Acute Myeloid Leukemia Clinical Trial
Official title:
A PHASE III, MULTICENTRE, RANDOMIZED, OPEN LABEL CLINICAL TRIAL OF AZACYTIDINE (VIDAZA®) VERSUS FLUDARABINE AND CYTARABINE (FLUGA SCHEME) IN ELDERLY PATIENTS WITH NEWLY DIAGNOSED ACUTE MYELOID LEUKEMIA.
The hypothesis is that the replacement of the standard fludarabine and cytarabine based therapy by azacytidine could result in an improvement of RFS and OS rates in the experimental arm. To fulfill the medical needs in such frail and elderly population, improvements in terms of atileukemic efficacy in the azacytidine experimental arm should be attained without increasing the therapy-related toxicity or decreasing the patients QoL.
This is a multicenter, randomized 1:1, open, and at national level, Phase III clinical trial.
This study will be conducted in 3 phases of different duration:
1. Selection phase (up to 14 days from the signature of informed consent): informed consent
and review of the inclusion and exclusion criteria performing the relevant assessments.
2. Treatment Phase (from the start of treatment until the end of cycle 9): Induction phase
(3 cycles) and consolidation phase (cycles 4-9). Study visits during treatment will be
weekly during the induction phase (first 3 cycles) and every 2 weeks until the end of
the consolidation phase.
3. Follow-up phase: monthly monitoring will be performed on all patients until they have
completed a minimum of 2 years from the start of treatment, whether or not they continue
receiving azacitidine cycles or Mini-Fluga according to the protocol. Following these 24
months, follow-up will be carried out at least quarterly. Patients suffering disease
progression or relapse of the disease, or being early withdrawn due to any of the
reasons specified in the protocol will be followed-up for survival until the end of the
study or until the death of all patients, whichever comes first.
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