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临床试验/ISRCTN12389567
ISRCTN12389567进行中(未招募)3 期

International Randomised Phase III Clinical Trial in Children with Acute Myeloid Leukaemia - Incorporating an Embedded Dose Finding Study for Gemtuzumab Ozogamicin in Combination with Induction Chemotherapy

Cancer Research Clinical Trials Unit (CRCTU)0 个研究点目标入组 700 人开始时间: 2016年2月3日最近更新:
适应症

试验速览

阶段
3 期
状态
进行中(未招募)
发起方
入组人数
700

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

  • Current participant inclusion criteria as of 02/09/2021:
  • Inclusion criteria for trial entry:
  • 1. A diagnosis of AML/high risk myelodysplastic syndrome (MDS)/isolated myeloid sarcoma (either de novo or secondary)
  • 2. Aged <18 years
  • 3. No prior chemotherapy or biological therapy for AML other than that permitted in the protocol
  • 4. Normal cardiac function (fractional shortening =28% or ejection fraction of 55%)
  • 5. Fit for protocol chemotherapy
  • 6. Documented negative pregnancy test for patients of childbearing potential
  • 7. Patient agrees to use effective contraception (patients of childbearing potential)
  • 8. Written informed consent from the patient and/or parent/legal guardian
  • Inclusion criteria for participation in the gemtuzumab ozogamicin dose finding study:
  • Centres must be formally activated in order to take part in the embedded dose escalation study (please contact the trial office for further information).
  • 1. Patient meets the inclusion criteria for trial entry
  • 2. Aged either:
  • 2.1. =12 months for the major dose finding study
  • 2.2. =12 weeks and <12 months
  • 3. Normal renal function defined as calculated creatinine clearance =90 ml/min/1.73m² (calculated using the BNFc formula, or that in use locally)
  • 4. Normal hepatic function defined as total bilirubin =2.5 x upper limit of normal (ULN) for age unless it is caused by leukaemic involvement, Gilbert’s syndrome, or a similar disorder
  • 5. ALT or AST =10 x ULN for age
  • 6. Written informed consent from the patient and/or parent/legal guardian
  • Inclusion criteria for treatment with gemtuzumab ozogamicin for patients not participating in the gemtuzumab ozogamicin dose finding study or R2:
  • Centres must be formally activated to be able to deliver treatment with gemtuzumab ozogamicin (please contact the trial office for further information).
  • 1. Patient meets the inclusion criteria for trial entry
  • 2. Aged either:
  • 2.1. =12 months
  • 2.2. =12 weeks and <12 months
  • 2.3. =28 days and and <12 weeks
  • 3. Normal renal function defined as calculated creatinine clearance =90 ml/min/1.73m² (calculated using the BNFc formula, or that in use locally)
  • 4. Normal hepatic function defined as total bilirubin =2.5 x upper limit of normal (ULN) for age unless it is caused by leukaemic involvement, Gilbert’s syndrome, or a similar disorder
  • 5. ALT or AST =10 x ULN for age
  • 6. Written informed consent from the patient and/or parent/legal guardian
  • Inclusion criteria for participation in R2 (once open to randomisation in the applicable age group):
  • 1. Patient meets the inclusion criteria for trial entry
  • 2. Aged either:
  • 2.1. =12 months
  • 2.2. =12 weeks and <12 months (once R2 open in patients aged =12 weeks and <12 months)
  • 3. Normal renal function defined as calculated creatinine clearance =90 ml/min/1.73m² (calculated using the BNFc formula, or that in use locally)
  • 4. Normal hepatic function defined as total bilirubin =2.5 x upper limit of normal (ULN) for age unless it is caused by leukaemic involvement, Gilbert’s syndrome, or a similar disorder
  • 5. ALT or AST =10 x ULN for age
  • 6. Written informed consent from the patient and/or parent/legal guardian
  • Inclusion criteria for participation in R4:
  • 1. Patient meets the inclusion criteria for trial entry
  • 2. Induction treatment as per MyeChild 01 protocol or treated with 1 or 2 courses of mitoxantrone & cytarabine ± treatment intensification with FLA-Ida off trial
  • 3. Patient is in CR or CRi defined as <5% blasts confirmed by flow cytometry//molecular/FISH in a bone marrow aspirate taken

排除标准

  • Current participant exclusion criteria as of 02/09/2021:
  • 1. Acute promyelocytic leukaemia (APL)
  • 2. Myeloid leukaemia of Down Syndrome (ML DS)
  • 3. Blast crisis of chronic myeloid leukaemia
  • 4. Relapsed or refractory AML
  • 5. Bone marrow failure syndromes
  • 6. Prior anthracycline exposure which would inhibit the delivery of study anthracyclines
  • 7. Concurrent treatment or administration of any other experimental drug or with any other biological therapy for AML/high risk MDS/isolated MS
  • 8. Pregnant or lactating
  • Previous participant exclusion criteria:
  • 1. Acute promyelocytic leukaemia (APL)
  • 2. Myeloid leukaemia of Down Syndrome (ML DS)
  • 3. Blast crisis of chronic myeloid leukaemia
  • 4. Relapsed or refractory AML
  • 5. Bone marrow failure syndromes
  • 6. Prior anthracycline exposure which would inhibit the delivery of study anthracyclines
  • 7. Concurrent treatment or administration of any other experimental drug or with any other biological therapy for AML
  • 8. Pregnant or lactating females

研究者

发起方
Cancer Research Clinical Trials Unit (CRCTU)

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