Status:

COMPLETED

Phase II Study of Decitabine and Cytarabine for Older Patients With Newly Diagnosed Acute Myeloid Leukemia (AML)

Lead Sponsor:

Annie Im, M.D.

Conditions:

Acute Myeloid Leukemia

Eligibility:

All Genders

60+ years

Phase:

PHASE2

Brief Summary

Primary objective: To determine the efficacy of an induction regimen using decitabine as an epigenetic primer followed by cytarabine in the treatment of older patients with newly diagnosed Acute myelo...

Eligibility Criteria

Inclusion

  • Age ≥ 70, or age ≥ 60 ineligible for treatment with standard induction chemotherapy (based on physician discretion or patient refusal), with a new diagnosis of AML based on World Health Organization Classification.
  • Eastern Cooperative Oncology Group Performance Status of 0-2
  • Cardiac ejection fraction ≥45%
  • Males are eligible to enter and participate in the study if they have either had a prior vasectomy or agree to avoid sexual activity or use adequate contraception from screening through two months post the last dose of decitabine

Exclusion

  • Patients with acute promyelocytic leukemia
  • Life expectancy ≤3 months
  • Prior use of any hypomethylating agent or cytarabine
  • Uncontrolled, life-threatening infection that is not responding to antimicrobial therapy
  • Serum creatinine \> 2x upper limit of normal
  • Aspartate aminotransferase (AST),alanine aminotransferase (ALT), or total bilirubin \> 5x upper limit of normal
  • History of psychiatric disorder which may compromise compliance with the protocol or which does not allow for appropriate informed consent
  • Patient may not be receiving any other antineoplastic agents (hydroxyurea is allowed)
  • Concurrent malignancy. Exception: Subjects who have been disease-free for 5 years, or subjects with a history of completely resected non-melanoma skin cancer or successfully treated in situ carcinoma are eligible. Subjects with second malignancies that are indolent or definitively treated may be enrolled.
  • Evidence of severe or uncontrolled systemic diseases (e.g., unstable or uncompensated respiratory, hepatic, renal, or cardiac disease).

Key Trial Info

Start Date :

February 1 2013

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

November 30 2017

Estimated Enrollment :

44 Patients enrolled

Trial Details

Trial ID

NCT01829503

Start Date

February 1 2013

End Date

November 30 2017

Last Update

November 14 2019

Active Locations (1)

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1

University of PIttsburgh Cancer Institute

Pittsburgh, Pennsylvania, United States, 15232