Adult acute promylocytic leukemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Newly diagnosed APL (FAB: M3 or M3v) 2. Performance status (ECOG): 0-2 3. Adequate cardiac, pulmonary, hepatic and renal function 4. Written informed consent
Exclusion criteria
Exclusion criteria: 1. History of myelodysplastic syndrome 2. Atypical acute leukemia 3. Uncontrollable infection 4. Severe co-morbidity 5. Positive anti-HIV antibody, HBs antigen or anti-HCV antibody 6. Other active neoplasm 7. Pregnant and/or lactating woman 8. Psychological disorders 9. Patients who have a difficulty to enter the study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 3-year event free survival (EFS) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Complete remission rate (CR) 2. 3- and 5-year disease free survival (DFS)of patients in CR 3. 3- and 5-year overall survival (OS) 4. 5-year event free survival (EFS) 5. CR, DFS and OS of each group 6. Adverse events. 7. Analyses of PML-RARA isoform, FLT3/ITD mutation, CD56 expression, additional chromosome abnormality and their effects on prognosis 8. Coagulation and fibrinolysis factors, and their effects on prognosis. 9. Determination of genetic abnormality and polymorphism of by genome and exome analyses for treatment related adverse events including APL differentiation syndrome. 10. Determination of genetic abnormality and polymorphism of by genome and exome analyses for the efficacy of treatment. | — |
Countries
Japan
Contacts
Hamamatsu University School of Medicine Internal Medicine