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insufficient patient recruitement
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| Name | Class |
|---|---|
| Technische Universität Dresden | OTHER |
| Philipps University Marburg | OTHER |
| Universitätsklinikum Hamburg-Eppendorf | OTHER |
| Hannover Medical School |
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For patients with acute myeloid leukemia (AML), allogeneic hematopoetic stem cell transplantation (HSCT) is one of the most potent treatment options currently available. In order to overcome the high risk of fatal treatment-related complications, reduced intensity and nonmyeloablative conditioning regimens for allogeneic HSCT are currently being explored in various hematological malignancies including AML. At least for allogeneic HSCT in AML, the optimal dose-intensity of preparative regimens for disease control at an acceptable rate of treatment-related lethal complications has not been determined. The investigators, therefore, evaluated reduced intensity myeloablative conditioning with 8 Gy TBI and fludarabine in AML patients considered ineligible for conventional conditioning in a phase 2 trial (data published in BLOOD by Stelljes et al., 2005). The results suggest that with 8 Gy TBI/fludarabine, conditioning related and unrelated donor transplants can be performed in AML patients in first or second complete remission (CR) with a remarkably low 2-year non relapse mortality (NRM) and satisfactory disease control. Based on these data a randomized phase 3 trial for patients with AML in CR≥2 is currently being conducted by the Cooperative German Transplant Study Group comparing TBI 8 Gy/fludarabine to conventionally dosed conditioning with TBI 12 Gy/cyclophosphamide.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| conditioning therapy with 12 Gy TBI / cyclophosphamide 120 | Active Comparator |
| |
| conditioning therapy with 8 Gy TBI / fludarabine 120 | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| conditioning for allogeneic HSCT | Procedure |
|
| Measure | Description | Time Frame |
|---|---|---|
| treatment related mortality |
| Measure | Description | Time Frame |
|---|---|---|
| event free survival | ||
| overall survival | ||
| cumulative incidence of acute and chronic graft-versus-host disease (GvHD) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Matthias Stelljes, M.D. | Department of Medicine/Hematology and Oncology | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Department of Medicine/Hematology and Oncology | Münster | North Rhine-Westphalia | 48149 | Germany |
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| ID | Term |
|---|---|
| D015470 | Leukemia, Myeloid, Acute |
| ID | Term |
|---|---|
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
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| OTHER |
| Ludwig-Maximilians - University of Munich | OTHER |
| University Hospital, Essen | OTHER |
| Johann Wolfgang Goethe University Hospital | OTHER |
| Deutsche Klinik fuer Diagnostik | OTHER |
| Charite University, Berlin, Germany | OTHER |
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| activity index (ECOG) |
| organ function |
| D006402 |
| Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |