Leukemia
Conditions
Keywords
Acute promyelocytic Leukemia
Brief summary
The main purposes of the AIDA protocol are to test the role of intermittent maintenance therapy with ATRA, standard maintenance chemotherapy with methotrexate and 6-mercaptopurine of both in PCR negative patients at the end of the consolidation phase and to evaluate the role of allogeneic or autologous bone marrow transplantation in PCR positive patients at the end of the consolidation phase.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Age \> 12 months (1 year) and \< 75 years * Morphological newly diagnosis of APL * Presence of the PML-RARa transcript * No cardiac contraindications to anthracycline chemotherapy * Serum creatinine \<=2.5 mg/dL * Serum alkaline phosphatase \<= 3 times the normal upper limit * Serum bilirubin \<= 3 times the normal upper limit * Serum SGOT \<= 3 times the upper normal limit * Negative pregnancy test * Informed consent
Exclusion criteria
* Age \<= 12 months and \>=75 years * absence of the PML-RARa transcript * Pregnant of lactating women * Presence of active serious infections that are not controlled by antibiotics * Prior treatment with antileukemic therapy (excluded corticosteroids) * Presence of severe concomitant psychiatric disease * Presence of other concomitant malignant tumors, except basal cell carcinoma * Concurrent treatment with cytotoxic chemotherapy or radiotherapy * Cardiac contraindications to anthracycline chemotherapy * Serum creatinine \>2.5 mg/dL * Serum alkaline phosphatase \> 3 times the normal upper limit * Serum bilirubin \> 3 times the normal upper limit * Serum SGOT \> 3 times the upper normal limit * Positive pregnancy test * Absence of informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the role of maintenance therapy with ATRA, chemotherapy or both in PCR negative patients at the end of the consolidation phase. | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess the role of allogeneic or autologous bone marrow transplantation in PCR positive patients at the end of the consolidation phase | — |
| To evaluate the role of maintenance therapy with ATRA and chemotherapy in PCR positive patients at the end of the consolidation phase not eligible for a BMT procedure | — |
| To assess the efficacy, in terms of CR rate, and toxicity of an induction treatment combining ATRA with Idarubicin | — |
Countries
Belgium, Germany, Italy, Netherlands, Turkey (Türkiye)