Proven/Probable Invasive Fungal Infection in hematologic patients with Acute Myeloid Leukaemia and/or in Allogeneic Hematopoietic Stem Cell Transplant recipients. MedDRA version: 14.1 Level: PT Classification code 10061730 Term: Bone marrow transplant System Organ Class: 10042613 - Surgical and medical procedures MedDRA version: 14.1 Level: LLT Classification code 10000886 Term: Acute myeloid leukemia System Organ Class: 10029104 - Neoplasms benign, malignant and unspecified (incl cysts and po
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Inclusion ? Patients with diagnosis of AML in treatment with high dose chemotherapy or undergoing Allogeneic-HSCT, with a life expectancy superior to 3 months ? Age superior or egual to 18 years ? Probable or Proven IA according with EORTC criteria21, treated with L-AMB 3 mg/kg/die for 14 days ? Favorable overall clinical response reached, defined by the criteria described in Table 2; also, patients with stable response after 14 days of treatment will be included Note: response assessment is usually made later than 14 days from start of treatment, i.e. at the time of potential enrollment in the present trial. We therefore think that patient stable at this time-point do not represent (yet) a clinical failure and therefore can be included in the study. ? Creatinine clearance superior to 50 ml/min ? Serum potassium superior to 3.5 mg/mL ? AST / ALT inferor to 5 times upper limit of normal ? Willingness to provide informed consent 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 60 F.1.3 Elderly (>=65 years) yes F.1.3.1 Number of subjects for this age range 27
Exclusion criteria
Exclusion criteria: ? Diagnosis of IFI other than IA ? Life expectancy <30 days ? Participation in other experimental studies at the time of consent ? Ongoing pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: The main objective of the study is to assess the efficacy of 10 administrations of L-AmB 10 mg/kg once a week as maintenance antifungal therapy after 14 days of standard therapy with L-AmB 3 mg/kg once a day in hematologic patients in treatment for Acute Myeloid Leukemia and Allogeneic-HSCT recipients with a diagnosis of Probable/Proven IFI with complete, partial response or stable disease, in terms of complete partial or response at 10 weeks from start of maintenance therapy (i.e. overall treatment duration 12 weeks).;Secondary Objective: •To estimate FFS and OS at 10 and 22 weeks (i.e. 12 and 24 weeks from treatment initiation); •To estimate the proportion of patients with adverse event, globally and for each adverse event; •To calculate the Daily Dose Dispensed (DDD) for L-AmB in this therapeutic regimen; •To calculate hospital stay duration;Primary end point(s): Efficacy of 10 administrations of L-AmB 10 mg/kg once a week as maintenance antifungal therapy after 14 days of standard therapy with L-AmB 3 mg/kg once a day in hematologic patients in treatment for Acute Myeloid Leukemia and Allogeneic-HSCT recipients with a diagnosis of Probable/Proven IFI with complete, partial response or stable disease, in terms of complete partial or response at 10 weeks from start of maintenance therapy;Timepoint(s) of evaluation of this end point: 12 weeks | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): • To estimate FFS and OS at 10 and 22 weeks (i.e. 12 and 24 weeks from treatment initiation); • To estimate the proportion of patients with adverse event, globally and for each adverse event; • To calculate the Daily Dose Dispensed (DDD) for L-AmB in this therapeutic regimen; • To calculate hospital stay duration;Timepoint(s) of evaluation of this end point: 24 weeks | — |
Countries
Italy
Contacts
AOU di Bologna, Policlinico S.Orsola-Malpighi