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Poor recruitment
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| Name | Class |
|---|---|
| Celgene Corporation | INDUSTRY |
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The purpose of this study is to determine whether Azacitidine consolidation is superior to standard DA consolidation treatment of acute myeloid leukemia in first complete remission in elderly patients.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Azacitidine | Experimental | Azacitidine 75mg/m2/d subcutaneously once daily for 5 days given every 5:th week for 8 cycles. |
|
| DA | Active Comparator | Two courses of DA in accordance with the Swedish National treatment program (reduced doses): In case one induction course was given: First consolidation course: daunorubicin 45 mg/m2 x 1 (iv infusion) day 1-3 and cytarabine 1000 mg/m2 x 2 (iv infusion) day 1-4. Second consolidation course: daunorubicin 45 mg/m2 x 1( iv infusion) day 1-2 and cytarabine 200 mg x 2 (fixed dose sc injection) day 1- 5. In case two induction courses were given: First consolidation course: daunorubicin 45 mg/m2 x 1( iv infusion) day 1-2 and cytarabine 200 mg x 2 (fixed dose sc injection) day 1- 5. Second consolidation course: cytarabine 200mg x 2 (fixed dose sc injection) day 1-5. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Azacitidine | Drug |
|
| |
| DA |
| Measure | Description | Time Frame |
|---|---|---|
| Leukemia free survival | One year |
| Measure | Description | Time Frame |
|---|---|---|
| Overall survival | Two years | |
| Treatment related morbidity and mortality | Two years | |
| Severe Adverse Events (SAE) |
| Measure | Description | Time Frame |
|---|---|---|
| Molecular analyses | Analysis of a broad spectrum of molecular and cellular events relating to the epigenetic status of the malignant cells. These events will be used to identify biomarkers for successful consolidation and to address whether AML cases that relapse while on the study are molecularly and epigenetically different between those given azacitidine or DA consolidation | Two years |
Inclusion Criteria:
Subjects >65 years of age at the time of signing the informed consent form
A confirmed diagnosis of AML according to the 2008 WHO classification
A documented CR or CRp achieved after one or two induction courses.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Per Bernell, M.D., Ph.D. | Karolinska University Hospital | Principal Investigator |
| Stefan Deneberg, M.D., Ph.D. | Karolinska University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Karolinska University Hospital, Solna | Stockholm | 17176 | Sweden |
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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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| ID | Term |
|---|---|
| D001374 | Azacitidine |
| D003630 | Daunorubicin |
| D003561 | Cytarabine |
| ID | Term |
|---|---|
| D001372 | Aza Compounds |
| D009930 | Organic Chemicals |
| D003562 | Cytidine |
| D011741 | Pyrimidine Nucleosides |
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| Drug |
|
|
SAE as defined by CTCAE |
| Two months after the last course of consolidation |
| Number of days admitted in hospital | 12 months from start of consolidation treatment |
| Quality of life | EORTC QLQ C30 | Until 24 months from start of consolidation treatment |
| Number of participants with AE grade 3 or more | AE:s graded according to CTCAE | Until two months after the last course of consolidation |
| Number of consolidation courses actually given within the study | One year |
| Leukemia free survival (LFS) | Analysis whether cytogenetic and molecular aberrations at diagnosis will predict for better LFS with either Azacitidine or standard DA consolidation. | One year |
| D006402 |
| Hematologic Diseases |
| D006425 | Hemic and Lymphatic Diseases |
| D011743 |
| Pyrimidines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D009705 | Nucleosides |
| D009706 | Nucleic Acids, Nucleotides, and Nucleosides |
| D012263 | Ribonucleosides |
| 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 |
| D001087 | Arabinonucleosides |