Clinical trial · Interventional

Effect of Priming During Induction and Consolidations in Younger Acute Myeloid Leukemia (AML)

Effect of Priming With Granulocyte-Macrophage Colony-Stimulating Factor During Chemotherapy and Comparison of Timed Sequential Chemotherapy vs 4 Courses of High Dose Cytarabine as Consolidation in Younger Adults With Newly Diagnosed AML

NCT00880243CI-TRIAL-00002209completedPhase 3ClinicalTrials.gov clinicaltrialsPublishedExplore in graph →

Summary

Brief summary (as posted)

The purpose of this study is: 1. To compare priming with Granulocyte-Macrophage Colony-Stimulating Factor (GM-CSF) during induction and consolidation courses versus no priming. 2. To compare as consolidation timed sequential chemotherapy versus four courses of high dose cytarabine.

Conditions

Conditions (1)

Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.

Condition (as posted)	Mapped entity	Match	Confidence
Acute Myeloid Leukemia	Acute Myeloid Leukemia	CURATED_BROADER	0.80

Interventions

Interventions (1)

Intervention	Type	Mapped drug	Match
GM-CSF	Drug	—	UNRESOLVED

Design

Arms and outcomes

Arms (4)

type
EXPERIMENTAL
label
EMA+GM-CSF
description
* Daunorubicine (CérubidineR) : 80 mg/m2/jour IV over 30 min from day 1 to day 3, * AraC (AracytineR) : 500 mg/m2/jour IV from day 1 to day 3, * Mitoxantrone (NovantroneR) : 12 mg/m2/jour IV over 30 min from day 8 to 9 * AraC (AracytineR) : 500 mg/m2/12h IV over 3 hours from day 8 to day10. * GM-CSF (LeucomaxR): 5 µg/kg/jour IV over 6 hours from day 1 to day 10.
interventionNames
1. Drug: GM-CSF
type
ACTIVE_COMPARATOR
label
EMA without GM-CSF
description
* Daunorubicine (CérubidineR) : 80 mg/m2/jour IV over 30 min from day 1 to day 3, * AraC (AracytineR) : 500 mg/m2/jour IV from day 1 to day 3, * Mitoxantrone (NovantroneR) : 12 mg/m2/jour IV over 30 min from day 8 to 9 * AraC (AracytineR) : 500 mg/m2/12h IV over 3 hours from day 8 to day10.
interventionNames
1. Drug: GM-CSF
type

Eligibility

Eligibility (as posted)

Sex: All
Minimum age: 15 Years
Maximum age: 50 Years

Show eligibility criteria text

Inclusion Criteria:

* A morphologically proven diagnosis of AML according to the WHO classification
* Serum creatinine \< 2N; AST and ALT \< 2.5N; total bilirubin \< 2N (unless related to the underlying disease).
* ECOG performance status 0 to 2.
* Women of child-bearing must use acceptable contraceptive methods, and must have a negative serum or urine pregnancy test within 2 weeks prior the beginning treatment on this trial.
* Must be able and willing to give written informed consent

Exclusion Criteria:

* Patients with M3-AML. Patient with AML following diagnosed myeloproliferation or patient with prior history of MDS known for more than 3 months. Patients with AML secondary to previous treatment with cytotoxic chemotherapy or radiotherapy (therapy-related AML).
* Patient presenting any diagnosis of uncontrolled or metastatic tumor.
* Patients with uncontrolled severe infection,

References

Publications (3)

RESULTThomas X, Raffoux E, Botton Sd, Pautas C, Arnaud P, de Revel T, Reman O, Terre C, Corront B, Gardin C, Le QH, Quesnel B, Cordonnier C, Bourhis JH, Elhamri M, Fenaux P, Preudhomme C, Michallet M, Castaigne S, Dombret H. Effect of priming with granulocyte-macrophage colony-stimulating factor in younger adults with newly diagnosed acute myeloid leukemia: a trial by the Acute Leukemia French Association (ALFA) Group. Leukemia. 2007 Mar;21(3):453-61. doi: 10.1038/sj.leu.2404521. Epub 2007 Jan 25. PMID 17252021
DERIVEDThomas X, Elhamri M, Raffoux E, Renneville A, Pautas C, de Botton S, de Revel T, Reman O, Terre C, Gardin C, Chelghoum Y, Boissel N, Quesnel B, Hicheri Y, Bourhis JH, Fenaux P, Preudhomme C, Michallet M, Castaigne S, Dombret H. Comparison of high-dose cytarabine and timed-sequential chemotherapy as consolidation for younger adults with AML in first remission: the ALFA-9802 study. Blood. 2011 Aug 18;118(7):1754-62. doi: 10.1182/blood-2011-04-349258. Epub 2011 Jun 20. PMID 21690555
DERIVEDBoissel N, Nibourel O, Renneville A, Gardin C, Reman O, Contentin N, Bordessoule D, Pautas C, de Revel T, Quesnel B, Huchette P, Philippe N, Geffroy S, Terre C, Thomas X, Castaigne S, Dombret H, Preudhomme C. Prognostic impact of isocitrate dehydrogenase enzyme isoforms 1 and 2 mutations in acute myeloid leukemia: a study by the Acute Leukemia French Association group. J Clin Oncol. 2010 Aug 10;28(23):3717-23. doi: 10.1200/JCO.2010.28.2285. Epub 2010 Jul 12. PMID 20625116