Trial Outcomes & Findings for Prospective Study of Mylotarg and G-CSF in Acute Myeloid Leukemia Treatment (NCT NCT01698879)

NCT ID: NCT01698879

Last Updated: 2021-01-27

Results Overview

Rate of patients that have obtained complete remission. Complete remission is defined as, bone marrow normocellular or slightly hypocellular with proportion of blasts \<5%, including the erythroid cell count (and including promonocytes in case of M5), no Auer rods, no extramedullary leukemia, neutrophils and platelets rising. The persistence of minimal residual disease in immunophenotypic study will not invalidate the standard cytogenetic complete remission.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

46 participants

Primary outcome timeframe

28 days after chemotherapy

Results posted on

2021-01-27

Participant Flow

Participant milestones

Participant milestones
Measure
Cohort 1 Version 1.0
Mylotarg: Cohort 1 version 1.0 (5 evaluable patients): GO: 6 mg/m\^2 (maximum 10 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO. If chemo-sensitivity is observed after a first course of treatment (50% or more reduction of blasts compared to baseline) a second identical cycle will be administered.
Cohort 1 Version 2.0
Idarubicin, cytarabine, Mylotarg Mylotarg: Cohort 1 (20 evaluable patients): GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Cohort 2
Cohort 2 (20 evaluable patients): G-CSF: 150 mcg/m\^2, SC, days 0 to 7, to begin 12 to 18 hours before treatment with Gemtuzumab. GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours later after the administration of GO.
Overall Study
STARTED
6
20
20
Overall Study
COMPLETED
5
20
20
Overall Study
NOT COMPLETED
1
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
Cohort 1 Version 1.0
Mylotarg: Cohort 1 version 1.0 (5 evaluable patients): GO: 6 mg/m\^2 (maximum 10 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO. If chemo-sensitivity is observed after a first course of treatment (50% or more reduction of blasts compared to baseline) a second identical cycle will be administered.
Cohort 1 Version 2.0
Idarubicin, cytarabine, Mylotarg Mylotarg: Cohort 1 (20 evaluable patients): GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Cohort 2
Cohort 2 (20 evaluable patients): G-CSF: 150 mcg/m\^2, SC, days 0 to 7, to begin 12 to 18 hours before treatment with Gemtuzumab. GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours later after the administration of GO.
Overall Study
Withdrawal by Subject
1
0
0

Baseline Characteristics

The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Cohort 1, Version 1.0
n=5 Participants
Mylotarg: Cohort 1 version 1.0 (5 evaluable patients): GO: 6 mg/m\^2 (maximum 10 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO. If chemo-sensitivity is observed after a first course of treatment (50% or more reduction of blasts compared to baseline) a second identical cycle will be administered.
Cohort 1, Version 2.0
n=20 Participants
Mylotarg: Cohort 1 (20 evaluable patients): GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Cohort 2
n=20 Participants
Cohort 2 (20 evaluable patients): G-CSF: 150 mcg/m\^2, SC, days 0 to 7, to begin 12 to 18 hours before treatment with Gemtuzumab. GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours later after the administration of GO.
Total
n=45 Participants
Total of all reporting groups
Age, Continuous
56 years
n=5 Participants
49 years
n=7 Participants
61 years
n=5 Participants
61 years
n=4 Participants
Sex: Female, Male
Female
2 Participants
n=5 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming
9 Participants
n=7 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming
5 Participants
n=5 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming
16 Participants
n=4 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming
Sex: Female, Male
Male
3 Participants
n=5 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming
11 Participants
n=7 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming
15 Participants
n=5 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming
29 Participants
n=4 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming
Region of Enrollment
Spain
5 participants
n=5 Participants • One patient has not been evaluated because has not received study treatment.
20 participants
n=7 Participants • One patient has not been evaluated because has not received study treatment.
20 participants
n=5 Participants • One patient has not been evaluated because has not received study treatment.
45 participants
n=4 Participants • One patient has not been evaluated because has not received study treatment.
Leucocites at diagnosis
13.48 Cells x 10^9/L
n=5 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming.
7.66 Cells x 10^9/L
n=7 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming.
6.96 Cells x 10^9/L
n=5 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming.
6.96 Cells x 10^9/L
n=4 Participants • The first 5 patients received GO 6mg/m2 but this dose was halted by unacceptable toxicity. Therefore, in Cohort 1 were included 20 patients receiving IA plus 3 mg/m2 GO. Cohort 2 included 20 patients who received treatment as in cohort 1 plus G-CSF priming.
Citogenetic
Favorable
1 Participants
n=5 Participants • 1 patient not evaluable because has not received study treatment.
5 Participants
n=7 Participants • 1 patient not evaluable because has not received study treatment.
3 Participants
n=5 Participants • 1 patient not evaluable because has not received study treatment.
9 Participants
n=4 Participants • 1 patient not evaluable because has not received study treatment.
Citogenetic
Intermediate
3 Participants
n=5 Participants • 1 patient not evaluable because has not received study treatment.
13 Participants
n=7 Participants • 1 patient not evaluable because has not received study treatment.
12 Participants
n=5 Participants • 1 patient not evaluable because has not received study treatment.
28 Participants
n=4 Participants • 1 patient not evaluable because has not received study treatment.
Citogenetic
Adverse
1 Participants
n=5 Participants • 1 patient not evaluable because has not received study treatment.
2 Participants
n=7 Participants • 1 patient not evaluable because has not received study treatment.
5 Participants
n=5 Participants • 1 patient not evaluable because has not received study treatment.
8 Participants
n=4 Participants • 1 patient not evaluable because has not received study treatment.

PRIMARY outcome

Timeframe: 28 days after chemotherapy

Population: Initial 5 patients included in cohort 1 version 1.0 (closed due toxicity) have been evaluated for safety outcome but not evaluated for efficacy because the treatment is not feasible.

Rate of patients that have obtained complete remission. Complete remission is defined as, bone marrow normocellular or slightly hypocellular with proportion of blasts \<5%, including the erythroid cell count (and including promonocytes in case of M5), no Auer rods, no extramedullary leukemia, neutrophils and platelets rising. The persistence of minimal residual disease in immunophenotypic study will not invalidate the standard cytogenetic complete remission.

Outcome measures

Outcome measures
Measure
Cohort 1, Version 1.0
n=5 Participants
Mylotarg: Cohort 1 version 1.0 (5 evaluable patients): GO: 6 mg/m\^2 (maximum 10 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO. If chemo-sensitivity is observed after a first course of treatment (50% or more reduction of blasts compared to baseline) a second identical cycle will be administered.
Cohort 1, Version 2.0
n=20 Participants
Mylotarg: Cohort 1 (20 evaluable patients): GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Cohort 2
n=20 Participants
Cohort 2 (20 evaluable patients): G-CSF: 150 mcg/m\^2, SC, days 0 to 7, to begin 12 to 18 hours before treatment with Gemtuzumab. GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours later after the administration of GO.
Complete Remission of the Disease
Complete Response
NA Participants
It has not been evaluated efficacy result of this cohort with unacceptable toxicity profile
18 Participants
16 Participants
Complete Remission of the Disease
Partial Response
NA Participants
It has not been evaluated efficacy result of this cohort with unacceptable toxicity profile
1 Participants
2 Participants
Complete Remission of the Disease
Refractory
NA Participants
It has not been evaluated efficacy result of this cohort with unacceptable toxicity profile
1 Participants
2 Participants

SECONDARY outcome

Timeframe: Baseline, weekly during treatment and at month 3 and month 6 after first induction.

Hematological toxicity, hepatic and gastrointestinal toxicity, fever and infections, pulmonary complications, duration of hospitalization

Outcome measures

Outcome measures
Measure
Cohort 1, Version 1.0
n=5 Participants
Mylotarg: Cohort 1 version 1.0 (5 evaluable patients): GO: 6 mg/m\^2 (maximum 10 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO. If chemo-sensitivity is observed after a first course of treatment (50% or more reduction of blasts compared to baseline) a second identical cycle will be administered.
Cohort 1, Version 2.0
n=20 Participants
Mylotarg: Cohort 1 (20 evaluable patients): GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Cohort 2
n=20 Participants
Cohort 2 (20 evaluable patients): G-CSF: 150 mcg/m\^2, SC, days 0 to 7, to begin 12 to 18 hours before treatment with Gemtuzumab. GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours later after the administration of GO.
Secondary Toxicity to Mylotarg(R)
Grade III/IV Infection
0 percentage of participants
5 percentage of participants
30 percentage of participants
Secondary Toxicity to Mylotarg(R)
Grade IV Hematologic toxicity
0 percentage of participants
100 percentage of participants
95 percentage of participants
Secondary Toxicity to Mylotarg(R)
Grade II Hematologic toxicity
0 percentage of participants
0 percentage of participants
5 percentage of participants
Secondary Toxicity to Mylotarg(R)
Grade I/II Hepatic toxicity
20 percentage of participants
10 percentage of participants
10 percentage of participants
Secondary Toxicity to Mylotarg(R)
Grade III/IV hepatic toxicity
40 percentage of participants
5 percentage of participants
15 percentage of participants
Secondary Toxicity to Mylotarg(R)
Grade I/II Infection
0 percentage of participants
10 percentage of participants
25 percentage of participants

SECONDARY outcome

Timeframe: Weekly during treatment, at third month and at 6 months after last administration of Mylotarg

all deaths occurring after the first administration of MylotargTM until the time of transplantation with no leukemic relapse has occurred, and all deaths in the 6 first months after administration of the second dose of MylotargTM with no leukemic relapse occurred.

Outcome measures

Outcome measures
Measure
Cohort 1, Version 1.0
n=5 Participants
Mylotarg: Cohort 1 version 1.0 (5 evaluable patients): GO: 6 mg/m\^2 (maximum 10 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO. If chemo-sensitivity is observed after a first course of treatment (50% or more reduction of blasts compared to baseline) a second identical cycle will be administered.
Cohort 1, Version 2.0
n=20 Participants
Mylotarg: Cohort 1 (20 evaluable patients): GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Cohort 2
n=20 Participants
Cohort 2 (20 evaluable patients): G-CSF: 150 mcg/m\^2, SC, days 0 to 7, to begin 12 to 18 hours before treatment with Gemtuzumab. GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours later after the administration of GO.
Mortality at Induction
1 Participants
0 Participants
2 Participants

SECONDARY outcome

Timeframe: One month before transplant, expected at 9 months after end of treatment.

Population: Initial 5 patients included in cohort 1 version 1.0 (closed due toxicity) have been evaluated for safety outcome but not evaluated for efficacy because the treatment is not feasible. This analysis has not been performed because data were not available for any of the cohorts studied.

Rate of patients with capacity to obtain hematopoietic progenitor cells (HPC) for autotransplantation. This analysis has not been performed, because data were not available in sites.

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 6 months from complete remission

Population: Initial 5 patients included in cohort 1 version 1.0 (closed due toxicity) have been evaluated for safety outcome but not evaluated for efficacy because the treatment is not feasible.

Rate of patients that have relapse after 6 months of obtained complete remission.

Outcome measures

Outcome measures
Measure
Cohort 1, Version 1.0
n=20 Participants
Mylotarg: Cohort 1 version 1.0 (5 evaluable patients): GO: 6 mg/m\^2 (maximum 10 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO. If chemo-sensitivity is observed after a first course of treatment (50% or more reduction of blasts compared to baseline) a second identical cycle will be administered.
Cohort 1, Version 2.0
n=20 Participants
Mylotarg: Cohort 1 (20 evaluable patients): GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Cohort 2
Cohort 2 (20 evaluable patients): G-CSF: 150 mcg/m\^2, SC, days 0 to 7, to begin 12 to 18 hours before treatment with Gemtuzumab. GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours later after the administration of GO.
Relapse After 6 Months
30 percentage of participants
59 percentage of participants

SECONDARY outcome

Timeframe: 6 months after complete remission

Population: Initial 5 patients included in cohort 1 version 1.0 (closed due toxicity) have been evaluated for safety outcome but not evaluated for efficacy because the treatment is not feasible.

rate of patients alive within 6 months of obtained complete remission

Outcome measures

Outcome measures
Measure
Cohort 1, Version 1.0
n=20 Participants
Mylotarg: Cohort 1 version 1.0 (5 evaluable patients): GO: 6 mg/m\^2 (maximum 10 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO. If chemo-sensitivity is observed after a first course of treatment (50% or more reduction of blasts compared to baseline) a second identical cycle will be administered.
Cohort 1, Version 2.0
n=20 Participants
Mylotarg: Cohort 1 (20 evaluable patients): GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Cohort 2
Cohort 2 (20 evaluable patients): G-CSF: 150 mcg/m\^2, SC, days 0 to 7, to begin 12 to 18 hours before treatment with Gemtuzumab. GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours later after the administration of GO.
Survival After 6 Months
80 percentage of participants
80 percentage of participants

Adverse Events

Cohort 1

Serious events: 3 serious events
Other events: 20 other events
Deaths: 1 deaths

Cohort 2

Serious events: 6 serious events
Other events: 19 other events
Deaths: 2 deaths

5 Patients Treated in Trial With Prrotocol Version 1.0

Serious events: 2 serious events
Other events: 3 other events
Deaths: 1 deaths

Serious adverse events

Serious adverse events
Measure
Cohort 1
n=20 participants at risk
Idarubicin, cytarabine, Mylotarg, G-CSF. Mylotarg: Cohort 1 (20 evaluable patients): GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Cohort 2
n=20 participants at risk
Cohort 2 (20 evaluable patients): G-CSF: 150 mcg/m\^2, SC, days 0 to 7, to begin 12 to 18 hours before treatment with Gemtuzumab. GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours later after the administration of GO.
5 Patients Treated in Trial With Prrotocol Version 1.0
n=5 participants at risk
Idarubicin, cytarabine, Mylotarg, G-CSF. Mylotarg:: GO: 5 mg/m\^2 (maximum 10 mg), IV infusion, 2 hours, day 1. If no adequate response, GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Nervous system disorders
Transient Ischemic event
0.00%
0/20 • From October 2008 up to September 2016, 7 years and 11 months.
5.0%
1/20 • Number of events 1 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Infections and infestations
Septic shock
0.00%
0/20 • From October 2008 up to September 2016, 7 years and 11 months.
5.0%
1/20 • Number of events 1 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Respiratory, thoracic and mediastinal disorders
Severe respiratory failure
0.00%
0/20 • From October 2008 up to September 2016, 7 years and 11 months.
10.0%
2/20 • Number of events 2 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Infections and infestations
Toxic megacolon
0.00%
0/20 • From October 2008 up to September 2016, 7 years and 11 months.
5.0%
1/20 • Number of events 1 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Respiratory, thoracic and mediastinal disorders
Bilateral pneumonia
5.0%
1/20 • Number of events 1 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/20 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Infections and infestations
Febrile neutropenia
5.0%
1/20 • Number of events 1 • From October 2008 up to September 2016, 7 years and 11 months.
10.0%
2/20 • Number of events 2 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Blood and lymphatic system disorders
Anemia
5.0%
1/20 • Number of events 1 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/20 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Hepatobiliary disorders
Liver failure
0.00%
0/20 • From October 2008 up to September 2016, 7 years and 11 months.
5.0%
1/20 • Number of events 1 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Hepatobiliary disorders
Hepatic Toxicity
0.00%
0/20 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/20 • From October 2008 up to September 2016, 7 years and 11 months.
40.0%
2/5 • Number of events 2 • From October 2008 up to September 2016, 7 years and 11 months.
Blood and lymphatic system disorders
Neutropenia
5.0%
1/20 • Number of events 1 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/20 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Respiratory, thoracic and mediastinal disorders
Acute Pulmonary Edema
5.0%
1/20 • Number of events 1 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/20 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.

Other adverse events

Other adverse events
Measure
Cohort 1
n=20 participants at risk
Idarubicin, cytarabine, Mylotarg, G-CSF. Mylotarg: Cohort 1 (20 evaluable patients): GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Cohort 2
n=20 participants at risk
Cohort 2 (20 evaluable patients): G-CSF: 150 mcg/m\^2, SC, days 0 to 7, to begin 12 to 18 hours before treatment with Gemtuzumab. GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours later after the administration of GO.
5 Patients Treated in Trial With Prrotocol Version 1.0
n=5 participants at risk
Idarubicin, cytarabine, Mylotarg, G-CSF. Mylotarg:: GO: 5 mg/m\^2 (maximum 10 mg), IV infusion, 2 hours, day 1. If no adequate response, GO: 3 mg/m\^2 (maximum 5 mg), IV infusion, 2 hours, day 1. Idarubicin: 12 mg/m\^2, IV, 30 minutes, on days 2, 3, 4. Cytarabine (cytosine arabinoside): 100 mg/m\^2 IV continuous infusion on days 1 to 7, to begin 4 hours after the administration of GO.
Blood and lymphatic system disorders
Grade 4 hematologic toxicity
100.0%
20/20 • Number of events 20 • From October 2008 up to September 2016, 7 years and 11 months.
95.0%
19/20 • Number of events 19 • From October 2008 up to September 2016, 7 years and 11 months.
60.0%
3/5 • Number of events 3 • From October 2008 up to September 2016, 7 years and 11 months.
Hepatobiliary disorders
G1/2 Hepatic toxicity
10.0%
2/20 • Number of events 2 • From October 2008 up to September 2016, 7 years and 11 months.
10.0%
2/20 • Number of events 2 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Hepatobiliary disorders
G3/G4 Hepatic Toxicity
5.0%
1/20 • Number of events 1 • From October 2008 up to September 2016, 7 years and 11 months.
15.0%
3/20 • Number of events 3 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Infections and infestations
Grade I/II infectous toxicity
10.0%
2/20 • Number of events 2 • From October 2008 up to September 2016, 7 years and 11 months.
25.0%
5/20 • Number of events 5 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.
Infections and infestations
Grade 3 Infectous toxicity
5.0%
1/20 • Number of events 1 • From October 2008 up to September 2016, 7 years and 11 months.
30.0%
6/20 • Number of events 6 • From October 2008 up to September 2016, 7 years and 11 months.
0.00%
0/5 • From October 2008 up to September 2016, 7 years and 11 months.

Additional Information

Dr. Jordi Sierra

CETLAM

Phone: +34 93 434 44 12

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: GT60