Full Text View
Tabular View
No Study Results Posted
Related Studies
Combination Chemotherapy in Treating Older Patients With Acute Myeloid Leukemia
This study is ongoing, but not recruiting participants.
First Received: November 1, 1999   Last Updated: July 23, 2008   History of Changes
Sponsored by: Riverside Haematology Group
Information provided by: National Cancer Institute (NCI)
ClinicalTrials.gov Identifier: NCT00003602
  Purpose

RATIONALE: Drugs used in chemotherapy use different ways to stop cancer cells from dividing so they stop growing or die. Combining more than one drug may kill more cancer cells. It is not yet known which combination chemotherapy regimen is more effective in treating older patients with acute myeloid leukemia.

PURPOSE: Randomized phase III trial to compare the effectiveness of two different combination chemotherapy regimens in treating older patients with acute myeloid leukemia in first remission.


Condition Intervention Phase
Leukemia
Myelodysplastic Syndromes
Drug: cytarabine
Drug: etoposide
Drug: idarubicin
Drug: mitoxantrone hydrochloride
Phase III

Study Type: Interventional
Study Design: Treatment, Randomized, Active Control
Official Title: A Randomised Study Comparing an Oral Regimen (Idarubicin and Etoposide) With an Intravenous Regimen (MAE) for Consolidation in Patients Over 55 Years With Acute Myeloid Leukaemia in First Complete Remission

Resource links provided by NLM:


Further study details as provided by National Cancer Institute (NCI):

Estimated Enrollment: 400
Study Start Date: March 1998
Detailed Description:

OBJECTIVES:

  • Compare the efficacy of oral idarubicin and etoposide vs intravenous mitoxantrone, etoposide, and cytarabine as consolidation therapy in patients over 55 years old with acute myeloid leukemia in first complete remission.
  • Compare the toxicity of these 2 regimens in these patients.
  • Assess the quality of life of these patients.

OUTLINE: This is a randomized study. Patients are stratified according to number of courses of induction therapy required to achieve complete remission.

All patients receive induction chemotherapy consisting of idarubicin IV on days 1-3 and cytarabine IV over 12 hours on days 1-7. Patients receive 1-2 courses of induction chemotherapy to achieve complete remission.

Patients are randomized to one of two treatment arms for consolidation therapy after achieving complete remission.

  • Arm I: Patients receive 2 courses of mitoxantrone IV on days 1 and 2, etoposide IV over 1 hour on days 1-5, and cytarabine IV over 12 hours on days 1-5.
  • Arm II: Patients receive 2 courses of oral idarubicin and etoposide on days 1-3.

Quality of life is assessed before each course of consolidation chemotherapy and 6-8 weeks after completion of therapy.

Patients are followed until death.

PROJECTED ACCRUAL: Approximately 400 patients will be accrued for this study.

  Eligibility

Ages Eligible for Study:   55 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

DISEASE CHARACTERISTICS:

  • Histologically confirmed de novo or secondary acute myeloid leukemia (AML)

    • Prior myelodysplasia allowed
    • Refractory anemia with excess blasts (RAEB) OR
    • RAEB in transformation
  • No relapsed AML
  • No chronic granulocytic leukemia in transformation
  • No CNS disease

PATIENT CHARACTERISTICS:

Age:

  • Over 55

Performance status:

  • Not specified

Life expectancy:

  • Not specified

Hematopoietic:

  • Not specified

Hepatic:

  • Bilirubin no greater than 1.5 times upper limit of normal (ULN)
  • Transaminases no greater than 2.5 times ULN

Renal:

  • Creatinine no greater than 2.5 times ULN

Cardiovascular:

  • No severe or uncontrolled cardiac failure

Other:

  • No serious medical, social, or psychological condition
  • Not HIV 1 or 2 seropositive

PRIOR CONCURRENT THERAPY:

Biologic therapy:

  • No plan for future autograft

Chemotherapy:

  • No prior chemotherapy for myelodysplastic syndrome or AML

Endocrine therapy:

  • Not specifed

Radiotherapy:

  • Not specified

Surgery:

  • Not specified

Other:

  • No concurrent aluminum or magnesium-based antacids
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00003602

Locations
United Kingdom, England
Newcastle Upon Tyne Hospitals NHS Trust
Newcastle-Upon-Tyne, England, United Kingdom, NE7 7DN
Sponsors and Collaborators
Riverside Haematology Group
Investigators
Study Chair: Graham Jackson, MD Newcastle-upon-Tyne Hospitals NHS Trust
  More Information

Additional Information:
No publications provided

Study ID Numbers: CDR0000066675, RHG-AML97, EU-98031
Study First Received: November 1, 1999
Last Updated: July 23, 2008
ClinicalTrials.gov Identifier: NCT00003602     History of Changes
Health Authority: United States: Federal Government

Keywords provided by National Cancer Institute (NCI):
untreated adult acute myeloid leukemia
refractory anemia with excess blasts
refractory anemia with excess blasts in transformation
secondary acute myeloid leukemia
de novo myelodysplastic syndromes
secondary myelodysplastic syndromes

Study placed in the following topic categories:
Antimetabolites
Anti-Infective Agents
Precancerous Conditions
Immunologic Factors
Leukemia, Myeloid, Acute
Etoposide phosphate
Refractory Anemia
Anti-Bacterial Agents
Leukemia
Acute Myelocytic Leukemia
Preleukemia
Anemia, Refractory
Acute Myeloid Leukemia, Adult
Neoplasm Metastasis
Analgesics
Etoposide
Cytarabine
Hematologic Diseases
Myelodysplastic Syndromes
Anemia
Leukemia, Myeloid
Antiviral Agents
Immunosuppressive Agents
Idarubicin
Peripheral Nervous System Agents
Anemia, Refractory, with Excess of Blasts
Mitoxantrone
Bone Marrow Diseases
Antineoplastic Agents, Phytogenic

Additional relevant MeSH terms:
Antimetabolites
Anti-Infective Agents
Antimetabolites, Antineoplastic
Immunologic Factors
Precancerous Conditions
Molecular Mechanisms of Pharmacological Action
Antineoplastic Agents
Physiological Effects of Drugs
Antibiotics, Antineoplastic
Leukemia, Myeloid, Acute
Leukemia
Preleukemia
Pathologic Processes
Sensory System Agents
Syndrome
Therapeutic Uses
Analgesics
Etoposide
Cytarabine
Disease
Neoplasms by Histologic Type
Hematologic Diseases
Myelodysplastic Syndromes
Leukemia, Myeloid
Immunosuppressive Agents
Antiviral Agents
Pharmacologic Actions
Neoplasms
Idarubicin
Peripheral Nervous System Agents

ClinicalTrials.gov processed this record on September 02, 2009