AMLPhase 3NCT00700544
Treatment Outcome in Elderly Patients
A Phase 3 study testing chemotherapy treatment (see arm) + norethandrolone and chemotherapy treatment (see arms) in people with AML and Elderly Patients, run by University Hospital, Grenoble at 1 site in France.
Trial summary
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… Read more about this study
- Who is it for?
- Ages 60 years and older
- Conditions the study is for
- AML, Elderly Patients
- What is being tested?
- chemotherapy treatment (see arm) + norethandrolone and chemotherapy treatment (see arms)
- Type of treatment
- Pill or oral medicine, Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 330 participants
- Where
- 1 siteFrance
- Study dates
- Jun 2002to May 2008
- 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 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
Who cannot join
- 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 %
Show all 12Show fewer
- 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
Trial locations and contacts
1 site in 1 country.
About this study
Official title: Adjonction of Androgenotheapy for Post-Remission Treatment of Elderly Patients With Acute Myeloid Leukemia - Results of the Multicenter Goelams SA-2002 Trial.
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
Read the detailed description
- 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
- AML, Elderly Patients
- Being tested
- chemotherapy treatment (see arm) + norethandrolone, chemotherapy treatment (see arms)
- Keywords
- AML, elderly patients, Treatment outcome
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
chemotherapy treatment (see arm) + norethandroloneDrug
Also called norethandrolone = nilevar®
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
chemotherapy treatment (see arms)Drug
Also called Induction chemotherapy + maintenance chemotherapy
Induction chemotherapy + maintenance chemotherapy
| Study group | Role | What they receive |
|---|---|---|
| B | Active comparator | * 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. Receives: Drug: chemotherapy treatment (see arms) |
| A | Experimental | * 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. Receives: Drug: chemotherapy treatment (see arm) + norethandrolone |
What is being measured
The primary outcome is the main question the study is designed to answer.
The primary objective of this study was to assess the ability of androgens to increase DFS.
Measured: 3 years
Secondary outcomes (1)
The secondary objective was to improved EFS and OS and to assess side effects and toxicity of androgenotherapy
Measured: 3 years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted18 Jun 2008 (estimated)
- Study startJun 2002
- Primary completionApr 2005
- Study completionMay 2008
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (1)Papers the sponsor has linked to this study.
- Other trials for AMLStudies of the same condition, open and under way.
- More trials run by University Hospital, GrenobleThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
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
- 330 participants (actual)
Sponsor and investigators
- Lead sponsor
- University Hospital, Grenoble
- Sponsor type
- University, hospital or other
- Collaborators
- French Innovative Leukemia Organisation, BGMT
- Investigators
- Jean jacques SOTTO, MD, Principal investigator, GOELAMS/BGMTArnaud PIGNEUX, MS, Principal investigator, GOELAMS/BGMTFrancis WITZ, MS, Principal investigator, French Innovative Leukemia Organisation
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00700544
- Sponsor's protocol ID
- LAM SA 2002
- Status last verified
- Jun 2008
- First submitted
- 13 Jun 2008
- Last updated
- 18 Jun 2008
- Results posted
- No
- Data monitoring committee
- Yes
Publications
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.
PubMed 28129526
Study at a glance
From the registry record, last updated by the sponsor on 18 Jun 2008. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Adjonction of Androgenotheapy for Post-Remission Treatment of Elderly Patients With Acute Myeloid Leukemia - Results of the Multicenter Goelams SA-2002 Trial.
- ClinicalTrials.gov ID
- NCT00700544
- Acronym / sponsor ID
- LAM SA 2002
- Conditions
- AML, Elderly Patients
- Keywords
- AML, elderly patients, Treatment outcome
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 330 participants (actual)
- Lead sponsor
- University Hospital, GrenobleUniversity, hospital or other
- Collaborators
- French Innovative Leukemia Organisation, BGMT
- Study start
- Jun 2002
- Primary completion
- Apr 2005 (actual)
- Study completion
- May 2008 (actual)
- First posted
- 18 Jun 2008 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
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
- 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
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| B | Active comparator | Drug: chemotherapy treatment (see arms)* 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. |
| A | Experimental | Drug: chemotherapy treatment (see arm) + norethandrolone* 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. |
Who may qualify
- Ages
- 60 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 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
Key exclusion criteria (12 listed)
- Patients aged < 60 years
- or AML M3
- or not classificated according to FAB criteria
- or extramedular localisation of AML
- OMS score ≥ 3
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| chemotherapy treatment (see arm) + norethandroloneAlso: norethandrolone = nilevar®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 | Drug | A |
| chemotherapy treatment (see arms)Also: Induction chemotherapy + maintenance chemotherapyInduction chemotherapy + maintenance chemotherapy | Drug | B |
Primary outcome
The primary objective of this study was to assess the ability of androgens to increase DFS.
Time frame: 3 years
1 secondary outcome
The secondary objective was to improved EFS and OS and to assess side effects and toxicity of androgenotherapy
Time frame: 3 years
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 18 Jun 2008.
- Derived from this study: PubMed 28129526Pigneux 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.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jean jacques SOTTO, MD principal investigator
GOELAMS/BGMT
Arnaud PIGNEUX, MS principal investigator
GOELAMS/BGMT
Francis WITZ, MS principal investigator
French Innovative Leukemia Organisation
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing chemotherapy treatment (see arm) + norethandrolone and chemotherapy treatment (see arms) in people with AML and Elderly Patients, run by University Hospital, Grenoble at 1 site 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 6 inclusion and 12 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 18 Jun 2008. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site 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?
The primary objective of this study was to assess the ability of androgens to increase DFS. (time frame: 3 years). 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 NCT00700544, which also lists 1 linked publication.
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 18 Jun 2008.