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临床试验/EUCTR2008-008518-38-DE
EUCTR2008-008518-38-DE进行中(未招募)不适用

A Phase II Study of Elacytarabine plus Idarubicin as Second Course Remission-Induction Therapy in Patients with Acute Myeloid Leukaemia

Clavis Pharma ASA0 个研究点目标入组 50 人开始时间: 2009年7月7日最近更新:
适应症
相关药物

试验速览

阶段
不适用
状态
进行中(未招募)
入组人数
50

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.Patients with a confirmed diagnosis of AML according to WHO classification (excluding acute promyelocytic leukaemia)
  • 2.Patients who have received one previous standard-dose cytarabine containing regimen aiming at induction of complete remission (CR), and who have more than 5 % remaining blast cells in bone marrow following the first course of remission-induction or by other means documented residual disease (i.e. circulating blasts, persistent chloromas, other evident disease from day 12 on).
  • 3.Patients from whom samples for determination of hENT1 status on leukemic blast cells can be taken and prepared at diagnosis and/or at baseline
  • 4.Patients must be 18 years of age or older
  • 5.Patients must have ECOG performance status (PS) of 0 – 2
  • 6.Left ventricular ejection fraction (LVEF) must be = 45 % as measured by MUGA scan or 2D ECHO within 14 days prior to start of therapy.
  • 7.Women of child-bearing potential (i.e., women who are pre-menopausal or not surgically sterile) must have a negative serum or urine pregnancy test within 2 weeks prior to beginning treatment on this study
  • 8.Male and female patients must use acceptable contraceptive methods for the duration of time on study, and males also for 3 months after the last elacytarabine dose
  • 9.Patients must be capable of understanding and complying with parameters as outlined in the protocol, and able and willing to sign a written informed consent form
  • 10.Patients must have the following clinical laboratory values:
  • a) Serum creatinine = 1.5 x the institutional upper limit of normal (ULN)
  • b) Total bilirubin = 1.5 x the ULN unless considered due to Gilbert’s syndrome
  • c) Alanine aminotransferase (ALT) (SGPT), or aspartate aminotransferase (AST) (SGOT) = 2.5 x the ULN unless considered due to organ leukemic involvement
  • 11.Patients must be eligible for administration of idarubicin according to current national prescribing information for idarubicin
  • 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) yes
  • F.1.3.1 Number of subjects for this age range

排除标准

  • 1.A history of allergic reactions to egg, idarubicin and/or other anthracyclines or other components of the products
  • A history of allergic reactions to cytarabine of CTCAE grade 3 or 4
  • 2.Persistent clinically significant and relevant non-haematological toxicities from the previous course of chemotherapy
  • 3.A cancer history, that according to the investigator might confound the assessment of the study endpoints
  • 4.Patients with prior treatment with a cumulative dose of doxorubicin or equivalent exceeding 300 mg/m2 according to the following calculation index: X/300 + Y/160 < 1 where X is the doxorubicin or equivalent dose in mg/m2 and Y is the mitoxantron dose in mg/m2. These calculations are to be used as guidance as there is no maximum cumulative dose defined in the summary of product characteristics (SPC) for idarubicin. The patient should tolerate minimum one course of combination therapy
  • 5.Active heart disease including myocardial infarction within the previous 3 months, symptomatic coronary disease, arrhythmias not controlled by medication, or uncontrolled congestive heart failure. Any NYHA grade 3 or 4
  • 6.Known positive status for human immunodeficiency virus (HIV)
  • 7.Pregnant and nursing patients are excluded because the effects of elacytarabine on a foetus or a nursing child are unknown
  • 8.Uncontrolled intercurrent illness including, but not limited to uncontrolled infection, or psychiatric illness/social situations that may reduce compliance with study requirements
  • 9.Patients receiving hydroxyurea within the last 12 hours prior to treatment on this protocol or any other investigational or standard cytotoxic treatment within the last 14 days, except the first remission-induction course
  • 10.Any medical condition, which in the opinion of the investigator places the patient at an unacceptably high risk for toxicities

研究者

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