NCT00186966

Brief Summary

This is an international multicenter open label randomized phase III trial in children with relapsed and refractory acute myeloid leukemia (AML) such a disease. The main purpose of this study is to determine the efficacy and toxicity of liposomal daunorubicin when added to fludarabine, ara-C and G-CSF(FLAG) in children with relapsed and refractory AML.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
394

participants targeted

Target at P50-P75 for phase_3

Timeline
Completed

Started Mar 2002

Longer than P75 for phase_3

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

March 1, 2002

Completed
3.5 years until next milestone

First Submitted

Initial submission to the registry

September 12, 2005

Completed
4 days until next milestone

First Posted

Study publicly available on registry

September 16, 2005

Completed
3.5 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

April 1, 2009

Completed
1.4 years until next milestone

Study Completion

Last participant's last visit for all outcomes

September 1, 2010

Completed
Last Updated

April 6, 2011

Status Verified

April 1, 2011

Enrollment Period

7.1 years

First QC Date

September 12, 2005

Last Update Submit

April 5, 2011

Conditions

Outcome Measures

Primary Outcomes (1)

  • Response Rate

    8-9 years

Secondary Outcomes (1)

  • Toxicity between two arms

    8-9 years

Study Arms (2)

FLAG

OTHER
Drug: Fludarabine, Cytarabine, Liposomal daunorubicin (DaunoXome)Drug: Etoposide, Thioguanine, Cyclophosphamide, Busulfan, MelphalanProcedure: Hematopoietic stem cell transplantRadiation: Total body irradiation

FLAG and LP Dox

OTHER
Drug: Fludarabine, Cytarabine, Liposomal daunorubicin (DaunoXome)Drug: Etoposide, Thioguanine, Cyclophosphamide, Busulfan, MelphalanProcedure: Hematopoietic stem cell transplantRadiation: Total body irradiation

Interventions

See Detailed Description section for details of treatment interventions.

FLAGFLAG and LP Dox

See Detailed Description section for details of treatment interventions.

FLAGFLAG and LP Dox

See Detailed Description section for details of treatment interventions.

FLAGFLAG and LP Dox

See Detailed Description section for details of treatment interventions.

FLAGFLAG and LP Dox

Eligibility Criteria

AgeUp to 18 Years
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17), Adult (18-64)

You may qualify if:

  • Children and adolescents less than eighteen years of age at start of chemotherapy.
  • Subject has one of the following: Primary refractory AML, first relapsed AML, second or subsequent relapsed AML and was not previously treated according to this particular protocol
  • Subjects with a combined relapse, or an isolated extramedullary relapse, or a bone marrow relapse are eligible, also for randomization.

You may not qualify if:

  • Symptomatic cardiac dysfunction.
  • Inadequate performance score.
  • Any other organ dysfunction that will interfere with the administration of the therapy.
  • FAB type M3

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

St. Jude Children's Research Hospital

Memphis, Tennessee, 38105, United States

Location

Related Publications (1)

  • Kaspers J, Zimmermann M, Fleischhack G, Tamminga R, Gibson B, Armendariz H, Dworzak M, Ha S, Hovi L, Maschan A, Philippe N, Razzouk B, Rizzari C, Smisek P, Smith O, Stark B, Will A, Creutzig U. Relapsed Acute Myeloid Leukemia in Children and Adolescents: Interim Report of the International Randomised Phase III Study Relapsed AML 2001/01. 2006 ASH Annual Meeting Abstracts 108: 2013.

    RESULT

Related Links

MeSH Terms

Conditions

Leukemia, Myeloid, Acute

Interventions

fludarabineCytarabineDaunorubicinEtoposideThioguanineCyclophosphamideBusulfanMelphalanStem Cell TransplantationWhole-Body Irradiation

Condition Hierarchy (Ancestors)

Leukemia, MyeloidLeukemiaNeoplasms by Histologic TypeNeoplasmsHematologic DiseasesHemic and Lymphatic Diseases

Intervention Hierarchy (Ancestors)

CytidinePyrimidine NucleosidesPyrimidinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsArabinonucleosidesNucleosidesNucleic Acids, Nucleotides, and NucleosidesAnthracyclinesNaphthacenesPolycyclic Aromatic HydrocarbonsHydrocarbons, AromaticHydrocarbons, CyclicHydrocarbonsOrganic ChemicalsPolycyclic CompoundsAminoglycosidesGlycosidesCarbohydratesPodophyllotoxinTetrahydronaphthalenesNaphthalenesGlucosidesPurinesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-RingPhosphoramide MustardsNitrogen Mustard CompoundsMustard CompoundsHydrocarbons, HalogenatedPhosphoramidesOrganophosphorus CompoundsButylene GlycolsGlycolsAlcoholsMesylatesAlkanesulfonatesAlkanesulfonic AcidsAlkanesHydrocarbons, AcyclicSulfonic AcidsSulfur AcidsSulfur CompoundsPhenylalanineAmino Acids, AromaticAmino Acids, CyclicAmino AcidsAmino Acids, Peptides, and ProteinsCell TransplantationCell- and Tissue-Based TherapyBiological TherapyTherapeuticsTransplantationSurgical Procedures, OperativeRadiotherapyInvestigative Techniques

Study Officials

  • Jeffrey Rubnitz, M.D.

    St. Jude Children's Research Hospital

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
NONE
Purpose
TREATMENT
Intervention Model
PARALLEL
Sponsor Type
OTHER

Study Record Dates

First Submitted

September 12, 2005

First Posted

September 16, 2005

Study Start

March 1, 2002

Primary Completion

April 1, 2009

Study Completion

September 1, 2010

Last Updated

April 6, 2011

Record last verified: 2011-04

Locations