Efficacy of G-CSF-Priming in Elderly AML Patients

NCT ID: NCT00199147

Last Updated: 2005-10-26

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

PHASE4

Total Enrollment

250 participants

Study Classification

INTERVENTIONAL

Study Start Date

2000-01-31

Brief Summary

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Aim of the study is to compare the efficacy of intensive induction therapy with Cytarabine, Idarubicin and Etoposide (IdAV) given in parallel with (G-CSF priming) and followed by G-CSF versus the same IdAV chemotherapy only followed by G-CSF (without priming) in elderly patients with de novo AML, secondary AML and advanced MDS. Moreover, the ability to mobilize sufficient numbers of peripheral blood stem cells (PBSC) for autologous PBSC transplantation after consolidation therapy with dose-reduced FLAG-Ida chemotherapy followed by G-CSF will be evaluated.

Detailed Description

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Conditions

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Acute Myeloid Leukemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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Cytarabine

Intervention Type DRUG

Etoposide

Intervention Type DRUG

Idarubicin

Intervention Type DRUG

G-CSF

Intervention Type DRUG

Fludarabine

Intervention Type DRUG

Stem cell apheresis

Intervention Type PROCEDURE

Stem cell transplantation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Diagnosis of de-novo AML, FAB M0, 1, 2, 4-7 or
* Diagnosis of secondary AML after previous chemotherapy and/or radiation therapy or after preceeding MDS or
* Diagnosis of an advanced MDS, i.e. RAEB-t according to the FAB classification or
* Extramedullary AML (chloroma, "granulocytic sarcoma")
* Age greater than 60 years (not including 60 years)
* ECOG performance status 0, 1, or 2
* Written informed consent

Exclusion Criteria

* Patients with a t(15;17) translocation
* Patients with severe cardiac disease (e.g. cardiac failure NYHA III/IV, myocardial infarction within the last 6 months; severe ventricular arrythmias (Lown III or IV)
* Patients with severe complications of the leukemia such as uncontrolled bleeding, pneumonia with hypoxia or shock.
* Severe pulmonary disease (diffusion capacity for CO2 of less than 50%)
* Significant renal dysfunction (creatinine clearance \< 60/min/min)
* Bilirubin \> 2mg% (\>34.2 mmol/l)
* Patients with a clinically active second malignancy
* Patients with a psychiatric, addictive, or any disorder wich compromises ability to give truly informed consent for participating in this study
* HIV positivity
* Known refractoriness to platelet transfusion, inability to adequately substitute blood products
Minimum Eligible Age

61 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Johann Wolfgang Goethe University Hospital

OTHER

Sponsor Role lead

Principal Investigators

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Oliver G Ottmann, MD

Role: STUDY_CHAIR

University Hospital, Medical Department II, Frankfurt, Germany

Locations

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University Hospital, Medical Department II

Frankfurt, , Germany

Site Status RECRUITING

Countries

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Germany

Facility Contacts

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Oliver G Ottmann, MD

Role: primary

Gesine Bug, MD

Role: backup

Other Identifiers

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AML-elderly 01/99 Trial

Identifier Type: -

Identifier Source: org_study_id