A Trial for Older Patients with Acute Myeloid Leukaemia and High Risk Myelodysplastic Syndrome

  • Research type

    Research Study

  • Full title

    A Trial for Older Patients with Acute Myeloid Leukaemia and High Risk Myelodysplastic Syndrome

  • IRAS ID

    127379

  • Contact name

    Kathy Pittard-Davies

  • Contact email

    davieskp2@cardiff.ac.uk

  • Sponsor organisation

    Cardiff University

  • Eudract number

    2013-002730-21

  • ISRCTN Number

    ISRCTN31682779

  • Duration of Study in the UK

    5 years, 11 months, 31 days

  • Research summary

    The AML18 Trial will evaluate several therapeutic questions in Acute Myleoid Leukaemia (AML). The trial will recruit 1600 patients primarily over the age of 60 who are considered fit for an intensive approach to treatment.
    A randomisation will compare standard chemotherapy schedule Daunorubicin/Ara-C(DA) combined with 1 or 2 doses of Mylotarg in course 1, patients who fail to achieve CR or are MRD positive after course 1 will be randomised to compare DA with DA plus Cladribine or Flag-Ida for up to 2 courses of therapy. For patients with known adverse risk cytogenetics will enter a randomisation to compare DA versus Vosaroxin and Decitabine.
    Patients who achieve CR after course 1 will be randomised after a further course of DA to receive either DA or IDAC in course 3 . At course 2 patients will also be randomised to receive AC220 versus no AC220 with or without maintenance.

  • REC name

    Wales REC 3

  • REC reference

    13/WA/0205

  • Date of REC Opinion

    17 Sep 2013

  • REC opinion

    Further Information Favourable Opinion