UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000001142
Receipt number R000001386
Scientific Title Phase I Study of gemtuzumab ozogamicin in combination with cytarabinne and idarubicin as induction therapy for relapsed or refractory patients with acute myeloid leukemia.
Date of disclosure of the study information 2008/05/10
Last modified on 2011/10/31 16:03:29

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Basic information

Public title

Phase I Study of gemtuzumab ozogamicin in combination with cytarabinne and idarubicin as induction therapy for relapsed or refractory patients with acute myeloid leukemia.

Acronym

Phase I Study of GO+Ara-C+IDR for Relapsed or Refractory Patients with Acute Myeloid Leukemia

Scientific Title

Phase I Study of gemtuzumab ozogamicin in combination with cytarabinne and idarubicin as induction therapy for relapsed or refractory patients with acute myeloid leukemia.

Scientific Title:Acronym

Phase I Study of GO+Ara-C+IDR for Relapsed or Refractory Patients with Acute Myeloid Leukemia

Region

Japan


Condition

Condition

Acute Myeloid Leukemia

Classification by specialty

Hematology and clinical oncology

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

Investigation of safety and recommended schedule of combination chemotherapy with GO and conventional antiluekemic drugs.

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase

Phase I


Assessment

Primary outcomes

Dose limiting toxicity(DLT) ,maximum tolerated dose(MTD) and optimal dose and schedule of INR and GO

Key secondary outcomes

Rates of complete remission and safety profile and grades.


Base

Study type

Interventional


Study design

Basic design

Single arm

Randomization

Non-randomized

Randomization unit


Blinding

Open -no one is blinded

Control

Uncontrolled

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

1

Purpose of intervention

Treatment

Type of intervention

Medicine

Interventions/Control_1

Combination chemotherapy of gemtuzumab ozogamicin+idarubicin+cytarabine as induction

Interventions/Control_2


Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

20 years-old <=

Age-upper limit

65 years-old >

Gender

Male and Female

Key inclusion criteria

1.CD33-positive AML with first relapsed (CR duration>6 months) or refractory to initial induction therapy (exclusion of APL)
2.Age; above 20 to younger than 65 years old
3.PS 0-2 (ECOG)
4.More than 30 days after previous therapy
5. Adequate hepatic, renal, pulmonary and cardiac function
serum bilirubin <1.5 mg/dL, serum creatinine<2.0 mg/dL,PaO2>60 mmHg or SaO2>93%, ECG: WNL
6.More than 2 months of life expectancy
7. Written informed consent

Key exclusion criteria

1. History of MDS or MPD
2. Secondary AML related to chemotherapy or radiotherapy
3. CNS-leukemia
4. History of hematopoietic stem cell transplantation
5. Pregnant and/or lactating woman
6. History of therapy with anti-CD33 monoclonal antibody
7. Complication of active malignant diease
8. Uncontrolled infection
9.Positive HBV, HCV and HIV infection
10.History of attending any phase study of new drugs.
11.If physicians disagree to attend this study

Target sample size

18


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Noriko Usui

Organization

The Jikei University School of Medicine(Dai-San Hospital)

Division name

Department of Clinical Oncology and Hematology

Zip code


Address

4-11-1,Izumi-honcho,Komae-shi,Tokyo

TEL

03-3480-1151

Email



Public contact

Name of contact person

1st name
Middle name
Last name Noriko Usui

Organization

The Jikei University School of Medicine(Dai-San Hospital)

Division name

Department of Clinical Oncology and Hematology

Zip code


Address

4-11-1,Izumi-honcho,Komae-shi,Tokyo

TEL

03-3480-1151

Homepage URL

http://www.jalsg.jp/

Email

usuin@jikei.ac.jp


Sponsor or person

Institute

Japan Adult Leukemia Study Group

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labor and Welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization


Address


Tel


Email



Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2008 Year 05 Month 10 Day


Related information

URL releasing protocol


Publication of results

Published


Result

URL related to results and publications

http://www.ncbi.nlm.nih.gov/pubmed/21585619

Number of participants that the trial has enrolled


Results

Among 19 patients (nine in the IAG regimen, 10 in the DAG regimen), the median age was 59 years (range 33-64), and the relapsed/refractory ratio was 13/6. In the therapy using 3 mg/m(2) GO in the IAG or DAG regimen, grade 3/4 leukopenia and neutropenia were observed in all patients, but none had grade 3/4 non-hematological toxicities, except febrile neutropenia. Three patients in the IAG regimen who were administered 5 mg/m(2) GO showed DLT. No patients had veno-occlusive disease or sinusoidal obstructive syndrome. In conclusion, 3 mg/m(2) GO combined with Ara-C and IDR or DNR can be safely administered, and phase II trials should be conducted to investigate the clinical efficacy of the combination therapy.

Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Completed

Date of protocol fixation

2006 Year 10 Month 05 Day

Date of IRB


Anticipated trial start date

2006 Year 10 Month 01 Day

Last follow-up date

2010 Year 03 Month 01 Day

Date of closure to data entry

2010 Year 03 Month 01 Day

Date trial data considered complete

2010 Year 03 Month 01 Day

Date analysis concluded

2011 Year 02 Month 01 Day


Other

Other related information



Management information

Registered date

2008 Year 04 Month 30 Day

Last modified on

2011 Year 10 Month 31 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000001386


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name