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Trial Comparing Pegfilgrastim With Filgrastim as an Adjunct to Chemotherapy for Acute Myeloid Leukaemia (AML)

Primary Purpose

Myeloid Leukemia

Status
Completed
Phase
Phase 2
Locations
Study Type
Interventional
Intervention
filgrastim
pegfilgrastim
Sponsored by
Amgen
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Myeloid Leukemia focused on measuring Acute myeloid leukaemia, Pegfilgrastim, Neulasta®, Neutropenia, Induction chemotherapy, Consolidation

Eligibility Criteria

18 Years - undefined (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Inclusion Histologically confirmed de novo AML as evidenced by absence of an antecedent hematologic disease of > 1 months duration, prior chemotherapy, prior radiation therapy or myelodysplastic cytogenetics (as per exclusion criteria) Life expectancy, with treatment, > 3 months Age > 18 years ECOG performance status 0, 1 or 2 Adequate organ function to receive protocol specified chemotherapy Exclusion Subjects in blast transformation of chronic myeloid leukaemia (CML) Patients with secondary AML (Received previous chemotherapy or radiotherapy) Previous treatment for AML Patients with AML FAB type M3 (Acute Promyelocytic Leukemia, APL) or M7 High risk (Unfavourable) cytogenetics [(-5/del(5q), -7/del(7q), t(8;21) with del (9q) or complex karyotype, inv(3q), abn 11q23, 20q, 21q, del(9q), t(6;9), t(9;22), abn 17p, complex karyotypes(>3 abnormalities)]

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    Active Comparator

    Arm Label

    pegfilgrastim

    filgrastim

    Arm Description

    Pegfilgrastim given once after induction chemotherapy

    Filgrastim given daily after induction chemotherapy

    Outcomes

    Primary Outcome Measures

    Time to recover from severe neutropenia (ANC less that 0.5 X 10^9/L in chemotherapy Induction 1.

    Secondary Outcome Measures

    Duration of severe neutropenia during induction chemotherapy

    Full Information

    First Posted
    June 17, 2005
    Last Updated
    October 30, 2008
    Sponsor
    Amgen
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    1. Study Identification

    Unique Protocol Identification Number
    NCT00114764
    Brief Title
    Trial Comparing Pegfilgrastim With Filgrastim as an Adjunct to Chemotherapy for Acute Myeloid Leukaemia (AML)
    Official Title
    A Multicentre, Double-Blind, Randomised Phase 2 Trial Comparing Pegfilgrastim With Filgrastim as an Adjunct to Chemotherapy for Acute Myeloid Leukaemia (AML)
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    October 2008
    Overall Recruitment Status
    Completed
    Study Start Date
    March 2003 (undefined)
    Primary Completion Date
    April 2004 (Actual)
    Study Completion Date
    August 2004 (Actual)

    3. Sponsor/Collaborators

    Name of the Sponsor
    Amgen

    4. Oversight

    5. Study Description

    Brief Summary
    The purpose of this study is to determine if a single dose of pegfilgrastim is able to reduce the time of severe neutropenia in patients receiving induction and consolidation myelosuppressive chemotherapy for de novo acute myeloid leukemia similar to filgrastim.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Myeloid Leukemia
    Keywords
    Acute myeloid leukaemia, Pegfilgrastim, Neulasta®, Neutropenia, Induction chemotherapy, Consolidation

    7. Study Design

    Primary Purpose
    Treatment
    Study Phase
    Phase 2
    Interventional Study Model
    Parallel Assignment
    Masking
    ParticipantCare ProviderInvestigator
    Allocation
    Randomized
    Enrollment
    84 (Actual)

    8. Arms, Groups, and Interventions

    Arm Title
    pegfilgrastim
    Arm Type
    Experimental
    Arm Description
    Pegfilgrastim given once after induction chemotherapy
    Arm Title
    filgrastim
    Arm Type
    Active Comparator
    Arm Description
    Filgrastim given daily after induction chemotherapy
    Intervention Type
    Drug
    Intervention Name(s)
    filgrastim
    Intervention Description
    Filgrastim given daily after induction chemotherapy
    Intervention Type
    Drug
    Intervention Name(s)
    pegfilgrastim
    Intervention Description
    Pegfilgrastim given once after induction chemotherapy
    Primary Outcome Measure Information:
    Title
    Time to recover from severe neutropenia (ANC less that 0.5 X 10^9/L in chemotherapy Induction 1.
    Time Frame
    Induction cycle 1
    Secondary Outcome Measure Information:
    Title
    Duration of severe neutropenia during induction chemotherapy
    Time Frame
    Induction cycle 1

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    18 Years
    Accepts Healthy Volunteers
    No
    Eligibility Criteria
    Inclusion Histologically confirmed de novo AML as evidenced by absence of an antecedent hematologic disease of > 1 months duration, prior chemotherapy, prior radiation therapy or myelodysplastic cytogenetics (as per exclusion criteria) Life expectancy, with treatment, > 3 months Age > 18 years ECOG performance status 0, 1 or 2 Adequate organ function to receive protocol specified chemotherapy Exclusion Subjects in blast transformation of chronic myeloid leukaemia (CML) Patients with secondary AML (Received previous chemotherapy or radiotherapy) Previous treatment for AML Patients with AML FAB type M3 (Acute Promyelocytic Leukemia, APL) or M7 High risk (Unfavourable) cytogenetics [(-5/del(5q), -7/del(7q), t(8;21) with del (9q) or complex karyotype, inv(3q), abn 11q23, 20q, 21q, del(9q), t(6;9), t(9;22), abn 17p, complex karyotypes(>3 abnormalities)]
    Overall Study Officials:
    First Name & Middle Initial & Last Name & Degree
    MD
    Organizational Affiliation
    Amgen
    Official's Role
    Study Director

    12. IPD Sharing Statement

    Citations:
    PubMed Identifier
    18616811
    Citation
    Sierra J, Szer J, Kassis J, Herrmann R, Lazzarino M, Thomas X, Noga SJ, Baker N, Dansey R, Bosi A. A single dose of pegfilgrastim compared with daily filgrastim for supporting neutrophil recovery in patients treated for low-to-intermediate risk acute myeloid leukemia: results from a randomized, double-blind, phase 2 trial. BMC Cancer. 2008 Jul 10;8:195. doi: 10.1186/1471-2407-8-195.
    Results Reference
    result
    Links:
    URL
    http://www.amgentrials.com
    Description
    AmgenTrials clinical trials website

    Learn more about this trial

    Trial Comparing Pegfilgrastim With Filgrastim as an Adjunct to Chemotherapy for Acute Myeloid Leukaemia (AML)

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