- ICH GCP
- Amerikanska kliniska prövningsregistret
- Klinisk prövning NCT00047268
Donor Stem Cell Transplant With or Without Chemotherapy in Treating Children With Primary Myelodysplastic Syndrome
Prospective Study of the Diagnosis and Treatment of Myelodysplastic Syndromes (MDS) in Childhood
RATIONALE: Giving chemotherapy before a donor stem cell transplant helps stop the patient's immune system from rejecting the donor's stem 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. It is not yet known whether donor stem cell transplant is more effective with or without chemotherapy in treating primary myelodysplastic syndrome.
PURPOSE: This phase III trial is studying how well donor stem cell transplant given with chemotherapy works and compares it with donor stem cell transplant without chemotherapy in treating children with primary myelodysplastic syndrome.
Studieöversikt
Status
Detaljerad beskrivning
OBJECTIVES:
- Determine, by a standard approach, the frequency of different FAB subtypes in children with primary myelodysplastic syndromes.
- Determine the frequency of cytogenetic and molecular abnormalities in these patients.
- Determine the survival of patients treated with allogeneic stem cell transplantation with or without induction chemotherapy.
- Determine the rate of complete remission in patients treated with these regimens.
- Determine the event-free survival of patients treated with these regimens.
- Determine the relapse rate, morbidity, and mortality of patients treated with these regimens.
- Determine different subsets of patients who benefit from these regimens.
OUTLINE: This is a multicenter study. Patients are stratified according to FAB subtype (refractory anemia (RA) or RA with ringed sideroblasts (RARS) vs RA with excess blasts (RAEB) vs RAEB in transformation (RAEB-t) vs juvenile myelomonocytic leukemia (JMML)).
Patients undergo complete medical and physical examination. Patients are screened for the following aberrations: -7, +8, +21, t(8;21), t(15;17), and inv(16). Smears of peripheral blood and bone marrow, as well as bone marrow biopsies and all cytogenetic and molecular studies performed on blood or bone marrow, are evaluated by a panel of international experts.
Patients with progressive RA or RARS undergo allogeneic stem cell transplantation (ASCT) according to EWOG-MDS SCT studies. Patients with stable RA or RARS wait for an optimal donor before undergoing ASCT. Patients with RAEB with fewer than 15% bone marrow blasts undergo ASCT. Patients with RAEB with at least 15% bone marrow blasts and patients with RAEB-t with fewer than 30% bone marrow blasts receive standard acute myeloid leukemia (AML) induction therapy and then undergo ASCT. Patients with RAEB-t with at least 30% bone marrow blasts are considered for standard AML induction therapy.
Patients with advanced JMML undergo evaluation for splenectomy and receive chemotherapy with mercaptopurine and cytarabine every 3-4 weeks (for 1-4 doses). Patients then undergo ASCT.
Patients are followed every 6 months.
PROJECTED ACCRUAL: Not specified
Studietyp
Fas
- Fas 3
Kontakter och platser
Studieorter
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Freiburg, Tyskland, D-79106
- Universitaetskinderklinik - Universitaetsklinikum Freiburg
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Deltagandekriterier
Urvalskriterier
Åldrar som är berättigade till studier
Tar emot friska volontärer
Kön som är behöriga för studier
Beskrivning
DISEASE CHARACTERISTICS:
Morphologically confirmed primary myelodysplastic syndromes (MDS)
- Diagnosed between July 1, 1998 and June 30, 2002
- No prior aplastic anemia
No prior congenital bone marrow failure syndrome, such as:
- Fanconi's anemia
- Kostmann syndrome
- Shwachman syndrome
- Dyskeratosis congenital
- Amegakaryocytic thrombocytopenia
- Diamond-Blackfan anemia
- No Down syndrome
None of the following cytogenetic or molecular abnormalities:
- t(8;21)(q22;q22)
- t(15;17)(q22;q12)
- inv(16)(p13;q22)
- No typical clinical and cytogenetic features of acute myeloid leukemia FAB M7 (i.e., acute megakaryocytic leukemia) with fewer than 30% blasts in bone marrow or peripheral blood
PATIENT CHARACTERISTICS:
Age
- Under 19
Performance status
- Not specified
Life expectancy
- Not specified
Hematopoietic
- See Disease Characteristics
Hepatic
- Not specified
Renal
- Not specified
Other
- No other concurrent illness that would preclude study
PRIOR CONCURRENT THERAPY:
Biologic therapy
- Not specified
Chemotherapy
- No prior chemotherapy for MDS
Endocrine therapy
- Not specified
Radiotherapy
- No prior radiotherapy for MDS
Surgery
- Not specified
Studieplan
Hur är studien utformad?
Designdetaljer
- Primärt syfte: Diagnostisk
- Maskning: Ingen (Open Label)
Vad mäter studien?
Primära resultatmått
Resultatmått |
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Patient numbers in the different FAB subtypes
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Sekundära resultatmått
Resultatmått |
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Händelsefri överlevnad
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Överlevnad
|
Samarbetspartners och utredare
Utredare
- Studiestol: Charlotte Niemeyer, MD, Universitaetskinderklinik - Universitaetsklinikum Freiburg
Publikationer och användbara länkar
Allmänna publikationer
- Gohring G, Michalova K, Beverloo HB, Betts D, Harbott J, Haas OA, Kerndrup G, Sainati L, Bergstraesser E, Hasle H, Stary J, Trebo M, van den Heuvel-Eibrink MM, Zecca M, van Wering ER, Fischer A, Noellke P, Strahm B, Locatelli F, Niemeyer CM, Schlegelberger B. Complex karyotype newly defined: the strongest prognostic factor in advanced childhood myelodysplastic syndrome. Blood. 2010 Nov 11;116(19):3766-9. doi: 10.1182/blood-2010-04-280313. Epub 2010 Aug 27.
- Pastor VB, Sahoo SS, Boklan J, Schwabe GC, Saribeyoglu E, Strahm B, Lebrecht D, Voss M, Bryceson YT, Erlacher M, Ehninger G, Niewisch M, Schlegelberger B, Baumann I, Achermann JC, Shimamura A, Hochrein J, Tedgard U, Nilsson L, Hasle H, Boerries M, Busch H, Niemeyer CM, Wlodarski MW. Constitutional SAMD9L mutations cause familial myelodysplastic syndrome and transient monosomy 7. Haematologica. 2018 Mar;103(3):427-437. doi: 10.3324/haematol.2017.180778. Epub 2017 Dec 7.
Studieavstämningsdatum
Studera stora datum
Studiestart
Studieregistreringsdatum
Först inskickad
Först inskickad som uppfyllde QC-kriterierna
Första postat (Uppskatta)
Uppdateringar av studier
Senaste uppdatering publicerad (Uppskatta)
Senaste inskickade uppdateringen som uppfyllde QC-kriterierna
Senast verifierad
Mer information
Termer relaterade till denna studie
Nyckelord
Ytterligare relevanta MeSH-villkor
- Neoplasmer efter histologisk typ
- Neoplasmer
- Benmärgssjukdomar
- Hematologiska sjukdomar
- Precancerösa tillstånd
- Myelodysplastiska syndrom
- Leukemi
- Preleukemi
- Myeloproliferativa störningar
- Myelodysplastiska-myeloproliferativa sjukdomar
- Läkemedels fysiologiska effekter
- Molekylära mekanismer för farmakologisk verkan
- Anti-infektionsmedel
- Antivirala medel
- Nukleinsyrasynteshämmare
- Enzyminhibitorer
- Antimetaboliter, antineoplastiska
- Antimetaboliter
- Antineoplastiska medel
- Immunsuppressiva medel
- Immunologiska faktorer
- Cytarabin
- Merkaptopurin
Andra studie-ID-nummer
- CDR0000257581
- EWOG-MDS-98
- EU-20218
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