JPRN-jRCTs051180190招募中2 期
Phase II study of allogeneic hematopoietic cell transplantation for children with acute myeloid leukemia in first and second complete remission using fludarabine, cytarabine, melphalan and low-dose total body irradiation as a conditioning regimen (AML-SCT15). - AML-SCT15
YABE Hiromasa0 个研究点目标入组 66 人开始时间: 2019年3月26日最近更新:
适应症
试验速览
- 阶段
- 2 期
- 状态
- 招募中
- 发起方
- 入组人数
- 66
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
- 年龄范围
- ot applicable 至 < 20age old(—)
- 性别
- All
入选标准
- •Inclusion criteria
- •1)AML (acute promyelocytic leukemia, AML which developed in patients with Down syndrome, secondary AML, AML which developed in patients with myelodysplastic syndrome, NK/myeloid leukemia and granulocytic leukemia are excluded)
- •2)Cases registered in the prospective study in JPLSG (JPLSG CHM-14)
- •3)Patients with high-risk AML in first complete remission or bone marrow-relapsed patients with AML in second complete remission
- •4)High-risk AML
- •Any of the following
- •a)Unfavorable chromosome abnormality including -7, del(5q)/-5, t(16;21)(p11;q22)/FUS-ERG, t(9;22)(q34;q11.2)/BCR-ABL1 or t(6;11)(q27;q23)/MLL-MLLT4(AF6), or unfavorable genetic abnormality including FLT3-ITD or NUP98-NSD1
- •b)Blast ratio >=5% in the bone marrow (M2/M3 marrow) after the first induction therapy
- •c)Extramedullary lesions after the first induction therapy
- •5)Patients less than 18 years at the initial diagnosis in first remission, or patients less than 20 years at the relapse diagnosis in second remission
- •6)Written informed consent has been acquired from patients and/or persons with parental authority.
- •7)Cases in which a suitable donor is available and hematopoietic cell transplantation is considered to be mandatory
- •8)Patients whose performance status are 0 or 2 by ECOG criteria
- •9)Patients who satisfactory meet all of the following criteria about organ functions within 28 days prior to registration
- •a)Patients without uncontrolled cardiac failure and ejection fraction of left ventricle >= 50% by UCG
- •b)%VC >= 50% and FEV1.0% >= 50%, or SpO2 >= 95% by room air if pulmonary function tests are impossible
- •c)AST/ALT < 5 x upper limit of normal range (CTCAE < grade 2)
- •d)Patients without uncontrolled renal failure and sCr < 2 x upper limit of normal range
排除标准
- •Exclusion criteria
- •1)Patients who have extramedullary lesions at registry
- •2)Patients who have prior radiation therapy
- •3)Patients who have prior hematopoietic cell transplantation
- •4)Patients who have poorly controlled infectious disease
- •5)Patients who have psychiatric disorder
- •6)Patients who have coinciding malignancies
- •7)Patients who have an episode of hypersensitivity reactions against drugs used in conditioning regimens and/or GVHD prophylaxis
- •8)Pregnant women or women who may be pregnant
- •9)Patients who are considered as inappropriate for this trial by attending physicians
研究者
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