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临床试验/ACTRN12612000303842
ACTRN12612000303842已完成1 期

A Strategy of High-Dose Lenalidomide in Combination with Epigenetic Therapies for Relapsed or Refractory Acute Myeloid Leukaemia (AML)- Phase I

Australasian Leukaemia and Lymphoma Group0 个研究点目标入组 20 人开始时间: 2012年3月16日最近更新:
适应症

试验速览

阶段
1 期
状态
已完成
发起方
入组人数
20

研究概览

简要总结

暂无简介。

研究设计

研究类型
Interventional
分配方式
Non-randomised trial
主要目的
Treatment
盲法
Open (masking not used)

入排标准

年龄范围
18 Years 至 80 Years(—)
性别
All

入选标准

  • 1.Male or female patients with one of the following diagnoses:
  • a. AML failing previous therapy, either primary refractory (failure to achieve greater than or equal to 50% blast reduction to 10-25% marrow blasts) or relapsed (greater than or equal to 50% increase in blasts to greater than or equal to 10% bone marrow blasts) after no more than 3 previous lines of chemotherapy, which may include hypomethylating agents
  • b.Myelodysplasia transformed to AML with greater than or equal to 20% bone marrow blasts after previous treatment, which may include previous treatment with hypomethylating agents
  • 2.Age 18-80 inclusive
  • 3.ECOG Performance Status 0-2
  • 4.White Cell Count <15 x 10^9/L
  • 5.Adequate hepatic function as defined by bilirubin less than or equal to 2 x the upper limit of normal (ULN) and Aspartate transaminase & Alanine transaminase less than or equal to 3 x ULN
  • 6.Adequate renal function as defined by serum creatinine less than or equal to 1.3 ULN
  • 7.Serum potassium greater than or equal to 3.8 mmol/L and magnesium greater than or equal to 0.85 mmol/L
  • 8.Females of childbearing potential must use effective methods of contraception or practice absolute abstinence for 4 weeks prior to lenalidomide therapy, during treatment and 4 weeks after treatment discontinuation
  • 9.Male patients must use contraception during lenalidomide treatment and for 4 weeks after discontinuation of treatment
  • 10.Subjects must agree not to donate blood, semen or sperm while on lenalidomide and for 4 weeks after treatment discontinuation
  • 11.Provision of written informed consent

排除标准

  • 1.History of major non-compliance to medication
  • 2.Post allogeneic-stem cell transplant patients on immunosuppression therapy greater than or equal to 5mg prednisolone/day or equivalent
  • 3.Evidence of central nervous system (CNS) leukaemia
  • 4.Impaired cardiac function or clinically significant cardiac disease as follows:
  • a.Left Ventricle Ejection Fraction (LVEF) <45% as determined by Multi-gated Acquisition (MUGA) scan or echocardiogram (ECHO)
  • b.Complete left bundle branch block or right bundle branch block + left anterior hemiblock (bifascicular block)
  • c.Obligate use of a cardiac pacemaker
  • d.Congenital long QT syndrome or QTc > 480 msec on the screening electrocardiogram (ECG)
  • e.Clinically significant resting bradycardia (< 50 bpm)
  • f.Angina pectoris or acute myocardial infarction (AMI) greater than or equal to 3 months prior to starting study drug
  • g.Unstable angina, congestive cardiac failure (CCF) or AMI within the last 6 months
  • 5.Patients taking any concurrent medications which have a known risk of prolonging the QTc interval or inducing Torsades de Pointes tachycardia
  • 6.Clinically significant respiratory disease
  • 7.Uncontrolled active infection with known HIV or Hepatitis type B or C infection
  • 8.Currently active gastrointestinal disease or other disease, that prevents the patient from absorbing or taking oral medication
  • 9.Any other concurrent severe and/or uncontrolled medical conditions that in the opinion of the investigator could potentiate unacceptable safety risks or jeopardise compliance with the protocol
  • 10.Previous adverse reaction to the trial drug/s
  • 11.Other clinically important abnormalities as determined by the investigator that may interfere with his or her participation in or compliance with the study
  • 12.Female patients who are pregnant or breastfeeding and the lack of adequate contraception
  • 13.Presence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule.

研究者

发起方
Australasian Leukaemia and Lymphoma Group

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