Acute Promyelocytic Leukemia
Conditions
Brief summary
The registry aims to compare the two first-line available treatment approaches in non-high-risk APL patients aged ≤ 70 years - ATRA plus chemotherapy and ATRA plus ATO - in terms of practitioner's choice between the two options, clinical effectiveness and cost-effectiveness, long-term outcome, and short- and long-term toxic effects.
Detailed description
* Collection of epidemiological data on non-high-risk APL patients aged ≤ 70 years: age and sex distribution, medical history, prognostic factors (time to treatment start, severity of coagulopathy at presentation, Performance status…). * Documentation of clinical and biologic effectiveness of the two first-line treatment approaches available for non-high-risk APL patients. * Documentation of Minimal Residual Disease (MRD). * Correlation of clinical outcomes with the chosen therapy. * Validation of published prognostic factors and identification of new prognostic factors
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Newly-diagnosed APL (either de novo or therapy-related) based on cytologic criteria and confirmed by the presence of the t(15;17) translocation and/or by the detection of the fusion transcript PML/RARα. * Non-high-risk APL (White Blood Count \< 10000/μl at presentation) * Age ≤ 70 years
Exclusion criteria
* Relapsed APL * Newly-diagnosed High-risk APL (White Blood Count \> 10000/μl at presentation) * Age \> 70 years
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Event-free survival | From date of induction until the date of first documented event, assessed up to 60 months | events are: no achievement of haematological complete remission after induction therapy; no achievement of molecular remission after the consolidation courses; relapse; death including early death |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of hematological complete remission | up to 30 days | from date of inclusion until end of induction therapy |
| Rate of overall survival | at 5 years | Overall survival defined as the time from inclusion until death or end of follow-up |
Countries
France
Contacts
French APL Cooperative Group