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Optimal Treatment Strategy Based on for Pediatric AML

Optimal Treatment Strategy Based on Prognostic Groups for Pediatric de Novo Acute Myeloid Leukemia

Status
UNKNOWN
Phases
Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02848183
Enrollment
350
Registered
2016-07-28
Start date
2016-01-31
Completion date
Unknown
Last updated
2016-07-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pediatric Acute Myeloid Leukemia

Brief summary

The purpose of this study is to optimize therapy according to the known risk factors and treatment response in pediatric acute myeloid leukemia (AML)

Detailed description

I. Risk group assessment Favorable prognosis group: Low risk features + Good response Intermediate prognosis group: 1. Low risk features + Delayed response-1 2. Standard risk features + Good response 3. Standard risk features + Delayed response-1 Poor prognosis group: 1. Any high risk features irrespective of treatment response 2. Any delayed response-2 irrespective of risk features 3. Any refractory state irrespective of risk features 4. Any early relapse II. Chemotherapy Induction-1: Cytarabine + idarubicin Induction-2: High dose (HD) cytarabine + mitoxantrone Consolidation-1: Cytarabine + idarubicin Consolidation-2: HD cytarabine + etoposide Consolidation-3: HD cytarabine + mitoxantrone Consolidation-4: HD cytarabine + etoposide III. Allogeneic hematopoietic stem cell transplantation (HSCT) Favorable prognosis group: chemotherapy only Intermediate prognosis group: chemotherapy or HSCT with reduced intensity conditioning Poor prognosis group: HSCT with myeloablative conditioning

Interventions

DRUGCytarabine
DRUGIdarubicin
DRUGMitoxantrone
DRUGEtoposide
PROCEDUREHematopoietic stem cell transplantation

Sponsors

Samsung Medical Center
Lead SponsorOTHER

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT

Eligibility

Sex/Gender
ALL
Age
No minimum to 18 Years
Healthy volunteers
No

Inclusion criteria

* Patients who were newly diagnosed with de novo AML * Patients who had recurrent cytogenetic abnormalities of AML even though the bone marrow blast percent is lower than 20%

Exclusion criteria

* Acute promyelocytic leukemia * Down syndrome AML * Therapy-related AML * AML developed from myelodysplastic syndrome or other marrow failure syndrome * Isolated myeloid sarcoma without bone marrow involvement * Patients who cannot undergo chemotherapy as scheduled due to serious complications at diagnosis

Design outcomes

Primary

MeasureTime frame
Rate of event free survivalUp to 5 years

Secondary

MeasureTime frame
Proportion of patients who achieved complete remissionUp to 3 months

Countries

South Korea

Contacts

Primary ContactKeon Hee Yoo, MD, PhD
hema2170@skku.edu82-2-3410-3532

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026