Study on Number and Outcome of Pregnancy in Acute Promielocitic Leukaemia (APL) Patients Treated With Chemotherapy

NCT ID: NCT01472107

Last Updated: 2022-10-12

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

Total Enrollment

69 participants

Study Classification

OBSERVATIONAL

Study Start Date

2012-03-07

Study Completion Date

2019-06-14

Brief Summary

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The GIMEMA FOUNDATION promotes an observational (retrospective) study on number and outcome of pregnancy in childbearing age female patients treated with chemotherapy for APL. These patients were enrolled in studies AIDA0493, AIDA2000 and were in CR.

Detailed Description

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Acute promielocitic leukaemia (APL) Among all the AML subtypes, APL has the distinction of being the most curable. The median age at diagnosis is 40 years, which is younger than with other AML subtypes. The fact that APL is more common in younger patients increases the likelihood that it may occur during fertile age. The introduction of ATRA and ATO has substantially modified the outcome of APL: in two successive studies 94% of patients achieved CR and the 6-yr OS rates (PETHEMA and GIMEMA) were about 80% 2,3,6.

ATRA is highly effective in APL patients, but adverse effects such as retinoic acid syndrome, arrhythmias, headache, rash, dizziness have been reported. Moreover, retinoids are known to be potent teratogens and increased rates of spontaneous abortion and major fetal abnormalities have been reported 10. Most of the cases reported suggest that ATRA is relatively safe for both mother and fetus when used in the second and third trimesters. By contrast, when it was used in the first trimester, a negative foetal outcome was reported. No data have yet been reported on the outcomes of pregnancies in young patients with APL, occurring during CCR following ATRA-including chemotherapy regimens.

APL therapy AIDA regimen: simultaneous Atra plus IDArubicin (AIDA) combination for induction treatment, followed by 3 courses of intensive chemotherapy as consolidation2.

Consolidation therapy in the AIDA-0493 trial consisted of 3 chemotherapy courses with Ara-C and idarubicin3.

Consolidation treatment in the AIDA-2000 was given according to a risk-adapted strategy as follows: patients with low-/intermediate-risk received the same 3 consolidation courses as in the AIDA-0493 but with omission of cytarabine; patients in the high-risk group received the identical 3 cycles as in the AIDA-0493.

Study rationale This is an observational (retrospective) study on number and outcome of pregnancy in childbearing age female patients treated with chemotherapy for APL. These patients were enrolled in studies studies AIDA0493, AIDA2000 and were in CR.

Conditions

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Acute Promyelocytic Leukemia Pregnancy

Study Design

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Observational Model Type

CASE_ONLY

Study Time Perspective

RETROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Patients alive aged between 18 and 50 years
* Patients with unequivocal diagnosis of APL according to the FAB classification or WHO 2008 diagnostic criteria.

Female in childbearing age treated for APL, enrolled in the studies AIDA0493, AIDA2000 in CR after 2 years of maintenance with the exclusion of those randomized to observation in the AIDA2000, AIDA0493

Exclusion Criteria

* Patients aged \< 18 and \> 50 years;
* Patients receiving chemotherapy;
* Concomitant psychiatric disorder that would interfere or prevent the subject from participating in the study.
Minimum Eligible Age

18 Years

Maximum Eligible Age

50 Years

Eligible Sex

FEMALE

Accepts Healthy Volunteers

No

Sponsors

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Gruppo Italiano Malattie EMatologiche dell'Adulto

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Giogina SPECCHIA, Pr.

Role: PRINCIPAL_INVESTIGATOR

UO Ematologia con trapianto- AOU Policlinico Consorziale di Bari

Locations

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S.O.C. di Ematologia - Azienda Ospedaliera - SS. Antonio e Biagio e Cesare Arrigo

Alessandria, , Italy

Site Status

Azienda Ospedaliera - Nuovo Ospedale "Torrette"

Ancona, , Italy

Site Status

Unità Operativa Ematologia 1 - Università degli Studi di Bari

Bari, , Italy

Site Status

Ospedali Riuniti di Bergamo

Bergamo, , Italy

Site Status

Azienda Ospedaliera Di Bologna Policlinico S. Orsola - Malpighi

Bologna, , Italy

Site Status

Azienda Sanitaria di Bolzano - Ospedale Centrale - Ematologia e Centro TMO

Bolzano, , Italy

Site Status

Sezione di Ematologia e Trapianti Spedali Civili

Brescia, , Italy

Site Status

Azienda Ospedaliera Pugliese Ciaccio - Presidio Ospedaliero A.Pugliese - Unità Operativa di Ematologia

Catanzaro, , Italy

Site Status

Sezione di Ematologia C.T.M.O. Istituti Ospitalieri

Cremona, , Italy

Site Status

Sez.Ematologia e Dip. scienze Biomediche Arcispedale S. Anna

Ferrara, , Italy

Site Status

Policlinico di Careggi, Università delgi studi di Firenze

Florence, , Italy

Site Status

Clinica Ematologica - DiMI - Università degli Studi di Genova

Genova, , Italy

Site Status

Divisione di Ematologia Ospedale "Santa Maria Goretti"

Latina, , Italy

Site Status

Azienda Ospedaliera Universitaria - Policlinico G. Martino Dipartimento di Medicina Interna - U.O. Messina

Messina, , Italy

Site Status

Divisione di Ematologia - Azienda Ospedaliera Ospedali Riuniti "Papardo Piemonte"

Messina, , Italy

Site Status

Ospedale Niguarda " Ca Granda"

Milan, , Italy

Site Status

U.O. Ematologia e Trapianto di MIdollo - Ist.Scientifico Ospedale San Raffaele

Milan, , Italy

Site Status

Centro Oncologico Modenese - Dipartimento di Oncoematologia

Modena, , Italy

Site Status

N. Osp. divisione di Ematologia "S.Gerardo dei Tintori"

Monza, , Italy

Site Status

Azienda Ospedaliera Universitaria - Università degli Studi di Napoli "Federico II" - Facoltà di Medicina e Chirurgia

Napoli, , Italy

Site Status

Ospedale S. Gennaro ASL NA1

Napoli, , Italy

Site Status

Divisione di Ematologia con trapianto di midollo - A.U. Policlinico "Paolo Giaccone"

Palermo, , Italy

Site Status

Ospedali Riuniti "Villa Sofia-Cervello"

Palermo, , Italy

Site Status

Cattedra di Ematologia CTMO Università degli Studi di Parma

Parma, , Italy

Site Status

Sezione di Ematologia ed Immunologia Clinica - Ospedale S.Maria della MIsericordia

Perugia, , Italy

Site Status

Istituto di Ematologia- Ospedale San Carlo

Potenza, , Italy

Site Status

Azienda Ospedaliera Bianchi Melacrino Morelli

Reggio Calabria, , Italy

Site Status

Vulture U.O. di Ematologia - Centro Oncologico Basilicata

Rionero in Vulture, , Italy

Site Status

Università Cattolica del Sacro Cuore - Policlinico A. Gemelli

Roma, , Italy

Site Status

Università degli Studi "Sapienza" - Dip Biotecnologie Cellulari ed Ematologia - Divisione di Ematologia

Roma, , Italy

Site Status

Istituto di Ematologia - IRCCS Ospedale Casa Sollievo della Sofferenza

San Giovanni Rotondo, , Italy

Site Status

U.O.C. Ematologia e Trapianti - A.O. Senese - Policlinico " Le Scotte"

Siena, , Italy

Site Status

U.O.C. di Ematolgia - A.O. " SS Annunziata" - P.O. S.G. Moscati

Taranto, , Italy

Site Status

SCDO Ematologia 2 AOU S.Giovanni Battista

Torino, , Italy

Site Status

Clinica Ematologica - Policlinico Universitario

Udine, , Italy

Site Status

Ospedale San Bortolo

Vicenza, , Italy

Site Status

Countries

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Italy

Related Links

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http://www.gimema.it

GIMEMA Foundation Website

Other Identifiers

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APL0511

Identifier Type: -

Identifier Source: org_study_id

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