Non-standard Therapy, Standard Therapy
Conditions
Brief summary
It is known that treatment outcome could be positively associated with treatment intensity. However, tolerance of chemotherapy decreases in the elder, some patients could not tolerate standard (SD) therapy and even died of side effect, and overall survival (OS) might not be prolonged. Whether all elder acute myeloid leukemia (AML) patients could benefit from SD therapy, or some should receive reduced-intensity therapy or even only supporting care remains controvertal. In this multi-center study, we are going to evaluate the benefit of SD and non-SD (NSD) therapy in elder AML patients.
Detailed description
It is known that treatment outcome could be positively associated with treatment intensity. However, tolerance of chemotherapy decreases in the elder, some patients could not tolerate standard (SD) therapy and even died of side effect, and overall survival (OS) might not be prolonged. Whether all elder acute myeloid leukemia (AML) patients could benefit from SD therapy, or some should receive reduced-intensity therapy or even only supporting care remains controvertal. SD therapy is definited as the treatment regimen must follow NCCN guildline and chemotherapy intensity could not be reduced. Non-SD (NSD) therapy is definited as patients receiving reduced-intensity therapy or only supporting care. In this multi-center study, we are going to evaluate the benefit of SD and NSD therapy in elder AML patients.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
Newly diagnosed AML exclusive of APL; Age from 60 years old to 75 years old.
Exclusion criteria
Any abnormality in a vital sign (e.g., organ function failure, serious infection ) Patients with any conditions not suitable for the trial (investigators' decision)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Overall survival | 2 years | The time from AML diagnosis to patients death or last folloeing-up. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Relapse-free survival | 2 years | The time from AML patients obtaining CR to patients relapse or last folloeing-up. |
| Relapse incidence | 2 years | Relapsed patients account for all the diagnosed AML patients. |
| Treatment-related mortality | 1 year | The incidence of patients dying of treatment related complication. |
Countries
China