Optimal Treatment Strategy Based on for Pediatric AML

NCT ID: NCT02848183

Last Updated: 2016-07-28

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

350 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-01-31

Brief Summary

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The purpose of this study is to optimize therapy according to the known risk factors and treatment response in pediatric acute myeloid leukemia (AML)

Detailed Description

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I. Risk group assessment Favorable prognosis group: Low risk features + Good response

Intermediate prognosis group:

1. Low risk features + Delayed response-1
2. Standard risk features + Good response
3. Standard risk features + Delayed response-1

Poor prognosis group:

1. Any high risk features irrespective of treatment response
2. Any delayed response-2 irrespective of risk features
3. Any refractory state irrespective of risk features
4. Any early relapse

II. Chemotherapy Induction-1: Cytarabine + idarubicin Induction-2: High dose (HD) cytarabine + mitoxantrone Consolidation-1: Cytarabine + idarubicin Consolidation-2: HD cytarabine + etoposide Consolidation-3: HD cytarabine + mitoxantrone Consolidation-4: HD cytarabine + etoposide

III. Allogeneic hematopoietic stem cell transplantation (HSCT) Favorable prognosis group: chemotherapy only Intermediate prognosis group: chemotherapy or HSCT with reduced intensity conditioning Poor prognosis group: HSCT with myeloablative conditioning

Conditions

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Pediatric Acute Myeloid Leukemia

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Study Groups

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Pediatric de novo acute myeloid leukemia

I. Chemotherapy Induction-1: Cytarabine + idarubicin Induction-2: High dose (HD) cytarabine + mitoxantrone Consolidation-1: Cytarabine + idarubicin Consolidation-2: HD cytarabine + etoposide Consolidation-3: HD cytarabine + mitoxantrone Consolidation-4: HD cytarabine + etoposide

II. Allogeneic hematopoietic stem cell transplantation (HSCT) Favorable prognosis group: chemotherapy only Intermediate prognosis group: chemotherapy or HSCT with reduced intensity conditioning Poor prognosis group: HSCT with myeloablative conditioning

Group Type EXPERIMENTAL

Cytarabine

Intervention Type DRUG

Idarubicin

Intervention Type DRUG

Mitoxantrone

Intervention Type DRUG

Etoposide

Intervention Type DRUG

Hematopoietic stem cell transplantation

Intervention Type PROCEDURE

Interventions

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Cytarabine

Intervention Type DRUG

Idarubicin

Intervention Type DRUG

Mitoxantrone

Intervention Type DRUG

Etoposide

Intervention Type DRUG

Hematopoietic stem cell transplantation

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* Patients who were newly diagnosed with de novo AML
* Patients who had recurrent cytogenetic abnormalities of AML even though the bone marrow blast percent is lower than 20%

Exclusion Criteria

* Acute promyelocytic leukemia
* Down syndrome AML
* Therapy-related AML
* AML developed from myelodysplastic syndrome or other marrow failure syndrome
* Isolated myeloid sarcoma without bone marrow involvement
* Patients who cannot undergo chemotherapy as scheduled due to serious complications at diagnosis
Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Samsung Medical Center

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Chonnam National University Hwasun Hospital

Chonnam, , South Korea

Site Status RECRUITING

Samsung Medical Center

Seoul, , South Korea

Site Status RECRUITING

St. Mary Hospital

Seoul, , South Korea

Site Status RECRUITING

Countries

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South Korea

Central Contacts

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Keon Hee Yoo, MD, PhD

Role: CONTACT

82-2-3410-3532

Facility Contacts

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Hoon Kook, MD, PhD

Role: primary

Keon Hee, MD, PhD

Role: primary

82-2-3410-3532

Bin Cho, MD, PhD

Role: primary

Other Identifiers

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2015-11-028

Identifier Type: -

Identifier Source: org_study_id

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