Acute Myeloid LeukemiaPhase 3NCT00766779
HCT Versus CT in Elderly AML
A Phase 3 study testing hematopoietic cell transplantation and Non-Transplant treatment approach for consolidation in people with Acute Myeloid Leukemia, run by European Society for Blood and Marrow Transplantation at 48 sites in 7 countries.
Trial summary
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. Read more about this study
- Who is it for?
- Ages 60 to 75 years
- Conditions the study is for
- Acute Myeloid Leukemia
- What is being tested?
- hematopoietic cell transplantation and Non-Transplant treatment approach for consolidation
- Type of treatment
- Surgery or procedure
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 126 participants
- Where
- 48 sitesin 7 countries
- Study dates
- Jan 2010to Dec 2020
- 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 to 75 years
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- 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
Who cannot join
- 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
Trial locations and contacts
48 sites in 7 countries.
48 sites in 7 countries
Germany17 sites
University Aachen
Aachen
II. Medizinische Klinik, Hämatologie/Internistische Onkologie
Augsburg
Charité - Campus Benjamin Franklin
Berlin
Klinikum Chemnitz gGmbH
Chemnitz
Universitaetsklinikum Dresden
Dresden
Klinik für Innere Medizin C
Greifswald
University of Heidelberg
Heidelberg
Friedrich-Schiller-Universität Jena
Jena
University Hospital
Leipzig, 04103
Universitätsklinikum Magdeburg AöR / Otto-von-Guericke Universität
Magdeburg
University of Münster
Münster
Klinikum Ernst von Bergmann gGmbH
Potsdam
University Regensburg
Regensburg
Universität Rostock
Rostock
Robert-Bosch-Krankenhaus
Stuttgart
Universität Tübingen
Tübingen
Allogeneic Stem Cell Transplant Cente
Würzburg
France12 sites
Centre Hospitalier Sud Amiens
Amiens
Hopital Femme Enfant Hématologie
Caen
Hôpital d'instruction des armées Percy
Clamart
Centre hospitalier et universitaire (CHU) d´ Estaing
Clermont-Ferrand
Centre hospitalier et universitaire (CHU) de Limoges
Limoges
Institut Paoli-Calmettes
Marseille
CHU de Nantes, Hôtel Dieu
Nantes
Centre Antoine Lacassagne
Nice
Centre hospitalier et universitaire (CHU) de Nice
Nice
Hopital Saint Antoine
Paris 12ème
CHU du Haut Lévêque
Pessac
Centre Hospitalier (CH) Saint Quentin
Saint-Quentin
Netherlands7 sites
Academisch Ziekenhuis bij de Universiteit Amsterdam
Amsterdam
VU University Medical Center Amsterdam
Amsterdam
University Medical Centre Groningen
Groningen
University Hospital Maastricht
Maastricht
Erasmus MC-Daniel den Hoed Cancer Centre
Rotterdam, 3008
University Medical Centre Utrecht
Utrecht
Isala klinieken
Zwolle
Switzerland7 sites
Kantonsspital Aarau
Aarau
University Hospital
Basel, 4031
Inselspital Bern
Bern
Hopitaux Universitaires de Geneve
Geneva, 1211
CHUV Lausanne
Lausanne
Kantonsspital Luzern
Lucerne
University Hospital Zürich
Zurich
Austria2 sites
Hanusch Krankenhaus der Wiener Gebietskrankenkasse
Vienna
Medizinische Universität Wien
Vienna
Belgium2 sites
ZNA Stuivenberg - Ziekenhuis Netwerk Antwerpen
Antwerp
UZ Gasthuisberg Leuven
Leuven
About this study
Official title: Randomized Phase III Study Comparing Conventional Chemotherapy to Low Dose Total Body Irradiation-Based Conditioning and HCT From Related and Unrelated Donors as Consolidation Therapy for Older Patients With AML in 1st Complete Remission
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.
Read the detailed description
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
- Acute Myeloid Leukemia
- Being tested
- hematopoietic cell transplantation, Non-Transplant treatment approach for consolidation
- Keywords
- hematopoietic cell transplantation, Acute Myeloid Leukemia, first Complete Remission
- 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.
hematopoietic cell transplantationProcedure or surgery
low dose total body irradiation-based conditioning and hematopoietic cell transplantation from related and unrelated donors
Non-Transplant treatment approach for consolidationDrug
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.
| Study group | Role | What they receive |
|---|---|---|
| Transplant Arm | Experimental | Hematopoietic cell transplantation after Reduced Intensity Conditioning Receives: Procedure: hematopoietic cell transplantation |
| Conventional Chemotherapy | Active comparator | The non-transplant treatment approach for consolidation Receives: Drug: Non-Transplant treatment approach for consolidation |
What is being measured
The primary outcome is the main question the study is designed to answer.
To evaluate Leukaemia Free Survival (LFS) after allo HCT in AML/RAEB in complete remission using matched or unrelated donors in comparison to conventional chemotherapy
Measured: 5 years
Secondary outcomes (1)
To evaluate overall survival, relapse, Treatment Related Mortality (TRM) and complications after HCT
Measured: 5 Years
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted6 Oct 2008 (estimated)
- Study startJan 2010
- Primary completionDec 2020
- Study completionDec 2020
Why it stopped: Recommendation of DMC
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Acute Myeloid LeukemiaStudies of the same condition, open and under way.
- 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
- 126 participants (actual)
Sponsor and investigators
- Lead sponsor
- European Society for Blood and Marrow Transplantation
- Sponsor type
- Research network
- Collaborators
- Acute Leukemia French Association, Grupo Cooperativo de Estudio y Tratamiento de las Leucemias Agudas y Mielodisplasias, European Organisation for Research and Treatment of Cancer - EORTC, French Innovative Leukemia Organisation, HOVON - Dutch Haemato-Oncology Association, East German Study Group of Hematology and Oncology (OSHO), Swiss Cancer Institute
- Responsible party
- Sponsor
- Investigators
- Dietger Niederwieser, Prof, Study chair, EBMT and OSHOBob Löwenberg, Prof, Study chair, Stichting Hemato-Oncologie voor Volwassenen Nederland
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT00766779
- Sponsor's protocol ID
- 2007-003514-34
- Other IDs
- EBMT-ALWP01/2008
- Status last verified
- Oct 2021
- First submitted
- 3 Oct 2008
- Last updated
- 14 Oct 2021
- Results posted
- No
- Data monitoring committee
- Yes
Study at a glance
From the registry record, last updated by the sponsor on 14 Oct 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Randomized Phase III Study Comparing Conventional Chemotherapy to Low Dose Total Body Irradiation-Based Conditioning and HCT From Related and Unrelated Donors as Consolidation Therapy for Older Patients With AML in 1st Complete Remission
- ClinicalTrials.gov ID
- NCT00766779
- Acronym / sponsor ID
- 2007-003514-34
- Conditions
- Acute Myeloid Leukemia
- Keywords
- hematopoietic cell transplantation, Acute Myeloid Leukemia, first Complete Remission
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- TerminatedReason stopped: Recommendation of DMC
- Enrolment
- 126 participants (actual)
- Lead sponsor
- European Society for Blood and Marrow TransplantationResearch network
- Collaborators
- Acute Leukemia French Association, Grupo Cooperativo de Estudio y Tratamiento de las Leucemias Agudas y Mielodisplasias, European Organisation for Research and Treatment of Cancer - EORTC, French Innovative Leukemia Organisation, HOVON - Dutch Haemato-Oncology Association, East German Study Group of Hematology and Oncology (OSHO), Swiss Cancer Institute
- Study start
- Jan 2010
- Primary completion
- Dec 2020 (actual)
- Study completion
- Dec 2020 (actual)
- First posted
- 6 Oct 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 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
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
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Transplant Arm | Experimental | Procedure: hematopoietic cell transplantationHematopoietic cell transplantation after Reduced Intensity Conditioning |
| Conventional Chemotherapy | Active comparator | Drug: Non-Transplant treatment approach for consolidationThe non-transplant treatment approach for consolidation |
Who may qualify
- Ages
- 60 to 75 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (6 listed)
- 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
Key exclusion criteria (7 listed)
- 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
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 |
|---|---|---|
| hematopoietic cell transplantationlow dose total body irradiation-based conditioning and hematopoietic cell transplantation from related and unrelated donors | Procedure or surgery | Transplant Arm |
| Non-Transplant treatment approach for consolidationPatients 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. | Drug | Conventional Chemotherapy |
Primary outcome
To evaluate Leukaemia Free Survival (LFS) after allo HCT in AML/RAEB in complete remission using matched or unrelated donors in comparison to conventional chemotherapy
Time frame: 5 years
1 secondary outcome
To evaluate overall survival, relapse, Treatment Related Mortality (TRM) and complications after HCT
Time frame: 5 Years
Results and safety
The study was stopped early (reason given: Recommendation of DMC). Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 14 Oct 2021.
Related trials for Acute Myeloid Leukemia
Not yet recruitingPhase 1/2
A Study of Sonrotoclax (BGB-11417) in Children With Relapsed or Refractory Acute Myeloid Leukemia and B-cell Acute Lymphoblastic Leukemia
Relapsed Acute Myeloid Leukemia, Refractory Acute Myeloid Leukemia
RecruitingPhase 1
Autologous T Cells Transduced With Retroviral Vectors Expressing TCRs for Participant-specific Neoantigens in Patients With Hematologic Malignancies
Malignancy, Hematologic, Neoplasms, Hematologic
RecruitingPhase 2
MYELOMATCH: A Screening Study to Assign People With Myeloid Cancer to a Treatment Study or Standard of Care Treatment Within myeloMATCH (MyeloMATCH Screening Trial)
Acute Myeloid Leukemia, Acute Myeloid Leukemia Arising From Previous Myelodysplastic/Myeloproliferative Neoplasm
RecruitingPhase 2
Comparing Cytarabine + Daunorubicin Therapy Versus Cytarabine + Daunorubicin + Venetoclax Versus Venetoclax + Azacitidine in Younger Patients With Intermediate Risk AML (A MyeloMATCH Treatment Trial)
Acute Myeloid Leukemia
RecruitingPhase 2
Cord Blood Transplant, Cyclophosphamide, Fludarabine, and Total-Body Irradiation in Treating Patients With High-Risk Hematologic Diseases
Acute Leukemia of Ambiguous Lineage, Acute Lymphoblastic Leukemia
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.
Dietger Niederwieser, Prof study chair
EBMT and OSHO
Bob Löwenberg, Prof study chair
Stichting Hemato-Oncologie voor Volwassenen Nederland
48 sites in 7 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing hematopoietic cell transplantation and Non-Transplant treatment approach for consolidation in people with Acute Myeloid Leukemia, run by European Society for Blood and Marrow Transplantation at 48 sites in 7 countries.
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 7 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: stopped early, as of the sponsor's last update on 14 Oct 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 48 sites in Germany, France, Netherlands, Switzerland, Austria and 2 more countries. 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 was stopped early (reason given: Recommendation of DMC). Results are not available in the source record.
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?
To evaluate Leukaemia Free Survival (LFS) after allo HCT in AML/RAEB in complete remission using matched or unrelated donors in comparison to conventional chemotherapy (time frame: 5 years). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
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 14 Oct 2021.