acute myeloid leukaemia C92.0
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: --> age >=18 years and newly diagnosed acute myeloid leukemia as defined by new WHO classification --> Myelodysplastic Syndrome RAEB-T according to FAB-classification (blasts in bone-marrow 20-30%) --> de novo AML, secondary AML (patients with a history of myelodysplasia or other antecedent hematologic disorder for at least 6 months or therapy-related AML after previous exposure to cytotoxic drugs or radiotherapy) -->patients written informed consent
Exclusion criteria
Exclusion criteria: --> AML FAB M3 - acute promyelocyte leukemia --> involvement in other clinical trials --> contraindication to intensive chemotherapy: --> Renal failure not AML-related --> Hepatic insufficiency not AML-related --> Cardiac insufficiency NYHA III + IV --> Uncontrolled infection --> Pregnancy --> Karnofsky-performance-score 10 --> Secondary malignancies --> Severe, decompensated metabolic disorders --> HIV --> mental impairment with inability to give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Rate of complete remission after treatment with Cytarabine/Mitoxantrone versus Fludarabine/Cytarabine/Mitoxantrone/G-CSF given as second induction chemotherapy in patients not in remission after the first induction chemotherapy. Response assessment using bone marrow cytology is scheduled after hematological reconstitution after second induction therapy. The induction chemotherapy is finished with the second treatment course. | — |
Secondary
| Measure | Time frame |
|---|---|
| 5-year survival and leukemia-free survival | — |
Countries
Austria, Germany
Contacts
Universität Leipzig Hämatologie/Onkologie