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Acute Myeloid LeukemiaPhase 3LAM-SA 2007NCT00590837

Adding Lomustine to Chemotherapy in Older Patients With Acute Myelogenous Leukemia (AML), and Allogeneic Transplantation for Patients From 60 to 65 Years Old

A Phase 3 study testing Lomustine in people with Acute Myeloid Leukemia, run by University Hospital, Bordeaux at 32 sites in France.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

A multicenter randomized trial comparing induction therapy (IC: Idarubicin and Cytarabine, 5 + 7) to ICL (the same drugs plus lomustine (CCNU), 200 mg/m2 orally at day 1). Patients in complete remission (CR) will then receive a post-remission schedule with or without lomustine according to randomization. Read more about this study

Who is it for?
Ages 60 years and older
Conditions the study is for
Acute Myeloid Leukemia
What is being tested?
Lomustine
Type of treatment
Pill or oral medicine
Could I receive a placebo?
No, everyone receives an active treatment
How many people
459 participants
Where
32 sitesFrance
Study dates
Feb 2008to Dec 2013
Phase
Phase 3
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Patients aged 60 years and older with de novo AML and non-poor cytogenetic features.
  • Patients with no unfavourable cytogenetic (based on GOELAMS-BGMT criteria)
  • Performance status and Sorror score < 3 .
  • Signed and dated informed consent.

Who cannot join

  • Acute promyelocytic leukemia.
  • Patients with myeloproliferative syndromes prior to diagnosis of AML.
  • Patients who previously had myelodysplastic syndrome.
  • Positive serology for HIV.
  • Patients with unfavourable cytogenetic
  • Patients with an isolated medullary extra localization of their disease

Trial locations and contacts

32 sites in 1 country.

32 sites in 1 country

France32 sites
  • Services maladies du sang, cancérologie, Hôpital Sud, CHU Amiens

    Amiens, 80054

  • Service des maladies du sang, Centre Hospitalier Universitaire d'Angers

    Angers, 49033

  • Service Hématologie, Centre Hospitalier Annecy

    Annecy, 74011

  • C.H Victor Dupouy

    Argenteuil, 95100

  • Service Médecine Interne, Onco-Hématologie, Maladies Infectieuses, Hôpital Henri Duffaut, Centre Hospitalier Avignon

    Avignon, 84000

  • Service Hématologie, Centre Hospitalier de la Côte Basque

    Bayonne, 64109

  • Service Hématologie, Hôpital Minjoz

    Besançon, 25030

  • Unité Hématologie, Centre Hospitalier Blois

    Blois, 41016

  • Service des maladies du sang - Hôpital Haut-Lévêque

    Bordeaux - Pessac, 33604

  • Service Hématologie, Hôpital Dr Duchenne

    Boulogne-sur-Mer, 62321

  • Service Hématologie, Hôpital Augustin Morvan

    Brest, 29609

  • Service Hématologie et Thérapie cellulaire, Pavillon Villemin Pasteur, CHU Clermont-Ferrand

    Clermont-Ferrand, 63000

  • Service Oncologie - Hématologie, Hôpital Pasteur, Centre Hospitalier Colmar

    Colmar, 68024

  • Service Hématologie Clinique, CHU Dijon Hôpital des enfants

    Dijon, 21079

  • Service Hématologie Clinique, Hôpital Michallon, CHU de Grenoble

    Grenoble, 38043

  • Service Onco-Hématologie 3, Institut Paoli Calmettes

    Marseille, 13275

  • Service Hématologie Oncologie, CHR Metz-Thionville

    Metz, 57038

  • Service Hématologie Oncologie, Hôpital Lapeyronie, CHU de Montpellier

    Montpellier, 34295

  • Département d'hématologie, Hôpital E.Muller, Centre Hospitalier de Mulhouse

    Mulhouse, 68070

  • Service Hématologie Clinique, CHU -Hôtel Dieu

    Nantes, 44093

  • Service Hématologie Clinique, Hôpital Archet 1

    Nice, 06202

  • Service Médecine B - Unité Onco-hématologique, CHU Caremeau

    Nîmes, 30029

  • Service Oncologie Médicale, Hôpital de la Source

    Orléans, 45067

  • Unité d'Hématologie, Hôpital Cochin

    Paris, 75679

  • Service Hématologie, CHG Saint Jean

    Perpignan, 66000

  • Service Hématologie Clinique, Hôpital Robert Debre

    Reims, 51092

  • Service Hématologie Clinique, Hôpital Pontchaillou

    Rennes, 35033

  • Service d'Hématologie, Institut de Cancérologhie de la Loire

    Saint Priez En Jarez, 42270

  • Département d'Hématologie et d'Oncologie, Hôpital CHRU de Hautepierre

    Strasbourg, 67098

  • Service Hématologie, Hôpital Purpan

    Toulouse, 31059

  • Service Hématologie Clinique, Hôpital Bretonneau

    Tours, 37044

  • Service Hématologie - Médecine Interne, Hôpitaux de Brabois

    Vandœuvre-lès-Nancy, 54511

Other trials in France

About this study

Official title: Randomized Prospective Study of Adding Lomustine to Idarubicin and Cytarabine for Induction and Post-remission Chemotherapy in Older Patients With Acute Myeloid Leukaemia, and Feasibility of Allogeneic Transplantation for Patients From 60 to 65 Years Old

A multicenter randomized trial comparing induction therapy (IC: Idarubicin and Cytarabine, 5 + 7) to ICL (the same drugs plus lomustine (CCNU), 200 mg/m2 orally at day 1). Patients in complete remission (CR) will then receive a post-remission schedule with or without lomustine according to randomization. Patients from 60 to 65 years old will be proposed to reduced conditioning allogeneic transplantation after first consolidation.

Read the detailed description
  • Principal Objective: The primary objective of this study is to assess the ability of lomustine to increase the overall survival by adding lomustine to induction and post-remission chemotherapy.
  • Secondary Objectives:
  • To assess the ability of lomustine to increase the CR rate.
  • To assess the ability of lomustine to increase the event-free survival.
  • To evaluate the toxicity and side-effects of lomustine.
  • To evaluate the feasibility of reduced conditioning allogeneic transplantation *between 60 and 65 years old.
  • To evaluate prognostic factors.
  • To evaluate QOL in elderly.
  • Study design: Parallel
  • Study plan:
  • Induction therapy: Patients will be randomized to receive idarubicin (5d) plus cytarabine or the same drugs plus lomustine, the latter given at the dose of 200 mg/m2 orally at day 1.
  • Consolidation therapy: After completing induction treatment, patients who are in complete remission will receive a course of consolidation therapy with idarubicin (3d) and subcutaneous cytarabine.
  • Maintenance therapy: In all patients with persisting CR one month after completing consolidation: six courses of monthly combination chemotherapy (idarubicin (1d) and subcutaneous cytarabine) and then a continuous regimen of methotrexate and 6-mercaptopurine, for 6 months.
  • Allogeneic transplantation: Patients between 60 and 65 years old with a full matched donor will receive after consolidation (if still in CR) an alloBMT with a reduced conditioning regimen of Fludarabine (3d) and TBI (2Gy).
  • Number of subjects: 460
Being tested
Lomustine
Keywords
AML, Chemotherapy, older, De novo AML
Medical subject headings
Leukemia, Myeloid, Acute

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • LomustineDrug

    Induction: chemotherapy + lomustine (CCNU), 200 mg/m2 orally at day 1.

    Consolidation: chemotherapy + lomustine (CCNU), 80 mg orally at day 1.

    Reinductions: chemotherapy + lomustine (CCNU), 40 mg orally at day 1.

Study groups in NCT00590837
Study groupRoleWhat they receive
1ExperimentalPatients will be treated by adding lomustine to chemotherapy
Receives: Drug: Lomustine
2No interventionPatients will be treated without adding lomustine to chemotherapy

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Overall Survival

    Measured: 1 year

Secondary outcomes (4)
  1. Complete remission

    Measured: 1 year

  2. Event-free survival

    Measured: 1 year

  3. Prognostic factors

    Measured: 1 year

  4. Quality of Life (QOL)

    Measured: 1 year

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted11 Jan 2008 (estimated)
  2. Study startFeb 2008
  3. Primary completionDec 2012
  4. Study completionDec 2013

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
459 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT00590837
Sponsor's protocol ID
CHUBX 2007/13
Acronym
LAM-SA 2007
Status last verified
Apr 2014
First submitted
27 Dec 2007
Last updated
2 Apr 2014
Results posted
No
Data monitoring committee
Yes

Publications

  • Appelbaum FR, Gundacker H, Head DR, Slovak ML, Willman CL, Godwin JE, Anderson JE, Petersdorf SH. Age and acute myeloid leukemia. Blood. 2006 May 1;107(9):3481-5. doi: 10.1182/blood-2005-09-3724. Epub 2006 Feb 2.

    PubMed 16455952
  • Sekeres MA, Stone R. Older adults with acute myeloid leukemia. Curr Oncol Rep. 2002 Sep;4(5):403-9. doi: 10.1007/s11912-002-0034-y.

    PubMed 12162914
  • Mayer RJ, Davis RB, Schiffer CA, Berg DT, Powell BL, Schulman P, Omura GA, Moore JO, McIntyre OR, Frei E 3rd. Intensive postremission chemotherapy in adults with acute myeloid leukemia. Cancer and Leukemia Group B. N Engl J Med. 1994 Oct 6;331(14):896-903. doi: 10.1056/NEJM199410063311402.

    PubMed 8078551
  • Stone RM, Berg DT, George SL, Dodge RK, Paciucci PA, Schulman P, Lee EJ, Moore JO, Powell BL, Schiffer CA. Granulocyte-macrophage colony-stimulating factor after initial chemotherapy for elderly patients with primary acute myelogenous leukemia. Cancer and Leukemia Group B. N Engl J Med. 1995 Jun 22;332(25):1671-7. doi: 10.1056/NEJM199506223322503.

    PubMed 7760868
  • Witz F, Sadoun A, Perrin MC, Berthou C, Briere J, Cahn JY, Lioure B, Witz B, Francois S, Desablens B, Pignon B, Le Prise PY, Audhuy B, Caillot D, Casassus P, Delain M, Christian B, Tellier Z, Polin V, Hurteloup P, Harousseau JL. A placebo-controlled study of recombinant human granulocyte-macrophage colony-stimulating factor administered during and after induction treatment for de novo acute myelogenous leukemia in elderly patients. Groupe Ouest Est Leucemies Aigues Myeloblastiques (GOELAM). Blood. 1998 Apr 15;91(8):2722-30.

    PubMed 9531581
  • Pigneux A, Perreau V, Jourdan E, Vey N, Dastugue N, Huguet F, Sotto JJ, Salmi LR, Ifrah N, Reiffers J. Adding lomustine to idarubicin and cytarabine for induction chemotherapy in older patients with acute myeloid leukemia: the BGMT 95 trial results. Haematologica. 2007 Oct;92(10):1327-34. doi: 10.3324/haematol.11068.

    PubMed 18024370
  • Takagi K. [Neurophysiological and clinical aspects of autonomic centers: introduction]. Nihon Seirigaku Zasshi. 1972 May;34(5):257-61. No abstract available. Japanese.

    PubMed 4673036
  • Gardin C, Turlure P, Fagot T, Thomas X, Terre C, Contentin N, Raffoux E, de Botton S, Pautas C, Reman O, Bourhis JH, Fenaux P, Castaigne S, Michallet M, Preudhomme C, de Revel T, Bordessoule D, Dombret H. Postremission treatment of elderly patients with acute myeloid leukemia in first complete remission after intensive induction chemotherapy: results of the multicenter randomized Acute Leukemia French Association (ALFA) 9803 trial. Blood. 2007 Jun 15;109(12):5129-35. doi: 10.1182/blood-2007-02-069666. Epub 2007 Mar 6.

    PubMed 17341661
  • Hegenbart U, Niederwieser D, Sandmaier BM, Maris MB, Shizuru JA, Greinix H, Cordonnier C, Rio B, Gratwohl A, Lange T, Al-Ali H, Storer B, Maloney D, McSweeney P, Chauncey T, Agura E, Bruno B, Maziarz RT, Petersen F, Storb R. Treatment for acute myelogenous leukemia by low-dose, total-body, irradiation-based conditioning and hematopoietic cell transplantation from related and unrelated donors. J Clin Oncol. 2006 Jan 20;24(3):444-53. doi: 10.1200/JCO.2005.03.1765. Epub 2005 Dec 12.

    PubMed 16344316
  • Largeaud L, Cornillet-Lefebvre P, Hamel JF, Dumas PY, Prade N, Dufrechou S, Plenecassagnes J, Luquet I, Blanchet O, Banos A, Bene MC, Bernard M, Bertoli S, Bonmati C, Fornecker LM, Guieze R, Haddaoui L, Hunault M, Ianotto JC, Jourdan E, Ojeda M, Peterlin P, Vey N, Zerazhi H, Yosr H, Mineur A, Cahn JY, Ifrah N, Recher C, Pigneux A, Delabesse E; French Innovative Leukemia Organization (FILO). Lomustine is beneficial to older AML with ELN2017 adverse risk profile and intermediate karyotype: a FILO study. Leukemia. 2021 May;35(5):1291-1300. doi: 10.1038/s41375-020-01031-1. Epub 2020 Sep 18.

    PubMed 32943750

Questions about this trial

What is this clinical trial studying?

A Phase 3 study testing Lomustine in people with Acute Myeloid Leukemia, run by University Hospital, Bordeaux at 32 sites in France.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 4 inclusion and 6 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 2 Apr 2014. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 32 sites in France. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

What does this phase mean?

Phase 3 studies compare the treatment with the current standard treatment or a placebo in a large group, to confirm how well it works and watch for side effects.

Not every study follows the same path, and some studies (observational studies, device studies) have no phase.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Overall Survival (time frame: 1 year). It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT00590837, which also lists 10 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 2 Apr 2014.

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