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临床试验/EUCTR2021-003282-36-FI
EUCTR2021-003282-36-FI进行中(未招募)1 期

A Randomized, Multi-Center Phase III Trial comparing two conditioning regimens (CloFluBu and BuCyMel) in children with Acute Myeloid Leukemia undergoing allogeneic stem cell transplantation. - SCRIPT-AM

Västra Götalands Regionen0 个研究点目标入组 230 人开始时间: 2022年10月17日最近更新:
适应症
相关药物

试验速览

阶段
1 期
状态
进行中(未招募)
发起方
入组人数
230

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • Inclusion criteria for randomization part of the study
  • - Age =18 years at time of initial AML, age = 21 years at transplantation.
  • -All women of childbearing potential who have to have a negative pregnancy test within 2 weeks prior to the start of treatment.
  • - Signed informed consent.
  • - Any relapsed AML after initial treatment according to a defined international AML protocol. (NOPHO-DBH AML 2012/new protocol), OR AML in first remission with transplant indications and treatment according to national AML protocol (NOPHO-DBH AML 2012 or new protocol).
  • - In hematological remission, defined as
  • o < 5 % leukemic blasts confirmed by flow cytometry in a bone marrow sample taken =14 days prior to start of conditioning and
  • o no evidence of extramedullary disease, including in CNS and
  • o no leukemic blasts in the peripheral blood (verified by flow cytometry in case immature cells are detected in the peripheral blood differential).
  • - Patients must have a related or unrelated donor fulfilling any of the following criteria
  • o HLA 10/10 allelic matched, identical, sibling BM donor or
  • o HLA 10/10 or 9/10 allelic matched related/unrelated BM or PBSC donor or
  • o HLA 5-6/6 unrelated or 6-7-8/8 unrelated Cord Blood (UCB)
  • - HCT is performed in a study participating center.
  • 7.2 Inclusion criteria for observation/registration only
  • - Diagnosis of Acute Myeloid Leukemia (AML).
  • - Indication for allogeneic stem cell transplantation, as defined by primary treatment protocol or treating physician.
  • - Age =18 years at time of initial AML, age = 21 years at transplantation.
  • - HCT is performed in a study participating center.
  • - Not eligible for randomization, either due to lack of consent or not fulfilling inclusion criteria for interventional part of the study.
  • - Signed informed consent to prospectively register follow-up data.
  • Are the trial subjects under 18? yes
  • Number of subjects for this age range: 170
  • 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

  • Exclusion criteria for the randomization part of the study
  • Patients are excluded from the randomization part of the study if any of the criteria below are present:
  • - Diagnosis of Myelodysplastic syndrome (MDS).
  • - Diagnosis of Juvenile myelomonocytic leukemia (JMML).
  • - History of previous malignancy (AML diagnosed as secondary cancer).
  • - Known diagnosis of Fanconi anemia.
  • - Prior autologous or allogeneic hematopoietic stem cell transplant.
  • - Planned prophylactic DLI or other immunotherapy interventions after HCT that are not included in the upfront protocol,
  • - Planned anti-leukemic medication after HCT that are not included in the upfront protocol
  • - Known intolerance to any of the chemotherapeutic drugs in the protocol.
  • - Major organ failure precluding administration of planned chemotherapy.
  • - Patients with uncontrolled bacterial, viral or fungal infections (currently taking medication and with progression or no clinical improvement) at time of enrollment.
  • - Severe concomitant disease that does not allow treatment according to the protocol at the investigator’s discretion; e.g. malformation syndromes, cardiac malformations, metabolic disorders, renal impairment (<30% of normal glomerular filtration rate), severe pulmonary, hepatic or cardiac impairment due to toxicity or infection.
  • - Karnofsky / Lansky score < 50%
  • - Females who are pregnant (positive serum or urine ßHCG) or breastfeeding.
  • - Females of childbearing potential (FCBP) or men who have sexual contact with FCBP unwilling to use effective forms of birth control or abstinence for one year after transplantation.
  • - Subjects unwilling or unable to comply with the study procedures
  • Exclusion criteria for the observational part of the study
  • Patients are excluded from the observational part of the study if any of the criteria below are present:
  • - Diagnosis of Myelodysplastic syndrome (MDS).
  • - Diagnosis of Juvenile myelomonocytic leukemia (JMML).
  • - Age above 21 years at time of transplantation
  • - No consent is given
  • - Prior autologous or allogeneic hematopoietic stem cell transplant.

研究者

发起方
Västra Götalands Regionen

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