Efficacy of G-CSF-Priming in Elderly AML Patients
Conditions
Acute Myeloid Leukemia
Conditions: official terms
Leukemia, Myeloid, Acute
Study Type
Interventional
Study Phase
Phase 4
Study Design
Allocation: Randomized, Endpoint Classification: Safety/Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Treatment
Intervention
Name: Cytarabine Type: Drug
Name: Etoposide Type: Drug
Name: Idarubicin Type: Drug
Name: G-CSF Type: Drug
Name: Fludarabine Type: Drug
Name: Stem cell apheresis Type: Procedure
Name: Stem cell transplantation Type: Procedure
Overall Status
Recruiting
Summary
Aim of the study is to compare the efficacy of intensive induction therapy with Cytarabine, Idarubicin and Etoposide (IdAV) given in parallel with (G-CSF priming) and followed by G-CSF versus the same IdAV chemotherapy only followed by G-CSF (without priming) in elderly patients with de novo AML, secondary AML and advanced MDS. Moreover, the ability to mobilize sufficient numbers of peripheral blood stem cells (PBSC) for autologous PBSC transplantation after consolidation therapy with dose-reduced FLAG-Ida chemotherapy followed by G-CSF will be evaluated.
Criteria for eligibility
Healthy Volunteers: No
Maximum Age: N/A
Minimum Age: 61 Years
Gender: Both
Criteria: Inclusion Criteria:

- Diagnosis of de-novo AML, FAB M0, 1, 2, 4-7 or

- Diagnosis of secondary AML after previous chemotherapy and/or radiation therapy or after preceeding MDS or

- Diagnosis of an advanced MDS, i.e. RAEB-t according to the FAB classification or

- Extramedullary AML (chloroma, “granulocytic sarcoma”)

- Age greater than 60 years (not including 60 years)

- ECOG performance status 0, 1, or 2

- Written informed consent

Exclusion Criteria:

- Patients with a t(15;17) translocation

- Patients with severe cardiac disease (e.g. cardiac failure NYHA III/IV, myocardial infarction within the last 6 months; severe ventricular arrythmias (Lown III or IV)

- Patients with severe complications of the leukemia such as uncontrolled bleeding, pneumonia with hypoxia or shock.

- Severe pulmonary disease (diffusion capacity for CO2 of less than 50%)

- Significant renal dysfunction (creatinine clearance < 60/min/min)

- Bilirubin > 2mg% (>34.2 mmol/l)

- Patients with a clinically active second malignancy

- Patients with a psychiatric, addictive, or any disorder wich compromises ability to give truly informed consent for participating in this study

- HIV positivity

- Known refractoriness to platelet transfusion, inability to adequately substitute blood products
Location
University Hospital, Medical Department II
Frankfurt, Germany
Status: Recruiting
Contact: Oliver G Ottmann, MD - ++49-69-6301-4802 - ottmann@em.uni-frankfurt.de
Start Date
January 2000
Sponsors
Johann Wolfgang Goethe University Hospitals
Source
Johann Wolfgang Goethe University Hospitals
Record processing date
ClinicalTrials.gov processed this data on July 28, 2015
ClinicalTrials.gov page