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NCT00372593 · OUTCOME

Time to Marrow Recovery

Combination Chemotherapy With or Without Gemtuzumab in Treating Young Patients With Newly Diagnosed Acute Myeloid Leukemia · Source last updated 2021-03-24

Results reported by the registry submitting party. Population, time horizon, units and missing values must be read together.

Measure
MEAN
Unit
Mean days
Interval / dispersion
Standard Deviation
Time frame
At 25 days after treatment with Induction I, Induction II, and Intensification I

What was measured

Mean time to ANC recovery - defined as ANC greater than 500/MicroLiter for 3 consecutive days.

Analysis population: Excluded: Ineligible patients (pts) (n=42) for overall number of pts analyzed. For Induction I: Pts who did not have ANC recovery (n=237) or w/unknown (w/unk) status (n=14). For Induction II: Pts who did not have ANC recovery (n=142) or w/unk status (n=82). For Intensification I: Pts who did not have ANC recovery (n=104) or w/unk status (n=182)

Groups in this outcome

Arm A: Standard Arm - No GMTZ, AML Pts w/Out Down Syndrome

Patients receive intrathecal (IT) cytarabine (ARA-C) at diagnosis or on day 1 of treatment or twice a week for up to 6 doses. They also receive an infusion of ARA-C on days 1-10; a 6-hour infusion of daunorubicin hydrochloride on days 1, 3, and 5; and a 4-hr infusion of etoposide on days 1-5. After 3 weeks of rest, patients receive IT ARA-C on day 1. They also receive an infusion of ARA-C on days 1-8; a 6-hr infusion of daunorubicin on days 1, 3, and 5; and a 4-hr infusion of etoposide on days 1-5. After 3 weeks of rest, some patients receive IT ARA-C on day 1 and 1-hr infusions of ARA-C and etoposide on days 1-5. After 3 weeks of rest, some patients receive IT ARA-C on day 1; a 2-hr infusion of ARA-C on days 1-4; and a 1-hour infusion of mitoxantrone on days 3-6. After 3 weeks of rest, they receive a 3-hr infusion of ARA-C on days 1, 2, 8, and 9 and an injection of asparaginase on days 2 and 9.

Arm B: Experimental - With GMTZ, AML Pts w/Out Down Syndrome

Pts receive IT ARA-C at diagnosis or on day 1 of treatment or twice a week for up to six doses. They also receive an infusion of ARA-C on days 1-10; a 6-hr infusion of daunorubicin on days 1, 3, \& 5; a 4-hr infusion of etoposide on days 1-5; and a 2-hr infusion of gemtuzumab ozogamicin (GMTZ) (Mylotarg) on day 6. After 3 wks of rest, patients receive IT ARA-C on day 1. They also receive an infusion of ARA-C on days 1-8; a 6-hr infusion of daunorubicin on days 1, 3, and 5; and a 4-hr infusion of etoposide on days 1-5. After 3 weeks of rest, some patients receive IT ARA-C on day 1 and 1-hr infusions of ARA-C and etoposide on days 1-5. After 3 wks of rest, some patients receive IT ARA-C on day 1; a 2-hr infusion of ARA-C on days 1-4; and a 1-hr infusion of mitoxantrone hydrochloride on days 3-6. They also receive a 2-hr infusion of gemtuzumab on day 7. After 3 weeks of rest, they receive a 3-hr infusion of ARA-C on days 1, 2, 8, and 9 and an injection of asparaginase on days 2 and 9.

Arm A: Standard Arm - No GMTZ, AML Patients With Down Syndrome

Patients receive intrathecal (IT) cytarabine (ARA-C) at diagnosis or on day 1 of treatment or twice a week for up to 6 doses. They also receive an infusion of ARA-C on days 1-10; a 6-hour infusion of daunorubicin hydrochloride on days 1, 3, and 5; and a 4-hr infusion of etoposide on days 1-5. After 3 weeks of rest, patients receive IT ARA-C on day 1. They also receive an infusion of ARA-C on days 1-8; a 6-hr infusion of daunorubicin on days 1, 3, and 5; and a 4-hr infusion of etoposide on days 1-5. After 3 weeks of rest, some patients receive IT ARA-C on day 1 and 1-hr infusions of ARA-C and etoposide on days 1-5. After 3 weeks of rest, some patients receive IT ARA-C on day 1; a 2-hr infusion of ARA-C on days 1-4; and a 1-hour infusion of mitoxantrone on days 3-6. After 3 weeks of rest, they receive a 3-hr infusion of ARA-C on days 1, 2, 8, and 9 and an injection of asparaginase on days 2 and 9.

Group identifiers and denominators belong to this outcome only. They may differ in another outcome or in safety reporting.

Analysis denominator · Participants

GroupSource count
Arm A: Standard Arm - No GMTZ, AML Pts w/Out Down Syndrome511
Arm B: Experimental - With GMTZ, AML Pts w/Out Down Syndrome511
Arm A: Standard Arm - No GMTZ, AML Patients With Down Syndrome6

Reported measurements

During Induction I (days 0 - 28 of therapy)

Analysis denominator · Participants

GroupSource count
Arm A: Standard Arm - No GMTZ, AML Pts w/Out Down Syndrome380
Arm B: Experimental - With GMTZ, AML Pts w/Out Down Syndrome391
Arm A: Standard Arm - No GMTZ, AML Patients With Down Syndrome6
Values in Mean days · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Arm A: Standard Arm - No GMTZ, AML Pts w/Out Down Syndrome30.566.96Not reportedNot reportedNot reported
Arm B: Experimental - With GMTZ, AML Pts w/Out Down Syndrome30.566.47Not reportedNot reportedNot reported
Arm A: Standard Arm - No GMTZ, AML Patients With Down Syndrome29.172.79Not reportedNot reportedNot reported
During Induction II (days 29 - 56 of therapy)

Analysis denominator · Participants

GroupSource count
Arm A: Standard Arm - No GMTZ, AML Pts w/Out Down Syndrome394
Arm B: Experimental - With GMTZ, AML Pts w/Out Down Syndrome405
Arm A: Standard Arm - No GMTZ, AML Patients With Down Syndrome5
Values in Mean days · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Arm A: Standard Arm - No GMTZ, AML Pts w/Out Down Syndrome28.546.69Not reportedNot reportedNot reported
Arm B: Experimental - With GMTZ, AML Pts w/Out Down Syndrome28.526.25Not reportedNot reportedNot reported
Arm A: Standard Arm - No GMTZ, AML Patients With Down Syndrome26.64.83Not reportedNot reportedNot reported
During Intensification I (days 57 - 84 of therapy)

Analysis denominator · Participants

GroupSource count
Arm A: Standard Arm - No GMTZ, AML Pts w/Out Down Syndrome355
Arm B: Experimental - With GMTZ, AML Pts w/Out Down Syndrome383
Arm A: Standard Arm - No GMTZ, AML Patients With Down Syndrome4
Values in Mean days · Interval/dispersion: Standard Deviation
GroupValueSpreadLowerUpperComment
Arm A: Standard Arm - No GMTZ, AML Pts w/Out Down Syndrome27.515.95Not reportedNot reportedNot reported
Arm B: Experimental - With GMTZ, AML Pts w/Out Down Syndrome28.106.32Not reportedNot reportedNot reported
Arm A: Standard Arm - No GMTZ, AML Patients With Down Syndrome24.53.70Not reportedNot reportedNot reported
Complete source fields
classes
  1. categories
    1. measurements
      1. group Id
        OG000
        spread
        6.96
        value
        30.56
      2. group Id
        OG001
        spread
        6.47
        value
        30.56
      3. group Id
        OG002
        spread
        2.79
        value
        29.17
    denoms
    1. counts
      1. group Id
        OG000
        value
        380
      2. group Id
        OG001
        value
        391
      3. group Id
        OG002
        value
        6
      units
      Participants
    title
    During Induction I (days 0 - 28 of therapy)
  2. categories
    1. measurements
      1. group Id
        OG000
        spread
        6.69
        value
        28.54
      2. group Id
        OG001
        spread
        6.25
        value
        28.52
      3. group Id
        OG002
        spread
        4.83
        value
        26.6
    denoms
    1. counts
      1. group Id
        OG000
        value
        394
      2. group Id
        OG001
        value
        405
      3. group Id
        OG002
        value
        5
      units
      Participants
    title
    During Induction II (days 29 - 56 of therapy)
  3. categories
    1. measurements
      1. group Id
        OG000
        spread
        5.95
        value
        27.51
      2. group Id
        OG001
        spread
        6.32
        value
        28.10
      3. group Id
        OG002
        spread
        3.70
        value
        24.5
    denoms
    1. counts
      1. group Id
        OG000
        value
        355
      2. group Id
        OG001
        value
        383
      3. group Id
        OG002
        value
        4
      units
      Participants
    title
    During Intensification I (days 57 - 84 of therapy)
denoms
  1. counts
    1. group Id
      OG000
      value
      511
    2. group Id
      OG001
      value
      511
    3. group Id
      OG002
      value
      6
    units
    Participants
description
Mean time to ANC recovery - defined as ANC greater than 500/MicroLiter for 3 consecutive days.
dispersion Type
Standard Deviation
groups
  1. description
    Patients receive intrathecal (IT) cytarabine (ARA-C) at diagnosis or on day 1 of treatment or twice a week for up to 6 doses. They also receive an infusion of ARA-C on days 1-10; a 6-hour infusion of daunorubicin hydrochloride on days 1, 3, and 5; and a 4-hr infusion of etoposide on days 1-5. After 3 weeks of rest, patients receive IT ARA-C on day 1. They also receive an infusion of ARA-C on days 1-8; a 6-hr infusion of daunorubicin on days 1, 3, and 5; and a 4-hr infusion of etoposide on days 1-5. After 3 weeks of rest, some patients receive IT ARA-C on day 1 and 1-hr infusions of ARA-C and etoposide on days 1-5. After 3 weeks of rest, some patients receive IT ARA-C on day 1; a 2-hr infusion of ARA-C on days 1-4; and a 1-hour infusion of mitoxantrone on days 3-6. After 3 weeks of rest, they receive a 3-hr infusion of ARA-C on days 1, 2, 8, and 9 and an injection of asparaginase on days 2 and 9.
    id
    OG000
    title
    Arm A: Standard Arm - No GMTZ, AML Pts w/Out Down Syndrome
  2. description
    Pts receive IT ARA-C at diagnosis or on day 1 of treatment or twice a week for up to six doses. They also receive an infusion of ARA-C on days 1-10; a 6-hr infusion of daunorubicin on days 1, 3, \& 5; a 4-hr infusion of etoposide on days 1-5; and a 2-hr infusion of gemtuzumab ozogamicin (GMTZ) (Mylotarg) on day 6. After 3 wks of rest, patients receive IT ARA-C on day 1. They also receive an infusion of ARA-C on days 1-8; a 6-hr infusion of daunorubicin on days 1, 3, and 5; and a 4-hr infusion of etoposide on days 1-5. After 3 weeks of rest, some patients receive IT ARA-C on day 1 and 1-hr infusions of ARA-C and etoposide on days 1-5. After 3 wks of rest, some patients receive IT ARA-C on day 1; a 2-hr infusion of ARA-C on days 1-4; and a 1-hr infusion of mitoxantrone hydrochloride on days 3-6. They also receive a 2-hr infusion of gemtuzumab on day 7. After 3 weeks of rest, they receive a 3-hr infusion of ARA-C on days 1, 2, 8, and 9 and an injection of asparaginase on days 2 and 9.
    id
    OG001
    title
    Arm B: Experimental - With GMTZ, AML Pts w/Out Down Syndrome
  3. description
    Patients receive intrathecal (IT) cytarabine (ARA-C) at diagnosis or on day 1 of treatment or twice a week for up to 6 doses. They also receive an infusion of ARA-C on days 1-10; a 6-hour infusion of daunorubicin hydrochloride on days 1, 3, and 5; and a 4-hr infusion of etoposide on days 1-5. After 3 weeks of rest, patients receive IT ARA-C on day 1. They also receive an infusion of ARA-C on days 1-8; a 6-hr infusion of daunorubicin on days 1, 3, and 5; and a 4-hr infusion of etoposide on days 1-5. After 3 weeks of rest, some patients receive IT ARA-C on day 1 and 1-hr infusions of ARA-C and etoposide on days 1-5. After 3 weeks of rest, some patients receive IT ARA-C on day 1; a 2-hr infusion of ARA-C on days 1-4; and a 1-hour infusion of mitoxantrone on days 3-6. After 3 weeks of rest, they receive a 3-hr infusion of ARA-C on days 1, 2, 8, and 9 and an injection of asparaginase on days 2 and 9.
    id
    OG002
    title
    Arm A: Standard Arm - No GMTZ, AML Patients With Down Syndrome
param Type
MEAN
population Description
Excluded: Ineligible patients (pts) (n=42) for overall number of pts analyzed. For Induction I: Pts who did not have ANC recovery (n=237) or w/unknown (w/unk) status (n=14). For Induction II: Pts who did not have ANC recovery (n=142) or w/unk status (n=82). For Intensification I: Pts who did not have ANC recovery (n=104) or w/unk status (n=182)
reporting Status
POSTED
time Frame
At 25 days after treatment with Induction I, Induction II, and Intensification I
title
Time to Marrow Recovery
type
SECONDARY
unit Of Measure
Mean days

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Preserved source evidence · Not medical advice