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Prognostic Role of Minimal Residual Disease in Acute Myeloid Leukemia

Completed
Conditions
Acute Myeloid Leukemia
Minimal Residual Disease
Wilms Tumor
Registration Number
NCT02714790
Lead Sponsor
A.O.U. Città della Salute e della Scienza
Brief Summary

Study purpose is to assess the prognostic role of Minimal Residual Disease (defined as medullary expression of WT1 gene), performed at Baseline and during treatment according to clinical practice. MRD results will be relate to treatment outcome and survival analysis variables (Overall Survival, Disease Free Survival, Cumulative Incidence of Relapse)

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
281
Inclusion Criteria
  • Diagnosis of Acute Myeloid Leukemia
  • Age > 18 years
  • Intensive chemotherapy as first line curative treatment
  • Observation period: March 2004 - September 2014
  • Bone marrow WT1 expression and Immunophenotyping by multi-parametric flow cytometry performed at baseline
  • Written informed consent
Exclusion Criteria
  • Diagnosis of Acute Promyelocytic Leukemia
  • Bone marrow WT1 expression and Immunophenotyping by multi-parametric flow cytometry NOT performed at baseline
  • Patient ineligible to intensive chemotherapy

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Response+28 days after End of induction chemotherapy - Before Allogeneic Transplant, average of 3 to 6 months from beginning of therapy

Complete remission after chemotherapy

Secondary Outcome Measures
NameTimeMethod
Disease Free Survival+28 days after End of induction chemotherapy -Before Allogeneic Transplant, average of 3 to 6 months from beginning of therapy - +30 days after Allogeneic Transplant - Date of Relapse for at least 1 year (up to 10 years)

Date of relapse or date of remission status

Overall SurvivalDate of last follow-up for at least 1 year (up to 10 years) or Death

Time to last follow-up or death

Cumulative Incidence of RelapseDate of Allogeneic Transplant, Date of Relapse for at least 1 year (up to 10 years - assessed every 3 months), Date of last follow-up for at least 1 year (up to 10 years) or Death

CIR was calculated from the date of allo-HCT to the date of relapse or the date of the last follow-up, with death without relapse as a competing event.

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