Unique ID issued by UMIN | UMIN000007390 |
---|---|
Receipt number | R000008698 |
Scientific Title | Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG) AML-R11: Multi-center Phase II Study of the efficacy and the safety in the induction chemotherapy containing fludarabine for children with the first bone marrow relapse and induction failure of acute myeloid leukemia. |
Date of disclosure of the study information | 2012/03/01 |
Last modified on | 2015/09/29 11:50:06 |
Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG) AML-R11: Multi-center Phase II Study of the efficacy and the safety in the induction chemotherapy containing fludarabine for children with the first bone marrow relapse and induction failure of acute myeloid leukemia.
AML-R11
Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG) AML-R11: Multi-center Phase II Study of the efficacy and the safety in the induction chemotherapy containing fludarabine for children with the first bone marrow relapse and induction failure of acute myeloid leukemia.
AML-R11
Japan |
acute myeloid leukemia
Hematology and clinical oncology | Pediatrics |
Malignancy
NO
To evaluate the efficacy and the safety of the treatment regimen with FLAG and idarubicin as an induction therapy for the first bone marrow relapse and induction failure in children with acute myeloid leukemia
Safety,Efficacy
Exploratory
Phase II
Rate of bone marrow remission after the treatment regimen
Positive rate of MRD by FACS after the treatment regimen
Two-year event free survival rate and over all survival rate
Rate of remission, two-year event free survival and over all survival between the first bone marrow relapse patients and induction failure patients
Rate of remission, two-year event free survival and over all survival among times of relapse and chromosomal abnormalities
Rate of adverse events (CTCAE ver.4.0, grade 3 or more)
Rate of accomplishment of the protocol
Rate of early death
Interventional
Single arm
Non-randomized
Open -no one is blinded
Uncontrolled
1
Treatment
Medicine |
Single course of combination chemotherapy consisted of G-CSF, fludarabine, cytosine arabinoside, and idarubicin is performed for all the eligible patients
2 | years-old | <= |
20 | years-old | > |
Male and Female
1. AML (excluding AML with Down syndrome, APL, secondary AML, NK/myeloid leukemia, and granulocytic sarcoma)
2. the first bone marrow relapse (including extramedullary relapse at the same time) or induction failure
3. age less than 18 years old at diagnosis
4. age over than 1 years old and less than 20 years old at enrollment
5. ECOG performance status score :0-3
6. sufficient hepatic, renal and cardiac function satisfying the laboratory data listed below;
T. Bil. :less than 3 mg/dl
ALT: within 10X of the institutional normal range
serum creatinine value: less than 5 years old, less than 0.8mg/dl. 5-10 years old, less than 1.2 mg/dl. 10-20 years old, less than 1.5 mg/dl
ECG: no severe abnormalities (example; QTc 0.45 or more sec)
UCG: EF 50% or more, FS 25% or more, no finding of cardiac dysfunction
7. written informed consent obtained from guradians
1. isolated extramedullary relapse
2. history of allogeneic stem cell transplantation
3. history of FLAG therapy
4. any complication listed below;
active or unmanageable infectious disease, severe CNS bleeding(example; CTCAE Ver. 4.0; grade 3 or more, uncontrolled DM, severe mental abnormalities, heart diseases, hemophillia, autoimmune diseases
5. pregnancy
6. history of congenital or acquirede immunodeficiency
7. contraindication of cytosine arbinoside or idarubicin
8. administration of anti-cancer agent within 14 days of the enrollment
9. unusual treatment schedule or intermission in the first induction chemotherapy for AML because of personal request etc
10. any inappropriate status judged by physician
50
1st name | |
Middle name | |
Last name | Hideki Nakayama |
National Hospital Organization Fukuoka-Higashi Mediacal Center
Department of Pediatrics
1-1-1 Chidori, Koga city, Fukuoka
092-943-2331
1st name | |
Middle name | |
Last name | Akiko Saito |
National Hospital Organization Nagoya Medical Center
Clinical Research Center, Laboratory of Clinical, Epidemiological and Health
4-1-1, San-nomaru, Naka-ku, Nagoya city, Aichi
052-951-1111
http://www.jplsg.jp
officejp@nnh.hosp.go.jp
Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG)
Ministry of Health, Labour and Welfare
JAPAN
NO
2012 | Year | 03 | Month | 01 | Day |
Unpublished
Terminated
2011 | Year | 12 | Month | 07 | Day |
2012 | Year | 03 | Month | 01 | Day |
2015 | Year | 11 | Month | 07 | Day |
2016 | Year | 02 | Month | 28 | Day |
2016 | Year | 02 | Month | 28 | Day |
2016 | Year | 02 | Month | 28 | Day |
2012 | Year | 02 | Month | 27 | Day |
2015 | Year | 09 | Month | 29 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008698