LeukemiaNCT01064557
"AIDA" Protocol (LAP 0493)
A study testing all-trans retinoic acid (ATRA) in people with Leukemia, run by Gruppo Italiano Malattie EMatologiche dell'Adulto at 80 sites in 5 countries.
Trial summary
The main purposes of the AIDA protocol are to test the role of intermittent maintenance therapy with ATRA, standard maintenance chemotherapy with methotrexate and 6-mercaptopurine of both in PCR negative patients at the end of the consolidation phase and to evaluate the role of allogeneic or autologous bone marrow… Read more about this study
- Who is it for?
- Ages 1 year to 75 years
- Conditions the study is for
- Leukemia
- What is being tested?
- all-trans retinoic acid (ATRA)
- How many people
- 1,068 participants
- Where
- 80 sitesin 5 countries
- Study dates
- Oct 1993to Dec 2020
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 1 year to 75 years
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Who may be able to join
- Age > 12 months (1 year) and < 75 years
- Morphological newly diagnosis of APL
- Presence of the PML-RARa transcript
- No cardiac contraindications to anthracycline chemotherapy
- Serum creatinine <=2.5 mg/dL
- Serum alkaline phosphatase <= 3 times the normal upper limit
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- Serum bilirubin <= 3 times the normal upper limit
- Serum SGOT <= 3 times the upper normal limit
- Negative pregnancy test
- Informed consent
Who cannot join
- Age <= 12 months and >=75 years
- absence of the PML-RARa transcript
- Pregnant of lactating women
- Presence of active serious infections that are not controlled by antibiotics
- Prior treatment with antileukemic therapy (excluded corticosteroids)
- Presence of severe concomitant psychiatric disease
Show all 15Show fewer
- Presence of other concomitant malignant tumors, except basal cell carcinoma
- Concurrent treatment with cytotoxic chemotherapy or radiotherapy
- Cardiac contraindications to anthracycline chemotherapy
- Serum creatinine >2.5 mg/dL
- Serum alkaline phosphatase > 3 times the normal upper limit
- Serum bilirubin > 3 times the normal upper limit
- Serum SGOT > 3 times the upper normal limit
- Positive pregnancy test
- Absence of informed consent
Trial locations and contacts
80 sites in 5 countries.
Paola Fazi contact
Enrico Crea contact
80 sites in 5 countries
Italy75 sites, 75 recruiting
- Recruiting
S.O.C. di Ematologia - Azienda Ospedaliera - SS. Antonio e Biagio e Cesare Arrigo
Alessandria
- Recruiting
Azienda Ospedaliera - Nuovo Ospedale "Torrette"
Ancona
Pietro Leoni, pleoni@univpm.it
- Recruiting
U.O.C. Ematologia e Terapia Cellulare - Ospedale "C. e G. Mazzoni" di Ascoli Piceno
Ascoli Piceno
Piero Galieni, piero.galieni@sanita.marche.it
- Recruiting
Az.Ospedaliera S.G.Moscati
Avellino
Ettore Volpe, n.cantore@virgilio.it
- Recruiting
Centro di Riferimento Oncologico
Aviano
- Recruiting
Unità Operativa Ematologia 1 - Università degli Studi di Bari
Bari, 70010
Vincenzo LISO, v.liso@ematba.uniba.it
- Recruiting
Ematologia con trapianto-Università degli Studi di Bari Aldo Moro
Bari
- Recruiting
Azienda Ospedaliera - Papa Giovanni XXIII
Bergamo
- Recruiting
ASL12 - Biella Ospedale degli Infermi - Dip. di Medicina e Geriatria - Struttura Complessa di Medicina Interna
Biella
Sandro Fontana, giovanni.bertinieri@asl12.piemonte.it
- Recruiting
Istituto di Ematologia "Lorenzo e A. Seragnoli" - Università degli Studi di Bologna - Policlinico S. Orsola - Malpighi
Bologna
- Recruiting
Comprensorio Sanitario di Bolzano - Azienda Sanitaria dell'Alto Adige - Ematologia e Centro TMO - Ospedale S.Maurizio
Bolzano
- Recruiting
Spedali Civili - Brescia - Azienda Ospedaliera - U.O. Ematologia
Brescia
- Recruiting
Divisione di Ematologia Ospedale A. Perrino
Brindisi
- Recruiting
ASL N.8 - Ospedale "A. Businco" - Struttura Complessa di Ematologia e CTMO
Cagliari
- Recruiting
Università di Catania - Cattedra di Ematologia - Ospedale "Ferrarotto"
Catania
- Recruiting
Azienda Ospedaliera Pugliese Ciaccio - Presidio Ospedaliero A.Pugliese - Unità Operativa di Ematologia
Catanzaro
- Recruiting
Sezione di Ematologia C.T.M.O. Istituti Ospitalieri
Cremona
- Recruiting
S.C. Ematologia ASO S. Croce e Carle
Cuneo
- Recruiting
Azienda Ospedaliero Universitaria Arcispedale Sant'Anna Dipartimento di Scienze Mediche Sezione di Ematologia e Fisiopatologia dell'Emostasi
Ferrara
- Recruiting
Policlinico di Careggi, Università delgi studi di Firenze
Florence
Pierluigi Rossi, a.bosi@dac.unifi.it
- Recruiting
Struttura Complessa di Ematologia Ospedali Riuniti Foggia - Azienda Ospedaliero-Universitaria
Foggia
- Recruiting
Ospedale S. Antonio Abate
Gallarate
- Recruiting
Clinica Ematologica - DiMI - Università degli Studi di Genova
Genova
- Recruiting
Clinica Medica III - Padiglione 3 - Azienda Ospedale Università San Martino
Genova
- Recruiting
IRCCS_AOU San Martino-IST-Ematologia 1-Monoblocco 11°piano- lato ponente
Genova
- Recruiting
Ospedale San Martino
Genova
- Recruiting
Università degli Studi
Genova
- Recruiting
Divisione di Ematologia Ospedale "Santa Maria Goretti"
Latina
Luigi Deriu, emato@online.latina.it
- Recruiting
ASL Le/1 P.O. Vito Fazzi - U.O. di Ematologia ed UTIE
Lecce
Nicola Di Renzo, direnzo.ematolecce@libero.it
- Recruiting
Divisione Ospedale Maggiore
Lodi
- Recruiting
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico UOC Oncoematologia
Milan
- Recruiting
U.O. Ematologia e Trapianto di MIdollo - Ist.Scientifico Ospedale San Raffaele
Milan
- Recruiting
Centro Oncologico Modenese - Dipartimento di Oncoematologia
Modena
- Recruiting
Azienda Ospedaliera "S.Gerardo"
Monza
- Recruiting
A.S.L. Napoli 1 Ospedale San Giovanni Bosco
Naples
Renato De Biasi, ematoeumiranapoli@libero.it
- Recruiting
Azienda Ospedaliera di Rilievo Nazionale "A. Cardarelli"
Naples
Renato Cimino, felicettoferrara@katamail.com
- Recruiting
Azienda Ospedaliera Universitaria - Università degli Studi di Napoli "Federico II" - Facoltà di Medicina e Chirurgia
Naples
Bruno Rotoli, fabrizio.pane@unina.it
- Recruiting
Ospedale San Gennaro - ASL Napoli 1
Naples
- Recruiting
Servizio Sanitario Nazionale - Azienda Ospedaliera di Rilievo Nazionale "A. Cardarelli" - Struttura Complessa di Ematologia - Div. TERE- 4° piano - Padiglione Palermo
Naples
- Recruiting
Divisione di Oncologia Medica Ospedale Pierfortunato Calvi
Noale
- Recruiting
Sez. di Ematologia Clinica Ospedale San Francesco
Nuoro
Attilio Gabbas, atgabbas@tiscali.it
- Recruiting
Dip. di Scienze Cliniche e Biologiche - Ospedale S. Luigi Gonzaga-Medicina Interna 2
Orbassano
- Recruiting
Ospedale Cervello
Palermo, 90146
Francesco FABBIANO, ffabbiano@libero.it
- Recruiting
Divisione di Ematologia con trapianto di midollo - A.U. Policlinico "Paolo Giaccone"
Palermo
A. Cajozzo, aidsabba@unipa.it
- Recruiting
La Maddalena Casa di Cura di Alta Specialità Dipartimento Oncologico di III Livello
Palermo
- Recruiting
Ospedali Riuniti "Villa Sofia-Cervello"
Palermo
Francesco Caronia, fabbianofrancesco@tiscali.it
- Recruiting
Cattedra di Ematologia CTMO Università degli Studi di Parma
Parma
- Recruiting
Med. Int. ed Oncologia Medica IRCCS Policlinico S. Matteo
Pavia
Edoardo Ascari, c.balduini@smatteo.pv.it
- Recruiting
S.C. Ematologia - Fondazione IRCCS Policlinico S. Matteo
Pavia
- Recruiting
Sezione di Ematologia ed Immunologia Clinica - Ospedale S.Maria della Misericordia
Perugia
Massimo Fabrizio Martelli, faliniem@unipg.it
- Recruiting
Sezione di Medicina Interna e Scienze e Oncologiche (MISO ) Osp. S.Maria della Misericordia
Perugia
- Recruiting
Div. di Ematologia di Muraglia - CTMO Ospedale San Salvatore
Pesaro
Guido Lucarelli, g.visani@ospedalesansalvatore.it
- Recruiting
Azienda Ospedaliera Pisana - Dipartimento di Oncologia, dei Trapianti e delle nuove Tecnologie in Medicina - Divisione di Ematologia
Pisa
- Recruiting
Unità operativa Medicina II Az. Osp. S. M. degli Angeli
Pordenone
- Recruiting
Unità Operativa Complessa di Ematologia - Arcispedale S. Maria Nuova
Reggio Emilia
- Recruiting
U.O. di Ematologia - Centro Oncologico Basilicata
Rionero in Vulture
Pellegrino Musto, p.musto@tin.it
- Recruiting
A.O Umberto I
Roma
Franco MANDELLI, MD, PhD, gimema@gimema.it
- Recruiting
Complesso Ospedaliero S. Giovanni Addolorata
Roma
Luciana Annino, luciana.annino@virgilio.it
- Recruiting
Divisione Ematologia - Università Campus Bio-Medico
Roma
Giuseppe Avvisati, g.avvisati@unicampus.it
- Recruiting
Padiglione Cesalpino - I piano - Divisione di Ematologia - Ospedale S. Camillo
Roma
- Recruiting
Pr. Lo Coco
Roma
Francesco Lo Coco, Pr, francesco.lo.coco@uniroma2.it
- Recruiting
U.O.C. Ematologia - Ospedale S.Eugenio
Roma
- Recruiting
Università Cattolica del Sacro Cuore - Policlinico A. Gemelli
Roma
- Recruiting
Università degli Studi "Sapienza" - Dip Biotecnologie Cellulari ed Ematologia - Divisione di Ematologia
Roma
- Recruiting
Università degli Studi - Policlinico di Tor Vergata
Roma
- Recruiting
Istituto di Ematologia - IRCCS Ospedale Casa Sollievo della Sofferenza
S. G. Rotondo
- Recruiting
Dipartimento di Medicina Clinica e Sperimentale
Sassari
- Recruiting
U.O.C. Ematologia e Trapianti - A.O. Senese - Policlinico " Le Scotte"
Siena
- Recruiting
Azienda Ospedaliera della Valtellina e della Valchiavenna
Sondalo
- Recruiting
U.O.C. di Ematolgia - A.O. " SS Annunziata" - P.O. S.G. Moscati
Taranto
- Recruiting
Dipartimento di Oncologia ed Ematologia S.C. Ematologia 2 A.O. Città della Salute e della Scienza di Torino San Giovanni Battista
Torino
- Recruiting
Divisione di Ematologia dell' Università degli Studi di Torino - "Città della Salute e della Scienza di Torino"
Torino
- Recruiting
Clinica Ematologica - Policlinico Universitario
Udine
- Recruiting
Università degli Studi di Verona - A. O. - Istituti Ospitalieri di Verona- Div. di Ematologia - Policlinico G.B. Rossi
Verona
- Recruiting
ULSS N.6 Osp. S. Bortolo
Vicenza
Netherlands2 sites, 2 recruiting
- Recruiting
Department of Hematology - Medical Center - Leiden University
Leiden
- Recruiting
Department of Hematology - St Radboud University - Hospital
Nijmegen
Belgium1 site, 1 recruiting
- Recruiting
Department of Hematology - Middelheim Ziekenhuis
Antwerp
Germany1 site, 1 recruiting
- Recruiting
Department of Hematology - Klinikum Grosshadem - Ludwig Maxmilians
München
Turkey (Türkiye)1 site, 1 recruiting
- Recruiting
Department of Hematology - Ankara University School of Medicine - Ibni Sina Hospital
Ankara
About this study
Official title: Guideline for the Treatment of Newly Diagnosed Patients Eith Acutypromyelocytic Leukemia, Aged > 12 Months (1 Year) and <75 Years, Using All-trans Retinoic Acid in Combination With Idarubicin
The main purposes of the AIDA protocol are to test the role of intermittent maintenance therapy with ATRA, standard maintenance chemotherapy with methotrexate and 6-mercaptopurine of both in PCR negative patients at the end of the consolidation phase and to evaluate the role of allogeneic or autologous bone marrow transplantation in PCR positive patients at the end of the consolidation phase.
- Conditions
- Leukemia
- Being tested
- all-trans retinoic acid (ATRA)
- Keywords
- Acute promyelocytic Leukemia
- Medical subject headings
- Leukemia, Leukemia, Promyelocytic, Acute
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
all-trans retinoic acid (ATRA)Drug
What is being measured
The primary outcome is the main question the study is designed to answer.
To assess the role of maintenance therapy with ATRA, chemotherapy or both in PCR negative patients at the end of the consolidation phase.
Secondary outcomes (3)
To assess the role of allogeneic or autologous bone marrow transplantation in PCR positive patients at the end of the consolidation phase
To evaluate the role of maintenance therapy with ATRA and chemotherapy in PCR positive patients at the end of the consolidation phase not eligible for a BMT procedure
To assess the efficacy, in terms of CR rate, and toxicity of an induction treatment combining ATRA with Idarubicin
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted8 Feb 2010 (estimated)
- Study startOct 1993
- Primary completionDec 2020 (estimated)
- Study completionDec 2020 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for LeukemiaStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 1,068 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Gruppo Italiano Malattie EMatologiche dell'Adulto
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01064557
- Sponsor's protocol ID
- AIDA0493
- Status last verified
- Oct 2020
- First submitted
- 5 Feb 2010
- Last updated
- 14 Oct 2020
- Results posted
- No
- Data monitoring committee
- No
Publications
Avvisati G, Lo Coco F, Diverio D, Falda M, Ferrara F, Lazzarino M, Russo D, Petti MC, Mandelli F. AIDA (all-trans retinoic acid + idarubicin) in newly diagnosed acute promyelocytic leukemia: a Gruppo Italiano Malattie Ematologiche Maligne dell'Adulto (GIMEMA) pilot study. Blood. 1996 Aug 15;88(4):1390-8.
PubMed 8695858Avvisati G, Lo-Coco F, Paoloni FP, Petti MC, Diverio D, Vignetti M, Latagliata R, Specchia G, Baccarani M, Di Bona E, Fioritoni G, Marmont F, Rambaldi A, Di Raimondo F, Kropp MG, Pizzolo G, Pogliani EM, Rossi G, Cantore N, Nobile F, Gabbas A, Ferrara F, Fazi P, Amadori S, Mandelli F; GIMEMA, AIEOP, and EORTC Cooperative Groups. AIDA 0493 protocol for newly diagnosed acute promyelocytic leukemia: very long-term results and role of maintenance. Blood. 2011 May 5;117(18):4716-25. doi: 10.1182/blood-2010-08-302950. Epub 2011 Mar 8.
PubMed 21385856Latagliata R, Breccia M, Fazi P, Vignetti M, Di Raimondo F, Sborgia M, Vincelli D, Candoni A, Salvi F, Rupoli S, Martinelli G, Kropp MG, Tonso A, Venditti A, Melillo L, Cimino G, Petti MC, Avvisati G, Lo-Coco F, Mandelli F; GIMEMA Acute Leukaemia Working Party. GIMEMA AIDA 0493 amended protocol for elderly patients with acute promyelocytic leukaemia. Long-term results and prognostic factors. Br J Haematol. 2011 Sep;154(5):564-8. doi: 10.1111/j.1365-2141.2011.08593.x. Epub 2011 Jul 14.
PubMed 21751984
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Guideline for the Treatment of Newly Diagnosed Patients Eith Acutypromyelocytic Leukemia, Aged > 12 Months (1 Year) and <75 Years, Using All-trans Retinoic Acid in Combination With Idarubicin
- ClinicalTrials.gov ID
- NCT01064557
- Acronym / sponsor ID
- AIDA0493
- Conditions
- Leukemia
- Keywords
- Acute promyelocytic Leukemia
- Study type
- Interventional
- Recruitment status
- Unknown status
- Enrolment
- 1,068 participants (estimated)
- Lead sponsor
- Gruppo Italiano Malattie EMatologiche dell'AdultoUniversity, hospital or other
- Study start
- Oct 1993
- Primary completion
- Dec 2020 (estimated)
- Study completion
- Dec 2020 (estimated)
- First posted
- 8 Feb 2010 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
The main purposes of the AIDA protocol are to test the role of intermittent maintenance therapy with ATRA, standard maintenance chemotherapy with methotrexate and 6-mercaptopurine of both in PCR negative patients at the end of the consolidation phase and to evaluate the role of allogeneic or autologous bone marrow transplantation in PCR positive patients at the end of the consolidation phase.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
Who may qualify
- Ages
- 1 year to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
Key inclusion criteria (10 listed)
- Age > 12 months (1 year) and < 75 years
- Morphological newly diagnosis of APL
- Presence of the PML-RARa transcript
- No cardiac contraindications to anthracycline chemotherapy
- Serum creatinine <=2.5 mg/dL
Key exclusion criteria (15 listed)
- Age <= 12 months and >=75 years
- absence of the PML-RARa transcript
- Pregnant of lactating women
- Presence of active serious infections that are not controlled by antibiotics
- Prior treatment with antileukemic therapy (excluded corticosteroids)
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| all-trans retinoic acid (ATRA) | Drug | – |
Primary outcome
To assess the role of maintenance therapy with ATRA, chemotherapy or both in PCR negative patients at the end of the consolidation phase.
3 secondary outcomes
To assess the role of allogeneic or autologous bone marrow transplantation in PCR positive patients at the end of the consolidation phase
To evaluate the role of maintenance therapy with ATRA and chemotherapy in PCR positive patients at the end of the consolidation phase not eligible for a BMT procedure
To assess the efficacy, in terms of CR rate, and toxicity of an induction treatment combining ATRA with Idarubicin
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Oct 2020.
- Background: PubMed 8695858Avvisati G, Lo Coco F, Diverio D, Falda M, Ferrara F, Lazzarino M, Russo D, Petti MC, Mandelli F. AIDA (all-trans retinoic acid + idarubicin) in newly diagnosed acute promyelocytic leukemia: a Gruppo Italiano Malattie Ematologiche Maligne dell'Adulto (GIMEMA) pilot study. Blood. 1996 Aug 15;88(4):1390-8.
- Results publication: PubMed 21385856Avvisati G, Lo-Coco F, Paoloni FP, Petti MC, Diverio D, Vignetti M, Latagliata R, Specchia G, Baccarani M, Di Bona E, Fioritoni G, Marmont F, Rambaldi A, Di Raimondo F, Kropp MG, Pizzolo G, Pogliani EM, Rossi G, Cantore N, Nobile F, Gabbas A, Ferrara F, Fazi P, Amadori S, Mandelli F; GIMEMA, AIEOP, and EORTC Cooperative Groups. AIDA 0493 protocol for newly diagnosed acute promyelocytic leukemia: very long-term results and role of maintenance. Blood. 2011 May 5;117(18):4716-25. doi: 10.1182/blood-2010-08-302950. Epub 2011 Mar 8.
- Results publication: PubMed 21751984Latagliata R, Breccia M, Fazi P, Vignetti M, Di Raimondo F, Sborgia M, Vincelli D, Candoni A, Salvi F, Rupoli S, Martinelli G, Kropp MG, Tonso A, Venditti A, Melillo L, Cimino G, Petti MC, Avvisati G, Lo-Coco F, Mandelli F; GIMEMA Acute Leukaemia Working Party. GIMEMA AIDA 0493 amended protocol for elderly patients with acute promyelocytic leukaemia. Long-term results and prognostic factors. Br J Haematol. 2011 Sep;154(5):564-8. doi: 10.1111/j.1365-2141.2011.08593.x. Epub 2011 Jul 14.
- GIMEMA FoundationLink provided by the sponsor.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Paola Fazi contact
Enrico Crea contact
80 sites in 5 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing all-trans retinoic acid (ATRA) in people with Leukemia, run by Gruppo Italiano Malattie EMatologiche dell'Adulto at 80 sites in 5 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 10 inclusion and 15 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: status not confirmed, as of the sponsor's last update on 14 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 80 sites in Italy, Netherlands, Belgium, Germany, Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Paola Fazi (p.fazi@gimema.it), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
To assess the role of maintenance therapy with ATRA, chemotherapy or both in PCR negative patients at the end of the consolidation phase.. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01064557, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2020.