Philadelphia chromosome-positive acute lymphoblastic leukemia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Acute lymphoblastic leukemia. 2. BCR/ABL positive. 3. aged >= 55 years and <= 70 years. 4. Newly diagnosed patients. 5. Complete molecular remission was achieved within 3 chemotherapy regimens. 6. ECOG performance status of 0, 1, 2 or 3. 7. Patients must have adequate cardiac, hepatic, renal, and pulmonary functions. 8. Voluntary written consent must be given before enrollment.
Exclusion criteria
Exclusion criteria: 1. Heart insufficiency. 2. Pulmonary fibrosis, interstitial pneumonitis. 3. Uncontrollable diabetes mellitus. 4. Grade 4 infection. 5. HIV antibody positive. 6. HBs antigen positive. 7. Acquired bleeding diathesis. 8. Psychiatric illness. 9. Active another malignancy. 10. Patients who, in the judgment of the investigator, would be inappropriate for entry into this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Day 100- mortality after transplantation | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Day 100- molecular and hematological replase rate. 2) 1 year- molecular and hematological replase rate. 3) 3 year- molecular and hematological replase rate. 4) Day 100- overall survival, event-free survival, relapse rate and non-relapse mortality. 5) 1 year- overall survival, event-free survival, relapse rate and non-relapse mortality. 6) 3 year- overall survival, event-free survival, relapse rate and non-relapse mortality. 7) The proportion of therapy related mortality. 8) The proportion of adverse events in each regimen. 9) Success rate of peripheral blood stem cell harvest. 10) Detection of BCR-ABL chimeric gene in harvested peripheral blood stem cell by real-time quantitative PCR. 11) Safety of peripheral blood stem cell transplantation (the proportion of engraftment and engraftment failure). 12) Cumulative dose of dasatinib during maintenance therapy. 13) Mutation analysis of BCR-ABL chimeric gene in relapsed patients. | — |
Countries
Japan
Contacts
Nagoya University Hospital Center for Advanced Medicine and Clinical Research