Research Study for Treatment of Children and Adolescents With Acute Myeloid Leukaemia 0-18 Years

NCT ID: NCT01828489

Last Updated: 2017-01-10

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

PHASE3

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-03-31

Study Completion Date

2023-03-31

Brief Summary

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This study evaluates the effect of different induction courses in children and adolescents with newly diagnosed acute myeloid leukemia. In the first course patients are randomised to receive either standard anthracycline therapy with mitoxantrone or experimental DaunoXome. In the second course patients are randomised between standard treatment with ADxE (cytarabine, DaunoXome, etoposide) or experimental therapy with FLADx (fludarabine, cytarabine, DaunoXome).

Detailed Description

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Conditions

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Pediatric Acute Myeloblastic Leukemia

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

FACTORIAL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Standard arm MEC and ADxE

Standard protocol arm with mitoxantrone in first course (MEC) and standard ADxE treatment in course two

Group Type ACTIVE_COMPARATOR

Randomisation course 1 mitoxantrone versus DaunoXome

Intervention Type DRUG

In course one with cytarabine and etoposide either mitoxantrone (standard) or DaunoXome (experimental) is given as anthracycline.

Randomisation course 2 ADxE versus FLADx

Intervention Type DRUG

The second course is randomised to either ADxE (standard arm) or FLADx

Experimental DxEC and standard ADxE

Experimental arm with DaunoXome in course one (DxEC) and standard ADxE treatment in course two

Group Type EXPERIMENTAL

Randomisation course 1 mitoxantrone versus DaunoXome

Intervention Type DRUG

In course one with cytarabine and etoposide either mitoxantrone (standard) or DaunoXome (experimental) is given as anthracycline.

Standard arm MEC and experimental FLADx

Experimental arm with standard MEC in the first course (MEC) and experimental treatment with FLADx in course two

Group Type EXPERIMENTAL

Randomisation course 2 ADxE versus FLADx

Intervention Type DRUG

The second course is randomised to either ADxE (standard arm) or FLADx

Experimental DxEC and experimental FLADx

Experimental treatment with DaunoXome in course one (DxEC) and experimental treatment with FLADx in course two

Group Type EXPERIMENTAL

Randomisation course 1 mitoxantrone versus DaunoXome

Intervention Type DRUG

In course one with cytarabine and etoposide either mitoxantrone (standard) or DaunoXome (experimental) is given as anthracycline.

Randomisation course 2 ADxE versus FLADx

Intervention Type DRUG

The second course is randomised to either ADxE (standard arm) or FLADx

Interventions

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Randomisation course 1 mitoxantrone versus DaunoXome

In course one with cytarabine and etoposide either mitoxantrone (standard) or DaunoXome (experimental) is given as anthracycline.

Intervention Type DRUG

Randomisation course 2 ADxE versus FLADx

The second course is randomised to either ADxE (standard arm) or FLADx

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. AML as defined by the WHO diagnostic criteria
2. Age \< 19 years at time of diagnosis
3. Written informed consent

Exclusion Criteria

1. Previous chemotherapy or radiotherapy. This includes patient with secondary AML after previous cancer therapy
2. AML secondary to previous bone marrow failure syndrome.
3. Down syndrome (DS)
4. Acute promyelocytic leukaemia (APL)
5. Myelodysplastic syndrome (MDS)
6. Juvenile Myelomonocytic Leukaemia (JMML)
7. Known intolerance to any of the chemotherapeutic drugs in the protocol.
8. Fanconi anaemia
9. Major organ failure precluding administration of planned chemotherapy.
10. Positive pregnancy test
11. Lactating female or female of childbearing potential not using adequate contraception
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Vastra Gotaland Region

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Jonas Abrahamsson, MD, PhD

Role: STUDY_CHAIR

Children's Cancer Centre, Queen Silvias Childrens and Adolescents Hospital 416 85 Gothenburg, Sweden

Barbara de Moerloose, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Ghent University Hospital, Children´s Hospital, Princess Elisabeth, Department of Pediatric Hematology-Oncology, 3K12D, De Pintelaan 185 - 9000 Gent, Belgium

Ha Shau-Yin, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Dept of Paediatrics & Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong, Pokfulam, Hong Kong

Henrik Hasle, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Pediatrics, Aarhus University Hospital Skejby 8200 Aarhus N, Denmark

Kirsi Jahnukainen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Division of Hematology-Oncology and Stem Cell Transplantation, Children's Hospital, Helsinki University Central Hospital, PL 281, 00029 Helsinki, Finland

Olafur G Jonsson, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Children´s Hospital, Landspitali University Hospital, Hringbraut, 101 Reykjavik, Iceland

Gertjan Kaspers, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Department of Pediatrics, VU University Medical Center Amsterdam De Boelelaan 1117, NL-1081 HV Amsterdam, The Netherlands

Birgitte Lausen, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Dept of Pediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen, Denmark

Josefine Palle, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Dept of Woman´s and Children´s Health, Uppsala University, Uppsala, Sweden

Kadri Saks, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Tallinn Children's Hospital, Dep. Hematology oncology, Tervise 28, Tallinn 13419, Estonia.

Bernward Zeller, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Pediatric Dept, Women and Children's Division, Oslo University Hospital Rikshospitalet, Mailbox 4950 Nydalen, N-0424 Oslo, Norway

Locations

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HUDERF, L'Hôpital des Enfants Hématologie / Oncologie

Brussels, , Belgium

Site Status RECRUITING

UZ Brussel, Pediatrische Hemato-Oncologie F930

Brussels, , Belgium

Site Status RECRUITING

UCL, Cliniques Universitaires Saint-Luc

Brussels, , Belgium

Site Status RECRUITING

Ghent University Hospital, Children´s Hospital, Princess Elisabeth, Department of Pediatric Hematology-Oncology

Ghent, , Belgium

Site Status RECRUITING

UZ Leuven, Kinder Hemato-Oncologie

Leuven, , Belgium

Site Status RECRUITING

CHR Citadelle

Liège, , Belgium

Site Status RECRUITING

CHC Espérance

Montegnée, , Belgium

Site Status RECRUITING

Department of Pediatrics, Aarhus University Hospital Skejby

Aarhus, , Denmark

Site Status RECRUITING

Dept of Pediatrics and Adolescent Medicine, Rigshospitalet, University of Copenhagen

Copenhagen, , Denmark

Site Status RECRUITING

Tallinn Children's Hospital, Dep. Hematology oncology

Tallinn, , Estonia

Site Status NOT_YET_RECRUITING

Division of Hematology-Oncology and Stem Cell Transplantation, Children's Hospital, Helsinki University Central Hospital

Helsinki, , Finland

Site Status RECRUITING

Department of Pediatrics, Kuopio University Hospital

Kuopio, , Finland

Site Status RECRUITING

Department of Pediatrics, Oulu University Hospital

Oulu, , Finland

Site Status RECRUITING

Department of Pediatrics, Tampere University Central Hospital

Tampere, , Finland

Site Status RECRUITING

Department of Pediatrics, Turku University Central Hospital

Turku, , Finland

Site Status RECRUITING

Dept of Paediatrics & Adolescent Medicine, Queen Mary Hospital, The University of Hong Kong

Hong Kong, , Hong Kong

Site Status RECRUITING

Children´s Hospital, Landspitali University Hospital

Reykjavik, , Iceland

Site Status NOT_YET_RECRUITING

VU University Medical Center Department of Pediatric Oncology/Hematology

Amsterdam, , Netherlands

Site Status RECRUITING

Emma Children's Hospital/ Amsterdam Medical Center Department of Pediatric Oncology

Amsterdam, , Netherlands

Site Status RECRUITING

Department of Pediatric Oncology/Hematology Beatrix childrens hospital / University Medical Center Groningen

Groningen, , Netherlands

Site Status RECRUITING

University Medical Center Nijmegen Department of Pediatric Oncology/Hematolog

Nijmegen, , Netherlands

Site Status RECRUITING

Erasmus MC - Sophia Childrens Hospital University Medical Center Rotterdam

Rotterdam, , Netherlands

Site Status RECRUITING

Department of Pediatrics, Haukeland University Hospital, Bergen

Bergen, , Norway

Site Status RECRUITING

Pediatric Dept, Women and Children's Division, Oslo University Hospital Rikshospitalet

Oslo, , Norway

Site Status RECRUITING

Department of Pediatrics, University Hospital of North Norway, Tromsoe

Tromsø, , Norway

Site Status RECRUITING

Department of Cancer and Haemathology, St Olavs Hospital, Trondheim University Hospital

Trondheim, , Norway

Site Status RECRUITING

Queen Silvias Childrens and Adolescents Hospital

Gothenburg, , Sweden

Site Status RECRUITING

Dept of Pediatrics, Linköpings University Hospital

Linköping, , Sweden

Site Status RECRUITING

Dept of Pediatrics, Skåne University Hospital

Lund, , Sweden

Site Status RECRUITING

Astrid Lindgrens Barnsjukhus, Karolinska University Hospital

Stockholm, , Sweden

Site Status RECRUITING

Dept of Pediatrics, Norrlands University Hospital

Umeå, , Sweden

Site Status RECRUITING

Dept of Pediatrics, Akademiska barnsjukhuset

Uppsala, , Sweden

Site Status RECRUITING

Countries

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Belgium Denmark Estonia Finland Hong Kong Iceland Netherlands Norway Sweden

Central Contacts

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Jonas Abrahamsson, MD, PhD

Role: CONTACT

+46 707695159

Anna Schröder-Håkansson

Role: CONTACT

Facility Contacts

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Laurence Dedeken, MD, PhD

Role: primary

+32 2 4773311

Jutte Van der Werff ten Bosch, MD, PhD

Role: primary

+32 2 4774111

Sophie Dupont, MD, PhD

Role: primary

+32 2 7641111

Barbara de Moerloose, MD, PhD

Role: primary

Anne Uyttebroeck, MD, PhD

Role: primary

+32 16 33 22 11

Marie-Françoise Dresse, MD, PhD

Role: primary

+32 42238980

Pierre Philippet, MD, PhD

Role: primary

+32 42249111

Henrik Hasle, MD, PhD

Role: primary

Birgitte Lausen, MD, PhD

Role: primary

Kadri Saks, MD, PhD

Role: primary

Kirsi Jahnukainen, MD, PhD

Role: primary

Pekka Riikonen

Role: primary

+358 447172392

Merja Möttönen

Role: primary

+358 83155251

Mikko Arola

Role: primary

+358 3 31164386

Minna Koskenvuo, MD, PhD

Role: primary

+358 50 3624430

Shau-Yin Ha, MD, PhD

Role: primary

Olafur Jonsson, MD, PhD

Role: primary

Gertjan Kaspers, MD, PhD

Role: primary

Huib Caron, MD, PhD

Role: primary

Eveline de Bont, MD, PhD

Role: primary

Dunja te Loo, MD, PhD

Role: primary

Marry van den Heuvel-Eibrink, MD, PhD

Role: primary

Dorota, Wojcik

Role: primary

+47 55 97 50 00

Bernward Zeller, MD, PhD

Role: primary

Trond Flaegstad

Role: primary

+47 91507766

Svein Kolmannskog

Role: primary

+47 815 55 850

Jonas Abrahamsson, MD, PhD

Role: primary

Mikael Behrendtz, MD, PhD

Role: primary

Cornelis Pronk, MD, PhD

Role: primary

Karin Belander-Strålin, MD

Role: primary

Ulrika Norén-Nyström, MD, PhD

Role: primary

Josefine Palle, MD, PhD

Role: primary

References

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Tierens A, Arad-Cohen N, Cheuk D, De Moerloose B, Fernandez Navarro JM, Hasle H, Jahnukainen K, Juul-Dam KL, Kaspers G, Kovalova Z, Lausen B, Noren-Nystrom U, Palle J, Pasauliene R, Jan Pronk C, Saks K, Zeller B, Abrahamsson J. Mitoxantrone Versus Liposomal Daunorubicin in Induction of Pediatric AML With Risk Stratification Based on Flow Cytometry Measurement of Residual Disease. J Clin Oncol. 2024 Jun 20;42(18):2174-2185. doi: 10.1200/JCO.23.01841. Epub 2024 Apr 11.

Reference Type DERIVED
PMID: 38603646 (View on PubMed)

Other Identifiers

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2012-002934-35

Identifier Type: EUDRACT_NUMBER

Identifier Source: secondary_id

NOPHO-DBH-AML2012

Identifier Type: -

Identifier Source: org_study_id

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