Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
This is a Phase Ib/IIa open-labeled multi-center trial evaluating the feasibility of dasatinib given after standard induction therapy with daunorubicin (DNR) and cytarabine (ARA-C), after consolidation therapy with high-dose cytarabine (HDAC), and as single agent in a one-year maintenance therapy in patients with newly diagnosed CBF AML.
82 patients with newly diagnosed CBF AML will be enrolled at AMLSG study centers.
All AML patients will be assessed for the CBF fusion genes via the central laboratory of the AMLSG within 48 hours of diagnosis of AML, and only patients with CBF AML will be enrolled into the study.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Dasatinib | Experimental | Induction cycle(s): Patients will receive in cycle 1 induction therapy with daunorubicin 60 mg/m2/day administered on days 1 through 3 and cytarabine 200 mg/m2/day administered by continuous IV infusion daily for 7 days (days 1 through 7). Patients will receive dasatinib 100 mg QD on days 8-21. Patients not achieving CR or CRi at the end of cycle 1 will be evaluable to receive a second induction cycle identical in schedule and dosage to the first induction cycle. Consolidation Cycles 1, 2, 3, 4: Patients achieving CR or CRi at the end of cycle 1 will receive consolidation therapy for 4 cy-cles. Consolidation therapy consists of high-dose cytarabine 3 g/m2 (>60 years: 1 g/m2) q12h, d 1, 3, 5, administered intravenously over three hours. Patients will receive dasatinib 100 mg QD on days 6-28. Maintenance therapy: Patients completing consolidation therapy will continue to receive single agent dasatinib 100 mg QD for one year (or until relapse). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Dasatinib | Drug | Induction cycle(s): Dasatinib 100 mg QD on days 8-21. Consolidation Cycles 1, 2, 3, 4: Patients will receive dasatinib 100 mg QD on days 6-28. Maintenance therapy: Patients completing consolidation therapy will continue to receive single agent dasatinib 100 mg QD for one year (or until relapse). |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility as combined endpoint: Rate of ED/HD Rate of pleural/pericardial effusion grade 3/4 Rate of liver toxicity grade 3/4 that does not improve to <= grade 2 within 14 days after discontinuing responsible medication Rate of refractory disease | after 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Cumulative incidence of relapse (CIR) and death (CID) | After follow-up period of two years | |
| Overall survival (os) | After follow-up period of two years |
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| Name | Affiliation | Role |
|---|---|---|
| Hartmut Doehner, MD | University Hospital of Ulm | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Universitätsklinikum Innsbruck | Innsbruck | 6020 | Austria | |||
| Krankenhaus der Barmherzigen Schwestern |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29720733 | Derived | Paschka P, Schlenk RF, Weber D, Benner A, Bullinger L, Heuser M, Gaidzik VI, Thol F, Agrawal M, Teleanu V, Lubbert M, Fiedler W, Radsak M, Krauter J, Horst HA, Greil R, Mayer K, Kundgen A, Martens U, Heil G, Salih HR, Hertenstein B, Schwanen C, Wulf G, Lange E, Pfreundschuh M, Ringhoffer M, Girschikofsky M, Heinicke T, Kraemer D, Gohring G, Ganser A, Dohner K, Dohner H. Adding dasatinib to intensive treatment in core-binding factor acute myeloid leukemia-results of the AMLSG 11-08 trial. Leukemia. 2018 Jul;32(7):1621-1630. doi: 10.1038/s41375-018-0129-6. Epub 2018 Apr 17. |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
|
| daunorubicin | Drug | Induction cycle(s): Daunorubicin 60 mg/m2/day administered on days 1 through 3 |
|
| Cytarabine | Drug | Induction cycle(s): Cytarabine 200 mg/m2/day administered by continuous IV infusion daily for 7 days (days 1 through 7). Consolidation cycles 1, 2, 3, 4: Consolidation therapy consists of high-dose cytarabine 3 g/m2 (>60 years: 1 g/m2) q12h, d 1, 3, 5, administered intravenously over three hours. |
|
| Linz |
| 4010 |
| Austria |
| Elisabethinen Krankenhaus | Linz | 4020 | Austria |
| Landeskliniken Salzburg | Salzburg | 5020 | Austria |
| Hanuschkrankenhaus Wien | Vienna | 1140 | Austria |
| Ubbo-Emmius Klinik Aurich | Aurich | 26603 | Germany |
| Charité Universitätsmedizin Berlin | Berlin | 13353 | Germany |
| Universitätsklinikum Bonn | Bonn | 53105 | Germany |
| Städtisches Klinikum Braunschweig | Braunschweig | 38114 | Germany |
| Klinikum Bremen-Mitte gGmbH | Bremen | 28177 | Germany |
| Klinikum Darmstadt | Darmstadt | 64283 | Germany |
| Universitätsklinikum Duesseldorf | Düsseldorf | 40225 | Germany |
| Kliniken Essen-Sued | Essen | 45239 | Germany |
| Klinikum Esslingen | Esslingen am Neckar | 73730 | Germany |
| Städtische Kliniken Frankfurt Höchst | Frankfurt-Höchst | 65929 | Germany |
| Medizinische Universitätsklinik | Freiburg im Breisgau | 79106 | Germany |
| Medizinisches Versorgungszentrum Osthessen GmbH | Fulda | 36043 | Germany |
| Klinik der Justus Liebig Universität | Giessen | 35385 | Germany |
| Wilhelm- Anton- Hospital gGmbH | Goch | 47574 | Germany |
| Universitätsmedizin Göttingen | Göttingen | 37075 | Germany |
| Universitätsklinikum Hamburg-Eppendorf | Hamburg | 20246 | Germany |
| Asklepios Klinik Altona | Hamburg | 22763 | Germany |
| Evangelisches Krankenhaus Hamm | Hamm | 59063 | Germany |
| Klinikum Hanau gGmbH | Hanau | 63450 | Germany |
| Klinikum Hannover Siloah | Hanover | 30449 | Germany |
| Medizinische Hochschule Hannover | Hanover | 30625 | Germany |
| SLK-Kliniken Heilbronn GmbH | Heilbronn | 74078 | Germany |
| Universitätsklinikum des Saarlandes | Homburg Saar | 66424 | Germany |
| Staedtisches Klinikum Karlsruhe | Karlsruhe | 76133 | Germany |
| Staedtisches Krankenhaus Kiel GmbH | Kiel | 24116 | Germany |
| Caritas Krankenhaus Lebach | Lebach | 66822 | Germany |
| Klinikum Lippe-Lemgo | Lemgo | 32657 | Germany |
| Klinikum Luedenscheid | Lüdenscheid | 58515 | Germany |
| Univ-Klinikum der Otto- von Guericke- Universität | Magdeburg | 39120 | Germany |
| Universitätsklinikum der Johannes Gutenberguniversität Mainz | Mainz | 55131 | Germany |
| Johannes Wesling Klinikum | Minden | 32429 | Germany |
| Klinikum rechts der Isar der TU Muenchen | München | 81675 | Germany |
| Klinikum Oldenburg | Oldenburg | 26133 | Germany |
| Klinikum Passau | Passau | 94032 | Germany |
| Elisabeth Krankenhaus | Recklinghausen | 45661 | Germany |
| Krankenhaus der Barmherzigen Brueder | Regensburg | 93049 | Germany |
| Caritas-Klinik St. Theresia | Saarbrücken | 66113 | Germany |
| Klinikum Sindelfingen-Böblingen | Sindelfingen | 71065 | Germany |
| Klinikum Stuttgart | Stuttgart | 70174 | Germany |
| Diakonie-Klinikum Stuttgart | Stuttgart | 70176 | Germany |
| Krankenhaus der Barmherzigen Brüder Trier | Trier | 54292 | Germany |
| Medizinische Universitätsklinik Tuebingen | Tübingen | 72076 | Germany |
| Universitätsklinik Ulm | Ulm | 89081 | Germany |
| Schwarzwald-Baar Klinikum | Villingen-Schwenningen | 78050 | Germany |
| Helios Klinikum Wuppertal | Wuppertal | 42283 | Germany |
| ID | Term |
|---|---|
| D015470 | Leukemia, Myeloid, Acute |
| ID | Term |
|---|---|
| D007951 | Leukemia, Myeloid |
| D007938 | Leukemia |
| D009370 | Neoplasms by Histologic Type |
| D009369 | Neoplasms |
| D006402 | Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
Not provided
Not provided
| ID | Term |
|---|---|
| D000069439 | Dasatinib |
| D003630 | Daunorubicin |
| D003561 | Cytarabine |
| ID | Term |
|---|---|
| D013844 | Thiazoles |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D011743 | Pyrimidines |
| D018943 | Anthracyclines |
| D009279 | Naphthacenes |
| D011084 | Polycyclic Aromatic Hydrocarbons |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
| D006838 | Hydrocarbons |
| D011083 | Polycyclic Compounds |
| D000617 | Aminoglycosides |
| D006027 | Glycosides |
| D002241 | Carbohydrates |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
| D001087 | Arabinonucleosides |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
Not provided
Not provided