Hematopoietic stem cell transplantation in patients with newly diagnoses AML =60 years of age in intermediate risk, after first complete response in comparison to standard consolidation chemotherapy MedDRA version: 17.1 Level: LLT Classification code 10000886 Term: Acute myeloid leukemia System Organ Class: 100000004864
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: • AML in first remission • cytological standard risk, i.e. karyotype not listed under exclusion criteria • Identification of HLA-identical sibling or HLA-compatible related or unrelated donor (9/10 HLA-alleles matched, high resolution typing for HLA-A, B, Cw, DRB1 and DQB1) • age: 18 - 60 years • medically fit for allogeneic stem cell transplantation • CR / CRi after induction therapy Are the trial subjects under 18? no Number of subjects for this age range: 0 F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 356 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range 0
Exclusion criteria
Exclusion criteria: • core-binding factor leukemia (t(8;21), inv16) • acute promyelocytic leukemia (t(15;17) • complex aberrant karyotype • karyotypes: -7; -5; del5q; t(3;3); t(6;11), t(6;9), 11q aberrations, trisomy 8 ± one single additional aberration, t(9;11) • pregnancy / nursing • non-compliance
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To define the role of allogeneic stem cell transplantation in patients =60 years with intermediate-risk acute myeloid leukemia in first complete remission. According to the primary hypothesis, four years after randomisation, a 15% survival advantage of allogeneic stem cell transplantation (60% vs. 45%) compared to conventional postremission therapy is assumed.;Secondary Objective: - Disease-free survival - Cumulative incidence of relapse - Cumulative incidence of non-relapse mortality - Quality of life ;Primary end point(s): The primary efficacy end-point is overall survival from first complete remission (CR) 4 years after randomisation evaluated for each study arm in accordance with intention-to-treat.;Timepoint(s) of evaluation of this end point: year 1+2: every 3 months year 3+4: every 6 months | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): Event-free survival Cumulative incidence of relapse Cumulative incidence of non-relapse mortality Quality of Life;Timepoint(s) of evaluation of this end point: year 1+2: every 3 months year 3+4: every 6 months | — |
Countries
Germany
Contacts
Universitätsklinikum Dresden