Ignite Creation Date:
2024-05-05 @ 11:46 AM
Last Modification Date:
2024-10-26 @ 9:12 AM
Study NCT ID:
NCT00121303
Status:
COMPLETED
Last Update Posted:
2016-09-20
First Post:
2005-07-19
Brief Title:
Cytarabine and Daunorubicin With or Without Gemtuzumab Ozogamicin in Treating Older Patients With Acute Myeloid Leukemia or Myelodysplastic Syndromes
Sponsor:
Stichting Hemato-Oncologie voor Volwassenen Nederland
Organization:
Stichting Hemato-Oncologie voor Volwassenen Nederland
Study Overview
Official Title:
Randomised Induction and Post Induction Therapy in Older Patients 61 Years of Age With Acute Myeloid Leukemia AML and Refractory Anemia With Excess Blasts RAEB RAEB-t
Status:
COMPLETED
Status Verified Date:
2016-09
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
RATIONALE Drugs used in chemotherapy such as cytarabine and daunorubicin work in different ways to stop the growth of cancer cells either by killing the cells or by stopping them from dividing Monoclonal antibodies such as gemtuzumab ozogamicin can block cancer growth in different ways Some block the ability of cancer cells to grow and spread Others find cancer cells and help kill them or carry cancer-killing substances to them It is not yet known whether cytarabine and daunorubicin followed by gemtuzumab ozogamicin is more effective than cytarabine and daunorubicin in treating acute myeloid leukemia or myelodysplastic syndromes
PURPOSE This randomized phase III trial is studying cytarabine and two different doses of daunorubicin to see how well they work compared to cytarabine and daunorubicin followed by gemtuzumab ozogamicin in treating older patients with acute myeloid leukemia or myelodysplastic syndromes
PURPOSE This randomized phase III trial is studying cytarabine and two different doses of daunorubicin to see how well they work compared to cytarabine and daunorubicin followed by gemtuzumab ozogamicin in treating older patients with acute myeloid leukemia or myelodysplastic syndromes
Detailed Description:
OBJECTIVES
Primary
Compare the event-free and disease-free survival of older patients with acute myeloid leukemia refractory anemia with excess blasts RAEB or RAEB in transformation treated with induction therapy comprising cytarabine in combination with two different doses of daunorubicin followed by cytarabine alone with or without post-induction therapy comprising gemtuzumab ozogamicin
Secondary
Compare the complete remission rate in patients treated with these regimens
Compare the overall survival of patients treated with these regimens
Compare the toxicity of these regimens in these patients
Determine the probability of relapse and death during first complete remission in patients treated with post-induction gemtuzumab ozogamicin
Correlate prognostic factors eg CD33 positivity multidrug resistance phenotype or cytogenetics with probability of complete remission and overall event-free and disease-free survival of patients treated with these regimens
OUTLINE This is a randomized multicenter study Patients are stratified according to participating center and diagnosis acute myeloid leukemia AML vs myelodysplastic syndromes MDS for induction therapy Patients are stratified according to participating center diagnosis AML vs MDS induction treatment arm I vs II and response to induction therapy complete remission CR vs no CR for post-induction therapy
Induction therapy course 1 Patients are randomized to 1 of 2 induction treatment arms
Arm I Patients receive cytarabine IV continuously on days 1-7 and daunorubicin IV over 3 hours on days 1-3
Arm II Patients receive cytarabine as in arm I and daunorubicin as in arm I but at a higher dose
Approximately 28-35 days after the start of course 1 or sooner if the bone marrow shows evidence of resistant disease patients in both arms proceed to course 2 of induction therapy
Induction therapy course 2 All patients receive cytarabine IV over 6 hours twice daily on days 1-6
After completion of course 2 patients undergo assessment of remission status Patients who do not achieve CR are removed from the study Patients achieving CR proceed to post-induction therapy and undergo a second randomization
Post-induction therapy Patients are randomized to 1 of 2 post-induction treatment arms
Arm I Patients receive no further chemotherapy
Arm II Patients receive gemtuzumab ozogamicin IV over 2 hours on days 1 29 and 57 in the absence of disease relapse or unacceptable toxicity
After completion of study treatment patients are followed monthly for 1 year every 3 months for 2 years every 4-6 months for 2 years and then periodically thereafter
PROJECTED ACCRUAL A total of 600 patients will be accrued for this study within 4-5 years
Primary
Compare the event-free and disease-free survival of older patients with acute myeloid leukemia refractory anemia with excess blasts RAEB or RAEB in transformation treated with induction therapy comprising cytarabine in combination with two different doses of daunorubicin followed by cytarabine alone with or without post-induction therapy comprising gemtuzumab ozogamicin
Secondary
Compare the complete remission rate in patients treated with these regimens
Compare the overall survival of patients treated with these regimens
Compare the toxicity of these regimens in these patients
Determine the probability of relapse and death during first complete remission in patients treated with post-induction gemtuzumab ozogamicin
Correlate prognostic factors eg CD33 positivity multidrug resistance phenotype or cytogenetics with probability of complete remission and overall event-free and disease-free survival of patients treated with these regimens
OUTLINE This is a randomized multicenter study Patients are stratified according to participating center and diagnosis acute myeloid leukemia AML vs myelodysplastic syndromes MDS for induction therapy Patients are stratified according to participating center diagnosis AML vs MDS induction treatment arm I vs II and response to induction therapy complete remission CR vs no CR for post-induction therapy
Induction therapy course 1 Patients are randomized to 1 of 2 induction treatment arms
Arm I Patients receive cytarabine IV continuously on days 1-7 and daunorubicin IV over 3 hours on days 1-3
Arm II Patients receive cytarabine as in arm I and daunorubicin as in arm I but at a higher dose
Approximately 28-35 days after the start of course 1 or sooner if the bone marrow shows evidence of resistant disease patients in both arms proceed to course 2 of induction therapy
Induction therapy course 2 All patients receive cytarabine IV over 6 hours twice daily on days 1-6
After completion of course 2 patients undergo assessment of remission status Patients who do not achieve CR are removed from the study Patients achieving CR proceed to post-induction therapy and undergo a second randomization
Post-induction therapy Patients are randomized to 1 of 2 post-induction treatment arms
Arm I Patients receive no further chemotherapy
Arm II Patients receive gemtuzumab ozogamicin IV over 2 hours on days 1 29 and 57 in the absence of disease relapse or unacceptable toxicity
After completion of study treatment patients are followed monthly for 1 year every 3 months for 2 years every 4-6 months for 2 years and then periodically thereafter
PROJECTED ACCRUAL A total of 600 patients will be accrued for this study within 4-5 years
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
None
Is a FDA Regulated Device?:
None
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None
Secondary IDs
| Secondary ID | Type | Domain | Link |
|---|---|---|---|
| HOVON-AML-43 | None | None | None |
| SAKK-AML-43 | None | None | None |
| EU-20514 | None | None | None |