- ICH GCP
- Register voor klinische proeven in de VS.
- Klinische proef NCT00070174
Gemtuzumab Ozogamicin in Treating Young Patients With Newly Diagnosed Acute Myeloid Leukemia Undergoing Remission Induction and Intensification Therapy
Treatment of Newly Diagnosed Childhood Acute Myeloid Leukemia (AML) Using Intensive MRC-Based Therapy and Gemtuzumab Ozogamicin (GMTZ): A COG Pilot Study
RATIONALE: Giving chemotherapy before a donor bone marrow transplant helps stop the growth of cancer cells. It also helps stop the patient's immune system from rejecting the donor's stem cells. Also, monoclonal antibodies, such as gemtuzumab ozogamicin, can find cancer cells and either kill them or deliver cancer-killing substances to them without harming normal cells. When the healthy stem cells from a donor are infused into the patient they may help the patient's bone marrow make stem cells, red blood cells, white blood cells, and platelets.
PURPOSE: This phase II trial is studying how well gemtuzumab ozogamicin works in treating young patients who are undergoing remission induction, intensification therapy, and allogeneic bone marrow transplant for newly diagnosed acute myeloid leukemia.
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
- Geneesmiddel: cyclofosfamide
- Geneesmiddel: mitoxantron hydrochloride
- Geneesmiddel: asparaginase
- Geneesmiddel: cytarabine
- Geneesmiddel: daunorubicine hydrochloride
- Geneesmiddel: etoposide
- Geneesmiddel: methotrexaat
- Procedure: allogene beenmergtransplantatie
- Geneesmiddel: busulfan
- Geneesmiddel: ciclosporine
- Geneesmiddel: gemtuzumab ozogamicine
Gedetailleerde beschrijving
OBJECTIVES:
Primary
- Determine the safety of gemtuzumab ozogamicin in children with newly diagnosed acute myeloid leukemia undergoing intensive remission induction and intensification therapy.
- Determine the complete remission rate of patients treated with this regimen.
Secondary
- Determine the feasibility of performing biological studies (e.g., FLT3-ITD and MRD) for risk group stratification in these patients.
- Determine the effect of karyotypic abnormalities on survival in patients treated with this regimen.
OUTLINE: This is a multicenter study.
- Induction I: Patients receive high-dose cytarabine (ARA-C) IV twice daily on days 1-10; daunorubicin IV over 6 hours on days 1, 3, and 5; etoposide IV over 4 hours on days 1-5; and gemtuzumab ozogamicin IV over 2 hours on day 6. Patients with CNS-negative disease receive ARA-C intrathecally (IT) on day 1. Patients with CNS-positive disease receive ARA-C IT twice weekly for 2-3 weeks. Between days 28-35, patients are evaluated. Patients achieving remission or who have no more than 20% blasts proceed to induction II.
- Induction II: Patients receive ARA-C IV twice daily on days 1-8; ARA-C IT on day 1; and daunorubicin IV and etoposide IV as in induction I. Between days 28-35 patients are evaluated. Patients achieving complete remission proceed to intensification course I.
- Intensification course I: Patients receive ARA-C IV over 1 hour twice daily on days 1-5; ARA-C IT as in induction II; and etoposide IV over 1 hour on days 1-5. Patients are evaluated at day 28. Patients with a 5/6 or 6/6 matched family donor proceed to allogeneic bone marrow transplantation. All other patients in complete remission proceed to intensification course II.
- Intensification course II: Patients receive ARA-C IV over 2 hours twice daily on days 1-4; ARA-C IT as in induction II; mitoxantrone IV over 1 hour on days 3-6; and gemtuzumab ozogamicin IV over 2 hours on day 7. Patients are evaluated on day 28 and then proceed to intensification course III.
- Intensification course III: Patients receive ARA-C IV over 3 hours twice daily on days 1, 2, 8, and 9 and asparaginase intramuscularly on days 2 and 9.
- Allogeneic bone marrow transplantation: Patients receive a preparative regimen comprising busulfan IV over 2 hours 4 times daily on days -9 to -6 and cyclophosphamide IV over 1 hour once daily on days -5 to -2. Allogeneic stem cells are infused on day 0.
- Graft-versus-host disease prophylaxis: Patients receive oral or IV cyclosporine twice daily on days -1 to 50 and methotrexate IV once daily on days 1, 3, 6, and 11.
In all courses, treatment continues in the absence of disease progression or unacceptable toxicity.
Patients are followed monthly for 6 months, every 2 months for 6 months, every 4 months for 1 year, every 6 months for 1 year, and then annually thereafter.
PROJECTED ACCRUAL: A total of 330 patients will be accrued for this study.
Studietype
Inschrijving (Werkelijk)
Fase
- Fase 2
Contacten en locaties
Studie Locaties
-
-
New South Wales
-
Westmead, New South Wales, Australië, 2145
- Westmead Hospital
-
-
Queensland
-
Herston, Brisbane, Queensland, Australië, 4029
- Office of S. David Lang
-
-
Western Australia
-
Perth, Western Australia, Australië, 6001
- Princess Margaret Hospital for Children
-
-
-
-
Alberta
-
Calgary, Alberta, Canada, T2T 5C7
- Alberta Children's Hospital
-
-
British Columbia
-
Vancouver, British Columbia, Canada, V6H 3V4
- Children's & Women's Hospital of British Columbia
-
-
Manitoba
-
Winnipeg, Manitoba, Canada, R3E 0V9
- CancerCare Manitoba
-
-
Newfoundland and Labrador
-
St. John's, Newfoundland and Labrador, Canada, A1B 3V6
- Janeway Children's Health and Rehabilitation Centre
-
-
Nova Scotia
-
Halifax, Nova Scotia, Canada, B3K 6R8
- IWK Health Centre
-
-
Ontario
-
Hamilton, Ontario, Canada, L8N 3Z5
- McMaster Children's Hospital at Hamilton Health Sciences
-
-
Quebec
-
Montreal, Quebec, Canada, H3T 1C5
- Hôpital Sainte Justine
-
Montreal, Quebec, Canada, H3H 1P3
- McGill Cancer Centre at McGill University
-
Ste-Foy, Quebec, Canada, G1V 4G2
- Centre Hospitalier Universitaire de Quebec
-
-
-
-
-
Santurce, Puerto Rico, 00912
- San Jorge Children's Hospital
-
-
-
-
Alabama
-
Birmingham, Alabama, Verenigde Staten, 35294
- Comprehensive Cancer Center at University of Alabama at Birmingham
-
-
Arizona
-
Phoenix, Arizona, Verenigde Staten, 85016-7710
- Phoenix Children's Hospital
-
-
Arkansas
-
Little Rock, Arkansas, Verenigde Staten, 72205
- Arkansas Cancer Research Center at University of Arkansas for Medical Sciences
-
-
California
-
Downey, California, Verenigde Staten, 90242-2814
- Southern California Permanente Medical Group
-
Loma Linda, California, Verenigde Staten, 92354-2870
- Loma Linda University Cancer Institute at Loma Linda University Medical Center
-
Long Beach, California, Verenigde Staten, 90801
- Jonathan Jaques Children's Cancer Center at Miller Children's Hospital
-
Los Angeles, California, Verenigde Staten, 90027
- Children's Hospital Los Angeles
-
Los Angeles, California, Verenigde Staten, 90048-1865
- Samuel Oschin Comprehensive Cancer Institute at Cedars-Sinai Medical Center
-
Madera, California, Verenigde Staten, 93638-8762
- Children's Hospital Central California
-
Oakland, California, Verenigde Staten, 94609-1809
- Children's Hospital and Research Center - Oakland
-
Orange, California, Verenigde Staten, 92668
- Children's Hospital of Orange County
-
Sacramento, California, Verenigde Staten, 95817
- University of California Davis Cancer Center
-
Sacramento, California, Verenigde Staten, 95825
- Kaiser Permanente Medical Center - Oakland
-
Sacramento, California, Verenigde Staten, 95819
- Sutter Cancer Center
-
San Diego, California, Verenigde Staten, 92123-4282
- Children's Hospital and Health Center - San Diego
-
-
Colorado
-
Denver, Colorado, Verenigde Staten, 80218-1088
- Children's Hospital Cancer Center
-
-
Connecticut
-
Hartford, Connecticut, Verenigde Staten, 06106
- Carole and Ray Neag Comprehensive Cancer Center at the University of Connecticut Health Center
-
-
Delaware
-
Wilmington, Delaware, Verenigde Staten, 19899
- Alfred I. DuPont Hospital for Children
-
-
District of Columbia
-
Washington, District of Columbia, Verenigde Staten, 20010-2970
- Children's National Medical Center
-
Washington, District of Columbia, Verenigde Staten, 20007-2197
- Lombardi Cancer Center at Georgetown University Medical Center
-
-
Florida
-
Ft. Lauderdale, Florida, Verenigde Staten, 33316
- Broward General Medical Center Cancer Center
-
Ft. Myers, Florida, Verenigde Staten, 33908
- Lee Cancer Care of Lee Memorial Health System
-
Gainesville, Florida, Verenigde Staten, 32610
- University of Florida Shands Cancer Center
-
Hollywood, Florida, Verenigde Staten, 33021
- Memorial Cancer Institute at Memorial Regional Hospital
-
Jacksonville, Florida, Verenigde Staten, 32207
- Nemours Children's Clinic
-
Miami, Florida, Verenigde Staten, 33155
- Miami Children's Hospital
-
Miami, Florida, Verenigde Staten, 33176
- Baptist-South Miami Regional Cancer Program
-
Miami, Florida, Verenigde Staten, 33101
- University of Miami Sylvester Comprehensive Cancer Center
-
Orlando, Florida, Verenigde Staten, 32806
- M.D. Anderson Cancer Center - Orlando
-
Orlando, Florida, Verenigde Staten, 32804
- Florida Hospital Cancer Institute at Florida Hospital Orlando
-
Pensacola, Florida, Verenigde Staten, 32504
- Sacred Heart Cancer Center at Sacred Heart Hospital
-
St. Petersburg, Florida, Verenigde Staten, 33701
- All Children's Hospital
-
Tampa, Florida, Verenigde Staten, 33607
- St. Joseph's Cancer Institute at St. Joseph's Hospital
-
West Palm Beach, Florida, Verenigde Staten, 33407
- Kaplan Cancer Center at St. Mary's Medical Center
-
-
Georgia
-
Atlanta, Georgia, Verenigde Staten, 30322
- Emory University Hospital - Atlanta
-
Savannah, Georgia, Verenigde Staten, 31404-6283
- Curtis & Elizabeth Anderson Cancer Institute at Memorial Health University Medical Center
-
-
Hawaii
-
Honolulu, Hawaii, Verenigde Staten, 95813
- Cancer Research Center of Hawaii
-
-
Idaho
-
Boise, Idaho, Verenigde Staten, 83712-6297
- St. Luke's Mountain States Tumor Institute - Boise
-
-
Illinois
-
Chicago, Illinois, Verenigde Staten, 60614
- Children's Memorial Hospital - Chicago
-
Chicago, Illinois, Verenigde Staten, 60637-1463
- University of Chicago Cancer Research Center
-
Park Ridge, Illinois, Verenigde Staten, 60068-1174
- Lutheran General Cancer Care Center
-
Springfield, Illinois, Verenigde Staten, 62794-9230
- Southern Illinois University School of Medicine
-
-
Indiana
-
Indianapolis, Indiana, Verenigde Staten, 46260
- St. Vincent Indianapolis Hospital
-
Indianapolis, Indiana, Verenigde Staten, 46202-5225
- Indiana University Cancer Center
-
-
Iowa
-
Iowa City, Iowa, Verenigde Staten, 52242-1083
- Holden Comprehensive Cancer Center at University of Iowa
-
-
Kansas
-
Wichita, Kansas, Verenigde Staten, 67214
- Wesley Medical Center
-
Wichita, Kansas, Verenigde Staten, 67214
- Via Christi Cancer Center at Via Christi Regional Medical Center
-
-
Kentucky
-
Lexington, Kentucky, Verenigde Staten, 40506
- Markey Cancer Center at University of Kentucky Chandler Medical Center
-
Louisville, Kentucky, Verenigde Staten, 40202-1822
- Kosair Children's Hospital
-
-
Maine
-
Bangor, Maine, Verenigde Staten, 04401
- CancerCare of Maine at Eastern Maine Medial Center
-
Scarborough, Maine, Verenigde Staten, 04074-9308
- Maine Children's Cancer Program
-
-
Maryland
-
Baltimore, Maryland, Verenigde Staten, 21215
- Alvin and Lois Lapidus Cancer Institute at Sinai Hospital
-
Baltimore, Maryland, Verenigde Staten, 21287-5001
- Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins
-
-
Massachusetts
-
Boston, Massachusetts, Verenigde Staten, 02111
- Floating Hospital for Children
-
-
Michigan
-
Ann Arbor, Michigan, Verenigde Staten, 48109-0238
- C.S. Mott Children's Hospital at University of Michigan
-
Detroit, Michigan, Verenigde Staten, 48201
- Barbara Ann Karmanos Cancer Institute
-
East Lansing, Michigan, Verenigde Staten, 48824-1313
- Breslin Cancer Center at Ingham Regional Medical Center
-
Grand Rapids, Michigan, Verenigde Staten, 49503-2560
- Spectrum Health Cancer Care - Butterworth Campus
-
Grosse Point Woods, Michigan, Verenigde Staten, 48236
- Van Elslander Cancer Center at St. John Hospital and Medical Center
-
Kalamazoo, Michigan, Verenigde Staten, 49007-5341
- CCOP - Kalamazoo
-
-
Minnesota
-
Minneapolis, Minnesota, Verenigde Staten, 55404
- Children's Hospitals and Clinics - Minneapolis/St. Paul
-
Minneapolis, Minnesota, Verenigde Staten, 55455-0392
- Fairview University Medical Center - University Campus
-
Rochester, Minnesota, Verenigde Staten, 55905-0001
- Mayo Clinic Cancer Center
-
-
Mississippi
-
Jackson, Mississippi, Verenigde Staten, 39216-4505
- University of Mississippi Medical Center
-
Keesler AFB, Mississippi, Verenigde Staten, 39534-2511
- Keesler Medical Center - Keesler Air Force Base
-
-
Missouri
-
Kansas City, Missouri, Verenigde Staten, 64108
- Children's Mercy Hospital
-
St. Louis, Missouri, Verenigde Staten, 63110
- Siteman Cancer Center at Barnes-Jewish Hospital
-
St. Louis, Missouri, Verenigde Staten, 63104
- Cardinal Glennon Children's Hospital
-
-
Nebraska
-
Omaha, Nebraska, Verenigde Staten, 68114-4113
- Children's Hospital of Omaha
-
-
Nevada
-
Las Vegas, Nevada, Verenigde Staten, 89109-2306
- Sunrise Hospital and Medical Center
-
-
New Jersey
-
Hackensack, New Jersey, Verenigde Staten, 07601
- Hackensack University Medical Center
-
Livingston, New Jersey, Verenigde Staten, 07039
- St. Barnabas Medical Center
-
New Brunswick, New Jersey, Verenigde Staten, 08901
- Cancer Institute of New Jersey at UMDNJ - Robert Wood Johnson Medical School
-
Newark, New Jersey, Verenigde Staten, 07112-2094
- Newark Beth Israel Medical Center
-
Paterson, New Jersey, Verenigde Staten, 07503
- St. Joseph's Hospital and Medical Center
-
-
New Mexico
-
Albuquerque, New Mexico, Verenigde Staten, 87131-0001
- University of New Mexico Cancer Research and Treatment Center
-
-
New York
-
Bronx, New York, Verenigde Staten, 10467
- Albert Einstein Cancer Center at Albert Einstein College of Medicine
-
Brooklyn, New York, Verenigde Staten, 11219
- Maimonides Medical Center
-
Brooklyn, New York, Verenigde Staten, 11201-5493
- Brooklyn Hospital Center
-
Buffalo, New York, Verenigde Staten, 14263
- Roswell Park Cancer Institute
-
Mineola, New York, Verenigde Staten, 11501
- Winthrop University Hospital
-
New Hyde Park, New York, Verenigde Staten, 11040
- Schneider Children's Hospital
-
New York, New York, Verenigde Staten, 10032-1537
- Herbert Irving Comprehensive Cancer Center at Columbia University
-
Syracuse, New York, Verenigde Staten, 13210
- SUNY Upstate Medical University Hospital
-
Valhalla, New York, Verenigde Staten, 10595
- New York Medical College
-
-
North Carolina
-
Asheville, North Carolina, Verenigde Staten, 28801-4690
- Mission Hospitals - Memorial Campus
-
Chapel Hill, North Carolina, Verenigde Staten, 27599-7220
- Lineberger Comprehensive Cancer Center at University of North Carolina - Chapel Hill
-
Charlotte, North Carolina, Verenigde Staten, 28233
- Presbyterian Cancer Center at Presbyterian Hospital
-
Charlotte, North Carolina, Verenigde Staten, 28232
- Blumenthal Cancer Center at Carolinas Medical Center
-
Greenville, North Carolina, Verenigde Staten, 27834
- Leo W. Jenkins Cancer Center at Pitt County Memorial Hospital
-
Winston-Salem, North Carolina, Verenigde Staten, 27157-1081
- Comprehensive Cancer Center at Wake Forest University
-
-
North Dakota
-
Fargo, North Dakota, Verenigde Staten, 58122
- CCOP - MeritCare Hospital
-
-
Ohio
-
Akron, Ohio, Verenigde Staten, 44308-1062
- Children's Hospital Medical Center of Akron
-
Cincinnati, Ohio, Verenigde Staten, 45229-3039
- Cincinnati Children's Hospital Medical Center
-
Cleveland, Ohio, Verenigde Staten, 44106-5000
- Rainbow Babies and Children's Hospital
-
Cleveland, Ohio, Verenigde Staten, 44195-5217
- Cleveland Clinic Taussig Cancer Center
-
Columbus, Ohio, Verenigde Staten, 43205-2696
- Columbus Children's Hospital
-
Dayton, Ohio, Verenigde Staten, 45404-1815
- Children's Medical Center - Dayton
-
Toledo, Ohio, Verenigde Staten, 43606
- Toledo Hospital
-
Toledo, Ohio, Verenigde Staten, 43608
- Medical College of Ohio Cancer Institute
-
-
Oklahoma
-
Oklahoma City, Oklahoma, Verenigde Staten, 73104
- Oklahoma University Medical Center
-
-
Oregon
-
Portland, Oregon, Verenigde Staten, 97201-3098
- Cancer Institute at Oregon Health and Science University
-
-
Pennsylvania
-
Danville, Pennsylvania, Verenigde Staten, 17822-1320
- Geisinger Medical Center
-
Hershey, Pennsylvania, Verenigde Staten, 17033-0850
- Penn State Cancer Institute at Milton S. Hershey Medical Center
-
Philadelphia, Pennsylvania, Verenigde Staten, 19104-9786
- Children's Hospital of Philadelphia
-
Philadelphia, Pennsylvania, Verenigde Staten, 19134
- St. Christopher's Hospital for Children
-
Pittsburgh, Pennsylvania, Verenigde Staten, 15213-2583
- Children's Hospital of Pittsburgh
-
-
South Carolina
-
Charleston, South Carolina, Verenigde Staten, 29425
- Hollings Cancer Center at Medical University of South Carolina
-
Columbia, South Carolina, Verenigde Staten, 29203-6897
- Palmetto Health South Carolina Cancer Center
-
-
South Dakota
-
Sioux Falls, South Dakota, Verenigde Staten, 57117-5039
- Sioux Valley Hospital and University of South Dakota Medical Center
-
-
Tennessee
-
Nashville, Tennessee, Verenigde Staten, 37232-6310
- Vanderbilt-Ingram Cancer Center
-
-
Texas
-
Amarillo, Texas, Verenigde Staten, 79106
- Texas Tech University Health Sciences Center School of Medicine
-
Austin, Texas, Verenigde Staten, 78701
- Children's Hospital of Austin
-
Corpus Christi, Texas, Verenigde Staten, 78411-1721
- Driscoll Children's Hospital
-
Dallas, Texas, Verenigde Staten, 75390-9063
- Simmons Comprehensive Cancer Center at University of Texas Southwestern Medical Center - Dallas
-
Lubbock, Texas, Verenigde Staten, 79410
- Covenant Children's Hospital
-
San Antonio, Texas, Verenigde Staten, 78229-3993
- Methodist Children's Hospital of South Texas
-
San Antonio, Texas, Verenigde Staten, 78207
- University of Texas Health Science Center at San Antonio
-
Temple, Texas, Verenigde Staten, 76508
- CCOP - Scott and White Hospital
-
-
Utah
-
Salt Lake City, Utah, Verenigde Staten, 84113-1100
- Primary Children's Medical Center
-
-
Vermont
-
Burlington, Vermont, Verenigde Staten, 05405
- Fletcher Allen Health Care - University Health Center Campus
-
-
Virginia
-
Fairfax, Virginia, Verenigde Staten, 22031
- INOVA Fairfax Hospital
-
Richmond, Virginia, Verenigde Staten, 23298-0121
- Massey Cancer Center at Virginia Commonwealth University
-
Roanoke, Virginia, Verenigde Staten, 24029
- Carilion Cancer Center of Western Virginia
-
-
Washington
-
Seattle, Washington, Verenigde Staten, 98105
- Children's Hospital and Regional Medical Center - Seattle
-
Spokane, Washington, Verenigde Staten, 99220-2555
- Providence Cancer Center at Sacred Heart Medical Center
-
Tacoma, Washington, Verenigde Staten, 98431
- Madigan Army Medical Center
-
Tacoma, Washington, Verenigde Staten, 98405
- Mary Bridge Children's Hospital and Health Center - Tacoma
-
-
West Virginia
-
Charleston, West Virginia, Verenigde Staten, 25302
- West Virginia University - Robert C. Byrd Health Sciences Center - Charleston Division
-
Huntington, West Virginia, Verenigde Staten, 25701
- Cabell Huntington Hospital
-
-
Wisconsin
-
Green Bay, Wisconsin, Verenigde Staten, 54301
- St. Vincent Hospital
-
La Crosse, Wisconsin, Verenigde Staten, 54601-5429
- Gundersen Lutheran Cancer Center at Gundersen Lutheran Medical Center
-
Madison, Wisconsin, Verenigde Staten, 53792-0001
- University of Wisconsin Comprehensive Cancer Center
-
Milwaukee, Wisconsin, Verenigde Staten, 53226
- Midwest Children's Cancer Center
-
-
-
-
Chihuahua
-
Bern, Chihuahua, Zwitserland, 3010
- Swiss Pediatric Oncology Group Bern
-
-
Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
- Volwassen
- Oudere volwassene
Accepteert gezonde vrijwilligers
Geslachten die in aanmerking komen voor studie
Beschrijving
DISEASE CHARACTERISTICS:
Newly diagnosed primary acute myeloid leukemia (AML)
- At least 20% bone marrow blasts
Meets the customary FAB criteria for AML
- Patients with cytopenias and bone marrow blasts who do not meet the FAB criteria are eligible provided they have a karyotypic abnormality characteristic of de novo AML (e.g., t[8;21], inv16, or t[16;16]) OR they have the unequivocal presence of megakaryoblasts
- Isolated granulocytic sarcoma (myeloblastoma) allowed regardless of the results outlined above
- Previously untreated disease
- No promyelocytic leukemia (FAB M3)
- No documented myelodysplastic syndromes (preleukemia) (e.g., chronic myelomonocytic leukemia, refractory anemia [RA], RA with excess blasts, or RA with ringed sideroblasts)
- No juvenile myelomonocytic leukemia
- No Fanconi's anemia, Kostmann syndrome, Shwachman syndrome, or any other known bone marrow failure syndrome
- No Down syndrome
PATIENT CHARACTERISTICS:
Age
- 1 month to 21 years* NOTE: *Children under 1 month of age who have progressive disease are allowed
Performance status
- Karnofsky 50-100% (over 16 years of age) OR
- Lansky 50-100% (ages 1 to 16)* NOTE: Children under 1 year of age do not require a performance status
Life expectancy
- Not specified
Hematopoietic
- Not specified
Hepatic
- No inadequate liver function
Renal
- No inadequate renal function
- No hyperuricemia (greater than 8.0 mg/dL)
- Creatinine clearance or radioisotope glomerular filtration rate (GFR) at least 70 mL/min OR an equivalent normal GFR OR
- Creatinine no greater than 1.5 times normal
Cardiovascular
- Shortening fraction at least 27% by echocardiogram OR
- Ejection fraction at least 50% by MUGA
Pulmonary
- No proven or suspected pneumonia
Other
- Not pregnant or nursing
- No proven or suspected sepsis or meningitis
PRIOR CONCURRENT THERAPY:
Biologic therapy
- Not specified
Chemotherapy
- No prior chemotherapy except intrathecal cytarabine administered that was administered at diagnosis
Endocrine therapy
- Prior topical and inhalation steroids allowed
- No concurrent steroids as antiemetics
Radiotherapy
- No prior radiotherapy
Surgery
- Not specified
Other
- No prior antileukemic therapy
- No concurrent pressor agent or ventilatory support unless approved by the study chair
- No concurrent participation in another COG therapeutic study
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Masker: Geen (open label)
Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
|---|
|
Veiligheid
|
|
Volledig remissiepercentage
|
Secundaire uitkomstmaten
Uitkomstmaat |
|---|
|
Geschiktheid
|
|
Effect of karyotypic abnormalities
|
Medewerkers en onderzoekers
Sponsor
Medewerkers
Onderzoekers
- Studie stoel: Janet Franklin, MD, MPH, Children's Hospital Los Angeles
Publicaties en nuttige links
Algemene publicaties
- Ho PA, Kopecky KJ, Alonzo TA, Gerbing RB, Miller KL, Kuhn J, Zeng R, Ries RE, Raimondi SC, Hirsch BA, Oehler V, Hurwitz CA, Franklin JL, Gamis AS, Petersdorf SH, Anderson JE, Godwin JE, Reaman GH, Willman CL, Bernstein ID, Radich JP, Appelbaum FR, Stirewalt DL, Meshinchi S. Prognostic implications of the IDH1 synonymous SNP rs11554137 in pediatric and adult AML: a report from the Children's Oncology Group and SWOG. Blood. 2011 Oct 27;118(17):4561-6. doi: 10.1182/blood-2011-04-348888. Epub 2011 Aug 26.
- Pollard JA, Alonzo TA, Loken M, Gerbing RB, Ho PA, Bernstein ID, Raimondi SC, Hirsch B, Franklin J, Walter RB, Gamis A, Meshinchi S. Correlation of CD33 expression level with disease characteristics and response to gemtuzumab ozogamicin containing chemotherapy in childhood AML. Blood. 2012 Apr 19;119(16):3705-11. doi: 10.1182/blood-2011-12-398370. Epub 2012 Feb 29.
- Vujkovic M, Attiyeh EF, Ries RE, Goodman EK, Ding Y, Kavcic M, Alonzo TA, Wang YC, Gerbing RB, Sung L, Hirsch B, Raimondi S, Gamis AS, Meshinchi S, Aplenc R. Genomic architecture and treatment outcome in pediatric acute myeloid leukemia: a Children's Oncology Group report. Blood. 2017 Jun 8;129(23):3051-3058. doi: 10.1182/blood-2017-03-772384. Epub 2017 Apr 14.
- Ho PA, Kuhn J, Gerbing RB, Pollard JA, Zeng R, Miller KL, Heerema NA, Raimondi SC, Hirsch BA, Franklin JL, Lange B, Gamis AS, Alonzo TA, Meshinchi S. WT1 synonymous single nucleotide polymorphism rs16754 correlates with higher mRNA expression and predicts significantly improved outcome in favorable-risk pediatric acute myeloid leukemia: a report from the children's oncology group. J Clin Oncol. 2011 Feb 20;29(6):704-11. doi: 10.1200/JCO.2010.31.9327. Epub 2010 Dec 28.
- Ho PA, Alonzo TA, Kopecky KJ, Miller KL, Kuhn J, Zeng R, Gerbing RB, Raimondi SC, Hirsch BA, Oehler V, Hurwitz CA, Franklin JL, Gamis AS, Petersdorf SH, Anderson JE, Reaman GH, Baker LH, Willman CL, Bernstein ID, Radich JP, Appelbaum FR, Stirewalt DL, Meshinchi S. Molecular alterations of the IDH1 gene in AML: a Children's Oncology Group and Southwest Oncology Group study. Leukemia. 2010 May;24(5):909-13. doi: 10.1038/leu.2010.56. Epub 2010 Apr 8.
- Ho PA, Zeng R, Alonzo TA, Gerbing RB, Miller KL, Pollard JA, Stirewalt DL, Heerema NA, Raimondi SC, Hirsch B, Franklin JL, Lange B, Meshinchi S. Prevalence and prognostic implications of WT1 mutations in pediatric acute myeloid leukemia (AML): a report from the Children's Oncology Group. Blood. 2010 Aug 5;116(5):702-10. doi: 10.1182/blood-2010-02-268953. Epub 2010 Apr 22.
- Phillips CL, Gerbing R, Alonzo T, Perentesis JP, Harley IT, Meshinchi S, Bhatla D, Radloff G, Davies SM. MDM2 polymorphism increases susceptibility to childhood acute myeloid leukemia: a report from the Children's Oncology Group. Pediatr Blood Cancer. 2010 Aug;55(2):248-53. doi: 10.1002/pbc.22519.
- Pollard JA, Alonzo TA, Gerbing RB, Ho PA, Zeng R, Ravindranath Y, Dahl G, Lacayo NJ, Becton D, Chang M, Weinstein HJ, Hirsch B, Raimondi SC, Heerema NA, Woods WG, Lange BJ, Hurwitz C, Arceci RJ, Radich JP, Bernstein ID, Heinrich MC, Meshinchi S. Prevalence and prognostic significance of KIT mutations in pediatric patients with core binding factor AML enrolled on serial pediatric cooperative trials for de novo AML. Blood. 2010 Mar 25;115(12):2372-9. doi: 10.1182/blood-2009-09-241075. Epub 2010 Jan 7.
- Berman JN, Gerbing RB, Sung L, et al.: Prevalence and clinical implications of N-RAS mutations in childhood AML - A report from the Children's Oncology Group. [Abstract] Blood 114 (22): A-3115, 2009.
- Ho PA, Alonzo TA, Gerbing RB, Pollard J, Stirewalt DL, Hurwitz C, Heerema NA, Hirsch B, Raimondi SC, Lange B, Franklin JL, Radich JP, Meshinchi S. Prevalence and prognostic implications of CEBPA mutations in pediatric acute myeloid leukemia (AML): a report from the Children's Oncology Group. Blood. 2009 Jun 25;113(26):6558-66. doi: 10.1182/blood-2008-10-184747. Epub 2009 Mar 20.
- Sung L, Alonzo TA, Gerbing RB, Aplenc R, Lange BJ, Woods WG, Feusner J, Franklin J, Patterson MJ, Gamis AS; Children's Oncology Group. Respiratory syncytial virus infections in children with acute myeloid leukemia: a report from the Children's Oncology Group. Pediatr Blood Cancer. 2008 Dec;51(6):784-6. doi: 10.1002/pbc.21710.
- Pollard J, Alonzo T, Gerbing R, et al.: Prevalence and prognostic significance of c-KIT mutations in pediatric CBF AML patients enrolled on serial CCG/COG protocols. [Abstract] Blood 110 (11): A-1442, 2007.
- Cooper TM, Franklin J, Gerbing RB, Alonzo TA, Hurwitz C, Raimondi SC, Hirsch B, Smith FO, Mathew P, Arceci RJ, Feusner J, Iannone R, Lavey RS, Meshinchi S, Gamis A. AAML03P1, a pilot study of the safety of gemtuzumab ozogamicin in combination with chemotherapy for newly diagnosed childhood acute myeloid leukemia: a report from the Children's Oncology Group. Cancer. 2012 Feb 1;118(3):761-9. doi: 10.1002/cncr.26190. Epub 2011 Jul 15.
- Gudgeon CJ, Harrington KH, Laszlo GS, Alonzo TA, Gerbing RB, Gamis AS, Raimondi SC, Hirsch BA, Meshinchi S, Walter RB. High expression of neutrophil elastase predicts improved survival in pediatric acute myeloid leukemia: a report from the Children's Oncology Group. Leuk Lymphoma. 2013 Jan;54(1):202-4. doi: 10.3109/10428194.2012.700480. Epub 2012 Jul 9. No abstract available.
- Loken MR, Alonzo TA, Pardo L, Gerbing RB, Raimondi SC, Hirsch BA, Ho PA, Franklin J, Cooper TM, Gamis AS, Meshinchi S. Residual disease detected by multidimensional flow cytometry signifies high relapse risk in patients with de novo acute myeloid leukemia: a report from Children's Oncology Group. Blood. 2012 Aug 23;120(8):1581-8. doi: 10.1182/blood-2012-02-408336. Epub 2012 May 30.
- Ho PA, Kutny MA, Alonzo TA, Gerbing RB, Joaquin J, Raimondi SC, Gamis AS, Meshinchi S. Leukemic mutations in the methylation-associated genes DNMT3A and IDH2 are rare events in pediatric AML: a report from the Children's Oncology Group. Pediatr Blood Cancer. 2011 Aug;57(2):204-9. doi: 10.1002/pbc.23179. Epub 2011 Apr 18.
- Walter RB, Alonzo TA, Gerbing RB, Ho PA, Smith FO, Raimondi SC, Hirsch BA, Gamis AS, Franklin JL, Hurwitz CA, Loken MR, Meshinchi S. High expression of the very late antigen-4 integrin independently predicts reduced risk of relapse and improved outcome in pediatric acute myeloid leukemia: a report from the children's oncology group. J Clin Oncol. 2010 Jun 10;28(17):2831-8. doi: 10.1200/JCO.2009.27.5693. Epub 2010 Apr 26.
- Walter RB, Alonzo TA, Gerbing RB, et al.: High expression of the very late antigen (VLA)-4 (CD49d) integrin predicts for reduced risk of relapse and better outcome in pediatric acute myeloid leukemia (AML): A report from the Children's Oncology Group. [Abstract] Blood 114 (22): A-1592, 2009.
- Franklin J, Alonzo T, Hurwitz CA, et al.: COG AAML03P1: efficacy and safety in a pilot study of intensive chemotherapy including gemtuzumab in children newly diagnosed with acute myeloid leukemia (AML). [Abstract] Blood 112 (11): A- 136, 2008.
Studie record data
Bestudeer belangrijke data
Studie start
Primaire voltooiing (Werkelijk)
Studie voltooiing (Werkelijk)
Studieregistratiedata
Eerst ingediend
Eerst ingediend dat voldeed aan de QC-criteria
Eerst geplaatst (Schatting)
Updates van studierecords
Laatste update geplaatst (Schatting)
Laatste update ingediend die voldeed aan QC-criteria
Laatst geverifieerd
Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
- acute erythroleukemie bij kinderen (M6)
- acute megakaryocytische leukemie bij kinderen (M7)
- acute minimaal gedifferentieerde myeloïde leukemie bij kinderen (M0)
- onbehandelde acute myeloïde leukemie bij kinderen en andere myeloïde maligniteiten
- acute myeloblastische leukemie bij kinderen zonder rijping (M1)
- acute myeloblastische leukemie bij kinderen met rijping (M2)
- acute myelomonocytaire leukemie bij kinderen (M4)
- acute monoblastische leukemie bij kinderen (M5a)
- acute monocytische leukemie bij kinderen (M5b)
Aanvullende relevante MeSH-voorwaarden
- Neoplasmata per histologisch type
- Neoplasmata
- Leukemie
- Leukemie, myeloïde
- Leukemie, myeloïde, acuut
- Fysiologische effecten van medicijnen
- Moleculaire mechanismen van farmacologische werking
- Anti-infectieuze middelen
- Agenten van het perifere zenuwstelsel
- Antivirale middelen
- Nucleïnezuursyntheseremmers
- Enzymremmers
- Pijnstillers
- Sensorische systeemagenten
- Antireumatische middelen
- Antimetabolieten, antineoplastische
- Antimetabolieten
- Antineoplastische middelen
- Immunosuppressieve middelen
- Immunologische factoren
- Antineoplastische middelen, alkylering
- Alkyleringsmiddelen
- Myeloablatieve agonisten
- Antineoplastische middelen, fytogeen
- Topoisomerase II-remmers
- Topoisomeraseremmers
- Antineoplastische middelen, immunologisch
- Dermatologische middelen
- Antibiotica, antineoplastiek
- Antischimmelmiddelen
- Reproductieve controlemiddelen
- Afbrekende middelen, niet-steroïde
- Abortieve agenten
- Foliumzuurantagonisten
- Calcineurineremmers
- Cyclofosfamide
- Etoposide
- Cytarabine
- Methotrexaat
- Daunorubicine
- Asparaginase
- Mitoxantron
- Busulfan
- Cyclosporine
- Cyclosporines
- Gemtuzumab
Andere studie-ID-nummers
- AAML03P1
- CDR0000330133 (Andere identificatie: Clinical Trials.gov)
- COG-AAML03P1 (Andere identificatie: Children's Oncology Group)
Deze informatie is zonder wijzigingen rechtstreeks van de website clinicaltrials.gov gehaald. Als u verzoeken heeft om uw onderzoeksgegevens te wijzigen, te verwijderen of bij te werken, neem dan contact op met register@clinicaltrials.gov. Zodra er een wijziging wordt doorgevoerd op clinicaltrials.gov, wordt deze ook automatisch bijgewerkt op onze website .