Leukemia Clinical Trial
Official title:
A Phase III Study of Flt3 Ligand (Flt3L) Therapy in Acute Myeloid Leukemia (AML) Patients in Remission
RATIONALE: Drugs such as flt3L may stimulate a person's immune system and help kill cancer
cells. It is not yet known if flt3L is effective in treating acute myeloid leukemia.
PURPOSE: Randomized phase III trial to determine the effectiveness of flt3L in treating
patients who have acute myeloid leukemia that is in remission.
OBJECTIVES:
- Compare the failure-free survival and overall survival in patients with acute myeloid
leukemia in complete remission treated with maintenance flt3 ligand vs observation
alone.
- Compare the long-term immunologic effects of these regimens in these patients.
- Compare the long-term safety and toxicity of these regimens in these patients.
OUTLINE: This is a randomized study. Patients are stratified according to complete remission
(CR) (first vs second vs third or subsequent) and post-remission therapy (yes vs no).
Patients are randomized to one of two treatment arms.
- Arm I: Patients receive flt3 ligand subcutaneously daily on days 1-14. Treatment
repeats every 4 weeks for 6 courses in the absence of disease progression or
unacceptable toxicity.
- Arm II: Patients undergo observation alone. Patients begin treatment or observation
within 4 weeks after documentation of CR after induction therapy or within 4 weeks
after discharge from hospital after post-remission therapy.
Patients are followed every 3 months for 2 years, every 6 months for 3 years, and then
annually thereafter.
PROJECTED ACCRUAL: A total of 139 patients will be accrued for this study within
approximately 28 months.
;
Allocation: Randomized, Primary Purpose: Treatment
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