Study of DAC Combined With HAAG Regimen in Newly Diagnosed Younger AML Patients

NCT ID: NCT04087967

Last Updated: 2019-09-12

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

UNKNOWN

Clinical Phase

PHASE3

Total Enrollment

162 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-04-01

Study Completion Date

2022-05-31

Brief Summary

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The purpose of this study is to evaluate the safety and efficacy of DAC combined with HAAG regimen in the induction treatment of newly diagnosed AML patients younger than 60 years.

Detailed Description

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This is a phase 3, randomized, controlled, multi-center study in newly diagnosed AML patients younger than 60. The patients will be randomized to receive either DAC combined with HAAG or IA regimen in the induction treatment.

Conditions

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Acute Myeloid Leukemia Induction Chemotherapy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Decitabine combined with HAAG

This cohort will determine the safety and efficacy of decitabine combined with HAAG regimen in the newly diagnosed AML patients younger than 60.

Group Type EXPERIMENTAL

Decitabine plus HAAG regimen

Intervention Type DRUG

Decitabine:20mg/m2/d,d1\~5, intravenous infusion; Homoharringtonine:1mg/d,d3\~16,intravenous infusion; Aclarubicin:10mg/d, d3\~d10, intravenous infusion; Cytarabine:10mg/m2,q12h,d3-16, subcutaneous injection;

Granulocyte colony-stimulating factor (G-CSF):

50-300μg/d (when WBC counts are less than 20×10\^9/L ),subcutaneous injection;

IA Regimen

This cohort will determine the safety and efficacy of decitabine combined with HAAG regimen in the newly diagnosed AML patients younger than 60.

Group Type ACTIVE_COMPARATOR

Idarubicine plus Cytarabine regimen

Intervention Type DRUG

Idarubicine :12mg/m2, d1-3, intravenous infusion; Cytarabine :100mg/m2, d1-7, 24-hours continuous intravenous infusion

Interventions

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Decitabine plus HAAG regimen

Decitabine:20mg/m2/d,d1\~5, intravenous infusion; Homoharringtonine:1mg/d,d3\~16,intravenous infusion; Aclarubicin:10mg/d, d3\~d10, intravenous infusion; Cytarabine:10mg/m2,q12h,d3-16, subcutaneous injection;

Granulocyte colony-stimulating factor (G-CSF):

50-300μg/d (when WBC counts are less than 20×10\^9/L ),subcutaneous injection;

Intervention Type DRUG

Idarubicine plus Cytarabine regimen

Idarubicine :12mg/m2, d1-3, intravenous infusion; Cytarabine :100mg/m2, d1-7, 24-hours continuous intravenous infusion

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

1. Newly diagnosed AML according to the WHO (2016) classification of acute myeloid leukemia.
2. Age 18-59.
3. ECOG score: 0-2.
4. Treatment related or secondary AML.
5. No history of previous chemotherapy or target therapy.
6. Provide informed consent.

Exclusion Criteria

1. Patients are pregnant or lactating.
2. Patients have acute promylocytic leukemia or chronic myeloid leukemia in blast crisis.
3. Patients with another malignant disease.
4. Patients with uncontrolled active infection.
5. Patients with left ventricular ejection fraction \< 0.5 by echocardiography or grade III/IV cardiovascular dysfunction according to the New York Heart Association Classification.
6. Patients with aspartate aminotransferase or glutamic-pyruvic transaminase \> 3x upper limit of normal or bilirubin \> 2.0 mg/dL.
7. Patients with creatinine clearance rate \< 50ml/min.
8. Patients with active hepatitis B or hepatitis C infection.
9. Patients with HIV infection.
10. Patients with other commodities that the investigators considered not suitable for the enrollment.
Minimum Eligible Age

18 Years

Maximum Eligible Age

59 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Second Affiliated Hospital of Soochow University

OTHER

Sponsor Role collaborator

Changzhou No.2 People's Hospital

OTHER

Sponsor Role collaborator

The First People's Hospital of Lianyungang

OTHER

Sponsor Role collaborator

Jingjiang People's Hospital

OTHER

Sponsor Role collaborator

Zhangjiagang First People's Hospital

OTHER

Sponsor Role collaborator

The Second People's Hospital of Huai'an

OTHER

Sponsor Role collaborator

The Third People's Hospital of Kunshan

UNKNOWN

Sponsor Role collaborator

The First Affiliated Hospital of Soochow University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Xiaowen Tang, Ph.D.

Role: PRINCIPAL_INVESTIGATOR

The First Affiliated Hospital of Soochow University

Locations

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The First Affiliated Hospital of Soochow University

Suzhou, Jiangsu, China

Site Status RECRUITING

Countries

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China

Central Contacts

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Xiaowen Tang, Ph.D.

Role: CONTACT

(0086)51267780086

Depei Wu, Ph.D.

Role: CONTACT

(0086)51267780086

Facility Contacts

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Xiaowen Tang, Ph.D.

Role: primary

(0086)51267780086

Other Identifiers

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DAC-HAAG-01

Identifier Type: -

Identifier Source: org_study_id

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