EUCTR2008-000668-18-FR进行中(未招募)1 期
A Randomized Phase II Study of Clofarabine / Intermediate-Dose Cytarabine (CLARA)versus High-Dose Cytarabine (HDAC) as Consolidation in Younger Patients with Newly-Diagnosed Acute Myeloid Leukemia (AML). - CLARA
适应症
相关药物
试验速览
- 阶段
- 1 期
- 状态
- 进行中(未招募)
研究概览
简要总结
暂无简介。
研究设计
- 研究类型
- Interventional clinical trial of medicinal product
入排标准
- 性别
- All
入选标准
- •1.Age 18 years or more and less than 60 years.
- •A morphologically proven diagnosis of AML according to the WHO classification, cytogenetically (standard karyotype, FISH-MLL) and molecularly (FLT3, CEBPA, NMP1) defined.
- •3.ECOG performance status 0 to 2.
- •4.Serum creatinine ? 2N; AST and ALT ? 2.5N; total bilirubin ? 2N (unless related to the underlying disease).
- •5.Cardiac function determined by radionucleide or echography within normal limits.
- •6.Women of child-bearing potential (i.e. women who are pre-menopausal or not surgically sterile) must use acceptable contraceptive methods, and must have a negative serum or urine pregnancy test within 2 weeks prior the beginning treatment on this trial.
- •7.Must be able and willing to give written informed consent.
- •8.The subject must be covered by a social security system.
- •At randomization:
- •Patients with either in first CR/CRp after the first induction course or in first CR/CRp after salvage therapy.
- •ECOG performance status 0 to 2.
- •Serum creatinine ? 2N; AST and ALT ? 2.5N; total bilirubin ? 2N.
- •Are the trial subjects under 18? no
- •Number of subjects for this age range:
- •F.1.2 Adults (18-64 years) yes
- •F.1.2.1 Number of subjects for this age range
- •F.1.3 Elderly (>=65 years) no
- •F.1.3.1 Number of subjects for this age range
排除标准
- •1.Patients with AML with favorable risk cytogenetics: M3-AML; CBF-AML including t(8:21), inv(16), or t(16;16) AML.
- •2.Ph-positive AML.
- •3.AML following diagnosed myeloproliferation or patient with prior history of MDS known for more than 3 months
- •4.Prior treatment with chemotherapy or radiotherapy for another tumor.
- •5.Prior tumor, if not stable for at least two years, except in-situ carcinoma and skin carcinoma
- •6.Performance Status Score ECOG > 2.
- •7.Compromised organ function judged to be lifethreatening by the Investigator.
- •8.Positive serology for HIV, HBV and HBC (except post vaccination)
- •9.Uncontrolled active infection of any kind or bleeding. Patients with infections who are under active treatment with antibiotics and whose infections are controlled may be entered to the study.
- •10.Other active malignancy.
- •11. Patents concurrently receiving any other standard or investigational treatment for their leukemia, with the exception of hydroxyurea.
- •At randomization:
- •Absence of CR or CRp after induction chemotherapy or induction plus salvage chemotherapy.
- •Patients belonging to the intermediate 1 risk group (CEBPA+ or NPM1+ without Flt3-ITD) in CR/CRp after the first induction course.These patients will go out of the study and receive consolidation cycles based on HD-AraC.
- •Performance Status Score ECOG > 2.
- •Known central nervous system involvement with AML.
- •Uncontrolled active infection of any kind or bleeding.
- •Compromized organ function judged to be lifethreatening by the Investigator.
- •Patients scheduled and waiting for allogeneic stem cell transplantation (see Appendix 4). The idea is that no randomized patient should receive allogeneic stem cell transplantation after randomization.
研究者
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