- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04886206
Injection of Lymphocytes From Haplo-identical Donor Following Chemotherapy in Patients With High-risk Acute Myeloblastic Leukemia Not Eligible for an Allogeneic Hematopoietic Stem Cell Transplantation (ILDA)
May 5, 2022 updated by: Nantes University Hospital
Phase I Study Testing the Injection of Lymphocytes From Haplo-identical Donor Following Chemotherapy in Patients With High-risk Acute Myeloblastic Leukemia Not Eligible for an Allogeneic Hematopoietic Stem Cell Transplantation
Patients with high risk AML non eligible for an intensive treatment and for an allogeneic transplantation will be treated with azacitidine and venetoclax.
The fourth, fifth and sixth injection of azacitidine will be followed by injection of haplo-identical lymphocytes (HLI).
This is a single-center phase I study to identify the dose of HLI with the most tolerable toxicity.
TheBayesian continuous reassessment method (CRM) will be used
Study Overview
Study Type
Interventional
Enrollment (Anticipated)
12
Phase
- Phase 1
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Contact
- Name: Thierry Guillaume
- Phone Number: 02 40 08 49 45
- Email: thierry.guillaume@chu-nantes.fr
Study Locations
-
-
-
Nantes, France, 44000
- Recruiting
- CHU de Nantes
-
Contact:
- Thierry Guillaume
- Phone Number: 0240084945
- Email: thierry.guillaume@chu-nantes.fr
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years and older (Adult, Older Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- age ≥18 years
- patients with de novo or secondary AML, with an unfavorable or intermediate karyotype (according to the 2017 ELN classification), or patients with relapsing AML who may receive second-line treatment
not candidates for intensive induction, for the following reasons
- 75 years or ≥ 18 to 74 years and at least one of the following comorbidities: PS ≥ 2 or a history of heart failure requiring treatment or LVEF ≤ 50% or chronic stable angina or FEV1 ≤ 65% or DLCO ≤ 65% or creatinine clearance <45 ml / min; or liver damage with total bilirubin> 1.5 N or other comorbidities that the hematologist considers incompatible with intensive treatment
- ineligible for a classic allogeneic hematopoietic stem cell transplant due to the presence of co-morbidities or too high a risk of toxicity >70 years old or at least one of the following comorbidities: PS ≥ 2 or a history of heart failure requiring treatment or LVEF ≤ 50% or chronic stable angina or FEV1 ≤ 65% or DLCO ≤ 65% or creatinine clearance <45 ml / min; or liver damage with total bilirubin> 1.5 N
- may receive chemotherapy with hypomethylating agents have a partially compatible (haplo-identical) major family donor (≥18 years old) eligible for lymphocyte donation.
Exclusion Criteria:
- AML with favorable karyotype (according to ELN 2017) in RC1
- Patient with refractory or progressive AML
- Other progressive cancer in progress
- Karnosky index <60% or PS> 2
- Severe hepatic function disturbance: transaminases> 5 N, hyperbilirubinemia> 30 µm / L
- Severe infection requiring hospitalization.
- Psychiatric illness compromising the understanding of the information or the carrying out of the study.
- woman of childbearing potential and refusing an effective method of contraception.
- Minor
- Adult under tutorship or curatorship, under legal protection or under family authorization
- Minor family donor (<18 years old)
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Non-Randomized
- Interventional Model: Single Group Assignment
- Masking: None (Open Label)
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
number of DLT
Time Frame: by day 14
|
by day 14
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
cumulative incidence of relapse
Time Frame: 1 YEAR
|
1 YEAR
|
relapse-free survival
Time Frame: 1 YEAR
|
1 YEAR
|
overall survival
Time Frame: 1 YEAR
|
1 YEAR
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Thierry Guillaume, CHU de Nantes
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
November 10, 2021
Primary Completion (Anticipated)
November 1, 2024
Study Completion (Anticipated)
November 1, 2024
Study Registration Dates
First Submitted
May 10, 2021
First Submitted That Met QC Criteria
May 10, 2021
First Posted (Actual)
May 13, 2021
Study Record Updates
Last Update Posted (Actual)
May 11, 2022
Last Update Submitted That Met QC Criteria
May 5, 2022
Last Verified
May 1, 2022
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- RC20_0357
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
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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