RWE of 1st Line Treatment in Adults With AML From 18 to 70 Years Old.

Last updated: November 9, 2021
Sponsor: Grupo Argentino de Tratamiento de la Leucemia Aguda
Overall Status: Active - Recruiting

Phase

N/A

Condition

Leukemia

Treatment

N/A

Clinical Study ID

NCT05127798
GATLA 10-LMA-20
  • Ages 18-70
  • All Genders

Study Summary

This is a multicenter, observational real world clinical trial with prospective follow up that will evaluate the treatment outcome of Acute Myeloid Leukemia (AML) patients in the first line with intensive chemotherapy based regimens in Argentina.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Patients 18 years or older.
  • Patients with AML (de novo or secondary to MDS or previous treatment) who meet thediagnostic criteria according to WHO 2016 classification.
  • Signature of the form consent for participation in the study.

Exclusion

Exclusion Criteria:

  • Men and women, <18 or >70 years of age.
  • Patients with chronic myeloid leukemia blast crisis or transformation to acuteleukemia of other myeloproliferative syndromes.
  • Patients with relapsed AML.
  • Acute promyelocytic leukemia t(15; 17) or variants.
  • Absence of written informed consent.
  • Eastern Cooperative Oncology Group (ECOG) performance status ≥ 3 that is not due tothe disease that motivates the treatment (AML).
  • Transplant Comorbidity Index (HCT-CI) >3.
  • Left ventricular ejection fraction < 40% by echocardiogram (Simpsom).
  • Bilirubin, alkaline phosphatase or alanine aminotransferase > 3 times the upper normallimit not due to AML.
  • Serum creatinine ≥ 2.5 mg/dL not due to AML.
  • Positive pregnancy test or absence of effective methods of contraception in women ofchildbearing age.
  • Presence of active neoplasia other than AML whose treatment is more urgent at thediscretion of the treating physicians.
  • Presence of serious psychiatric illness.
  • Known history of infection with human immunodeficiency virus (HIV). Activeuncontrolled Hepatitis C or Active uncontrolled Hepatitis B.
  • Any other condition, such as age or associated pathology that contraindicatestreatment with intensive chemotherapy, especially with anthracyclines. Any patient whodoes not meet the inclusion and exclusion criteria for treatment with intensivechemotherapy may be evaluated on an individual basis if it is considered that theycould still benefit from this treatment.

Study Design

Total Participants: 50
Study Start date:
March 01, 2021
Estimated Completion Date:
December 01, 2024

Study Description

The purpose of this trial is to gather real world evidence of the characteristics of AML patients in Argentina who receive intensive chemotherapy based treatment in first line following our national guidelines. The study primary endpoint is to evaluate event free survival (EFS) and overall survival (OS) of patients diagnosed with AML and treated in first line with intensive chemotherapy combined with different consolidation modalities depending on risk category. Secondary endpoints are to evaluate EFS and OS according to: cytogenetic and molecular classification, measurable residual disease (MRD) (by flow cytometry) post induction. Assess treatment-related mortality and limitations in completing treatment due to toxicity. Evaluate the role of allogeneic stem cell transplantation in terms of EFS in intermediate and adverse risk patients.

Every AML patient diagnosed in our institutions will follow our guidelines with respect to diagnosis procedures. Risk category will depend on molecular and cytogenetic features according to European Leukemia net 2017 risk stratification.

All patients will receive induction with 7+3 scheme; if CR is not met induction will be followed by a reinduction with FLAG-IDA. According to post induction remission status and risk assessment, consolidation will consist of three courses of cytarabine (2g/m2) + daunorubicin (60mg/m2) for low risk group; or consolidation with cytarabine (2g/m2) + daunorubicin (60mg/m2) followed by allogeneic stem cell transplantation for intermediate and adverse risk groups.

Patients harboring Flt3 mutation will add midostaurin during induction and consolidations: midostaurin 50 mg orally every 12 hours on days 8-21 of each 28-day cycle.

In the cases of Coring Binding Factor AML and NPM1 mutated AML, molecular MRD assessment will be done at the end of consolidations by RQ-PCR and thereafter a follow-up RQ-PCR evaluation every 3 months during the first two years.

Connect with a study center

  • Hospital Italiano de La Plata

    La Plata, Buenos Aires
    Argentina

    Active - Recruiting

  • FUNDALEU

    Caba,
    Argentina

    Active - Recruiting

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