);

2. Not in remission after first intensive induction chemotherapy (morphologically > 5% blasts in bone marrow aspirate);

Exclusion Criteria

1. Previous autologous or allogeneic SCT;

2. Acute promyelocytic leukemia;

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
1. The number of patients eligible for DLI at 6 months after transplantation;<br /><br>2. Incidence of non-hematological grade 3-4 toxicity from the start of chemotherapy until 9 months after transplantation;<br /><br>3. Incidence of serious adverse events from the start of chemotherapy until 9 months after transplantation;<br /><br>4. Incidence of severe overall grade 3 or 4 acute GvHD and incidence of extensive chronic GvHD in the first 9 months after transplantation;<br /><br>5. Non-relapse mortality at 3 and 12 months after transplantation.
Secondary Outcome Measures
NameTimeMethod
1. One-year progression free survival after transplantation;<br /><br>2. One-year overall survival after transplantation;<br /><br>3. Quality of life at 3, 6 and 12 months after transplantation in comparison with quality of life at the start of therapy, as determined with the EORTC QLQ-C30 questionnaire.
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