Relapse/refractory AML
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. meet the diagnostic criteria(FAB,testing of immune markers/chromosome/genetic) of AML(except M3), one of the conditions below: (1) patients with high risk and failed in one course of standard induction therapy: Complex Chromosomal(>=3): -5; 5q-; -7; 7q-; 11q23 abnormaled,besides t(9; 22)inv(3)t(3; 3)t(6; 9)t(9; 22)and normal karyotype with separate FLT3-ITD; (2) patients of Secondary AML(including AML with secondary MDS); (3) meet the diagnostic criteria of refractory AML(The guidelines for diagnosis and treatment of acute myeloid leukemia (Relapsed/refractory) in China (2011 edition): failed in the CR after 2 courses of sdandard induction chemotherapy; patients who relapsed after 6 months of the first CR; patients who relapsed after 6 months of the first CR failed again by the original treatment; patients relapsed for twice or more; sustained extramedullary leukemia; (4) Relapsed AML: immature cells in the peripheral blood; bone marrow blasts>5%; extramedullary relapse. 2. aged between 18 and 70 years; 3. grade 0-3 in ECOG; 4. Expected lifetime>=6weeks; 5. patients who have the ability to understand it are willing to take part in the research and signed in the consent.
Exclusion criteria
Exclusion criteria: 1. acute promyelocytic leukemia(M3); 2. malignant tumour of other progress; 3. patients with severe sepsis or intolerant chemotherapy with orther critical illness; 4. patients of cardiac dysfunction:EF=2mg/dl, AST>2.5 times of ULN, SCr>2.5mg/dl.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| CR,after 1-2 courses; | — |
Secondary
| Measure | Time frame |
|---|---|
| early death rate;OS of 2 years;LFS;adverse reaction rate;duration in hospital;Relapse rate;antimicrobial therapy and imported blood products; | — |
Countries
China
Contacts
Shanghai Tongren hospital