Status:

COMPLETED

Early Discharge and Outpatient Care After Chemotherapy in Patients With Myelodysplastic Syndrome or Acute Myeloid Leukemia

Lead Sponsor:

Fred Hutchinson Cancer Center

Collaborating Sponsors:

National Cancer Institute (NCI)

Conditions:

Leukemia

Myelodysplastic Syndromes

Eligibility:

All Genders

18-60 years

Phase:

NA

Brief Summary

RATIONALE: Gathering information about patients with myelodysplastic syndrome or acute myeloid leukemia who are discharged after finishing chemotherapy, or who stay in the hospital until blood counts ...

Detailed Description

OBJECTIVES: Primary * To compare the death rate in patients with myelodysplastic syndromes or acute myeloid leukemia who are discharged after completion of induction chemotherapy vs those who remain...

Eligibility Criteria

Inclusion

  • DISEASE CHARACTERISTICS:
  • Diagnosis of one of the following:
  • Myelodysplastic syndromes
  • Acute myeloid leukemia (AML)
  • No acute promyelocytic leukemia with t(15;17)(q22;q12), PML/RAR, or other variants
  • Planning to undergo AML-like intensive induction chemotherapy (e.g., "7+3" or regimen with similar or higher intensity) for untreated or relapsed disease within 1 week after study entry OR has started therapy within the past 72 hours
  • PATIENT CHARACTERISTICS:
  • No hypersensitivity or allergy to fluoroquinolones, triazoles, or acyclovir
  • ECOG/WHO/ZUBROD performance status 0-1\*
  • Total bilirubin ≤ 2.5 times upper limit of normal (ULN) (unless elevation is thought to be due to Gilbert's syndrome or hemolysis)\*
  • AST and ALT ≤ 1.5 times ULN\*
  • Serum creatinine ≤ 1.5 times ULN\*
  • No clinical evidence of congestive heart failure\*
  • No active bleeding\*
  • Not refractory to platelet transfusions (e.g., due to HLA-alloimmunization)\*
  • No requirement for IV antimicrobial therapy\*
  • Agrees to undergo close follow-up that includes ≥ 3 visits per week at the Seattle Cancer Care Alliance (SCCA)\*
  • Has a confirmed reliable caregiver and transportation\*
  • Confirmed temporary or permanent residency within a 30-minute commute from the University of Washington (UW) Medical Center/SCCA\*
  • Has identified a UW/SCCA hematologist/oncologist who is willing to care for the patient in the outpatient clinic\* NOTE: \*Additional criteria for early discharge from the hospital
  • PRIOR CONCURRENT THERAPY:
  • See Disease Characteristics

Exclusion

    Key Trial Info

    Start Date :

    December 1 2008

    Trial Type :

    INTERVENTIONAL

    Allocation :

    ESTIMATED

    End Date :

    March 1 2011

    Estimated Enrollment :

    96 Patients enrolled

    Trial Details

    Trial ID

    NCT00844441

    Start Date

    December 1 2008

    End Date

    March 1 2011

    Last Update

    May 19 2011

    Active Locations (3)

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    Page 1 of 1 (3 locations)

    1

    Oregon Health and Science University

    Portland, Oregon, United States, 97201-3098

    2

    Fred Hutchinson Cancer Research Center

    Seattle, Washington, United States, 98109-1024

    3

    Clinical Cancer Research Center at University Hospital Basel

    Basel, Switzerland, CH-4031