- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00927498
A Randomized Study of Gemtuzumab Ozogamicin (GO) With Daunorubicine and Cytarabine in Untreated Acute Myeloid Leukemia (AML) Aged of 50-70 Years Old
A Phase III Multicentric Randomized Study of the Combination of Repeated Doses of Gemtuzumab Ozogamicin (GO) With Daunorubicin and Cytarabine Versus Daunorubicin and Cytarabine in Untreated Patients With Acute Myeloid Leukemia (AML) Aged of 50-70 Years Old.
Study Overview
Status
Conditions
Detailed Description
Patients with a morphologically proven diagnosis AML and both the two following criteria:
- Age > 50 years and £ 70 years.
- Not previously treated for their disease.
Randomization will be centralized by phone :
Arm A chemotherapy with daunorubicin and Aracytine or Arm B Daunorubicin and Aracytine and Mylotarg.
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
-
-
-
Argenteuil, France, 95107
- CH
-
Bobigny, France, 93309
- Hôpital Avicenne
-
Caen, France, 14033
- CH
-
Clamart, France, 92141
- Hôpital Percy
-
Creteil, France, 94010
- CHU
-
Dijon, France, 21034
- CHU
-
Lens, France, 62307
- CH
-
Lille, France, 59037
- CHU
-
Limoges, France, 87042
- CH
-
Lyon, France, 69437
- Hôpital Edouard Herriot
-
Meaux, France, 77104
- CH
-
Paris, France
- Hôpital Saint-Louis
-
Paris, France, 75651
- Hôpital Pitié-Salpétrière
-
Roubaix, France, 59100
- CH
-
Rouen, France, 76038
- CHU
-
Saint-Cloud, France, 92210
- CNLCC
-
Valenciennes, France, 59322
- CH
-
Versailles, France, 78157
- Hospital Central
-
Villejuif, France, 94805
- IGR
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Patients with a morphologically proven diagnosis AML and both the two following criteria: Age > 50 years and £ 70 years. Not previously treated for their disease.
- ECOG performance status 0 to 3
- Negative serology HIV, HBV and HBC (except post vaccination)
- Serum creatinin inf 2.5N; AST and ALT inf 2.5N; total bilirubin inf 2N
- Cardiac function determined by radionucleide or echography within normal limits.
- Negative serum pregnancy test within one week before treatment for women of child bearing potential.
- Signed informed consent.
Exclusion Criteria:
- M3-AML
- AML following previously know myeloproliferative syndrome.
- Known central nervous system involvement.
- Uncontrolled infection
- Other active malignancy
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: Arm A Daunorubicin and Cytarabine
Daunorubicin(DNR) induction : 60 mg/m2/day IV (30 min), Days 1,2,3 Daunorubicin (DNR)first consolidation : 60 mg/m2 day 1. Daunorubicin (DNR)second consolidation : 60 mg/m2 day 1 and day 2. Cytarabine induction :200 mg/m2/day by continuous infusion, Days 1 to 7. Cytarabine (AraC)first and second consolidation: 1g/m2/12h days 1 to 4. |
Daunorubicin(DNR) induction : 60 mg/m2/day IV (30 min), Days 1,2,3 Daunorubicin (DNR)first consolidation : 60 mg/m2 day 1. Daunorubicin (DNR)second consolidation : 60 mg/m2 day 1 and day 2. Cytarabine induction :200 mg/m2/day by continuous infusion, Days 1 to 7. Cytarabine (AraC)first and second consolidation: 1g/m2/12h days 1 to 4. |
Experimental: Arm B Daunorubicin and Cytarabine and Mylotarg
Daunorubicin(DNR) induction : 60 mg/m2/day IV (30 min), Days 1,2,3 Daunorubicin (DNR)first consolidation : 60 mg/m2 day 1. Daunorubicin (DNR)second consolidation : 60 mg/m2 day 1 and day 2. Cytarabine induction :200 mg/m2/day by continuous infusion, Days 1 to 7. Cytarabine (AraC)first and second consolidation: 1g/m2/12h days 1 to 4. Mylotarg® (GO)induction : 3 mg/m2 IV (2 hours) Days 1, 4, 7. Mylotarg® (GO) First consolidation and Second Consolidation:3 mg/m2 day 1. |
Daunorubicin(DNR) induction : 60 mg/m2/day IV (30 min), Days 1,2,3 Daunorubicin (DNR)first consolidation : 60 mg/m2 day 1. Daunorubicin (DNR)second consolidation : 60 mg/m2 day 1 and day 2. Cytarabine induction :200 mg/m2/day by continuous infusion, Days 1 to 7. Cytarabine (AraC)first and second consolidation: 1g/m2/12h days 1 to 4. Mylotarg® (GO)induction : 3 mg/m2 IV (2 hours) Days 1, 4, 7. Mylotarg® (GO) First consolidation and Second Consolidation:3 mg/m2 day 1. |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Event Free Survival (EFS)
Time Frame: Relapse or death measured from randomization
|
Relapse or death measured from randomization
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
CR rate
Time Frame: CR after induction
|
CR after induction
|
Cumulative incidence of relapse
Time Frame: Relapse from CR
|
Relapse from CR
|
Overall Survival
Time Frame: Survival from randomization
|
Survival from randomization
|
Safety of the combination Mylotarg+chemotherapy
Time Frame: Duration of study
|
Duration of study
|
Possible predictors of response to Mylotarg: with respect to MDR (multi drug resistance) status, cytogenetics risk groups and mutational status (FLT3, MLL, CEBPa, NPM)
Time Frame: Duration of study
|
Duration of study
|
Relationship between minimal residual disease measured on the expression of WT1 gene and relapse of AML.
Time Frame: Duration of study
|
Duration of study
|
Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Castaigne Sylvie, Professor, Versailles Hospital
Publications and helpful links
General Publications
- Muresan B, Mamolo C, Cappelleri JC, Mokgokong R, Palaka A, Soikkeli F, Heeg B. Comparing cure rates for gemtuzumab ozogamicin plus standard chemotherapy vs standard chemotherapy alone in acute myeloid leukemia patients. Future Oncol. 2021 Aug;17(22):2883-2892. doi: 10.2217/fon-2020-1287. Epub 2021 Apr 16.
- Renneville A, Abdelali RB, Chevret S, Nibourel O, Cheok M, Pautas C, Dulery R, Boyer T, Cayuela JM, Hayette S, Raffoux E, Farhat H, Boissel N, Terre C, Dombret H, Castaigne S, Preudhomme C. Clinical impact of gene mutations and lesions detected by SNP-array karyotyping in acute myeloid leukemia patients in the context of gemtuzumab ozogamicin treatment: results of the ALFA-0701 trial. Oncotarget. 2014 Feb 28;5(4):916-32. doi: 10.18632/oncotarget.1536.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
- Neoplasms by Histologic Type
- Neoplasms
- Leukemia
- Leukemia, Myeloid
- Leukemia, Myeloid, Acute
- Physiological Effects of Drugs
- Molecular Mechanisms of Pharmacological Action
- Anti-Infective Agents
- Antiviral Agents
- Enzyme Inhibitors
- Antimetabolites, Antineoplastic
- Antimetabolites
- Antineoplastic Agents
- Immunosuppressive Agents
- Immunologic Factors
- Topoisomerase II Inhibitors
- Topoisomerase Inhibitors
- Antineoplastic Agents, Immunological
- Antibiotics, Antineoplastic
- Cytarabine
- Daunorubicin
- Gemtuzumab
Other Study ID Numbers
- ALFA 0701
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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