Chronic Myelomonocytic LeukemiaPhase 2NCT01098084
Decitabine in Patients With Chronic Myelomonocytic Leukemia (CMML)
A Phase 2 study testing Decitabine in people with Chronic Myelomonocytic Leukemia, run by Groupe Francophone des Myelodysplasies at 31 sites in France.
Trial summary
The aim of this study is to determine the therapeutic efficacy of Decitabine in patients with chronic myelomonocytic leukemia (CMML) diagnosis according to WHO criteria either untreated or previously treated with Hydrea or Etoposide (given orally), non intensive chemotherapy or intensive chemotherapy given more than 3… Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Chronic Myelomonocytic Leukemia
- What is being tested?
- Decitabine
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 41 participants
- Where
- 31 sitesFrance
- Study dates
- Nov 2008to Jun 2009
- Phase
- Phase 2
- 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 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Age 18 or older
- CMML diagnosis according to WHO criteria
- Stable excess in blood monocytes,>1x10G/l and >10% of WBC
- Bone marrow blasts <20%
- Dysplasia of at least one lineage or clonality marker or blood monocytosis during more than 3 months w/o other explanation
- With:
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- if WBC < or= 12 000/mm3: IPSS high or intermediate 2
- if WBC > 12 000/mm3: at least two of the following criteria: blast cells > 5% in the bone marrow, clonal cytogenetic abnormality other than t(5;12)(q33;p13), anemia (Hb < 100 g/l), thrombocytopenia (platelet count < 100G/l), splenomegaly > 5 cm below costal margin, extramedullary localization
- Either untreated or previously treated with
- Hydrea or Etoposide given orally
- non intensive chemotherapy
- intensive chemotherapy given more than 3 months before inclusion
- With performance status 0-2 on the ECOG scale
- With estimated life expectancy of at least 12 weeks
- With adequate organ function including the following:
- Hepatic: total bilirubin < 1.5 times upper limit of normal (ULN), alanine transaminase (ALT) and aspartate transaminase (AST) < 3 times ULN
- Renal: serum creatinine < 1.5 times ULN, creatinine clearance > 30 ml/min
- With informed consent
- Negative pregnancy and adequate contraception if relevant
Who cannot join
- Myeloproliferative/myelodysplastic syndrome other than CMML
- Acute blastic transformation of CMML with bone marrow blasts>20%
- Patients eligible for allogenic bone marrow transplantation with identified donor
- CMML with t(5;12) or PDGFbetaR rearrangement that could receive Imatinib
- Previous treatment with a hypomethylating agent
- Age < 18 years old
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- Pregnancy or breastfeeding
- Performance status> 2 on the ECOG Scale
- Estimated life expectancy < 12 weeks
- Serious concomitant systemic disorder, including active bacterial, fungal or viral infection, that in the opinion of the investigator would compromise the safety of the patient and/or his/her ability to complete the study
Trial locations and contacts
31 sites in 1 country.
31 sites in 1 country
France31 sites
CHU d'Amiens
Amiens, 80054
CH Angers
Angers, 49 000
Hôpital Avignon
Avignon, 84000
Hopital de la Cote Basque
Bayonne, 64100
Hôpital Avicenne
Bobigny, 93009
CHU Haut-Lévèque
Bordeaux, 33604
Hôpital Boulogne Sur Mer
Boulogne-sur-Mer, 62321
Hopital d'Instruction des Armées Percy
Clamart, 92140
CHU de
Clermont-Ferrand, 63058
Centre Hospitalier Sud-Francilien
Corbeil-Essonnes, 91106
Hopital Henri Mondor
Créteil, 94000
CHU de Dijon
Dijon, 21034
Hôpital Versailles
Le Chesnay, 78157
CHU de Bicêtre
Le Kremlin-Bicêtre, Île-de-France Region, 94275
Centre Hospitalier du Mans
Le Mans, 72037
Institut Paoli Calmettes
Marseille, 13009
CHU de nantes
Nantes, 44093
Hôpital Archet1
Nice, 06202
CHU Caremeau
Nîmes, 30029
CHR La Source orléans
Orléans, Orléans, 45067
Hopital Cochin
Paris, 75014
Hopital Necker
Paris, 75015
Hopital Hotel Dieu
Paris, 75181
Hoiptal St Louis
Paris, 75475
Hôpital Saint-Antoine.
Paris, 75571
Centre Hospitalier Joffre
Perpignan, 66046
CHU de Reims
Reims, 51092
Centre Henri Becquerel
Rouen, 76038
Hematology Dpt, Hopital Purpan
Toulouse, 40031
CHU Bretoneau
Tours, 37044
Institut gustave Roussy
Villejuif, 94805
About this study
Official title: A Phase II Study of Decitabine in Patients With Chronic Myelomonocytic Leukemia
The aim of this study is to determine the therapeutic efficacy of Decitabine in patients with chronic myelomonocytic leukemia (CMML) diagnosis according to WHO criteria either untreated or previously treated with Hydrea or Etoposide (given orally), non intensive chemotherapy or intensive chemotherapy given more than 3 months before inclusion.
- Conditions
- Chronic Myelomonocytic Leukemia
- Being tested
- Decitabine
- Keywords
- Decitabine, chronic myelomonocytic leukemia
- Medical subject headings
- Leukemia, Myelomonocytic, Chronic
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
DecitabineDrug
20mg/m2/day, one hour intravenous infusion, every day during 5 days
| Study group | Role | What they receive |
|---|---|---|
| Decitabine | Experimental | Not described Receives: Drug: Decitabine |
What is being measured
The primary outcome is the main question the study is designed to answer.
To determine response of patients with CMML to 6 courses of Decitabine according to IWG 2006 criteria, adapted for CMML with WBC>12000/mm3
Secondary outcomes (4)
Response duration
Time to progression to AML
Survival
Toxicity (hematological and non-hematological)
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted2 Apr 2010 (estimated)
- Study startNov 2008
- Primary completionJun 2009
- Study completionJun 2009
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Chronic Myelomonocytic 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 2
- Allocation
- Not applicable
- Intervention model
- Single group
- Enrolment
- 41 participants (actual)
Sponsor and investigators
- Lead sponsor
- Groupe Francophone des Myelodysplasies
- Sponsor type
- University, hospital or other
- Collaborators
- Janssen-Cilag Ltd.
- Investigators
- Eric Solary, MD, PhD, Study chair, Gustave Roussy, Cancer Campus, Grand ParisThorsten Braun, MD,PhD, Principal investigator, Avicenne Hospital, 93 000 BobignyIngrid Lafon, MD, Principal investigator, CHU Le Bocage, Dijon
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01098084
- Sponsor's protocol ID
- GFM-DEC-LMMC-2007
- Status last verified
- Mar 2011
- First submitted
- 1 Apr 2010
- Last updated
- 20 Mar 2014
- Results posted
- No
- Data monitoring committee
- Yes
Publications
Itzykson R, Kosmider O, Renneville A, Gelsi-Boyer V, Meggendorfer M, Morabito M, Berthon C, Ades L, Fenaux P, Beyne-Rauzy O, Vey N, Braun T, Haferlach T, Dreyfus F, Cross NC, Preudhomme C, Bernard OA, Fontenay M, Vainchenker W, Schnittger S, Birnbaum D, Droin N, Solary E. Prognostic score including gene mutations in chronic myelomonocytic leukemia. J Clin Oncol. 2013 Jul 1;31(19):2428-36. doi: 10.1200/JCO.2012.47.3314. Epub 2013 May 20.
PubMed 23690417Braun T, Itzykson R, Renneville A, de Renzis B, Dreyfus F, Laribi K, Bouabdallah K, Vey N, Toma A, Recher C, Royer B, Joly B, Vekhoff A, Lafon I, Sanhes L, Meurice G, Orear C, Preudhomme C, Gardin C, Ades L, Fontenay M, Fenaux P, Droin N, Solary E; Groupe Francophone des Myelodysplasies. Molecular predictors of response to decitabine in advanced chronic myelomonocytic leukemia: a phase 2 trial. Blood. 2011 Oct 6;118(14):3824-31. doi: 10.1182/blood-2011-05-352039. Epub 2011 Aug 9.
PubMed 21828134
Study at a glance
From the registry record, last updated by the sponsor on 20 Mar 2014. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase II Study of Decitabine in Patients With Chronic Myelomonocytic Leukemia
- ClinicalTrials.gov ID
- NCT01098084
- Acronym / sponsor ID
- GFM-DEC-LMMC-2007
- Conditions
- Chronic Myelomonocytic Leukemia
- Keywords
- Decitabine, chronic myelomonocytic leukemia
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 41 participants (actual)
- Lead sponsor
- Groupe Francophone des MyelodysplasiesUniversity, hospital or other
- Collaborators
- Janssen-Cilag Ltd.
- Study start
- Nov 2008
- Primary completion
- Jun 2009 (actual)
- Study completion
- Jun 2009 (actual)
- First posted
- 2 Apr 2010 (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.
The aim of this study is to determine the therapeutic efficacy of Decitabine in patients with chronic myelomonocytic leukemia (CMML) diagnosis according to WHO criteria either untreated or previously treated with Hydrea or Etoposide (given orally), non intensive chemotherapy or intensive chemotherapy given more than 3 months before inclusion.
Study design
- Allocation
- Not applicable
- Intervention model
- Single group
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Decitabine | Experimental | Drug: Decitabine |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (19 listed)
- Age 18 or older
- CMML diagnosis according to WHO criteria
- Stable excess in blood monocytes,>1x10G/l and >10% of WBC
- Bone marrow blasts <20%
- Dysplasia of at least one lineage or clonality marker or blood monocytosis during more than 3 months w/o other explanation
Key exclusion criteria (10 listed)
- Myeloproliferative/myelodysplastic syndrome other than CMML
- Acute blastic transformation of CMML with bone marrow blasts>20%
- Patients eligible for allogenic bone marrow transplantation with identified donor
- CMML with t(5;12) or PDGFbetaR rearrangement that could receive Imatinib
- Previous treatment with a hypomethylating agent
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 |
|---|---|---|
| Decitabine20mg/m2/day, one hour intravenous infusion, every day during 5 days | Drug | Decitabine |
Primary outcome
To determine response of patients with CMML to 6 courses of Decitabine according to IWG 2006 criteria, adapted for CMML with WBC>12000/mm3
4 secondary outcomes
Response duration
Time to progression to AML
Survival
Toxicity (hematological and non-hematological)
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 20 Mar 2014.
- Derived from this study: PubMed 23690417Itzykson R, Kosmider O, Renneville A, Gelsi-Boyer V, Meggendorfer M, Morabito M, Berthon C, Ades L, Fenaux P, Beyne-Rauzy O, Vey N, Braun T, Haferlach T, Dreyfus F, Cross NC, Preudhomme C, Bernard OA, Fontenay M, Vainchenker W, Schnittger S, Birnbaum D, Droin N, Solary E. Prognostic score including gene mutations in chronic myelomonocytic leukemia. J Clin Oncol. 2013 Jul 1;31(19):2428-36. doi: 10.1200/JCO.2012.47.3314. Epub 2013 May 20.
- Derived from this study: PubMed 21828134Braun T, Itzykson R, Renneville A, de Renzis B, Dreyfus F, Laribi K, Bouabdallah K, Vey N, Toma A, Recher C, Royer B, Joly B, Vekhoff A, Lafon I, Sanhes L, Meurice G, Orear C, Preudhomme C, Gardin C, Ades L, Fontenay M, Fenaux P, Droin N, Solary E; Groupe Francophone des Myelodysplasies. Molecular predictors of response to decitabine in advanced chronic myelomonocytic leukemia: a phase 2 trial. Blood. 2011 Oct 6;118(14):3824-31. doi: 10.1182/blood-2011-05-352039. Epub 2011 Aug 9.
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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.
Eric Solary, MD, PhD study chair
Gustave Roussy, Cancer Campus, Grand Paris
Thorsten Braun, MD,PhD principal investigator
Avicenne Hospital, 93 000 Bobigny
Ingrid Lafon, MD principal investigator
CHU Le Bocage, Dijon
31 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing Decitabine in people with Chronic Myelomonocytic Leukemia, run by Groupe Francophone des Myelodysplasies at 31 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 19 inclusion and 10 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 20 Mar 2014. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 31 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 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
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?
To determine response of patients with CMML to 6 courses of Decitabine according to IWG 2006 criteria, adapted for CMML with WBC>12000/mm3. 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 NCT01098084, which also lists 2 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 20 Mar 2014.