MA+AZA Regimen for the Treatment of Newly Diagnosed Acute Myeloid Leukemia (AML)
A Prospective, Multicenter, Randomized Controlled Study on the MA+AZA Regimen for the Treatment of Newly Diagnosed Acute Myeloid Leukemia (AML)
Zhongnan Hospital
154 participants
Jan 18, 2024
INTERVENTIONAL
Conditions
Summary
Investigator proposed to apply the new dosage form of mitoxantrone hydrochloride liposomes to the clinical treatment of AML, while combining with cytarabine and azacitidine to form the MA+AZA treatment regimen(Mitoxantrone liposome +Ara-Cytarabine+Azacitidine), which would provide an optimal induction treatment regimen for patients with primary AML by comparing with the traditional chemotherapy regimen, DA+AZA (Daunorubicin+Ara-Cytarabine+Azacitidine).
Eligibility
Inclusion Criteria6
- Patients with primary AML with morphologically and immunologically confirmed diagnosis of bone marrow;
- Age 18-75 years old;
- Liver and renal function: serum total bilirubin ≤1.5 × upper limit of normal (ULN), AST/ALT \<2 × ULN, serum creatinine \<1.5 × ULN, 80 ml/min ≤ creatinine clearance ≤120 ml/min;
- Cardiac function: ejection fraction EF ≥50%, ultrasensitive troponin and natriuretic peptide \<1.5 × ULN;
- Physical condition: ECOG score 0-2;
- Obtained informed consent signed by the patient or family.
Exclusion Criteria11
- Allergy or significant contraindication to any of the drugs involved in the protocol;
- Patients with concomitant myelofibrosis;
- Severe cardiac disease, including myocardial infarction and cardiac insufficiency;
- Concomitant malignant tumours of other organs;
- Patients with active tuberculosis and HIV-positive patients;
- Other blood system diseases at the same time;
- Pregnant or breastfeeding women;
- Inability to understand or comply with the study protocol;
- Previous intolerance or allergy to similar drugs;
- Concurrent participation in other clinical studies;
- Any other condition that prevents the study from proceeding.
Interventions
Mitoxantrone hydrochloride liposome 24 mg/m2, IV every 4 weeks, day 1; Ara-Cytarabine 100 mg/m2, IV every 12 h, days 1-7; Azacitidine 100 mg, subcutaneous, once daily, days 1 to 7
Daunorubicin 60 mg/m2, intravenously, once daily, days 1 to 3; Ara-Cytarabine 100 mg/m2, IV drip, every 12h, days 1 to 7; Azacitidine 100 mg, subcutaneous, once daily, days 1 to 7;
Locations(11)
View Full Details on ClinicalTrials.gov
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NCT06345365