Acute Myelogenous Leukemia Clinical Trial
Official title:
Early Diagnosis and Treatment of Periodontal Disease in Patients With AML to Reduce Bloodstream Infections During Chemotherapy
NCT number | NCT04530695 |
Other study ID # | 2020LS118 |
Secondary ID | |
Status | Withdrawn |
Phase | N/A |
First received | |
Last updated | |
Start date | May 2022 |
Est. completion date | November 2026 |
Verified date | February 2023 |
Source | Masonic Cancer Center, University of Minnesota |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
This is a phase 2 randomized controlled trial of pre-chemotherapy periodontal deep cleaning in Acute Myelogenous Leukemia (AML) patients with asymptomatic periodontitis. Once eligibility is confirmed, participants with periodontitis will be randomized in a 1:1 ratio to undergo treatment by scaling and root planing (SRP, "deep cleaning") (arm A) or receive no periodontal treatment (arm B). We will compare the incidence of Blood Stream Infection (BSI) during chemotherapy between the two arms. Study participation will continue until day 28 of chemotherapy or discharge from hospital, whichever occurs first.
Status | Withdrawn |
Enrollment | 0 |
Est. completion date | November 2026 |
Est. primary completion date | November 2026 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years and older |
Eligibility | Inclusion Criteria: - Age >18 years - Newly diagnosed or relapsed AML - Planned intensive chemotherapy (Any regimen expected to require 3-4 weeks of inpatient stay) - Antibacterial prophylaxis using levofloxacin 500 mg daily - Sufficient time to perform periodontal examination and treatment by day 1 of chemotherapy Exclusion Criteria: - Prior treatment for AML, except hydroxyurea or leukapheresis - ANC <0.5 x 10^9/L at the time of enrollment - Post-transfusion platelet count <50x10^9/L at the time of enrollment - Unstable for transfer to the School of Dentistry - Fever at the time of enrollment - Documented infection at the time of enrollment - SRP in the last 3 months - Symptomatic periodontal disease |
Country | Name | City | State |
---|---|---|---|
n/a |
Lead Sponsor | Collaborator |
---|---|
Masonic Cancer Center, University of Minnesota |
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Incidence of neutropenic fever (NF) by day 28 of chemotherapy or discharge | Day 28 or discharge date (whichever occurs first) | ||
Secondary | Incidence of BSI by day 28 of chemotherapy or discharge | Incidence of bloodstream infections by day 28 of chemotherapy or discharge (whichever occurs first). | Day 28 or discharge date (whichever occurs first) | |
Secondary | Incidence of blood culture-negative NF by day 28 of chemotherapy or discharge, whichever occurs first | Day 28 or discharge date (whichever occurs first) | ||
Secondary | Incidence of oral mucositis by day 28 of chemotherapy or discharge, whichever occurs first | Day 28 or discharge date (whichever occurs first) | ||
Secondary | Incidence of death by day 28 | Day 28 or discharge date (whichever occurs first) | ||
Secondary | Number of days hospitalized | Hospitalization length | Upto 8 weeks | |
Secondary | Incidence of Neutropenic Fever within 2 days after periodontal examination/treatment (safety endpoint) | within 2 days after periodontal examination/treatment |
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