Treatment Outcome in Elderly Patients

NCT ID: NCT00700544

Last Updated: 2008-06-18

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

330 participants

Study Classification

INTERVENTIONAL

Study Start Date

2002-06-30

Study Completion Date

2008-05-31

Brief Summary

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A multicenter randomized trial evaluating the possible benefit of androgens during post remission therapy in an attempt to improve the outcome of AML in older patients.All patients received the ICL regimen as induction and were randomized to receive, after achieving CR or PR, a maintenance therapy including or not androgens. Patients randomized with androgens additionally received 10 to 20 mg according to body weigh of norethandrolone daily for up to 2 years

Detailed Description

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* Induction Therapy:

* Idarubicin, 8mg/m2 d1-5; Cytarabine, 100mg/m2 d1-7 and Lomustine, 200mg/m d1
* if CR or PR: randomisation = maintenance therapy including or not androgens
* Maintenance therapy :

* 6 courses of reinduction with idarubicin (8mg/m2 d1) and cytarabine (100mg/m2d1-5, subcutaneously) every 3 months, and, between these courses, a continuous regimen of methotrexate and 6-mercaptopurine.
* Patients randomized with androgens additionally received 10 to 20 mg according to body weigh of norethandrolone daily for up to 2 years

Conditions

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AML Elderly Patients

Keywords

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AML elderly patients Treatment outcome

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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B

* Induction therapy Idarubicin, 8mg/m2 d1-5; Cytarabine, 100mg/m2 d1-7 and Lomustine, 200mg/m d1) If CR ou PR
* maintenance therapy every 3 months = 6 courses of reinduction with :

-idarubicin (8mg/m2 d1),cytarabine (100mg/m2d1-5 ), subcutaneously
* between the courses, a continuous regimen of methotrexate and 6-mercaptopurine.

Group Type ACTIVE_COMPARATOR

chemotherapy treatment (see arms)

Intervention Type DRUG

Induction chemotherapy + maintenance chemotherapy

A

* Induction therapy Idarubicin, 8mg/m2 d1-5; Cytarabine, 100mg/m2 d1-7 and Lomustine, 200mg/m d1) If CR ou PR
* maintenance therapy every 3 months = 6 courses of reinduction with :

* idarubicin (8mg/m2 d1),cytarabine (100mg/m2d1-5, subcutaneously)
* 10 to 20 mg (according to body weigh) of norethandrolone daily
* between the courses, a continuous regimen of methotrexate and 6-mercaptopurine.

Group Type EXPERIMENTAL

chemotherapy treatment (see arm) + norethandrolone

Intervention Type DRUG

oral form

Dosage:

10 mg in patients with a weight \< 60 kgs 20 mg in patients with a weight \> 60 kgs frequency: every day Duration: 2 years

Interventions

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chemotherapy treatment (see arm) + norethandrolone

oral form

Dosage:

10 mg in patients with a weight \< 60 kgs 20 mg in patients with a weight \> 60 kgs frequency: every day Duration: 2 years

Intervention Type DRUG

chemotherapy treatment (see arms)

Induction chemotherapy + maintenance chemotherapy

Intervention Type DRUG

Other Intervention Names

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norethandrolone = nilevar® Induction chemotherapy + maintenance chemotherapy

Eligibility Criteria

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Inclusion Criteria

* Patients aged 60 years or more
* "de novo" AML according to FAB criteria
* AML with 20% or more myeloid marrow blasts
* signed and dated informed consent
* OMS score \< 3
* Life expectancy \> 1 month

Exclusion Criteria

* Patients aged \< 60 years
* or AML M3
* or not classificated according to FAB criteria
* or extramedular localisation of AML
* OMS score ≥ 3
* clinical Abnormal Cardiac fonction or with left ejection fraction \< 40 %
* abnormal renal function with creatinine clearance \< 50/ml/mn/m²
* abnormal hepatic function
* previous cerebral stroke
* previous malignancy : prostate, breast cancer (males)
* PSA dosage \> 4
* Any coexisting medical or psychological condition that would pleclude participation in the required study procedures
Minimum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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French Innovative Leukemia Organisation

OTHER

Sponsor Role collaborator

BGMT

UNKNOWN

Sponsor Role collaborator

University Hospital, Grenoble

OTHER

Sponsor Role lead

Responsible Party

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GOELAMS BGMT

Principal Investigators

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Jean jacques SOTTO, MD

Role: PRINCIPAL_INVESTIGATOR

GOELAMS/BGMT

Arnaud PIGNEUX, MS

Role: PRINCIPAL_INVESTIGATOR

GOELAMS/BGMT

Francis WITZ, MS

Role: PRINCIPAL_INVESTIGATOR

French Innovative Leukemia Organisation

Locations

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Arnaud PIGNEUX

Pessac, , France

Site Status

Countries

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France

References

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Pigneux A, Bene MC, Guardiola P, Recher C, Hamel JF, Sauvezie M, Harousseau JL, Tournilhac O, Witz F, Berthou C, Escoffre-Barbe M, Guyotat D, Fegueux N, Himberlin C, Hunault M, Delain M, Lioure B, Jourdan E, Bauduer F, Dreyfus F, Cahn JY, Sotto JJ, Ifrah N. Addition of Androgens Improves Survival in Elderly Patients With Acute Myeloid Leukemia: A GOELAMS Study. J Clin Oncol. 2017 Feb;35(4):387-393. doi: 10.1200/JCO.2016.67.6213. Epub 2016 Oct 24.

Reference Type DERIVED
PMID: 28129526 (View on PubMed)

Other Identifiers

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LAM SA 2002

Identifier Type: -

Identifier Source: org_study_id