About this trial
The goal of this clinical trial is to estimate the rate (probability) of complete remission or complete remission with incomplete count recovery (CR/CRi) with negative MRD after induction I and II, event-free survival (EFS), and cumulative incidence (probability) of relapse (CIR), in patients receiving molecular/precision medicine and MRD-driven remission inductions, and to assess secondarily if there is an improvement over the AML2018 protocol.
Eligibility criteria
Qualifiers
1、Newly diagnosed, untreated AML;
2、Under 18 years old;
3、Patients who have used hydroxyurea or cytarabine before diagnosis, but the dosage of cytarabine does not exceed 5 days, and the total dose does not exceed 500 mg/m2 (50 mg/m2, q12h × 5d);
4、 Liver function:Tbil≤2×ULN, ALT/AST≤3×ULN, creatinine clearance ≥50ml/min;Cardiac NYHA grading<3;SaO2>92%;
Disqualifiers
1、Acute megakaryocytic leukemia (AMKL);
2、Acute promyelocytic leukemia (APL);
3、Treatment-related secondary AML and AML with definite MDS transformation;
4、Myeloproliferative neoplasm (such as Juvenile myelomonocytic leukemia, JMML);
Trial design
Treatments tested in this trial
- Homoharringtonine
- Cytarabine
- Etoposide
- Venetoclax
- Mitoxantrone hydrochloride liposome
- Recombinant Human Granulocyte Colony-Stimulating Factor
- Idarubicin Hydrochloride
- Sorafenib
- Gilteritinib
- Avapritinib