- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT07726576
Venetoclax in Association With 3+7 and Midostaurin in FLT3-mutated Acute Myeloid Leukemia (MIDOVEN)
Phase 1/2 Evaluating the Addition of Venetoclax to Standard 3+7 and Midostaurin Induction Treatment in Patients With FLT3-mutated Acute Myeloid Leukemia Eligible to Intensive Chemotherapy - MIDOVEN
Studieoversigt
Status
Betingelser
Intervention / Behandling
Detaljeret beskrivelse
Undersøgelsestype
Tilmelding (Anslået)
Fase
- Fase 2
- Fase 1
Kontakter og lokationer
Studiekontakt
- Navn: Pierre-Yves DUMAS, PU-PH
- Telefonnummer: +33 5 57 65 65 11
- E-mail: pierre-yves.dumas@chubordeaux.fr
Undersøgelse Kontakt Backup
- Navn: Sarah BERTOLI
- Telefonnummer: +33 5 31 15 62 69
- E-mail: bertoli.sarah@iuct-oncopole.fr
Studiesteder
-
-
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Bayonne, Frankrig, 64100
- CH de la Côte Basque
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Kontakt:
- Anne BANOS, Dr
- Telefonnummer: +33 5 59 44 38 32
- E-mail: abanos@ch-cotebasque.fr
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Pessac, Frankrig, 33600
- CHU de Bordeaux - Hôpital Haut-Lévêque
-
Kontakt:
- Pierre-Yves DUMAS, PU-PH
- Telefonnummer: +33 5 57 65 65 11
- E-mail: pierre-yves.dumas@chu-bordeaux.fr
-
Toulouse, Frankrig, 31059
- CHU de Toulouse
-
Kontakt:
- Sarah BERTOLI, Dr
- Telefonnummer: +33 5 31 15 62 69
- E-mail: bertoli.sarah@iuct-oncopole.fr
-
-
Deltagelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Beskrivelse
Main inclusion criteria:
- Age ≥18 years and ≤70 years
- Newly diagnosed AML according to World Health Organization (WHO) 2022 classification
Documented FLT3 gene mutation (-TKD D835 or I836 or -ITD or both) FLT3-ITD is assessed by DNA fragment analysis. Positivity is defined as an ITD/wt ratio of ≥ 0.05 (5%).
FLT3-TKD D835 or I836 is assessed by NGS. Positivity is defined as a VAF > 5%.
- Patient must be eligible for intensive chemotherapy.
Main exclusion criteria:
- Prior treatment for AML or myelodysplastic (MDS) phase.
- Prior exposure to VEN or other BCL2 inhibitors
- AML secondary to prior hematological disorders, including myelodysplastic syndrome, myeloproliferative disorders and/or therapy-related AML.
- Acute promyelocytic leukemia, CBF-AML, Phi+ AML
- Significant active cardiac disease within 6 months prior to the start of study treatment or QTc interval using Fridericia's formula (QTcF) ≥ 450 msec.
- Cardiac ejection fraction <45%
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
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Eksperimentel: Standard treatment of FLT3 mutated AML
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(1) induction with daunorubicin 60 mg/m²/day for 3 days, cytarabine 200 mg/m²/day for 7 days and MIDO 50 mg x 2/day from D8 to D21, (2) consolidation with 3 courses of intermediate dose cytarabine 1-1.5 gr/m² x 2/day at D1, D2 and D3 and MIDO 50 mg x 2/day from D8 to D21 in 35-day cycles, and (3) a maintenance with MIDO 50 mg x 2/day from D1 to D28 in 28-day cycles for 12 cycles.
VEN is a highly potent BCL-2 inhibitor, synergistic with cytarabine, anthracyclines, and tyrosine kinase inhibitors.
In the current study we aim at harnessing this synergistic effect with standard chemotherapy (cytarabine, anthracyclines) and tyrosine kinase inhibitor (MIDO) during induction, consolidation and maintenance.
Our strategy aims at determining the best schedule of combination during induction chemotherapy whereas we do not foresee specific safety issues during consolidation and maintenance strategy
|
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Phase 1: Maximum tolerated schedule (MTS) of VEN in combination with 3+7+MIDO to define the recommended phase 2 schedule (RP2S).
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks
|
From day 1 of induction chemotherapy up to 8 weeks
|
|
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Phase 2: Proportion of participants with complete remission (CR)/CR with incomplete hematologic recovery (CRi) without measurable residual disease (MRD)
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks
|
Measured by multiparameter flow cytometry (MFC) according to European Leukemia Net (ELN) 2022
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From day 1 of induction chemotherapy up to 8 weeks
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Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Phase 1:Number of participants with Dose Limiting Toxicities (DLTs), Serious Adverse Events (SAEs), and Adverse Events (AEs) leading to treatment discontinuation
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
Number of participants with Dose Limiting Toxicities (DLTs), Serious Adverse Events (SAEs), and Adverse Events (AEs) leading to treatment discontinuation, defined according to the NCI CTCAE v5
|
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
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Phase 1-2: Area under the concentration-time curve over a 12-hour dosing interval (- AUC 0-12h)
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
|
|
Phase 1-2: Peak concentration (Cmax)
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
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From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
|
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Phase 1-2: Time to reach peak concentration (Tmax)
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
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From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
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|
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Phase 1-2: Through concentration (Cmin)
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
|
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Phase 1-2: Steady-state accumulation ratios of AUC 0-12h
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
|
|
Phase 1-2: Steady-state accumulation ratios of Cmax
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
|
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Phase 1-2: Area under the plasma concentration-time profile from time zero to time tau (AUCtau)
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
|
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Phase 1-2: Area under the concentration-time curve extrapolated to infinity (AUCinf)
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
|
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Phase 1: Half time (T1/2)
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
|
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Phase 1-2: Oral clearance (CL/F)
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
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From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
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Phase 1-2: Volume or volume/kg (Vz/F)
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
|
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Phase 2: Number of participants experiencing at least one treatment-related adverse event, or at least one serious treatment-related adverse event
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
Number of participants experiencing at least one treatment-related adverse event, or at least one serious treatment-related adverse event, , defined according to the NCI CTCAE v5
|
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
|
Phase 2: Number of participants experiencing at least one adverse event that led to discontinuation of treatment
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
Number of participants experiencing at least one adverse event that led to discontinuation of treatment, defined according to the NCI CTCAE v5
|
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
|
Phase 1-2: Proportion of participants with complete remission (CR)/CR with incomplete hematologic recovery (CRi) without measurable residual disease (MRD)
Tidsramme: Day 1 of Consolidation 2, day 1 of consolidation 3 , day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, day 1 of maintenance cycle 7, day 1 of maintenance cycle 10 and day 28 of maintenance cycle 12
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Measured by MFC according to ELN2022 and with a sensitivity at 10-4 or limit of detection (LOD)
|
Day 1 of Consolidation 2, day 1 of consolidation 3 , day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, day 1 of maintenance cycle 7, day 1 of maintenance cycle 10 and day 28 of maintenance cycle 12
|
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Proportion of participants with complete remission (CR), CR with incomplete hematologic recovery (Cri), CR with partial hematological recovery (CRh), morphologic leukemia free state (MLFS), partial response (PR), no response, non-evaluable for response
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks
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From day 1 of induction chemotherapy up to 8 weeks
|
|
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Proportion of participants with CR/CRi/CRh without MRD
Tidsramme: Day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, day 1 of maintenance cycle 7, day 1 of maintenance cycle 10 and day 28 of maintenance cycle 12
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Measured by MFC according to ELN2022 and with a sensitivity at 10-4 or LOD
|
Day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, day 1 of maintenance cycle 7, day 1 of maintenance cycle 10 and day 28 of maintenance cycle 12
|
|
Proportion of participants with CR/CRi without MRD
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
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Measured by RT-qPCR on NPM1 in co-mutated FLT3 and NPM1 subgroup
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From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
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Proportion of participants with CR/CRi/CRh without MRD
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
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Measured by RT-qPCR on NPM1 in co-mutated FLT3 and NPM1 subgroup
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From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
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Proportion of participants with CR/CRi with MRD low-level (MRDLL)
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
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Measured by RT-qPCR on NPM1 in co-mutated FLT3 and NPM1 subgroup
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From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
|
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Proportion of participants with CR/CRi/CRh with MRDLL
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
|
Measured by RT-qPCR on NPM1 in co-mutated FLT3 and NPM1 subgroup
|
From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
|
|
Proportion of participants with CR/CRi without MRD
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
|
Measured by NGS on FLT3 in FLT3-ITD subgroup
|
From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
|
|
Proportion of participants with CR/CRi/CRh without MRD
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
|
Measured by NGS on FLT3 in FLT3-ITD subgroup
|
From day 1 of induction chemotherapy up to 8 weeks, day 1 of Consolidation 2, day 1 of consolidation 3, day 28 of consolidation 3, day 1 of maintenance cycle 1, day 1 of maintenance cycle 4, cycle 7, cycle 10 and day 28 of maintenance cycle 12
|
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Overall survival (OS)
Tidsramme: From day 1 of inclusion until the date of end of study or to the date of death from any cause
|
Time from start of treatment to death due to any cause
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From day 1 of inclusion until the date of end of study or to the date of death from any cause
|
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Event-free survival (EFS) and EFS including MRD relapse (RT-qPCR on NPM1 and/or NGS FLT3-ITD and/or MFC) as event (EFSMRD)
Tidsramme: From date of day 1 of induction chemotherapy until the date of first documented progression, including molecular progression or date of death from any cause, whichever came first, assessed up to 24 months
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From day 1 of inclusion to the date of treatment failure, hematologic relapse from CR/CRh/CRi or death from any cause, whichever occurs first (ELN 2022 criteria).
MRD relapse is also considered as an event for EFSMRD
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From date of day 1 of induction chemotherapy until the date of first documented progression, including molecular progression or date of death from any cause, whichever came first, assessed up to 24 months
|
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Relapse-free survival (RFS), and RFS including MRD relapse (RT-qPCR on NPM1 and/or NGS FLT3-ITD and/or MFC) as event (RFSMRD)
Tidsramme: From date of CR until the date of first documented progression, including molecular progression or date of death from any cause, whichever came first, assessed up to 24 months
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Defined only for patients achieving CR, CRh, or CRi; measured from the date of achievement of remission until the date of hematologic relapse or death from any cause (ELN 2022 criteria).
MRD relapse is also considered as an event for RFSMRD
|
From date of CR until the date of first documented progression, including molecular progression or date of death from any cause, whichever came first, assessed up to 24 months
|
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Cumulative incidence of relapse (CIR), and CIR including MRD relapse (RT-qPCR on NPM1 and/or NGS FLT3-ITD and/or MFC) as event (CIRMRD)
Tidsramme: From date of CR until the date of first documented progression, including molecular progression assessed up to 24 months
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Defined for all patients achieving CR, CRh, CRi; measured from the date of achievement of a remission until the date of hematologic relapse (ELN 2022 criteria).
MRD relapse is also considered as an event for CIRMRD
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From date of CR until the date of first documented progression, including molecular progression assessed up to 24 months
|
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Proportion of participants with HSCT performed in CR/CRi in eligible patients
Tidsramme: From date of CR until the date of first documented progression, including molecular progression assessed up to 24 months
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From date of CR until the date of first documented progression, including molecular progression assessed up to 24 months
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Proportion of participants with HSCT performed CR/CRi/CRh in eligible patients
Tidsramme: From date of CR until the date of first documented progression, including molecular progression assessed up to 24 months
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From date of CR until the date of first documented progression, including molecular progression assessed up to 24 months
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|
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Proportion of participants with HSCT performed in CR/CRi/CRh/MLFS in eligible patients
Tidsramme: From date of CR until the date of first documented progression, including molecular progression assessed up to 24 months
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From date of CR until the date of first documented progression, including molecular progression assessed up to 24 months
|
|
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To describe PK of VEN
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
During induction, plasma samples will be collected at the following time points for VEN treatment: Pre-dose, 1, 2, 4, and a last one between 6- and 8-hours post-dose at D14 for schedule A, at D10 for schedule B, at D17 forschedule C and D13 for schedule D At each consolidation, only pre-dose at D14 of each consolidation cycle During maintenance, only pre-dose at D14 of 2nd, 3rd and 4th maintenance cycles |
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
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To describe MIDO and MIDO metabolites CPG52421 and CPG62221 at the RP2S
Tidsramme: From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
During induction, plasma samples will be collected at the following time points for MIDO treatment: Pre-dose, 1, 2, 4, and a last one between 6- and 8-hours post-dose at D21 of induction At each consolidation, only pre-dose at D14 or D15 or D16 of each consolidation cycle, During maintenance, only pre-dose at D1 of 2nd, 3rd and 4th maintenance cycles |
From day 1 of induction chemotherapy up to 8 weeks, then from day 1 of each of 3 consolidation chemotherapy up to 8 weeks and from day 1 of first maintenance cycle up to 12 months
|
Samarbejdspartnere og efterforskere
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Primær færdiggørelse (Anslået)
Studieafslutning (Anslået)
Datoer for studieregistrering
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Mere information
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