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临床试验/NCT01795677
NCT01795677已完成2 期

JAK2 Inhibitors RUXOLITINIB in Patients With High or Intermediate Risk Primary or Secondary Myelofibrosis Eligible for Allogeneic Stem Cell Transplantation: a Prospective Multicentric Phase II Study

French Innovative Leukemia Organisation1 个研究点 分布在 1 个国家目标入组 78 人开始时间: 2012年12月最近更新:
适应症
干预措施
相关药物

试验速览

阶段
2 期
状态
已完成
发起方
入组人数
78
试验地点
1
主要终点
DFS

研究概览

简要总结

JAK2 inhibitor RUXOLITINIB before allogeneic hematopoietic stem cell transplantation (HSCT) in patients with primary or secondary myelofibrosis : a prospective phase II

详细描述

JAK2 inhibitor RUXOLITINIB before allogeneic hematopoietic stem cell transplantation (HSCT) in patients with primary or secondary myelofibrosis

研究设计

研究类型
Interventional
分配方式
Na
干预模型
Single Group
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 69 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • Age between 18 and 69 years
  • No comorbidity contraindicating the transplantation :
  • Severe respiratory failure defined as dyspnea grade III or more
  • Severe cardiac failure defined as EF < or = 30%
  • Severe renal failure defined as creatinine clearance < 30 ml/min or dialysis
  • Dementia or non-ability to give informed consent for the protocol
  • Major alteration of performance status defined as ECOG > 2
  • Severe liver disease defined as a cirrhosis or bilirubin > 2 x ULN, or AST/ALT > 5 x ULN
  • Primary or secondary myelofibrosis diagnosed according to WHO definition (Tefferi, et al 2007)
  • Palpable splenomegaly or splenomegaly measured by any imagery (maximum size> 15 cm by ultrasound scan, Magnetic Resonance Imaging or computer tomography)
  • Disease if intermediate or high risk according to published criteria and summarized as follows:
  • At least one criterion among the following:
  • Haemoglobin < 100 gr/L (unrelated to medication toxicity)
  • Leucocytes < 4 G/L (unrelated to medication toxicity) or > 25 G/L
  • Poor prognosis cytogenetics : complex karyotype, abnormalities of chromosomes 5, 7 or 17 , +8, 12p-, inv(3), 11q23
  • Two criteria among the following criteria :
  • General symptoms (weight lost > 10% in less than 6 months, night swears, specific fever > 37.5°C)
  • Peripheral blastosis > 1% observed at least twice
  • Thrombocytopenia < 100 G/L (unrelated to treatment toxicity)

排除标准

  • Myelofibrosis transformed into acute leukaemia with 20% blasts of more in blood or bone marrow
  • Previous treatment with JAK2 inhibitor
  • Thrombopenia < 50 G/L
  • Comorbidities contraindicating the transplantation
  • Comorbidity score Sorror > 3
  • Pregnant or lactating women

研究组 & 干预措施

RUXOLOTINIB

Experimental

Ruxolotinib : patient with donor HSCT 4 months later patients without donor: ruxolotinib alone

干预措施: Ruxolotinib (Drug)

结局指标

主要结局

DFS

时间窗: 24 months after inclusion

DFS is defined as the probability to be alive and in remission

次要结局

  • PATIENTS CARACTERISTICS(24 months after inclusion)
  • HSCT(24 months after inclusion)

研究者

发起方
French Innovative Leukemia Organisation
申办方类型
Other
责任方
Sponsor

研究点 (1)

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