- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT01570465
Prospective Study on Severe Infections on Acute Myeloid Leukemia (AML) Patients (AML1411)
Prospective Survey on Severe Infections During a Multicenter Study of Risk-adapted, MRD-directed Therapy for Young Adults With Newly Diagnosed Acute Myeloid Leukemia.
Study Overview
Detailed Description
Treatment of AML patients during chemotherapy and SCT is frequently complicated by SI which may represent an obstacle to the antileukemic chemotherapy and transplant program. Antimicrobial prophylaxis, diagnostic approaches and antimicrobial therapy should be adapted to the infectious risk of the leukemic population. A crucial problem in the definition of these strategies is represented by the continuous change in the epidemiological patterns of infections as a result of the modification of risk factors in the leukemic population and of the global epidemiology of hospital and community acquired infections. In particular, the emergence of antibiotic resistant pathogens, particularly among gram negative bacteria, represents a serious problem which dramatically impacts on the antibacterial prophylaxis and treatments choices. A continuous epidemiology survey is required in order to better define proper prevention, diagnostic and treatment approaches. A common problem in the infections control in immunocompromised populations is represented by a late epidemiological consciousness. In particular, when new antileukemic strategies are implemented any change in the infectious epidemiology is frequently evidenced later retrospectively, but retrospective studies suffer of several drawbacks in the timely and proper collection of data.
The aim of the AML1310 GIMEMA protocol is to prospectively evaluate in a large population of newly diagnosed young AML patients the effect of a risk-adapted, MDR directed antileukemic strategy which includes chemotherapy and SCT. The objective of the trial is to evaluate the treatment strategy in terms of OS at 24 months and secondary objectives include the response rates and outcome according to clinical and biological characteristics at baseline and along the antileukemic treatment. A further secondary objective of the AML1310 study is the evaluation of the quality of life.
A prospective, longitudinal survey of infectious complications occurring in patients enrolled in the AML1310 study along the entire antileukemic program, as an ancillary observational study, may be a useful tool to evaluate in real-time the epidemiological patterns of infections, their impact on the OS, on the antileukemic treatment schedule, and on the quality of life. First, it may allow to assess whether the various types of SI, in addition to well known clinical and leukemia-related prognostic variables, are actually independent prognostic factors for the long-term outcome of AML patients. Second, the results of this survey may offer precious indications for the timely update of the prophylaxis , diagnosis and treatment strategies of infections in AML patients undergoing a modern antileukemic program. The advances in the treatment of AML resulting from the AML1310 study may be further enriched by the epidemiological consciousness derived by a parallel survey of the infectious complications.
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Alessandria, Italy
- S.O.C. di Ematologia - Azienda Ospedaliera - SS. Antonio e Biagio e Cesare Arrigo
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Ancona, Italy
- Azienda Ospedaliera - Nuovo Ospedale "Torrette"
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Bari, Italy
- UO Ematologia con trapianto- AOU Policlinico Consorziale di Bari
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Bologna, Italy
- Istituto di Ematologia "Lorenzo e A. Seragnoli" - Università degli Studi di Bologna - Policlinico S. Orsola - Malpighi
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Brindisi, Italy
- Divisione di Ematologia Ospedale A. Perrino
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Campobasso, Italy
- U.O.C. di Onco-Ematologia - Centro di Ricerca e Formazione ad Alta tecnologia nelle Scienze Biomediche
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Caserta, Italy
- U.O.C. di Onco-Ematologia - A.O. S.Anna e S.Sebastiano
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Catania, Italy
- Università di Catania - Cattedra di Ematologia - Ospedale "Ferrarotto"
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Catanzaro, Italy
- Azienda Ospedaliera Pugliese Ciaccio - Presidio Ospedaliero A.Pugliese - Unità Operativa di Ematologia
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Cremona, Italy
- Sezione di Ematologia C.T.M.O. Istituti Ospitalieri
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Ferrara, Italy
- Sezione di Ematologia e Fisiopatologia delle Emostasi - Azienda Ospedaliera - Arcispedale S. Anna
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Foggia, Italy
- Struttura Complessa di Ematologia Ospedali Riuniti Foggia - Azienda Ospedaliero-Universitaria
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Latina, Italy
- Divisione di Ematologia Ospedale "Santa Maria Goretti"
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Lecce, Italy
- ASL Le/1 P.O. Vito Fazzi - U.O. di Ematologia ed UTIE
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Messina, Italy
- Divisione di Ematologia - Azienda Ospedaliera Ospedali Riuniti "Papardo Piemonte"
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Milano, Italy
- UO Centro Trapianti di Midollo - IRCCS Ospedale Maggiore Policlinico
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Milano, Italy
- Ospedale Niguarda ' Ca Granda'
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Modena, Italy
- Centro Oncologico Modenese - Dipartimento di Oncoematologia
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Napoli, Italy
- Azienda Ospedaliera Universitaria - Università degli Studi di Napoli "Federico II" - Facoltà di Medicina e Chirurgia
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Napoli, Italy
- Ospedale San Gennaro - ASL Napoli 1
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Nocera Inferiore, Italy
- Nocera Inferiore U.O. Medicina Interna Ematologia ed Oncologia P.O. Umberto I
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Orbassano, Italy
- Dip. di Scienze Cliniche e Biologiche - Ospedale S. Luigi Gonzaga
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Pagani, Italy
- U.O. di Oncoematologia -plesso ospedaliero "A. Tortora" di Pagani
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Palermo, Italy
- Ospedali Riuniti "Villa Sofia-Cervello"
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Parma, Italy
- Cattedra di Ematologia CTMO Università degli Studi di Parma
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Pesaro, Italy
- Div. di Ematologia di Muraglia - CTMO Ospedale San Salvatore
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Pescara, Italy
- U.O. Ematologia Clinica - Azienda USL di Pescara
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Piacenza, Italy
- Unità Operativa Ematologia e Centro Trapianti - Dipartimento di Oncologia ed Ematologia - AUSL Ospedale di Piacenza
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Pisa, Italy
- Università di Pisa - Azienda Ospedaliera Pisana - Dipartimento di Oncologia, dei Trapianti e delle nuove Tecnologie in Medicina - Divisione di Ematologia
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Potenza, Italy
- Ematologia - Ospedale San Carlo
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Reggio Calabria, Italy
- Dipartimento Emato-Oncologia A.O."Bianchi-Melacrino-Morelli"
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Reggio Emilia, Italy
- Unità Operativa Complessa di Ematologia - Arcispedale S. Maria Nuova
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Roma, Italy
- U.O.C. Ematologia - Ospedale S.Eugenio
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Roma, Italy
- Università Cattolica del Sacro Cuore - Policlinico A. Gemelli
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Roma, Italy
- S.C. di Ematologia e Trapianti - I.F.O. Istituto Nazionale Tumori Regina Elena
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Roma, Italy
- Padiglione Cesalpino - I piano - Divisione di Ematologia - Ospedale S. Camillo
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Roma, Italy
- A.O. "Sant'Andrea"-Università la Sapienza Seconda Facoltà di Medicina e Chirurgia
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Roma, Italy
- Policlinico di Tor Vergata
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Roma, Italy
- Roma Complesso Ospedaliero S. Giovanni Addolorata
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Rome, Italy
- UOC Medicina Trasfusionale e Cellule Staminali Azienda Ospedaliera San Camillo Forlanini
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San Giovanni Rotondo, Italy
- Istituto di Ematologia - IRCCS Ospedale Casa Sollievo della Sofferenza
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Sassari, Italy
- Serv. di Ematologia Ist. di Ematologia ed Endocrinologia
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Treviso, Italy
- Azienda U.L.S.S.9 - U.O. di Ematologia
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Tricase, Italy
- U.O. di Ematologia - Azienda Ospedaliera - Pia Fondazione di Culto e di Religione Card. G.Panico
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Udine, Italy
- Clinica Ematologica - Policlinico Universitario
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Ancona
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Civitanova Marche, Ancona, Italy
- U.O. di Medicina Interna - ASUR Marche 8 - Ospedale Civile
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
Inclusion Criteria:
- All patients enrolled in the GIMEMA AML1310 study;
- Signed written informed consent according to ICH/EU/GCP and national local laws.
Exclusion Criteria:
- Patients not eligible for the GIMEMA AML1310 study.
Study Plan
How is the study designed?
Design Details
- Observational Models: Case-Only
- Time Perspectives: Prospective
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
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All patients enrolled in the GIMEMA AML1310 study.
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Assess the impact of each type of severe infections (SI) over the 24-month overall survival of young patients with newly diagnosed acute myeloid leukemia along a predefined antileukemic treatment strategy.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Prognostic role on overall survival
Time Frame: At four years from study entry.
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At 24 months of each type of Severe Infection (SI).
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At four years from study entry.
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of incidence of SI.
Time Frame: At four years from study entry
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Rate of incidence of SI during chemotherapy, transplantation procedures, and follow up of patients enrolled in the GIMEMA study AML1310
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At four years from study entry
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The impact of SI on the respect of the step by step time treatment.
Time Frame: At four years from study entry.
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To estimate the impact of SI on the respect of the step by step time treatment along the GIMEMA study AML1310.
SI will be considered among the causes of delay or discontinuation or change of the leukemia treatment schedule.
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At four years from study entry.
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Risk factors and prognostic factors of each type of SI.
Time Frame: At 4 years from study entry
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To estimate the risk factors and prognostic factors of each type of SI according to baseline leukemia risk (low, intermediate and high risk) as defined in the AML1310 protocol;
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At 4 years from study entry
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Overall and attributable mortality.
Time Frame: At 4 years from study entry.
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To estimate the overall and attributable mortality at 3 months from the onset of the SI.
Attributable mortality was defined as progressive organ failure involving the organ(s) in which SI was diagnosed and the absence of other morbid conditions thought, by the attending physician or pathologist, to have contributed to death;
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At 4 years from study entry.
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Rate of the in vitro susceptibility pattern to antimicrobials of bacteria causing SI with particular attention to the emerging resistances in gram negative bacteria (ESBL, KPC MDR);
Time Frame: At 4 years from study entry
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To evaluate the rate of the in vitro susceptibility pattern to antimicrobials of bacteria causing SI with particular attention to the emerging resistances in gram negative bacteria (ESBL, KPC MDR);
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At 4 years from study entry
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Rate of patients receiving each type of antibacterial and antifungal prophylaxis strategies employed during the various antileukemic treatments;
Time Frame: At 4 years from study entry
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To evaluate the rate of patients receiving each type of antibacterial and antifungal prophylaxis strategies employed during the various antileukemic treatments;
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At 4 years from study entry
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Rate of antibacterial and antifungal administered treatments guided either empirically or by clinical and microbiological evidences;
Time Frame: At 4 years from study entry
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To estimate the rate of antibacterial and antifungal administered treatments guided either empirically or by clinical and microbiological evidences;
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At 4 years from study entry
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Impact of SI in the quality of life.
Time Frame: At 4 years from study entry
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To evaluate the impact of SI in the quality of life.
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At 4 years from study entry
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Collaborators and Investigators
Investigators
- Principal Investigator: Adriano VENDITTI, Pr., Policlinico Tor Vergata di Roma
Publications and helpful links
Helpful Links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- AML1411
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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