Overview

Role of the Therapy Tailored to Risk Factors in Treating Adult Patients (≤60) With Acute Myeloid Leukemia

Status:
Unknown status
Trial end date:
2018-02-01
Target enrollment:
0
Participant gender:
All
Summary
In view of the diversity of the biology of acute myeloid leukemia (AML) therapy in individual patients must be individualized. One of the tools for this is molecular-cytogenetic stratification. It divides patients into five categories (prognostic groups): Favorable, Intermediate-1, Intermediate-2, Adverse and Very adverse risk. After remission proceedings are tailored depending on prognostic determined groups. Research of PALG group in the application in the second line regimen CLAG and CLAG-M proved high effectiveness of this treatment with low toxicity. Considering experience of PALG groups, it seems that the use of the schema CLAG early as the second induction therapy is a viable treatment option.
Phase:
Phase 3
Accepts Healthy Volunteers?
No
Details
Lead Sponsor:
dr hab. n. med. Agnieszka Wierzbowska
Collaborators:
Copernicus Memorial Hospital
Polish Adult Leukemia Group, Gliwice, Poland
Treatments:
Cladribine
Cytarabine
Daunorubicin
Lenograstim
Mitoxantrone
Sargramostim
Criteria
Inclusion Criteria:

- Adult acute myeloid leukemia

- Age: ≥18 and ≤ 60

- Clinical condition of the patient allows to carry out induction therapy: ECOG
performance status: ≤ 2 and the Hematopoietic Cell Transplant-Co-morbidity Index
(HCT-I): ≤3

- Informed consent to participate in the study (ICF signed)

- The second early induction start criteria is in addition to the listed above, the
percentage of the blasts on the level >10% on 7th day.

Exclusion Criteria:

- No informed consent for participation in the study, mental illness, which don't allow
to obtain informed consent and conduct the treatment according to the protocol

- Pregnancy

- HIV infection

- Active cancer

- Active hepatitis virus infection