For acute myeloic leukaemia in children and juveniles improvment of treatment with new medications should be investigated: 1. Cladribine: originally licenced for hairy cell leukamia has shown good success in the USA in the treatment of aml in children, esp. for high-risk-patients 2. Daunoxome: liposomal form of Idarubicin (already in use for aml treatment, but with a dose rate depending risk of heart degradation). It should be proved, if Daunoxome could be administered with less side effects Me
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - age 0-18 y - de novo AML, including Down Syndrome, primary Myelosarkoma or Acute Mixed Lineage - treatment in the participating centers in Austria Are the trial subjects under 18? yes Number of subjects for this age range: F.1.2 Adults (18-64 years) no F.1.2.1 Number of subjects for this age range F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - AML als secondary malignant tumour - patients with primary syndroma (exception Down Syndrom) - Pregnancy - treatment for more than 14 days with different intense Induction Therapy - conducting diseases than ban the intented therapy according protocoll AML-BFM 2004
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: Improved prognosis of AML children: 1. randomized administration of liposomal daunorubicin vs idarubicin 2. randomized administration of 2-CDA (Cladribine) for intense consolidation therapy for aml high-risk-patients 3. randomized survey of the efficiency of prophylactic CNS-irradiation 18 Gy vs 12 Gy total dose on equality;Secondary Objective: Avoidance of antracycline-induced cardiotoxicity by the administration of liposomal daunorubicin (Daunoxome);Primary end point(s): overall and event-free survival (for 1 and 2) for 3: disease-free survival | — |
Countries
Austria