Azacytidine Plus FLAG for Relapsed or Refractory AML

NCT ID: NCT02275663

Last Updated: 2015-01-06

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

PHASE2

Total Enrollment

37 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-12-31

Study Completion Date

2018-10-31

Brief Summary

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The purpose of this phase 2 study is to test the efficacy of azacytidine given prior to fludarabine, cytarabine, and G-CSF for the treatment of relapsed or refractory acute myeloid leukemia.

Detailed Description

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Conditions

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Acute Myeloid Leukemia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Azacytidine plus FLAG

Azacytidine 75 mg/m2 = mg IV in 100 ml Normal Saline (NS) over 30 minutes on days -5 t0 -1

G-CSF 5 mcg/kg subcut on days 0 to + 6

Fludarabine 30mg/m² in 100ml NS IV daily over 30min., on Days +1 to +5

Cytarabine 2gm/m² = 500ml NS IV daily over 4h, on Days +1 to +5 Start 4h after completion of fludarabine infusion.

Group Type EXPERIMENTAL

Azacytidine

Intervention Type DRUG

Fludarabine

Intervention Type DRUG

Cytarabine

Intervention Type DRUG

Filgrastim

Intervention Type DRUG

G-CSF

Interventions

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Azacytidine

Intervention Type DRUG

Fludarabine

Intervention Type DRUG

Cytarabine

Intervention Type DRUG

Filgrastim

G-CSF

Intervention Type DRUG

Other Intervention Names

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vidaza

Eligibility Criteria

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Inclusion Criteria

1. Age 16 to 60
2. Patients with a diagnosis of relapse or refractory AML (≥ 20% blast in bone marrow).
3. Eastern Cooperative Oncology Group (ECOG) performance status ≤2
4. Patients must have preserved organ function as defined below:

* Creatinine ≤ 1.5 mg/dl
* Total bilirubin ≤ 1.5x upper limit of the normal
* Alanine aminotransferase (ALT) ≤ 2x upper limit of the normal
* Left ventricular ejection fraction (LVEF) ≥ 45%

Exclusion Criteria

1. Patients with a diagnosis of acute promyelocytic leukemia (AML -M3)
2. Pregnant women
3. Patients previously treated with fludarabine are allowed to participate.
4. Patients with Uncontrolled intercurrent illness including, but not limited to, ongoing or active infection, symptomatic congestive heart failure, unstable angina pectoris, cardiac arrhythmia, or psychiatric illness/social situations that would limit compliance with study requirements.
Minimum Eligible Age

16 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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King Fahad Medical City

OTHER_GOV

Sponsor Role lead

Responsible Party

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Ibraheem Motabi

Consultant, Hematology and BMT

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Ibraheem H Motabi, MD

Role: PRINCIPAL_INVESTIGATOR

King Fahad Medical City

Locations

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King Fahad Medical City

Riyadh, Riyadh Region, Saudi Arabia

Site Status RECRUITING

Countries

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Saudi Arabia

Central Contacts

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Ibraheem H Motabi, MD

Role: CONTACT

+966 11 288 9999 ext. 11998

Humariya H Munshi

Role: CONTACT

+966 11 288 9999 ext. 14029

Facility Contacts

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Ibraheem Motabi, MD

Role: primary

+966112889999 ext. 11998

Other Identifiers

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KFMC-AML01

Identifier Type: -

Identifier Source: org_study_id

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