Treatment of the Acute Myeloblastic Leukaemia in Patients Over 65 Years

NCT ID: NCT00464217

Last Updated: 2010-01-05

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

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

1998-10-31

Study Completion Date

2008-12-31

Brief Summary

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To reproduce or to improve the index of complete responses of protocol LMA-91 with a similar protocol, decreasing the dose of Idarubicin to try to reduce the deaths in induction

Detailed Description

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INDUCTION TREATMENT :Ara-C 100 mg/m 2 /day in continuous perfusion,days 1 - 7. Idarubicin 8 mg/m 2 /day, days 1 - 3 in bolus. GM-CSF (Leucomax) 5 mcg/kg subcutaneous or endovenous from day + 4 after finishing the chemotherapy until the recovery of neutropenia (\> 1.000/mm 3)

CONSOLIDATION TREATMENT The patients who reach a complete response with the first cycle, will receive a second cycle to consolidation. The patients who do not reach a complete response with the first cycle will receive a second cycle. If after two cycles,do not obtain the response, patient should leave the protocol.

INTENSIFICATION TREATMENT All the patients who are in complete response after one cycle of induction and one cycle of consolidation, or after two cycles of induction, will receive a treatment of intensification with: ARA-C 500 mg/m 2 /12 h in one hour infusion, days 1-4. Daunomycin 45 mg/m 2 /day bolu, days 5-7. GM-CSF (Leucomax): 5 mcg/kg from day to + 4 after finishing the chemotherapy until the recovery of neutropenia (\>1.000/mm 3)

Conditions

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Acute Myeloblastic Leukaemia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Interventions

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ARA-C

Intervention Type DRUG

Idarubicin

Intervention Type DRUG

Leucomax

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Cytologic diagnosis of acute myeloblastic leukaemia (excluded M3)
* Over 65 years

Exclusion Criteria

* Previous diagnosis of other malignancy hematopoietic disorder or myelodysplastic syndrome
* Previous treatment with antileucemic chemotherapy
* Psychiatric disorder
* Diagnosis of subtype FAB M3
* Creatinine \> 2.5 mg/dL
* Bilirubin , Alkaline Phosphatase or transaminases three times upper the limit
Minimum Eligible Age

65 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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PETHEMA Foundation

OTHER

Sponsor Role lead

Principal Investigators

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Garcia Laraña Jose, Dr

Role: PRINCIPAL_INVESTIGATOR

Hospital Universitario Ramon y Cajal

Locations

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Hospital General de Albacete

Albacete, , Spain

Site Status

Hospital Universitario

Alicante, , Spain

Site Status

Hospital Puerta del Mar

Cadiz, , Spain

Site Status

Hospital Ntra. Sra. del Rossell

Cartagena, , Spain

Site Status

Hospital General

Castellon, , Spain

Site Status

Hospital de Galdacano

Galdakao, , Spain

Site Status

Hospital Ciudad de Jaén

Jaén, , Spain

Site Status

Hospital Insular de las Palmas

Las Palmas de Gran Canaria, , Spain

Site Status

Hospital Xeral

Lugo, , Spain

Site Status

Hospital Clínico San Carlos

Madrid, , Spain

Site Status

Hospital Ramón y Cajal

Madrid, , Spain

Site Status

Hospital Universitario de Alcalá de Henares

Madrid, , Spain

Site Status

Hospital Virgen de la Victoria

Málaga, , Spain

Site Status

Hospital Morales Messeguer

Murcia, , Spain

Site Status

Hospital Virgen de la Arrixaca

Murcia, , Spain

Site Status

Hospital Central de Asturias

Oviedo, , Spain

Site Status

Clínica Universitaria de Pamplona

Pamplona, , Spain

Site Status

Hospital Montecelo

Pontevedra, , Spain

Site Status

Hospital Clínico Universitario

Salamanca, , Spain

Site Status

Hospital Arnau de Vilanova

Valencia, , Spain

Site Status

Hospital Clínico

Valencia, , Spain

Site Status

Hospital Dr. Pesset

Valencia, , Spain

Site Status

Hospital Clínico

Valladolid, , Spain

Site Status

Hospital Virgen de la Concha

Zamora, , Spain

Site Status

Countries

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Spain

References

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Martinez-Lopez J, Fernandez-Redondo E, Garcia-Sanz R, Montalban MA, Martinez-Sanchez P, Pavia B, Mateos MV, Rosinol L, Martin M, Ayala R, Martinez R, Blanchard MJ, Alegre A, Besalduch J, Bargay J, Hernandez MT, Sarasquete ME, Sanchez-Godoy P, Fernandez M, Blade J, San Miguel JF, Lahuerta JJ; GEM (Grupo Espanol Multidisciplinar de Melanoma)/PETHEMA (Programa para el Estudio de la Terapeutica en Hemopatias Malignas) cooperative study group. Clinical applicability and prognostic significance of molecular response assessed by fluorescent-PCR of immunoglobulin genes in multiple myeloma. Results from a GEM/PETHEMA study. Br J Haematol. 2013 Dec;163(5):581-9. doi: 10.1111/bjh.12576. Epub 2013 Oct 3.

Reference Type DERIVED
PMID: 24117042 (View on PubMed)

Related Links

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http://www.aehh.org

Spanish association of Haematology

Other Identifiers

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PETHEMA/LAM-99

Identifier Type: -

Identifier Source: org_study_id

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