Status:

COMPLETED

Induction, Consolidation and Intensification Therapy for Patients Younger Than 66 Years With Previously Untreated CD33 Positive Acute Myeloid Leukemia (AML)

Lead Sponsor:

University Hospital, Udine, Italy

Conditions:

Acute Myeloid Leukemia

Eligibility:

All Genders

18-65 years

Phase:

PHASE2

PHASE3

Brief Summary

This is a prospective, open, non-randomized, non-controlled, phase II, clinical trial for treatment of newly diagnosed AML patients, younger than 66 years. Trial is based on: * INDUCTION: FLAI + Gem...

Eligibility Criteria

Inclusion

  • Age 18-65 years.
  • WHO PS grade 0-2 (Appendix B) or Karnofsky \> 70.
  • AML according to the new WHO criteria, i.e., % of BM blasts ≥ 20%. NB. this % should be assessed on a BM aspiration or on a BM biopsy
  • All FAB subtypes except M3.
  • CD33 positivity (\> 20%). It is mandatory to perform an immunotyping of the BM blasts in particular the determination of CD33 positivity, which will be used as a inclusion factor.
  • Previously untreated (except ≤ 14 days of Hydroxyurea) primary or secondary AML (including AML after MDS).
  • Adequate renal and liver function, i.e., creatinine \< 2 mg/dl and bilirubin, ALT/AST ≤ 3 times the upper limit of normal.
  • Written informed consent

Exclusion

  • Blast crisis of chronic myeloid leukemia.
  • AML supervening after other myeloproliferative diseases.
  • AML de novo or secondary previously pretreated.
  • Concomitant malignant disease.
  • Active central nervous system (CNS) leukemia.
  • Active uncontrolled infection \[NB severe systemic infection should be excluded\].
  • Concomitant severe cardiovascular disease, i.e., arrhythmias requiring chronic treatment, congestive heart failure or symptomatic ischemic heart disease.
  • Cardiac ejection fraction of 50% or less.
  • Severe pulmonary dysfunction (CTC grade 3-4).
  • Severe concomitant neurological or psychiatric disease.
  • History of alcohol abuse.
  • HIV positivity.
  • Pregnancy.
  • Man and woman not agreeing to the adequate contraceptive precautions during study period and for at last 24 months after stop of therapy.
  • Any psychological, familiar, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule.

Key Trial Info

Start Date :

March 1 2008

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2013

Estimated Enrollment :

130 Patients enrolled

Trial Details

Trial ID

NCT00909168

Start Date

March 1 2008

End Date

March 1 2013

Last Update

May 6 2014

Active Locations (1)

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1

University Hospital, Udine

Udine, Italy, Italy, 33100