New hope for kids with leukemia in malawi: adapted treatment shows promise
NCT ID NCT06928909
First seen Jun 27, 2026 · Last updated Jul 16, 2026 · Updated 2 times
Summary
This study looks at whether a special treatment plan for children with acute myeloid leukemia (AML) can work well in Malawi, where resources are limited. About 30 children under 18 will receive a treatment guideline designed to balance curing the disease with manageable side effects. The goal is to see if most children can complete the treatment and achieve remission, while also tracking their quality of life.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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About 30 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jan 2025
- Expected to finish
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Dec 2030
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
All patients with de novo AML presenting to Kamuzu Central Hospital in Lilongwe, Malawi.
- Ages
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Up to 18 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Age Patients must be \<18 years of age at time of study enrollment. 2. Diagnosis Patients must be diagnosed with de novo AML according to 2022 WHO 5th Edition classification with or without extramedullary disease. Patients must have one of the following: * Bone marrow myeloblasts ≥20%. In cases of dry taps due to fibrosis, myeloblast percentage can be estimated from a bone marrow biopsy core specimen. Due to unavailable molecular/cytogenetic diagnostics in Malawi, patients with \<20% bone marrow myeloblasts can be included in the study at the discretion of the treating oncologist with rationale documented. * In cases where a bone marrow evaluation is not safe/feasible, a peripheral blood sample may be used with a documented absolute myeloblast percentage of ≥1000/μL calculated based on a total white blood cell count and percentage circulating blasts. 3. Therapy Patients must begin treatment according to the 2023 KCH AML therapy CPG. Exclusion Criteria: 1. Patients with any of the following conditions or criteria will be excluded from the study: * Juvenile myelomonocytic leukemia * Transient myeloproliferative disorder * Acute promyelocytic leukemia * Mixed phenotype acute leukemia * Trisomy 21 * Current pregnancy * Previous or concurrent malignancy * Isolated myeloid sarcoma 2. Patients previously treated with antineoplastic therapy with the following exceptions: * Hydroxyurea * Corticosteroids * Intrathecal chemotherapy at diagnosis
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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Kamuzu Central Hospital
RECRUITINGLilongwe, Lilongwe, Malawi
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