Status:

UNKNOWN

Treatment Study for Children and Adolescents With Acute Promyelocitic Leukemia

Lead Sponsor:

Associazione Italiana Ematologia Oncologia Pediatrica

Conditions:

Acute Promyelocytic Leukemia

Eligibility:

All Genders

Up to 21 years

Phase:

PHASE3

Brief Summary

This study is open to all patients with a diagnosis of acute promyelocytic leukemia (APL) who are PCR positive for the PML-RARα transcript or rarer retinoid sensitive subtypes (i.e. NPM-RAR-alpha, NuM...

Detailed Description

This study is open to all patients with a diagnosis of acute promyelocytic leukemia (APL) who are PCR positive for the PML-RARα transcript or rarer retinoid sensitive subtypes (i.e. NPM-RARalpha, NuMA...

Eligibility Criteria

Inclusion

  • Patients with a clinical diagnosis of initial APL and subsequently confirmed to have PML-RARα, NPM1-RARα or NUMA-RARα fusion. Whilst this study is only for ATRA-sensitive APL, APL is a hematological emergency and ATRA should be commenced as soon as the diagnosis is suspected. Study entry should not wait until the diagnosis of APL has been confirmed molecularly or cytogenetically
  • Less than 21 years of age at initial diagnosis (for AIEOP, see appendix A)
  • Considered suitable for anthracycline-based chemotherapy
  • Written informed consent available
  • Females of childbearing age must have a negative pregnancy test and subsequently must attempt to avoid pregnancy

Exclusion

  • Patients with a clinical diagnosis of APL but subsequently found to have PLZF-RARα fusion or lacking PML-RARα, NPM-RARα or NuMA-RARα rearrangement should be withdrawn from the study and treated on an alternative protocol.
  • Refractory/relapsed APL (the guidelines in this protocol for that subgroup are intended for patients treated from initial diagnosis according to this protocol)
  • Concurrent active malignancy
  • Pregnant or lactating
  • Physician and patient/guardian think that intensive chemotherapy is not an appropriate treatment option
  • Patients who have received alternative chemotherapy for 7 days or longer without ATRA for any reason (either APL not initially suspected or ATRA not available).

Key Trial Info

Start Date :

January 1 2009

Trial Type :

INTERVENTIONAL

Allocation :

ESTIMATED

End Date :

December 1 2018

Estimated Enrollment :

300 Patients enrolled

Trial Details

Trial ID

NCT01226303

Start Date

January 1 2009

End Date

December 1 2018

Last Update

January 26 2017

Active Locations (1)

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1

Dipartimento di Biotecnologie Cellulari ed Ematologia

Roma, Italy, 00161