Treatment of Acute Leukemia Relapse After Allotransplantation

NCT ID: NCT01369368

Last Updated: 2015-06-24

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

PHASE1/PHASE2

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-08-31

Study Completion Date

2020-10-31

Brief Summary

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Patients with relapse of acute leukemia often only receive supportive therapy. Our hypothesis is that a combination therapy can stabilize the disease for patients with early relapse after allogeneic stem cell transplantation. The investigators will combine 5-azacitidine 100 mg daily subcutaneously (days 1-3), valproic acid (continuous therapy from day 1), All-trans retinoic acid (days 1-14) and hydroxurea (continuous treatment from day 15 of first cycle. Azacitidine and ATRA can be repeated with 5 weeks intervals, donor leukocyte infusions on day 10 is allowed from the second cycle.

Detailed Description

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Conditions

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Acute Myeloid Leukemia

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Azacitidine, valproic acid, all-trans retinoic acid, hydroxyurea, eventually donor leukocyte infusions

Group Type EXPERIMENTAL

Combined use of azacitidine, valproic acid, hydroxurea and eventually donor leukocyte infusions.

Intervention Type DRUG

Azacitidine 100 mg day 1-3 in each cycle Valproic acid, continuous therapy from day 1 All-trans retinoic acid 22.5 mg/m2 twice daily day 1-14 in each cycle Hydroxurea 500 mg initially eventually increased to 1 g daily. Eventually donor leukocyte infusions on day 10 from the second cycle.

Interventions

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Combined use of azacitidine, valproic acid, hydroxurea and eventually donor leukocyte infusions.

Azacitidine 100 mg day 1-3 in each cycle Valproic acid, continuous therapy from day 1 All-trans retinoic acid 22.5 mg/m2 twice daily day 1-14 in each cycle Hydroxurea 500 mg initially eventually increased to 1 g daily. Eventually donor leukocyte infusions on day 10 from the second cycle.

Intervention Type DRUG

Other Intervention Names

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Give as repeated cycles with 5 weeks intervals. Donor leukocyte infusions are allowed from cycle 2.

Eligibility Criteria

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Inclusion Criteria

* AML relapse within one year after transplantation
* Blood and marrow sampling being possible
* Expected survival at least 4 weeks
* No expected drug interactions
* Informed consent possible

Exclusion Criteria

* Intolerance to any study drug
* Serious kidney or liver disease
* Informed consent not possible
* Previous pancreatitis
Minimum Eligible Age

18 Years

Maximum Eligible Age

90 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Bergen

OTHER

Sponsor Role lead

Responsible Party

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Øystein Bruserud

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Locations

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Haukeland University Hospital

Bergen, , Norway

Site Status RECRUITING

Countries

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Norway

Central Contacts

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Oystein Bruserud, MD

Role: CONTACT

0047 55975000

Bjorn Tore Gjertsen, MD

Role: CONTACT

0047 55972997

Other Identifiers

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Allo-Relapse-2011

Identifier Type: -

Identifier Source: org_study_id

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