Myeloid Leukemia
Conditions
Keywords
Acute myeloid leukaemia, Pegfilgrastim, Neulasta®, Neutropenia, Induction chemotherapy, Consolidation
Brief summary
The purpose of this study is to determine if a single dose of pegfilgrastim is able to reduce the time of severe neutropenia in patients receiving induction and consolidation myelosuppressive chemotherapy for de novo acute myeloid leukemia similar to filgrastim.
Interventions
Filgrastim given daily after induction chemotherapy
Pegfilgrastim given once after induction chemotherapy
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion * Histologically confirmed de novo AML as evidenced by absence of an antecedent hematologic disease of \> 1 months duration, prior chemotherapy, prior radiation therapy or myelodysplastic cytogenetics (as per
Exclusion criteria
) * Life expectancy, with treatment, \> 3 months * Age \> 18 years * ECOG performance status 0, 1 or 2 * Adequate organ function to receive protocol specified chemotherapy Exclusion * Subjects in blast transformation of chronic myeloid leukaemia (CML) * Patients with secondary AML (Received previous chemotherapy or radiotherapy) * Previous treatment for AML * Patients with AML FAB type M3 (Acute Promyelocytic Leukemia, APL) or M7 * High risk (Unfavourable) cytogenetics \[(-5/del(5q), -7/del(7q), t(8;21) with del (9q) or complex karyotype, inv(3q), abn 11q23, 20q, 21q, del(9q), t(6;9), t(9;22), abn 17p, complex karyotypes(\>3 abnormalities)\]
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to recover from severe neutropenia (ANC less that 0.5 X 10^9/L in chemotherapy Induction 1. | Induction cycle 1 |
Secondary
| Measure | Time frame |
|---|---|
| Duration of severe neutropenia during induction chemotherapy | Induction cycle 1 |