The therapeutic advantage of the association of ATRA + Arsenic Trioxide is more favorable and manageable as compared to ATRA + chemotherapy. Nevertheless, at present, there is not enough information on the incidence of long-term side effects. This study, as well as other similar studies conducted around Europe, will focus on following patients treated with this therapy on a long-term basis. Once all studies in Europe will be concluded, all data will be analyzed together.
Considering the clear therapeutic advantage associated with ATRA+ATO combination therapy and the more favorable and overall manageable safety profile compared to ATRA+chemotherapy, the benefits of the combination in the first-line indication do appear to overweigh the risks. However, no information regarding the actual adverse event (AE) incidence and the long-term toxicity of ATRA+ATO is available at present and therefore, as a postmarketing commitment, TEVA (the Company holding the Marketing Authorisation of Trisenox® (Arsenic trioxide)) is setting up a long-term safety cohort study of Trisenox in newly diagnosed low- to intermediate-risk APL patients retrospectively analyzing data from APL disease registries all around Europe. As a result, this observational study is part of the retrospective PASS Study (A Post-Authorisation Long-Term Retrospective Safety Cohort Study of Arsenic Trioxide in First Line Low-to Intermediate-Risk Acute Promyelocytic Leukaemia Patients) that will use data from multinational APL disease registries in Europe. The present study will focus on Italian patients.
Study Type
OBSERVATIONAL
Enrollment
100
This is an observational study. Patients who have received or are receiving all trans retinoic acid (ATRA) + Arsenic Trioxide will be followed and analyzed.
Aon Ss. Antonio E Biagio E C. Arrigo - Alessandria - Soc Ematologia
Alessandria, Italy
RECRUITINGAou Consorziale Policlinico - Bari - Uo Ematologia Con Trapianto
Bari, Italy
RECRUITINGUO Ematologia con trapianto-Universita' degli Studi di Bari Aldo Moro
Bari, Italy
NOT_YET_RECRUITINGAzienda Ospedaliera - Papa Giovanni XXIII
Bergamo, Italy
Number of grade III/IV (Common Terminology Criteria for Adverse Events (CTCAE) v4.03) adverse events of special interest (AESI).
AESI are, among others: differentiation syndrome, creatinine, bilirubin, neurotoxicity, aspartate amino transferase/alanine amino transferase (ASAT/ALAT) ratio, haemorrhage, sepsis, QTc prolongation, cardiac events including congestive heart failure (CHF).
Time frame: At a maximum of 5 years from study entry
Number of unexpected serious adverse events (SAEs).
Including grading and relationship as documented in the study.
Time frame: At a maximum of 5 years from study entry
Number of patients developing secondary malignancies.
Time frame: At a maximum of 5 years from study entry
Number of patients developing therapy-related myelodysplastic syndrome (tMDS).
Time frame: At a maximum of 5 years from study entry
Number of patients developing acute myeloid leukemia (tAML).
Time frame: At a maximum of 5 years from study entry
Number of patients who die.
Time frame: At a maximum of 5 years from study entry
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Asst Degli Spedali Civili Di Brescia - Uo Ematologia
Brescia, Italy
RECRUITINGAo Brotzu, Presidio Ospedaliero A. Businco - Cagliari - Sc Ematologia E Ctmo
Cagliari, Italy
RECRUITINGCTMO - Ematologia - Ospedale "Binaghi"
Cagliari, Italy
NOT_YET_RECRUITINGU.O.C. Oncoematologia - Istituto Oncologico Veneto Irccs, Presidio Ospedaliero S. Giacomo Apostolo
Castelfranco Veneto, Italy
RECRUITINGA.O. Pugliese Ciaccio - Presidio Ospedaliero A.Pugliese - U.O. di Ematologia
Catanzaro, Italy
NOT_YET_RECRUITINGIrccs Aou San Martino - Genova - Uo Ematologia E Trapianti
Genova, Italy
RECRUITING...and 18 more locations