Pilot Study Efficacy and Tolerance Fish Oil Emulsion Daunorubicin and Cytarabine Treatment of AML Younger Patients

NCT ID: NCT01999413

Last Updated: 2018-04-27

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

PHASE2

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2013-11-30

Study Completion Date

2018-04-30

Brief Summary

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Pilot study of the efficacy and tolerance of the adjunction of a Fish oil emulsion to daunorubicin and cytarabine chemotherapy for the treatment of Acute MYeloblastic Leukemia of Younger patients (under 61 years) with high-risk cytogenetics.

Detailed Description

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Adjunction of a Fish oil emulsion OMEGAVEN to daunorubicin and cytarabine chemotherapy for the treatment of Acute MYeloblastic Leukemia of Younger patients.

Conditions

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Acute Myeloid Leukemia (AML)

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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OMEGAVEN - Daunorubicin - Cytarabine

If WBC ≥ 30 G/L, chemotherapy the induction cycle :

* Daunorubicin 60 mg/m²/day IV on D1, D2, and D3
* Cytarabine 200 mg/m²/day D1 to D7
* OMEGAVEN® 2 ml/kg D1 to D9,

If WBC ≤ 30 G/L, OMEGAVEN during 48 hours

Induction cycle :

OMEGAVEN® 2 ml/kg D-2 to D7 Daunorubicin 60 mg/m²/day IV on D1, D2, and D3

\- Cytarabine 200 mg/m²/day IV D1 to D7

bone marrow aspirate at D15: If BM blasts are \> 5% or if second induction course :

* Daunorubicin 35 mg/m²/day IV D17 and D18
* OMEGAVEN® 2 ml/kg
* Cytarabine 1000 mg/m²/12h IV on D17, D18, and D19

For all patients: G-CSF 5 µg/kg/day subcutaneously from D21 to hematopoietic recovery (PMN \> 1 G/L or \> 0.5 G/L during 3 days).

Consolidation will be administered at investigator's discretion

Group Type EXPERIMENTAL

OMEGAVEN

Intervention Type DRUG

AML Study treatment induction phase

Daunorubicin

Intervention Type DRUG

AML Study treatment induction phase

Cytarabine

Intervention Type DRUG

AML Study treatment induction phase

Interventions

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OMEGAVEN

AML Study treatment induction phase

Intervention Type DRUG

Daunorubicin

AML Study treatment induction phase

Intervention Type DRUG

Cytarabine

AML Study treatment induction phase

Intervention Type DRUG

Other Intervention Names

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Cerubidine Aracytine

Eligibility Criteria

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Inclusion Criteria

* Patient between 18 and 60 years old (less than 61 years old)
* With newly diagnosed with AML according to WHO classification:
* With 20% or more blasts in the bone marrow
* Patients with history of tumors other than myeloproliferative disorders or myelodysplastic syndromes, having received chemotherapy and/or radiotherapy without previous history of myelodysplastic syndromes are eligible for the present study
* High-risk cytogenetics defined as one the following abnormalities : 5/5q-, 7/7q-, t(6,9), 11q23 abnormality excluding t(9;11), 3q abnormality,complex karyotype (\>3 abnormalites)
* Left ventricular ejection fraction (LVEF) \> 50% on echocardiography or multigated acquisition (MUGA) scan or similar radionuclide angiographic scan.
* Adequate liver function (all of the following) except if secondary to the leukemia:

Total bilirubin below 1.5 x upper limit of normal (ULN), AST and ALT below 2.5 x ULN , gamma-GT below 2.5 x ULN,

* Adequate kidney function (all of the following): Serum creatinine below 1.5 x ULN, Creatinine clearance above 50 mL/min (Cockroft and Gault formula)
* ECOG performance status \< or = 2.
* Absence of any psychological, familial, sociological or geographical condition potentially hampering compliance with the study protocol and follow-up schedule.
* The patient must give written (personally signed and dated) informed consent before completing any study-related procedure which means assessment or evaluation that would not form part of the normal medical care of the patient.
* Affiliated to the French Social Security (Health Insurance).

Exclusion Criteria

* Previous allogeneic stem cell transplantation.
* Pre-existing aplastic anemia
* Presence of favourable cytogenetics with t(8;21), t(15;17), or inv(16)
* Previous history of MDS or myeloproliferative neoplasm
* Uncontrolled active infection.
* History of arrythmia.
* Cardiac toxicity induced by another anthracycline administration
* Maximum cumulative dose reached for any anthracyclin
* Allergy to cytarabine, daunorubicin, fish or egg proteins10. Significant neurologic (grade \> 2) or psychiatric disorder, dementia or seizures.
* Clinical symptoms suggesting active central nervous system leukemia.
* Degenerative or toxic encephalopathy
* Severe complications of leukemia such as:Uncontrolled bleeding, Pneumonia with hypoxia or shock
* Prior total body irradiation \> 10 Gy.
* Known active HIV, Hepatitis B or C infection
* Pregnancy or breastfeeding
* Concomitant anti-amarile vaccination (yellow fever)
* Concurrent treatment with any other anti-cancer therapy except Hydroxyurea
Minimum Eligible Age

18 Years

Maximum Eligible Age

61 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fresenius Kabi

INDUSTRY

Sponsor Role collaborator

French Innovative Leukemia Organisation

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Emmanuel GYAN, MD

Role: PRINCIPAL_INVESTIGATOR

French Innovative Leukemia Organisation

Locations

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Emmanuel GYAN

Tours, , France

Site Status

Countries

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France

References

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Gyan E, Pigneux A, Hunault M, Peterlin P, Carre M, Bay JO, Bonmati C, Gallego-Hernanz MP, Lioure B, Bertrand P, Vallet N, Ternant D, Darrouzain F, Picou F, Bene MC, Recher C, Herault O. Adjunction of a fish oil emulsion to cytarabine and daunorubicin induction chemotherapy in high-risk AML. Sci Rep. 2022 Jun 13;12(1):9748. doi: 10.1038/s41598-022-13626-y.

Reference Type DERIVED
PMID: 35697729 (View on PubMed)

Picou F, Debeissat C, Bourgeais J, Gallay N, Ferrie E, Foucault A, Ravalet N, Maciejewski A, Vallet N, Ducrocq E, Haddaoui L, Domenech J, Herault O, Gyan E. n-3 Polyunsaturated fatty acids induce acute myeloid leukemia cell death associated with mitochondrial glycolytic switch and Nrf2 pathway activation. Pharmacol Res. 2018 Oct;136:45-55. doi: 10.1016/j.phrs.2018.08.015. Epub 2018 Aug 22.

Reference Type DERIVED
PMID: 30142422 (View on PubMed)

Gyan E, Raynard B, Durand JP, Lacau Saint Guily J, Gouy S, Movschin ML, Khemissa F, Flori N, Oziel-Taieb S, Bannier Braticevic C, Zeanandin G, Hebert C, Savinelli F, Goldwasser F, Hebuterne X; NutriCancer2012 Investigator Group. Malnutrition in Patients With Cancer: Comparison of Perceptions by Patients, Relatives, and Physicians-Results of the NutriCancer2012 Study. JPEN J Parenter Enteral Nutr. 2018 Jan;42(1):255-260. doi: 10.1177/0148607116688881. Epub 2017 Dec 11.

Reference Type DERIVED
PMID: 29505137 (View on PubMed)

Related Links

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Other Identifiers

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FAMYLY

Identifier Type: -

Identifier Source: org_study_id

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