UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000007390
Receipt number R000008698
Scientific Title Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG) AML-R11: Multi-center Phase II Study of the efficacy and the safety in the induction chemotherapy containing fludarabine for children with the first bone marrow relapse and induction failure of acute myeloid leukemia.
Date of disclosure of the study information 2012/03/01
Last modified on 2015/09/29 11:50:06

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Basic information

Public title

Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG) AML-R11: Multi-center Phase II Study of the efficacy and the safety in the induction chemotherapy containing fludarabine for children with the first bone marrow relapse and induction failure of acute myeloid leukemia.

Acronym

AML-R11

Scientific Title

Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG) AML-R11: Multi-center Phase II Study of the efficacy and the safety in the induction chemotherapy containing fludarabine for children with the first bone marrow relapse and induction failure of acute myeloid leukemia.

Scientific Title:Acronym

AML-R11

Region

Japan


Condition

Condition

acute myeloid leukemia

Classification by specialty

Hematology and clinical oncology Pediatrics

Classification by malignancy

Malignancy

Genomic information

NO


Objectives

Narrative objectives1

To evaluate the efficacy and the safety of the treatment regimen with FLAG and idarubicin as an induction therapy for the first bone marrow relapse and induction failure in children with acute myeloid leukemia

Basic objectives2

Safety,Efficacy

Basic objectives -Others


Trial characteristics_1

Exploratory

Trial characteristics_2


Developmental phase

Phase II


Assessment

Primary outcomes

Rate of bone marrow remission after the treatment regimen

Key secondary outcomes

Positive rate of MRD by FACS after the treatment regimen
Two-year event free survival rate and over all survival rate
Rate of remission, two-year event free survival and over all survival between the first bone marrow relapse patients and induction failure patients
Rate of remission, two-year event free survival and over all survival among times of relapse and chromosomal abnormalities
Rate of adverse events (CTCAE ver.4.0, grade 3 or more)
Rate of accomplishment of the protocol
Rate of early death


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

Single course of combination chemotherapy consisted of G-CSF, fludarabine, cytosine arabinoside, and idarubicin is performed for all the eligible patients

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

2 years-old <=

Age-upper limit

20 years-old >

Gender

Male and Female

Key inclusion criteria

1. AML (excluding AML with Down syndrome, APL, secondary AML, NK/myeloid leukemia, and granulocytic sarcoma)
2. the first bone marrow relapse (including extramedullary relapse at the same time) or induction failure
3. age less than 18 years old at diagnosis
4. age over than 1 years old and less than 20 years old at enrollment
5. ECOG performance status score :0-3
6. sufficient hepatic, renal and cardiac function satisfying the laboratory data listed below;
T. Bil. :less than 3 mg/dl
ALT: within 10X of the institutional normal range
serum creatinine value: less than 5 years old, less than 0.8mg/dl. 5-10 years old, less than 1.2 mg/dl. 10-20 years old, less than 1.5 mg/dl
ECG: no severe abnormalities (example; QTc 0.45 or more sec)
UCG: EF 50% or more, FS 25% or more, no finding of cardiac dysfunction
7. written informed consent obtained from guradians

Key exclusion criteria

1. isolated extramedullary relapse
2. history of allogeneic stem cell transplantation
3. history of FLAG therapy
4. any complication listed below;
active or unmanageable infectious disease, severe CNS bleeding(example; CTCAE Ver. 4.0; grade 3 or more, uncontrolled DM, severe mental abnormalities, heart diseases, hemophillia, autoimmune diseases
5. pregnancy
6. history of congenital or acquirede immunodeficiency
7. contraindication of cytosine arbinoside or idarubicin
8. administration of anti-cancer agent within 14 days of the enrollment
9. unusual treatment schedule or intermission in the first induction chemotherapy for AML because of personal request etc
10. any inappropriate status judged by physician

Target sample size

50


Research contact person

Name of lead principal investigator

1st name
Middle name
Last name Hideki Nakayama

Organization

National Hospital Organization Fukuoka-Higashi Mediacal Center

Division name

Department of Pediatrics

Zip code


Address

1-1-1 Chidori, Koga city, Fukuoka

TEL

092-943-2331

Email



Public contact

Name of contact person

1st name
Middle name
Last name Akiko Saito

Organization

National Hospital Organization Nagoya Medical Center

Division name

Clinical Research Center, Laboratory of Clinical, Epidemiological and Health

Zip code


Address

4-1-1, San-nomaru, Naka-ku, Nagoya city, Aichi

TEL

052-951-1111

Homepage URL

http://www.jplsg.jp

Email

officejp@nnh.hosp.go.jp


Sponsor or person

Institute

Japanese Pediatric Leukemia/Lymphoma Study Group (JPLSG)

Institute

Department

Personal name



Funding Source

Organization

Ministry of Health, Labour and Welfare

Organization

Division

Category of Funding Organization

Nationality of Funding Organization

JAPAN


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

2012 Year 03 Month 01 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


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

Terminated

Date of protocol fixation

2011 Year 12 Month 07 Day

Date of IRB


Anticipated trial start date

2012 Year 03 Month 01 Day

Last follow-up date

2015 Year 11 Month 07 Day

Date of closure to data entry

2016 Year 02 Month 28 Day

Date trial data considered complete

2016 Year 02 Month 28 Day

Date analysis concluded

2016 Year 02 Month 28 Day


Other

Other related information



Management information

Registered date

2012 Year 02 Month 27 Day

Last modified on

2015 Year 09 Month 29 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000008698


Research Plan
Registered date File name

Research case data specifications
Registered date File name

Research case data
Registered date File name