HCT Versus CT in Elderly AML

NCT ID: NCT00766779

Last Updated: 2021-10-14

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

TERMINATED

Clinical Phase

PHASE3

Total Enrollment

126 participants

Study Classification

INTERVENTIONAL

Study Start Date

2010-01-31

Study Completion Date

2020-12-31

Brief Summary

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A study comparing conventional chemotherapy to low dose total body irradiation-based conditioning and hematopoietic cell transplantation from related and unrelated donors as consolidation therapy for older Patients with AML in first Complete Remission.

Detailed Description

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The majority of patients with acute myelogenous leukaemia (AML) enter complete remission following induction therapy, but relapse despite consolidation and maintenance therapy. In response, post-remission treatment has been progressively intensified and results improved either by high-dose post-remission therapy with autologous hematopoietic cell transplantation (HCT) or by allogeneic HCT, which has the highest curative potential for patients with AML. Given the toxicity of dose intensification and of allogeneic HCT, however, only younger patients profit from this treatment approach

Conditions

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Acute Myeloid Leukemia

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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Transplant Arm

Hematopoietic cell transplantation after Reduced Intensity Conditioning

Group Type EXPERIMENTAL

hematopoietic cell transplantation

Intervention Type PROCEDURE

low dose total body irradiation-based conditioning and hematopoietic cell transplantation from related and unrelated donors

Conventional Chemotherapy

The non-transplant treatment approach for consolidation

Group Type ACTIVE_COMPARATOR

Non-Transplant treatment approach for consolidation

Intervention Type DRUG

Patients will receive the treatment that would be otherwise applied at the local institution. The consolidation or maintenance therapy is according to the study group protocol.

Interventions

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hematopoietic cell transplantation

low dose total body irradiation-based conditioning and hematopoietic cell transplantation from related and unrelated donors

Intervention Type PROCEDURE

Non-Transplant treatment approach for consolidation

Patients will receive the treatment that would be otherwise applied at the local institution. The consolidation or maintenance therapy is according to the study group protocol.

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Age ≥ 60years and ≤ 75 years
* primary or secondary AML as defined by WHO or refractory anemia with excess of blasts (RAEB)
* First complete remission following one or two cycles of induction chemotherapy
* Chemotherapy was administered according to current participating cooperative group protocols
* Karnofsky score ≥ 70
* Written informed consent

Exclusion Criteria

* AML FAB M3
* HIV positivity
* Participation in another clinical trial without prior consent of the coordinating investigator, patients may exceptionally take part in a further study only if

* The second study exclusively concerns induction therapy
* Consolidation cycle one and two are given according to the accredited study group policy
* No investigational drugs are used post registration for the HCT vs CT in eldery AML study.
* Documentation for the HCT vs CT in eldery AML study is not compromised. Second hand data from foreign study is not accepted
Minimum Eligible Age

60 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Acute Leukemia French Association

OTHER

Sponsor Role collaborator

Grupo Cooperativo de Estudio y Tratamiento de las Leucemias Agudas y Mielodisplasias

OTHER

Sponsor Role collaborator

European Organisation for Research and Treatment of Cancer - EORTC

NETWORK

Sponsor Role collaborator

French Innovative Leukemia Organisation

OTHER

Sponsor Role collaborator

HOVON - Dutch Haemato-Oncology Association

OTHER

Sponsor Role collaborator

East German Study Group of Hematology and Oncology (OSHO)

UNKNOWN

Sponsor Role collaborator

Swiss Cancer Institute

OTHER

Sponsor Role collaborator

European Society for Blood and Marrow Transplantation

NETWORK

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Dietger Niederwieser, Prof

Role: STUDY_CHAIR

EBMT and OSHO

Bob Löwenberg, Prof

Role: STUDY_CHAIR

Stichting Hemato-Oncologie voor Volwassenen Nederland

Locations

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The Alfred Hospital

Melbourne Victoria, , Australia

Site Status

Hanusch Krankenhaus der Wiener Gebietskrankenkasse

Vienna, , Austria

Site Status

Medizinische Universität Wien

Vienna, , Austria

Site Status

ZNA Stuivenberg - Ziekenhuis Netwerk Antwerpen

Antwerp, , Belgium

Site Status

UZ Gasthuisberg Leuven

Leuven, , Belgium

Site Status

Centre Hospitalier Sud Amiens

Amiens, , France

Site Status

Hopital Femme Enfant Hématologie

Caen, , France

Site Status

Hôpital d'instruction des armées Percy

Clamart, , France

Site Status

Centre hospitalier et universitaire (CHU) d´ Estaing

Clermont-Ferrand, , France

Site Status

Centre hospitalier et universitaire (CHU) de Limoges

Limoges, , France

Site Status

Institut Paoli-Calmettes

Marseille, , France

Site Status

CHU de Nantes, Hôtel Dieu

Nantes, , France

Site Status

Centre Antoine Lacassagne

Nice, , France

Site Status

Centre hospitalier et universitaire (CHU) de Nice

Nice, , France

Site Status

Hopital Saint Antoine

Paris 12ème, , France

Site Status

CHU du Haut Lévêque

Pessac, , France

Site Status

Centre Hospitalier (CH) Saint Quentin

Saint-Quentin, , France

Site Status

University Aachen

Aachen, , Germany

Site Status

II. Medizinische Klinik, Hämatologie/Internistische Onkologie

Augsburg, , Germany

Site Status

Charité - Campus Benjamin Franklin

Berlin, , Germany

Site Status

Klinikum Chemnitz gGmbH

Chemnitz, , Germany

Site Status

Universitaetsklinikum Dresden

Dresden, , Germany

Site Status

Klinik für Innere Medizin C

Greifswald, , Germany

Site Status

University of Heidelberg

Heidelberg, , Germany

Site Status

Friedrich-Schiller-Universität Jena

Jena, , Germany

Site Status

University Hospital

Leipzig, , Germany

Site Status

Universitätsklinikum Magdeburg AöR / Otto-von-Guericke Universität

Magdeburg, , Germany

Site Status

University of Münster

Münster, , Germany

Site Status

Klinikum Ernst von Bergmann gGmbH

Potsdam, , Germany

Site Status

University Regensburg

Regensburg, , Germany

Site Status

Universität Rostock

Rostock, , Germany

Site Status

Robert-Bosch-Krankenhaus

Stuttgart, , Germany

Site Status

Universität Tübingen

Tübingen, , Germany

Site Status

Allogeneic Stem Cell Transplant Cente

Würzburg, , Germany

Site Status

Academisch Ziekenhuis bij de Universiteit Amsterdam

Amsterdam, , Netherlands

Site Status

VU University Medical Center Amsterdam

Amsterdam, , Netherlands

Site Status

University Medical Centre Groningen

Groningen, , Netherlands

Site Status

University Hospital Maastricht

Maastricht, , Netherlands

Site Status

Erasmus MC-Daniel den Hoed Cancer Centre

Rotterdam, , Netherlands

Site Status

University Medical Centre Utrecht

Utrecht, , Netherlands

Site Status

Isala klinieken

Zwolle, , Netherlands

Site Status

Kantonsspital Aarau

Aarau, , Switzerland

Site Status

University Hospital

Basel, , Switzerland

Site Status

Inselspital Bern

Bern, , Switzerland

Site Status

Hopitaux Universitaires de Geneve

Geneva, , Switzerland

Site Status

CHUV Lausanne

Lausanne, , Switzerland

Site Status

Kantonsspital Luzern

Lucerne, , Switzerland

Site Status

University Hospital Zürich

Zurich, , Switzerland

Site Status

Countries

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Australia Austria Belgium France Germany Netherlands Switzerland

Other Identifiers

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EBMT-ALWP01/2008

Identifier Type: -

Identifier Source: secondary_id

2007-003514-34

Identifier Type: -

Identifier Source: org_study_id