Relapse and Refractory Acute Myelocytic Leukemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Agree to sign informed consent; 2. Aged 3-59 years; 3. Diagnosed with AML according to MICM and meet the 2016 NCCN criteria of relapse/refractory disease; 4. > 10% blasts on a bone marrow suggested by cell morphology and immunophenotyping analysis; 5. Receive matched sibling or unrelated donor hematopoietic stem cell transplantation.
Exclusion criteria
Exclusion criteria: 1. Mixed acute leukemia(MAL) or blastic crisis of chronic myelogenous leukemia (CML-BC) or blastic crisis of chronic myelomonocytic leukemia(CMML-BC) or MDS-RAEB; 2. Severe heart function insufficiency, EF<60% or arrhythmia, and cannot tolerate intense conditioning regiment; 3. Severe lung function insufficiency (obstructive ventilatory dysfunction), and cannot tolerate intense conditioning regiment; 4. Severe liver function insufficiecy with abnormal ALT and TBIL (3 times over ULN), and cannot tolerate intense conditioning regiment; 5. Severe kidney function insufficiency with abnormal Cr (3 times over ULN), or Ccr <50ml/min within 24 hours, and cannot tolerate intense conditioning regiment; 6. Severe active infection before tansplantation, and cannot tolerate intense conditioning regiment; 7. Previously treated with similar conditioning regiment, but severe AE or allergy occur; 8. Pregnancy or ready for pregnancy or lactation; 9. Others. .
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overal Survival (3 years);Leukemia Free Survival (3 years);Recovery of platelet; | — |
Secondary
| Measure | Time frame |
|---|---|
| Complete Remission (28 days after transplantation);Toxicity of the conditioning regimens;Recovery of neutrocyte ;Donor chimerism;Transplantation-realted mortality(1,2 and 3 year(s) after transplantation respectively);Relapse Rate;Cronic&Aute GVHD (rate & severity);Infection rate; | — |
Countries
China
Contacts
Aerospace Center Hospital