Full Text View  
  Tabular View  
  Contacts and Locations  
  No Study Results Posted  
  Related Studies  
Differentiation Induction in Acute Myelogenous Leukemia
This study is currently recruiting participants.
Verified by University of Bergen, April 2007
Sponsored by: University of Bergen
Information provided by: University of Bergen
ClinicalTrials.gov Identifier: NCT00175812
  Purpose

Hypothesis: Differentiation induction therapy in acute myelogenous leukemia (AML) can be used to achieve disease control and stabilize peripheral blood counts in patients with acute myelogenous leukemia.

Adult patients (<18 years of age) who can be included: Elderly patients (>60 years of age) with newly diagnosed AML who cannot achieve standard chemotherapy, patients with relapsed or resistant AML. Patients with relapsed or resistant AML who cannot receive intensive chemotherapy.

Treatment: Patients will be treated with all-trans retinoic acid (oral administration), valproic acid (7 days intravenous administration and later oral administration)and theophyllamine (7 days intravenous administration and later oral administration). Duration of treatment at least 2 months or until disease progression. Maximal duration of treatment 2 years.

Followup: Clinical evaluation, peripheral blood samples, bone marrow samples.


Condition Intervention Phase
Acute Myelogenous Leukemia
Drug: all-trans retinoic acid (ATRA)+valproic acid+theophyllamin
Phase I
Phase II

MedlinePlus related topics: Leukemia, Adult Acute Leukemia, Adult Chronic
Drug Information available for: Divalproex sodium Valproate Sodium Valproic acid Tretinoin
U.S. FDA Resources
Study Type: Interventional
Study Design: Treatment, Non-Randomized, Open Label, Uncontrolled, Single Group Assignment, Safety/Efficacy Study
Official Title: Differentiation Induction Therapy for Acute Myelogenous Leukemia

Further study details as provided by University of Bergen:

Primary Outcome Measures:
  • Survival

Secondary Outcome Measures:
  • Disease stabilisation
  • Disease complications
  • Side effects of therapy

Estimated Enrollment: 30
Study Start Date: November 2004
Estimated Study Completion Date: November 2009
Detailed Description:

Patients to be included:

  1. Elderly patients above 60 years of age with newly diagnosed acute myelogenous leukemia (AML) who cannot receive conventional intensive chemotherapy.
  2. Adult patients of any age (> 18 years of age)with relapsed or resistant AML who cannot receive conventional intensive chemotherapy or allogeneic stem cell transplantation.

We plan to include at least 20 patients, but if possible 30 patients during a 3 years period. The first patient was included November 2004.

Treatment:

All-trans retinoic acid (ATRA) administered orally 22.5 mg/m2 twice daily for 14 days, repeated every third month.

Valproic acid started on day 3 of ATRA therapy, the first week as intravenous administration and later oral administration.

Theophyllamine started on day 3 of ATRA therapy, the first week as intravenous administration and later oral administration.

Duration of treatment at least 2 months unless side effects,until disease progression or an overall duration of treatment of 2 years.

Supportive therapy according to the hospitals general guidelines.

Followup:

The first week treatment in hospital. Later out-patient treatment with regular controls including clinical examination, peripheral blood parameters (including serum valproic acid and theophyllamin levels), bone marrow samples.

  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • recently diagnosed acute myelogenous leukemia (AML)in patients above 60 years of age who cannot receive conventional chemotherapy; patients with relapsed or refractory AML independent of age.

Exclusion Criteria:

  • Chronic myelogenous leukemia in blast phase, intolerance to the study drugs, serious liver disease, no informed consent.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00175812

Locations
Norway
Haukeland University Hospital, University of Bergen Recruiting
Bergen, Norway, N-5021
Contact: Oystein Bruserud, MD     +47 55 97 50 00     oystein.bruserud@haukeland.no    
Contact: Peter Ernst, MD     +47 55 97 50 00     peter.ernst@med.uib.no    
Principal Investigator: Oystein Bruserud, MD            
Sponsors and Collaborators
University of Bergen
Investigators
Principal Investigator: Oystein Bruserud, MD University of Bergen
  More Information

Publications:
Publications indexed to this study:
Study ID Numbers: REK-Vestnr21503
Study First Received: September 9, 2005
Last Updated: April 19, 2007
ClinicalTrials.gov Identifier: NCT00175812  
Health Authority: Norway: Norwegian Medicines Agency

Keywords provided by University of Bergen:
Acute myelogenous leukemia
Differentiation
All trans retinoic acid
Valproic acid
Theophyllamin

Study placed in the following topic categories:
Leukemia
Acute myelogenous leukemia
Tretinoin
Leukemia, Myeloid
Leukemia, Myeloid, Acute
Valproic Acid
Acute myelocytic leukemia

Additional relevant MeSH terms:
Neurotransmitter Agents
Neoplasms by Histologic Type
Tranquilizing Agents
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Psychotropic Drugs
Central Nervous System Depressants
Enzyme Inhibitors
Antimanic Agents
Pharmacologic Actions
Keratolytic Agents
Neoplasms
Therapeutic Uses
GABA Agents
Dermatologic Agents
Central Nervous System Agents
Anticonvulsants

ClinicalTrials.gov processed this record on January 16, 2009