Status:

COMPLETED

Study of Low-Dose Intravenous Decitabine in Patients Aged > 60 Years With Acute Myeloid Leukemia

Lead Sponsor:

University Hospital Freiburg

Conditions:

Acute Myeloid Leukemia

Eligibility:

All Genders

60+ years

Phase:

PHASE2

Brief Summary

This study is an open-label phase II trial to investigate the efficacy and toxicity of low-dose decitabine (5-aza-2'-deoxycytidine) in elderly patients with acute myeloid leukemia (AML) not eligible f...

Detailed Description

Hypothesis: If after 4 courses of Decitabine none out of 12 patients achieves a response (complete or partial remission, antileukemic effect), the protocol will be stopped. If at least one response is...

Eligibility Criteria

Inclusion

  • Patients older than 60 years with acute myeloid leukemia (\> 30 % bone marrow blasts) not qualifying for, or not consenting to, standard induction chemotherapy or immediate allografting
  • life expectancy \> 3 months with successful treatment
  • performance status ECOG 0, 1, 2
  • age-adjusted normal cardiac, kidney, liver function (creatinine \< 1.5 mg/dl unless leukemia-related, total bilirubin \< 2.0 of upper normal limits)
  • patients with \>50 000 leukocytes/µl in whom initial cytoreduction according to protocol is effective
  • written informed consent

Exclusion

  • AML of FAB subtype M3
  • previous induction-type chemotherapy for MDS or AML
  • previous treatment with Decitabine, 5-azacytidine or ATRA
  • "low-dose" chemotherapy (e.g.hydroxyurea, cytosine arabinoside, melphalan) within 8 weeks prior to Decitabine treatment, except for cytoreduction of leukocytosis \> 50 000/µl according to protocol - patients with \> 50 000 leukocytes/µl in whom initial cytoreduction according to protocol is ineffective
  • treatment with cytokines within previous 4 weeks
  • concomitant use of any other investigational drug
  • other malignancy that is not in remission (previous chemotherapy for other malignancies is not an exclusion criteria)
  • cardiac insufficiency NYHA IV
  • HIV infection
  • other uncontrolled active infection
  • psychiatric disorder that interferes with treatment
  • known hypersensitivity to retinoids
  • contact lenses

Key Trial Info

Start Date :

April 1 2003

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

March 1 2009

Estimated Enrollment :

238 Patients enrolled

Trial Details

Trial ID

NCT00866073

Start Date

April 1 2003

End Date

March 1 2009

Last Update

March 20 2009

Active Locations (8)

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Page 1 of 2 (8 locations)

1

Medizinische Hochschule Hannover

Hanover, Lower Saxony, Germany, 30625

2

Klinikum der Technischen Universität Aachen

Aachen, Germany

3

Universitätsklinikum Düsseldorf

Düsseldorf, Germany

4

Katholisches Krankenhaus Hagen

Hagen, Germany