SD vs. NSD Therapy in Elderly AML
Study Details
Study Description
Brief Summary
It is known that treatment outcome could be positively associated with treatment intensity. However, tolerance of chemotherapy decreases in the elder, some patients could not tolerate standard (SD) therapy and even died of side effect, and overall survival (OS) might not be prolonged. Whether all elder acute myeloid leukemia (AML) patients could benefit from SD therapy, or some should receive reduced-intensity therapy or even only supporting care remains controvertal. In this multi-center study, we are going to evaluate the benefit of SD and non-SD (NSD) therapy in elder AML patients.
Condition or Disease | Intervention/Treatment | Phase |
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Detailed Description
It is known that treatment outcome could be positively associated with treatment intensity. However, tolerance of chemotherapy decreases in the elder, some patients could not tolerate standard (SD) therapy and even died of side effect, and overall survival (OS) might not be prolonged. Whether all elder acute myeloid leukemia (AML) patients could benefit from SD therapy, or some should receive reduced-intensity therapy or even only supporting care remains controvertal. SD therapy is definited as the treatment regimen must follow NCCN guildline and chemotherapy intensity could not be reduced. Non-SD (NSD) therapy is definited as patients receiving reduced-intensity therapy or only supporting care. In this multi-center study, we are going to evaluate the benefit of SD and NSD therapy in elder AML patients.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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SD therapy SD therapy is definited as the treatment regimen must follow NCCN guildline and chemotherapy intensity could not be reduced. |
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NSD therapy Non-standard (NSD) therapy is definited as patients receiving reduced-intensity therapy or only supporting care. |
Outcome Measures
Primary Outcome Measures
- Overall survival [2 years]
The time from AML diagnosis to patients death or last folloeing-up.
Secondary Outcome Measures
- Relapse-free survival [2 years]
The time from AML patients obtaining CR to patients relapse or last folloeing-up.
- Relapse incidence [2 years]
Relapsed patients account for all the diagnosed AML patients.
- Treatment-related mortality [1 year]
The incidence of patients dying of treatment related complication.
Eligibility Criteria
Criteria
Inclusion Criteria:
Newly diagnosed AML exclusive of APL; Age from 60 years old to 75 years old.
Exclusion Criteria:
Any abnormality in a vital sign (e.g., organ function failure, serious infection ) Patients with any conditions not suitable for the trial (investigators' decision)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Department of Hematology,Nanfang Hospital, Southern Medical University | Guangzhou | Guangdong | China | 510515 |
Sponsors and Collaborators
- Nanfang Hospital of Southern Medical University
- Second Affiliated Hospital, Sun Yat-Sen University
- Guangzhou First People's Hospital
- Shenzhen Hospital of Southern Medical University
- Wuhan General Hospital of Guangzhou Military Command
- Third Affiliated Hospital, Sun Yat-Sen University
- Peking University Shenzhen Hospital
- First Affiliated Hospital of Shenzhen University
- Zhongshan People's Hospital, Guangdong, China
- First Affiliated Hospital of Guangxi Medical University
- Xiangya Hospital of Zhongnan University
- The Third Xiangya Hospital of Central South University
- The First Affiliated Hospital of Gannan Medical University
Investigators
- Principal Investigator: Qifa Liu, Nanfang Hospital of Southern Medical University
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- Therapy in elderly AML-2018