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Brief Title: Trial Evaluating Induction Therapy With Idarubicin and Etoposide Plus Sequential or Concurrent Azacitidine and Maintenance Therapy With Azacitidine
Official Title: Randomized Phase-II Trial Evaluating Induction Therapy With Idarubicin and Etoposide Plus Sequential or Concurrent Azacitidine and Maintenance Therapy With Azacitidine
Study ID: NCT01180322
Brief Summary: This is a randomized phase II, four-arm, open-label, multi-center study in adult patients with acute myeloid leukemia (AML) as defined in inclusion/exclusion criteria. The primary efficacy objective is to evaluate the impact of sequential or concurrent addition of 5-azacytidine to intensive induction chemotherapy with idarubicin and etoposide on the complete remission (CR) rate Sample size: 336 patients The treatment duration of an individual patient randomized into one of the three experimental arms (Arm B, C, D) (in case of application of induction, consolidation and maintenance therapy with Azacitidine) is about 30 months. The treatment duration for patients randomized into the standard arm of the study (Arm A) is about 7 months (in case of application of induction, consolidation and 2-yrs observation as maintenance (without treatment with Azacitidine)). In case of induction followed by consolidation with allogeneic Stem cell transplantation (SCT) the treatment duration per patient is about 6 months. Every patient will be followed until month 54 after inclusion into the study. Duration of the study for an individual patient including treatment (induction, consolidation \[chemotherapy or allogeneic SCT\], maintenance \[experimental arm with Azacitidine or observation\]) and follow-up period: 54 months
Detailed Description:
Minimum Age: 18 Years
Eligible Ages: ADULT, OLDER_ADULT
Sex: ALL
Healthy Volunteers: No
Universitätsklinikum Innsbruck, Innsbruck, , Austria
Krankenhaus der Barmherzigen Schwestern, Linz, , Austria
Elisabethinen Krankenhaus Linz, Linz, , Austria
Landeskliniken Salzburg, Salzburg, , Austria
Hanuschkrankenhaus, Wien, , Austria
Universitätsklinikum Charité Berlin, Berlin, , Germany
Knappschaftskrankenhaus Bochum-Langendreer, Bochum, , Germany
Universitätsklinikum Bonn, Bonn, , Germany
Städtisches Klinikum Braunschweig, Braunschweig, , Germany
Klinikum Bremen-Mitte, Bremen, , Germany
Klinikum Darmstadt, Darmstadt, , Germany
Universitätsklinikum Düsseldorf, Düsseldorf, , Germany
Kliniken Essen Süd, Evangelischs Krankenhaus, Essen, , Germany
Klinikum Esslingen, Esslingen, , Germany
Klinikum Frankfurt-Höchst, Frankfurt, , Germany
Medizinisches Versorgungszentrum Fulda, Fulda, , Germany
Universitätsklinikum Gießen, Gießen, , Germany
Wilhelm-Anton-Hospital Goch, Goch, , Germany
Universitätsklinikum Göttingen, Göttingen, , Germany
Sklepios Klinik Hamburg-Altona, Hamburg, , Germany
Evangelisches Krankenhaus Hamm, Hamm, , Germany
Klinikum Hanau, Hanau, , Germany
KRH Klinikum Hannover-Siloah, Hannover, , Germany
Medizinische Hochschule Hannover, Hannover, , Germany
SLK-Kliniken Heilbronn, Heilbronn, , Germany
Städtisches Klinikum Karlsruhe, Karlsruhe, , Germany
Universitätsklinikum Schleswig-Holstein, Kiel, , Germany
Caritas-Krankenhaus Lebach, Lebach, , Germany
Klinikum Lippe, Lemgo, , Germany
Klinikum Lüdenscheid, Lüdenscheid, , Germany
Klinikum der Johannes-Guttenberg-Universität, Mainz, , Germany
Johannes Wesling Klinikum Minden, Minden, , Germany
Stauferklinikum Schwäbisch-Gmünd, Mutlangen, , Germany
Klinikum rechts der Isar, München, , Germany
Klinikum Passau, Passau, , Germany
Krankenhaus der Barmherzigen Brüder, Regensburg, , Germany
Caritas-Klinik St. Theresia, Saarbrücken, , Germany
Klinikum Stuttgart, Stuttgart, , Germany
Diakonie-Klinikum Stuttgart, Stuttgart, , Germany
Krankenhaus der Barmherzigen Brüder, Trier, , Germany
Universitätsklinikum Tübingen, Tübingen, , Germany
Universitätsklinikum Ulm, Ulm, , Germany
Schwarzwald-Baar-Klinikum, Villingen-Schwenningen, , Germany
Helios Klinikum, Wuppertal, , Germany
Name: Richard F Schlenk, MD
Affiliation: University Hospital of Ulm
Role: PRINCIPAL_INVESTIGATOR