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CompletedNCT00003790Updated Aug 6, 2014

Detection of Residual Disease in Children Receiving Therapy for Acute Myeloid Leukemia or Myelodysplastic Syndrome

An observational study in Leukemia and Myelodysplastic Syndromes, sponsored by Children's Oncology Group. Completed at 43 sites in 3 countries. Open to participants aged Up to 21 Years. Per ClinicalTrials.gov, last updated 2014-08-06.

Sponsored by Children's Oncology Group · Observational

Study type
Observational
Enrollment
496
Ages
Up to 21 Years
Sex
All
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Study summary

RATIONALE: Diagnostic procedures may improve the ability to detect residual disease.

PURPOSE: Clinical trial to detect the presence of residual disease in children who are receiving therapy for acute myeloid leukemia or myelodysplastic syndrome.

Read the detailed description

OBJECTIVES: I. Determine the frequency and prognostic significance of persistent abnormal cells with an aberrant phenotype detected by multidimensional flow cytometry (MDF) in bone marrow samples from children who have achieved clinical remission after receiving treatment for acute myeloid leukemia or myelodysplastic syndrome. II. Compare the frequency of persistent abnormal cells obtained by MDF with that of polymerase chain reaction (PCR), morphologic, and cytogenetic analyses of these patient samples. III. Determine the frequency and prognostic significance of persistent abnormal cells with a leukemia-specific molecular marker detected by PCR in samples from these patients.

OUTLINE: Patients have bone marrow samples collected during the course of therapy on the CCG 2961 acute myeloid leukemia treatment protocol. These samples are collected: 1. At the time of diagnosis 2. At the end of induction (within a week of day 35) 3. At the end of consolidation (before bone marrow transplant or Capizzi 2) 4. Before and after interleukin-2 (IL-2) therapy, if applicable 5. At the end of therapy (after transplant with evidence of engraftment for autologous bone marrow transplant patients; after course 2 of intensification for chemotherapy patients; and after IL-2 day 21 for IL-2 patients) 6. At relapse, if applicable. The presence of minimal residual disease in bone marrow is assessed using multidimensional flow cytometry and PCR.

PROJECTED ACCRUAL: A total of 400 patients will be accrued for this study.

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Conditions studied

  • Leukemia
  • Myelodysplastic Syndromes

Keywords

  • recurrent childhood acute myeloid leukemia
  • untreated childhood acute myeloid leukemia and other myeloid malignancies
  • de novo myelodysplastic syndromes
  • previously treated myelodysplastic syndromes
  • secondary myelodysplastic syndromes
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In context

Leukemia

5,441 studies on the registry are indexed under Leukemia; 637 are open to participants now.

This study's enrollment of 496 is above the median of 120 across 744 observational studies indexed under Leukemia.

Browse Leukemia studies →

Lead sponsor

Children's Oncology Group is the lead sponsor of 436 studies on the registry; 34 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 11 (92%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
Up to 21 Years
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Patients with acute myeloid leukemia or myelodysplastic syndrome (MDS) enrolled on the CCG 2961 AML treatment protocol.

Eligibility criteria

DISEASE CHARACTERISTICS: Acute myeloid leukemia (AML) or myelodysplastic syndrome and enrolled on the CCG 2961 AML treatment protocol Must have one of the following cytogenetic abnormalities t(8;21) inv(16) abnormality of 11q23 OR All patients being enrolled for interleukin-2 therapy or standard care can be enrolled at the time of randomization

PATIENT CHARACTERISTICS: Age: Children Performance status: Specified on the CCG 2961 AML treatment protocol Life expectancy: Specified on the CCG 2961 AML treatment protocol Hematopoietic: Specified on the CCG 2961 AML treatment protocol Hepatic: Specified on the CCG 2961 AML treatment protocol Renal: Specified on the CCG 2961 AML treatment protocol

PRIOR CONCURRENT THERAPY: Specified on the CCG 2961 AML treatment protocols

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Study design

Enrollment
496 participants (actual)
Patient registry
No

Interventions

  • Geneticpolymerase chain reaction
  • Otherflow cytometry
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What researchers measure

Primary outcomes

  1. Determine the frequency and prognostic significance of persistent abnormal cells with an aberrant phenotype detected by MDF in bone marrow samples from patients who have achieved clinical remission.

    Time frame: 12 months from achievement of remission

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Study locations

43 sites
  • Long Beach Memorial Medical Center
    Long Beach, California 90806, United States
  • Children's Hospital Los Angeles
    Los Angeles, California 90027-0700, United States
  • USC/Norris Comprehensive Cancer Center
    Los Angeles, California 90033-0800, United States
  • Jonsson Comprehensive Cancer Center, UCLA
    Los Angeles, California 90095-1781, United States
  • Children's Hospital of Orange County
    Orange, California 92868, United States
  • UCSF Cancer Center and Cancer Research Institute
    San Francisco, California 94115-0128, United States
  • David Grant Medical Center
    Travis Air Force Base, California 94535, United States
  • Children's Hospital of Denver
    Denver, Colorado 80218, United States
  • Children's National Medical Center
    Washington, District of Columbia 20010-2970, United States
  • University of Chicago Cancer Research Center
    Chicago, Illinois 60637, United States
  • Indiana University Cancer Center
    Indianapolis, Indiana 46202-5265, United States
  • University of Iowa Hospitals and Clinics
    Iowa City, Iowa 52242, United States
  • University of Michigan Comprehensive Cancer Center
    Ann Arbor, Michigan 48109-0752, United States
  • CCOP - Kalamazoo
    Kalamazoo, Michigan 49007-3731, United States
  • University of Minnesota Cancer Center
    Minneapolis, Minnesota 55455, United States
  • Mayo Clinic Cancer Center
    Rochester, Minnesota 55905, United States
  • Wayne Hughes Institute
    Roseville, Minnesota 55113, United States
  • Children's Mercy Hospital
    Kansas City, Missouri 64108, United States
  • University of Nebraska Medical Center
    Omaha, Nebraska 68198-3330, United States
  • Saint Peter's University Hospital
    New Brunswick, New Jersey 08901-9971, United States
  • Cancer Institute of New Jersey
    New Brunswick, New Jersey 08901, United States
  • NYU School of Medicine's Kaplan Comprehensive Cancer Center
    New York, New York 10016, United States
  • Memorial Sloan-Kettering Cancer Center
    New York, New York 10021, United States
  • Herbert Irving Comprehensive Cancer Center
    New York, New York 10032, United States
  • Lineberger Comprehensive Cancer Center, UNC
    Chapel Hill, North Carolina 27599-7295, United States
  • Veterans Affairs Medical Center - Fargo
    Fargo, North Dakota 58102, United States
  • CCOP - Merit Care Hospital
    Fargo, North Dakota 58122, United States
  • Children's Hospital Medical Center - Cincinnati
    Cincinnati, Ohio 45229-3039, United States
  • Ireland Cancer Center
    Cleveland, Ohio 44106-5065, United States
  • Children's Hospital of Columbus
    Columbus, Ohio 43205-2696, United States
  • Doernbecher Children's Hospital
    Portland, Oregon 97201-3098, United States
  • Children's Hospital of Philadelphia
    Philadelphia, Pennsylvania 19104, United States
  • Children's Hospital of Pittsburgh
    Pittsburgh, Pennsylvania 15213, United States
  • Center for Cancer Treatment and Research
    Columbia, South Carolina 29203, United States
  • Vanderbilt Cancer Center
    Nashville, Tennessee 37232-6838, United States
  • University of Texas - MD Anderson Cancer Center
    Houston, Texas 77030-4009, United States
  • Huntsman Cancer Institute
    Salt Lake City, Utah 84132, United States
  • Children's Hospital and Regional Medical Center - Seattle
    Seattle, Washington 98105, United States
  • Fred Hutchinson Cancer Research Center
    Seattle, Washington 98109, United States
  • University of Wisconsin Comprehensive Cancer Center
    Madison, Wisconsin 53792, United States
  • Princess Margaret Hospital for Children
    Perth, Western Australia 6001, Australia
  • British Columbia Children's Hospital
    Vancouver, British Columbia V6H 3V4, Canada
  • IWK Grace Health Centre
    Halifax, Nova Scotia B3J 3G9, Canada
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References and documents

Publications

  • Vujkovic M, Attiyeh EF, Ries RE, Goodman EK, Ding Y, Kavcic M, Alonzo TA, Wang YC, Gerbing RB, Sung L, Hirsch B, Raimondi S, Gamis AS, Meshinchi S, Aplenc R. Genomic architecture and treatment outcome in pediatric acute myeloid leukemia: a Children's Oncology Group report. Blood. 2017 Jun 8;129(23):3051-3058. doi: 10.1182/blood-2017-03-772384. Epub 2017 Apr 14. PubMed 28411282 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 6, 2014, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00003790
Lead sponsor
Children's Oncology Group
Collaborators
National Cancer Institute (NCI)
Responsible party
Sponsor
First posted
Apr 23, 2004
Start date
Feb 1995
Primary completion
Apr 2002
Completion
Sep 2006
Last update
Aug 6, 2014

Study contacts

Eric Sievers, MD
study chair · Fred Hutchinson Cancer Center

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Aug 2014. You cannot join it, but the record below documents what was studied.

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