Treatment of Imminent Haematological Relapse in Patients With AML and MDS Following Allogeneic Stem Cell Transplantation With 5-azacitidine (Vidaza®)
Primary Purpose
Myeloid Leukemia, Myelodysplastic Syndrome
Status
Completed
Phase
Phase 3
Locations
Germany
Study Type
Interventional
Intervention
5-Azacytidin
Sponsored by
About this trial
This is an interventional treatment trial for Myeloid Leukemia focused on measuring Acute myeloid leukaemia or Myelodysplastic syndrome
Eligibility Criteria
Inclusion Criteria:
Screening phase:
- Age > 18 years
- Patients with CD34+ AML or MDS post-allogeneic HSCT
- Written patient consent after consultation
Treatment phase
- AML/MDS: donor chimerism < 80% in the CD34+ subpopulation following allogeneic HSCT in patients with CD34+ AML or MDS, but with no haematological relapse (blasts < 5% in bone marrow)
- Leukocytes > 3 Gpt/l and platelets > 75 Gpt/l (transfusion-independent)
Exclusion Criteria:
- Known intolerance to 5-azacitidine or mannitol
- Uncontrollable infectious disease
- Patients with active hepatitis B or C or HIV infection
- Severe hepatic function impairment (ASAT and ALAT may not be above three times the normal value) or hepatic cirrhosis, or malignant hepatic tumour
- Renal function impairment (creatinine > twice the normal value, creatinine clearance < 50 ml/min)
- Pregnancy or lactation
- Women of childbearing age, except for those who meet the following criteria:
- postmenopausal (12 months natural amenorrhoea)
- postoperative (6 weeks after bilateral ovarectomy with or without hysterectomy)
- regular and correct use of a contraceptive method with an error rate < 1% per year (e.g. implants, depot injections, combined oral contraceptives, intrauterine device - IUD, whereby hormonal coils with a Pearl Index of < 1% are safer than copper coils)
- sexual abstinence
- Partner vasectomy
- Men who do not use one of the following for contraception:
- sexual abstinence
- post vasectomy
- condoms
- Participation of the patient in a drug trial outside the indication of allogeneic transplantation up to four weeks before study initiation
- Addictive or other illnesses that prevent the person concerned from comprehending the nature and impact, as well as potentical consequences of the clinical trial
- Evidence that the patient may intentionally not comply with the protocol, e.g. lack of cooperation With the exception of a known allergic reaction or intolerance to 5-azacitidine, these criteria do not apply to the screening phase.
Sites / Locations
- University hospital Dresden, department of medicine
Outcomes
Primary Outcome Measures
Efficacy of 5-Azacytidin in the treatment of the haematological relapse in patients suffering from acute myeloid leukaemia or myelodysplastic syndrome with falling CD34-chimerism after hematopoietic stem cell transplantation.
Secondary Outcome Measures
Safety of 5-Azacytidin in the treatment of the haematological relapse in patients suffering from acute myeloid leukaemia or myelodysplastic syndrome with falling CD34-chimerism after hematopoietic stem cell transplantation.
Full Information
NCT ID
NCT00422890
First Posted
January 15, 2007
Last Updated
July 8, 2011
Sponsor
Technische Universität Dresden
1. Study Identification
Unique Protocol Identification Number
NCT00422890
Brief Title
Treatment of Imminent Haematological Relapse in Patients With AML and MDS Following Allogeneic Stem Cell Transplantation With 5-azacitidine (Vidaza®)
Study Type
Interventional
2. Study Status
Record Verification Date
July 2011
Overall Recruitment Status
Completed
Study Start Date
January 2007 (undefined)
Primary Completion Date
December 2009 (Actual)
Study Completion Date
undefined (undefined)
3. Sponsor/Collaborators
Name of the Sponsor
Technische Universität Dresden
4. Oversight
5. Study Description
Brief Summary
Efficacy and safety of 5-Azacytidin in the treatment of the haematological relapse in patients suffering from acute myeloid leukaemia or myelodysplastic syndrome with falling CD34-chimerism after hematopoietic stem cell transplantation.
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Myeloid Leukemia, Myelodysplastic Syndrome
Keywords
Acute myeloid leukaemia or Myelodysplastic syndrome
7. Study Design
Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
Non-Randomized
Enrollment
10 (Anticipated)
8. Arms, Groups, and Interventions
Intervention Type
Drug
Intervention Name(s)
5-Azacytidin
Intervention Description
in case of decreasing CD34 chimerism
Primary Outcome Measure Information:
Title
Efficacy of 5-Azacytidin in the treatment of the haematological relapse in patients suffering from acute myeloid leukaemia or myelodysplastic syndrome with falling CD34-chimerism after hematopoietic stem cell transplantation.
Time Frame
4 months
Secondary Outcome Measure Information:
Title
Safety of 5-Azacytidin in the treatment of the haematological relapse in patients suffering from acute myeloid leukaemia or myelodysplastic syndrome with falling CD34-chimerism after hematopoietic stem cell transplantation.
Time Frame
4 months
10. Eligibility
Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
Screening phase:
Age > 18 years
Patients with CD34+ AML or MDS post-allogeneic HSCT
Written patient consent after consultation
Treatment phase
AML/MDS: donor chimerism < 80% in the CD34+ subpopulation following allogeneic HSCT in patients with CD34+ AML or MDS, but with no haematological relapse (blasts < 5% in bone marrow)
Leukocytes > 3 Gpt/l and platelets > 75 Gpt/l (transfusion-independent)
Exclusion Criteria:
Known intolerance to 5-azacitidine or mannitol
Uncontrollable infectious disease
Patients with active hepatitis B or C or HIV infection
Severe hepatic function impairment (ASAT and ALAT may not be above three times the normal value) or hepatic cirrhosis, or malignant hepatic tumour
Renal function impairment (creatinine > twice the normal value, creatinine clearance < 50 ml/min)
Pregnancy or lactation
Women of childbearing age, except for those who meet the following criteria:
postmenopausal (12 months natural amenorrhoea)
postoperative (6 weeks after bilateral ovarectomy with or without hysterectomy)
regular and correct use of a contraceptive method with an error rate < 1% per year (e.g. implants, depot injections, combined oral contraceptives, intrauterine device - IUD, whereby hormonal coils with a Pearl Index of < 1% are safer than copper coils)
sexual abstinence
Partner vasectomy
Men who do not use one of the following for contraception:
sexual abstinence
post vasectomy
condoms
Participation of the patient in a drug trial outside the indication of allogeneic transplantation up to four weeks before study initiation
Addictive or other illnesses that prevent the person concerned from comprehending the nature and impact, as well as potentical consequences of the clinical trial
Evidence that the patient may intentionally not comply with the protocol, e.g. lack of cooperation With the exception of a known allergic reaction or intolerance to 5-azacitidine, these criteria do not apply to the screening phase.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Uwe Platzbecker, MD
Organizational Affiliation
Univesity Hospital Dresden, department of medicine
Official's Role
Principal Investigator
Facility Information:
Facility Name
University hospital Dresden, department of medicine
City
Dresden
State/Province
Saxony
ZIP/Postal Code
01307
Country
Germany
12. IPD Sharing Statement
Citations:
PubMed Identifier
26202768
Citation
Colbers A, Best B, Schalkwijk S, Wang J, Stek A, Hidalgo Tenorio C, Hawkins D, Taylor G, Kreitchmann R, Burchett S, Haberl A, Kabeya K, van Kasteren M, Smith E, Capparelli E, Burger D, Mirochnick M; PANNA Network and the IMPAACT 1026 Study Team. Maraviroc Pharmacokinetics in HIV-1-Infected Pregnant Women. Clin Infect Dis. 2015 Nov 15;61(10):1582-9. doi: 10.1093/cid/civ587. Epub 2015 Jul 22.
Results Reference
derived
Learn more about this trial
Treatment of Imminent Haematological Relapse in Patients With AML and MDS Following Allogeneic Stem Cell Transplantation With 5-azacitidine (Vidaza®)
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