Description:
The purpose of the study is to determine whether Fludarabine in combination with cytarabine is more effective than high-dose cytarabine in post-remission therapy for patients with core-binding factor acute myeloid leukemia
The purpose of the study is to determine whether Fludarabine in combination with cytarabine is more effective than high-dose cytarabine in post-remission therapy for patients with core-binding factor acute myeloid leukemia
Unknown status
Phase 4
| Drug | Synonyms | Arms |
|---|---|---|
| Fludarabine | Fludara | Fludarabine |
| Cytarabine | Cytosar | high-dose cytarabine |
| Name | Type | Description | Interventions |
|---|---|---|---|
| Fludarabine | Experimental | The patients in experimental arm should receive the consolidation chemotherapy regimen with fludarabine and cytarabine. The dosage of fludarabine is 30mg/m2/d for 5 days intravenously and cytarabine is 1500mg/m2/d for 5 days intravenously. |
|
| high-dose cytarabine | Active Comparator | The patients in control arm should receive the consolidation chemotherapy regimen with high-dose cytarabine. The dosage of cytarabine is 2000mg/m2/12h for 3 days (1,3,5) intravenously. |
|
Inclusion Criteria:
- Clinical and laboratory diagnosis of CBF-AML,including RUNX1-RUNX1T1 and CBF-MYH11
fusion gene rearrangement by PCR/FISH
- In status of complete remission after one to two courses of induction therapy
- Total bilirubinic acid ≤ 35μmol/L, AST/ALT<2 times abnormal level, serum creatinine <
1.5mg/ml
- Cardiac function: EF ≥ 50%
- Hydroxyurea can be used for patient with white blood cell count ≥ 50*109/L
- ECOG (Eastern Cooperative Oncology Group) score: ≤ 2
Exclusion Criteria:
- Relapsed/refractory AML
- Serious liver/ kidney dysfunction
- Cardiac function level: 2 above
- Female in pregnancy or lactation
- With serious infection diseases or other diseases
- Not obey the principle of clinical study
| Maximum Eligible Age: | 60 Years |
| Minimum Eligible Age: | 18 Years |
| Eligible Gender: | All |
| Healthy Volunteers: | No |
| Measure: | Percentage of participants with disease recurrence |
| Time Frame: | one year |
| Safety Issue: | |
| Description: |
| Measure: | Percentage of Participants in survival |
| Time Frame: | one year |
| Safety Issue: | |
| Description: |
| Phase: | Phase 4 |
| Primary Purpose: | Interventional |
| Overall Status: | Unknown status |
| Lead Sponsor: | Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine |
May 2, 2018