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Trial Review
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Trial registered on ANZCTR
Registration number
ACTRN12605000095662
Ethics application status
Approved
Date submitted
2/08/2005
Date registered
5/08/2005
Date last updated
17/07/2023
Date data sharing statement initially provided
24/07/2019
Date results provided
24/07/2019
Type of registration
Retrospectively registered
Titles & IDs
Public title
Australasian Leukaemia and Lymphoma Group Acute Myeloid Leukaemia Trial 12 (ALLG M12)
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Scientific title
A randomised trial of idarubicin dose escalation in consolidation therapy following intensive induction chemotherapy incorporating high dose cytarabine in patients with untreated adult acute myeloid leukaemia, to evaluate safety and improve remission rate.
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Secondary ID [1]
104
0
Australasian Leukaemia and Lymphoma Group (ALLG): ALLG AMLM12
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Universal Trial Number (UTN)
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Trial acronym
ALLG AMLM12
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Acute myeloid leukaemia
176
0
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Condition category
Condition code
Cancer
198
198
0
0
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Leukaemia - Acute leukaemia
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Comparison of two dose levels of Idarubicin in the consolidation phase of chemotherapy for AML. All patients receive the same induction therapy with Idarubicin, high dose cytarabine, and etoposide. Complete responders are then randomised, and receive 2 courses of consolidation therapy with conventional dose cytarabine, etoposide, and Idarubicin at either standard dosage (9mg per square metre daily for 2 days) or in the experimental arm 9mg per square metre daily for 3 days.
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Intervention code [1]
100
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Treatment: Drugs
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Comparator / control treatment
-
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Control group
Active
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Outcomes
Primary outcome [1]
239
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To study the effects of dose escalation of the anthracycline Idarubicin in consolidation treatment, following induction therapy incorporating high dose Cytarabine, on the rate of leukaemia â¿¿free survival at 3 years in younger patients with newly diagnosed de novo AML.
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Assessment method [1]
239
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Timepoint [1]
239
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At 3 years.
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Secondary outcome [1]
538
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To document the toxicity and overall survival.
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Assessment method [1]
538
0
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Timepoint [1]
538
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At 3 years of this treatment approach.
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Secondary outcome [2]
539
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To evaluate the effects of the investigational treatment on quality of life.
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Assessment method [2]
539
0
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Timepoint [2]
539
0
-
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Eligibility
Key inclusion criteria
1. A morphological diagnosis of AML by WHO criteria, confirmed by special stains, immunophenotyping and cytogenetics. All clinico-pathological subtypes will be eligible, except for AML with t(15;17) or variants, or core-binding factor AML (t(8;21) or inv16 or variants). 2. ECOG performance status 0 to 3 inclusive. 3. Absence of serious cardiac, pulmonary, hepatic or renal disease. A serum creatinine <200 mmol/L and serum bilirubin < 2.5 times the upper limit of normal, unless medically correctable. 4. Normal left ventricular ejection fraction, according to institutional criteria. If the clinical circumstances require that treatment must be given urgently before this can be ascertained, the absence of clinical cardiac impairment is acceptable, provided that a normal left ventricular ejection fraction is confirmed prior to the first consolidation cycle. 5. No previous treatment for AML or history of cancer (other than basal cell skin cancer or carcinoma of the cervix in situ, or other localized cancer treated by surgical excision only more than 5 years earlier without evidence of recurrence in the intervening period ). 6. No contraindication to the use of the study drugs. 7. Treatment must be given at an affiliated ALLG centre, with approval of the protocol by the institutions Human Ethics Committee, or equivalent body. 8. Written informed consent must be obtained from each patient prior to registration and start of treatment.
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Minimum age
15
Years
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Maximum age
60
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
No exclusion criteria
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Computer generated allocation in Trial Centre, arm revealed only after patient registration
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
computer generated
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 3
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
3/01/2003
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Actual
16/07/2003
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Date of last participant enrolment
Anticipated
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Actual
21/04/2010
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Date of last data collection
Anticipated
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Actual
1/04/2016
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Sample size
Target
325
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Accrual to date
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Final
442
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Recruitment in Australia
Recruitment state(s)
ACT,NSW,QLD,SA,WA,VIC
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Funding & Sponsors
Funding source category [1]
253
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Commercial sector/Industry
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Name [1]
253
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Amgen Australia
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Address [1]
253
0
-
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Country [1]
253
0
Australia
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Funding source category [2]
254
0
Commercial sector/Industry
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Name [2]
254
0
Pfizer
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Address [2]
254
0
-
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Country [2]
254
0
Australia
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Primary sponsor type
Other Collaborative groups
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Name
Australasian Leukaemia and Lymphoma Group
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Address
-
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Country
Australia
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Secondary sponsor category [1]
193
0
None
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Name [1]
193
0
nil
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Address [1]
193
0
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Country [1]
193
0
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
1061
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Mater Adult Hospital Brisbane
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Ethics committee address [1]
1061
0
Mater Hospital Brisbane Raymond Terrace South Brisbane QLD 4101
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Ethics committee country [1]
1061
0
Australia
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Date submitted for ethics approval [1]
1061
0
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Approval date [1]
1061
0
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Ethics approval number [1]
1061
0
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Ethics committee name [2]
1062
0
Royal Brisbane Hospital
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Ethics committee address [2]
1062
0
Butterfield St, Herston QLD 4029
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Ethics committee country [2]
1062
0
Australia
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Date submitted for ethics approval [2]
1062
0
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Approval date [2]
1062
0
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Ethics approval number [2]
1062
0
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Ethics committee name [3]
1063
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St Vincent's Hospital Melbourne
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Ethics committee address [3]
1063
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41 Victoria Parade, Fitzroy VIC 3065
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Ethics committee country [3]
1063
0
Australia
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Date submitted for ethics approval [3]
1063
0
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Approval date [3]
1063
0
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Ethics approval number [3]
1063
0
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Ethics committee name [4]
1064
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St Vincent's Hospital Sydney
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Ethics committee address [4]
1064
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390 Victoria St, Darlinghurst NSW 2010
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Ethics committee country [4]
1064
0
Australia
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Date submitted for ethics approval [4]
1064
0
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Approval date [4]
1064
0
01/10/2004
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Ethics approval number [4]
1064
0
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Ethics committee name [5]
1065
0
Box Hill Hospital
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Ethics committee address [5]
1065
0
8 Arnold St, Box Hill VIC 3128
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Ethics committee country [5]
1065
0
Australia
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Date submitted for ethics approval [5]
1065
0
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Approval date [5]
1065
0
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Ethics approval number [5]
1065
0
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Ethics committee name [6]
1066
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Queen Elizabeth Hospital
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Ethics committee address [6]
1066
0
53 Thomas St, Noble Park VIC 3174
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Ethics committee country [6]
1066
0
Australia
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Date submitted for ethics approval [6]
1066
0
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Approval date [6]
1066
0
29/01/2007
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Ethics approval number [6]
1066
0
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Ethics committee name [7]
1067
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Royal North Shore Hospital
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Ethics committee address [7]
1067
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Reserve Rd, St Leonards NSW 2065
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Ethics committee country [7]
1067
0
Australia
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Date submitted for ethics approval [7]
1067
0
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Approval date [7]
1067
0
20/08/2003
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Ethics approval number [7]
1067
0
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Ethics committee name [8]
1068
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Royal Perth Hospital
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Ethics committee address [8]
1068
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Victoria Square, Perth WA 6000
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Ethics committee country [8]
1068
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Australia
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Date submitted for ethics approval [8]
1068
0
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Approval date [8]
1068
0
04/06/2003
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Ethics approval number [8]
1068
0
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Ethics committee name [9]
1069
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Wollongong Hospital
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Ethics committee address [9]
1069
0
Loftus St, Wollongong NSW 2500
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Ethics committee country [9]
1069
0
Australia
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Date submitted for ethics approval [9]
1069
0
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Approval date [9]
1069
0
06/12/2004
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Ethics approval number [9]
1069
0
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Ethics committee name [10]
1070
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Mater Hospital Newcastle
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Ethics committee address [10]
1070
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Edith St, Waratah NSW 2298
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Ethics committee country [10]
1070
0
Australia
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Date submitted for ethics approval [10]
1070
0
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Approval date [10]
1070
0
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Ethics approval number [10]
1070
0
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Ethics committee name [11]
1071
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Sir Charles Gairdner Hospital
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Ethics committee address [11]
1071
0
Hospital Ave, Nedlands WA 6009
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Ethics committee country [11]
1071
0
Australia
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Date submitted for ethics approval [11]
1071
0
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Approval date [11]
1071
0
24/09/2003
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Ethics approval number [11]
1071
0
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Ethics committee name [12]
1072
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Fremantle Hospital
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Ethics committee address [12]
1072
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Alma St, Fremantle WA 6160
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Ethics committee country [12]
1072
0
Australia
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Date submitted for ethics approval [12]
1072
0
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Approval date [12]
1072
0
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Ethics approval number [12]
1072
0
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Ethics committee name [13]
1073
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Royal Hobart Hospital
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Ethics committee address [13]
1073
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48 Liverpool St, Hobart TAS 7000
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Ethics committee country [13]
1073
0
Australia
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Date submitted for ethics approval [13]
1073
0
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Approval date [13]
1073
0
03/12/2003
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Ethics approval number [13]
1073
0
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Ethics committee name [14]
1074
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Gosford Hospital
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Ethics committee address [14]
1074
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Holden St, Gosford NSW 2250
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Ethics committee country [14]
1074
0
Australia
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Date submitted for ethics approval [14]
1074
0
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Approval date [14]
1074
0
25/02/2004
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Ethics approval number [14]
1074
0
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Ethics committee name [15]
1075
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Geelong Hospital
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Ethics committee address [15]
1075
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Bellerine St, Geelong VIC 3220
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Ethics committee country [15]
1075
0
Australia
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Date submitted for ethics approval [15]
1075
0
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Approval date [15]
1075
0
18/12/2003
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Ethics approval number [15]
1075
0
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Ethics committee name [16]
1076
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Royal Adelaide Hospital
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Ethics committee address [16]
1076
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Port Rd, Adelaide SA 5000
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Ethics committee country [16]
1076
0
Australia
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Date submitted for ethics approval [16]
1076
0
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Approval date [16]
1076
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23/04/2004
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Ethics approval number [16]
1076
0
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Ethics committee name [17]
1077
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Canberra Hospital
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Ethics committee address [17]
1077
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Yamba Dr, Garran ACT 2605
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Ethics committee country [17]
1077
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Australia
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Date submitted for ethics approval [17]
1077
0
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Approval date [17]
1077
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28/07/2003
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Ethics approval number [17]
1077
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Ethics committee name [18]
1078
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Princess Alexandra Hospital
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Ethics committee address [18]
1078
0
199 Ipswich Rd, Woolloongabba QLD 4102
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Ethics committee country [18]
1078
0
Australia
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Date submitted for ethics approval [18]
1078
0
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Approval date [18]
1078
0
08/07/2003
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Ethics approval number [18]
1078
0
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Ethics committee name [19]
1079
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Royal Melbourne Hospital
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Ethics committee address [19]
1079
0
300 Grattan St, Melbourne VIC 3000
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Ethics committee country [19]
1079
0
Australia
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Date submitted for ethics approval [19]
1079
0
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Approval date [19]
1079
0
19/02/2004
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Ethics approval number [19]
1079
0
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Ethics committee name [20]
1080
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Westmead Hospital
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Ethics committee address [20]
1080
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Cnr Hawkesbury Road and Darcy Road Westmead NSW 2145
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Ethics committee country [20]
1080
0
Australia
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Date submitted for ethics approval [20]
1080
0
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Approval date [20]
1080
0
05/06/2006
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Ethics approval number [20]
1080
0
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Ethics committee name [21]
1081
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Peter MacCallum Cancer Centre
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Ethics committee address [21]
1081
0
305 Grattan St, Melbourne VIC 3000
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Ethics committee country [21]
1081
0
Australia
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Date submitted for ethics approval [21]
1081
0
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Approval date [21]
1081
0
25/07/2003
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Ethics approval number [21]
1081
0
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Summary
Brief summary
Improvements in treatment results for adult acute myeloid leukaemia (AML) over the past 15 years have come mainly from the use of higher dose intensity of existing chemotherapy agents, rather than from the introduction of new classes of anti-leukaemic drugs. Increased dose intensity protocols have included the use of chemo-radiotherapy, Early intensification of treatment using the most effective drugs available for AML is a highly effective strategy, possibly through rapid elimination of potentially drug-resistant cells. Hypothesis; a) That Palifermin, given as three doses of 60 µg/kg per day IV before and three doses after ICE chemotherapy, will reduce the incidence of grades 3 and 4 oral mucositis. b) That an increase in the dose intensity of Idarubicin given early during the initial treatment of AML will result in significantly greater anti-leukaemic activity, and that this dose escalation of Idarubicin in consolidation treatment following induction therapy with high dose Cytarabine will achieve improved leukaemia-free survival.
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Trial website
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
35325
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A/Prof Kenneth Bradstock
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Address
35325
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Haematology Department Westmead Hospital Darcy Rd Westmead NSW 2145
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Country
35325
0
Australia
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Phone
35325
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+61 2 98457073
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Fax
35325
0
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Email
35325
0
[email protected]
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Contact person for public queries
Name
9289
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Associate Professor Kenneth Bradstock
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Address
9289
0
Haematology Department
Westmead Hospital
Darcy Rd
Westmead NSW 2145
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Country
9289
0
Australia
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Phone
9289
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+61 2 98457073
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Fax
9289
0
+61 2 96892331
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Email
9289
0
[email protected]
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Contact person for scientific queries
Name
217
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Associate Professor Kenneth Bradstock
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Address
217
0
Haematology Department
Westmead Hospital
Darcy Rd
Westmead NSW 2145
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Country
217
0
Australia
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Phone
217
0
+61 2 98457073
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Fax
217
0
+61 2 96892331
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Email
217
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
Yes
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What data in particular will be shared?
De-identified IPD data, for all data collected during the trial
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When will data be available (start and end dates)?
Data available 3 months following publication, for an indefinite period
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Available to whom?
Data are potentially available to:
• Researchers from not-for-profit organisations
• Commercial organisations
• Other
Based in:
• Any location
Further information:
All data requests will be considered by the primary sponsor on a case by case basis. Requests must include a methodologically sound proposal. Specific conditions of use may apply and will be specified in a data sharing agreement (or similar) that the requester must agree to before access is granted.
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Available for what types of analyses?
Any type of analysis
Assessed on a case-by-case basis
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How or where can data be obtained?
Access can be requested via the Health Data Australia catalogue (https://researchdata.edu.au/health/). Search for the ACTRN number in the catalogue to find datasets associated with this trial or email enquiries to
[email protected]
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
19714
Study protocol
[email protected]
Access can be requested via the Health Data Austra...
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Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
Download to PDF