Acute Myeloid LeukemiaAVALONNCT04070807
Italian Observational Study of Patients With Acute Myeloid Leukemia Treated With Small Molecule Inhibiting BCL-2
An observational study of Acute Myeloid Leukemia, run by Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS at 20 sites in Italy.
Trial summary
This is a multi-center retrospective observational study. Every patient with Acute Myeloid Leukemia (AML) treated with anti-B-cell lymphoma 2 (BCL2) treatment outside clinical trial from 1st January 2015 up to 01 April 2019 may be included in this study. Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Acute Myeloid Leukemia
- How many people
- 70 participants
- Where
- 20 sitesItaly
- Study dates
- 23 Aug 2019to Dec 2020
- Phase
- Observational
- 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
Study population: AML according to World Health Organization (WHO) 2016 classification who have received any anti-BCL-2 treatment as single agent or in combination with other drugs from 1 Jan 2015 to 1 Apr 2019 outside clinical trials
Who may be able to join
- Patient with AML according to World Health Organization (WHO) 2016 classification
- Patient who have received any anti-BCL-2 treatment as single agent or in combination with other drugs from 1 Jan 2015 to 1 Apr 2019 outside clinical trials
Who cannot join
- Patient who have received any anti-BCL-2 treatment within a clinical trials
Trial locations and contacts
20 sites in 1 country.
20 sites in 1 country
Italy20 sites, 20 recruiting
- Recruiting
A.O. Pugliese Ciaccio
Catanzaro, CZ, 88100
Stefano Molica
- Recruiting
ASST Cremona
Cremona, CR, 26100
Alfredo Molteni
- Recruiting
AOU Careggi
Florence, FI
Matteo Piccini
- Recruiting
Ospedale F. Spaziani
Frosinone, FR, 03100
Vincenza Martini
- Recruiting
Ospedale Santa Maria Goretti
Latina, LT, 04100
Giuseppe Cimino
- Recruiting
P.O. Vito Fazzi
Lecce, LE, 73100
Nicola Di Renzo
- Recruiting
Irst Irccs
Meldola, FC, 47014
Claudio Cerchione, MD
- Recruiting
ASST Grande Ospedale Metropolitano Niguarda
Milan, MI, 20162
Roberto Cairoli
- Recruiting
European Institute of Oncology
Milan
Elisabetta Todisco, MD
- Not yet recruiting
Fondazione IRCCS Ca' Granda OSPEDALE MAGGIORE POLICLINICO
Milan
Nicola Fracchiolla, MD
- Recruiting
Asst Monza
Monza, MB, 20900
Monica Fumagalli
- Recruiting
Ospedale Santa Maria della Misericordia
Perugia, PG, 06156
Maria Paola Martelli
- Recruiting
Ospedale S.Spirito - ASL Pescara
Pescara, PE, 65124
Prassede Salutari
- Recruiting
Ospedale Roma S.Eugenio
Roma, 00144
Elisabetta Abruzzese, MD, PhD
- Recruiting
AOU San Giovanni di Dio e Ruggi D'Aragona
Salerno, SA, 84131
Carmine Selleri, MD
- Recruiting
IRCCS Casa Sollievo sofferenza
San Giovanni Rotondo, Foggia, 71013
Nicola Cascavilla
- Recruiting
Policlinico Santa Maria alle Scotte
Siena, SI, 53100
Monica Bocchia
- Recruiting
AOU Città della Salute e della Scienza di Torino
Torino, TO, 10126
Ernesta Audisio, MD
- Recruiting
A.O. Ordine Mauriziano
Torino, TO, 10128
Alessandro Cignetti
- Recruiting
Ospedale Ca' Foncello
Treviso, TV, 31100
Michele Gottardi, MD
About this study
Official title: Italian Observational Study of Patients With Acute Myeloid Leukemia Treated With Small Molecule Inhibiting B-cell Lymphoma 2 (BCL-2)
This is a multi-center retrospective observational study. Every patient with Acute Myeloid Leukemia (AML) treated with anti-B-cell lymphoma 2 (BCL2) treatment outside clinical trial from 1st January 2015 up to 01 April 2019 may be included in this study. No additional drug/procedures/patient visits in comparison with the usual clinical practice are planned for the study. The decision to treat patient with ant-BCL2 inhibitors is made by the physician based on his clinical judgment, independently from the decision to include the patient in this study.
Read the detailed description
In phase 1-2 studies, anti BCL-2 treatment has shown evidence of anti-leukemic activity as single agent and in combination and proved to be particularly effective in providing a deep response, with an acceptable safety profile. Since 2015 anti-BCL2 treatment has been available in other indications and in off-label use in Italy.
In this non-interventional retrospective study, toxicity, effectiveness and costs assessment data will be collected from patients with AML, to improve the knowledge about anti-BCL2 treatment in clinical practice. Collecting and analyzing data from a large unbiased patient-set receiving anti-BCL2, would enlarge our knowledge on therapies inhibiting BCL2.
This is a multi-center retrospective observational study. Every patient with AML treated with anti-BCL2 treatment outside clinical trial from 1st January 2015 up to 01 April 2019 may be included in this study. No additional drug/procedures/patient visits in comparison with the usual clinical practice are planned for the study. The decision to treat patient with ant-BCL2 inhibitors is made by the physician based on his clinical judgment, independently from the decision to include the patient in this study. As this study is intended to be purely observational (not interventional), the patient's medical records will be the source of all data to be recorded. No additional procedures/patient visits should be planned in the study with respect to clinical practice.
Clinical data (treatment, survival, adverse events) will be collected for patients enrolled.
- Conditions
- Acute Myeloid Leukemia
- Keywords
- AML, BCL-2, anti BCL2 inhibitors, clinical practice
- Medical subject headings
- Leukemia, Myeloid, Acute
What is being measured
The primary outcome is the main question the study is designed to answer.
Incidence of Adverse Events of grade 3 and 4 (NCTCAE version 5.0)
To evaluate the toxicity profile of the therapy with anti-BCL-2 in patients with AML.
Measured: up to 18 months
Secondary outcomes (11)
Overall Survival
to describe the clinical outcomes in terms of Overall Survival (OS) defined as the number of days between the first study drug administration and death from any cause
Measured: 18 months
Disease Free Survival (DFS)
to describe Disease Free Survival, defined as the number of days between the first study drug administration and any event including disease progression or death from any cause (both median and restricted mean) whichever occurs first.
Measured: 18 months
Complete Remission
to describe the Complete Remission (CR), in terms of proportions, in response to therapy
Measured: 18 months
Complete Remission with incomplete hematologic recovery
to describe Complete Remission with incomplete hematologic recovery (CRi) in terms of proportions, in response to therapy
Measured: 18 months
Minimal Residual Disease
to describe Minimal Residual Disease, in terms of proportions, in response to therapy
Measured: 18 months
Incidence of successful bridge to allogeneic transplant
to describe the incidence of successful bridge to allogeneic transplant, in terms of proportions, in response to therapy
Measured: 18 months
Collection of number of hospitalizations
to describe healthcare resource utilization in terms of number of hospitalizations per patient
Measured: 18 months
Collection of days of hospitalizations
to describe healthcare resource utilization in terms of days of hospitalizations per patient
Measured: 18 months
Collection of number of clinical visits per patient
to describe healthcare resource utilization in terms of number of clinical visits per patient
Measured: 18 months
Collection of number of accesses Day Hospital per patient
to describe healthcare resource utilization in terms of number of accesses in Day Hospital per patient
Measured: 18 months
Collection of number of accesses in Emergency Care Units per patient
to describe healthcare resource utilization in terms of number of accesses in Emergency Care Units per patient
Measured: 18 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted28 Aug 2019
- Study start23 Aug 2019
- Primary completionDec 2020 (estimated)
- Study completionDec 2020 (estimated)
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
- Observational
- Observational model
- Cohort
- Time perspective
- Retrospective
- Enrolment
- 70 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS
- Sponsor type
- University, hospital or other
- Collaborators
- European Institute of Oncology
- Responsible party
- Sponsor
- Investigators
- Giovanni Martinelli, MD, Principal investigator, IRST IRCCS
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04070807
- Sponsor's protocol ID
- IRST204.04
- Acronym
- AVALON
- Status last verified
- Apr 2020
- First submitted
- 23 Aug 2019
- Last updated
- 21 Apr 2020
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- No
Study at a glance
From the registry record, last updated by the sponsor on 21 Apr 2020. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Italian Observational Study of Patients With Acute Myeloid Leukemia Treated With Small Molecule Inhibiting B-cell Lymphoma 2 (BCL-2)
- ClinicalTrials.gov ID
- NCT04070807
- Acronym / sponsor ID
- AVALON / IRST204.04
- Conditions
- Acute Myeloid Leukemia
- Keywords
- AML, BCL-2, anti BCL2 inhibitors, clinical practice
- Study type
- Observational
- Recruitment status
- Unknown status
- Enrolment
- 70 participants (estimated)
- Lead sponsor
- Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCSUniversity, hospital or other
- Collaborators
- European Institute of Oncology
- Study start
- 23 Aug 2019 (actual)
- Primary completion
- Dec 2020 (estimated)
- Study completion
- Dec 2020 (estimated)
- First posted
- 28 Aug 2019 (actual)
- 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.
This is a multi-center retrospective observational study. Every patient with Acute Myeloid Leukemia (AML) treated with anti-B-cell lymphoma 2 (BCL2) treatment outside clinical trial from 1st January 2015 up to 01 April 2019 may be included in this study. No additional drug/procedures/patient visits in comparison with the usual clinical practice are planned for the study. The decision to treat patient with ant-BCL2 inhibitors is made by the physician based on his clinical judgment, independently from the decision to include the patient in this study.
Detailed description
In phase 1-2 studies, anti BCL-2 treatment has shown evidence of anti-leukemic activity as single agent and in combination and proved to be particularly effective in providing a deep response, with an acceptable safety profile. Since 2015 anti-BCL2 treatment has been available in other indications and in off-label use in Italy.
In this non-interventional retrospective study, toxicity, effectiveness and costs assessment data will be collected from patients with AML, to improve the knowledge about anti-BCL2 treatment in clinical practice. Collecting and analyzing data from a large unbiased patient-set receiving anti-BCL2, would enlarge our knowledge on therapies inhibiting BCL2.
This is a multi-center retrospective observational study. Every patient with AML treated with anti-BCL2 treatment outside clinical trial from 1st January 2015 up to 01 April 2019 may be included in this study. No additional drug/procedures/patient visits in comparison with the usual clinical practice are planned for the study. The decision to treat patient with ant-BCL2 inhibitors is made by the physician based on his clinical judgment, independently from the decision to include the patient in this study. As this study is intended to be purely observational (not interventional), the patient's medical records will be the source of all data to be recorded. No additional procedures/patient visits should be planned in the study with respect to clinical practice.
Clinical data (treatment, survival, adverse events) will be collected for patients enrolled.
Study design
- Observational model
- Cohort
- Time perspective
- Retrospective
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
- Study population
- AML according to World Health Organization (WHO) 2016 classification who have received any anti-BCL-2 treatment as single agent or in combination with other drugs from 1 Jan 2015 to 1 Apr 2019 outside clinical trials
Key inclusion criteria (2 listed)
- Patient with AML according to World Health Organization (WHO) 2016 classification
- Patient who have received any anti-BCL-2 treatment as single agent or in combination with other drugs from 1 Jan 2015 to 1 Apr 2019 outside clinical trials
Key exclusion criteria (1 listed)
- Patient who have received any anti-BCL-2 treatment within a clinical trials
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Incidence of Adverse Events of grade 3 and 4 (NCTCAE version 5.0)
Time frame: up to 18 months
To evaluate the toxicity profile of the therapy with anti-BCL-2 in patients with AML.
11 secondary outcomes
Overall Survival
Time frame: 18 months
Disease Free Survival (DFS)
Time frame: 18 months
Complete Remission
Time frame: 18 months
Complete Remission with incomplete hematologic recovery
Time frame: 18 months
Minimal Residual Disease
Time frame: 18 months
Incidence of successful bridge to allogeneic transplant
Time frame: 18 months
Collection of number of hospitalizations
Time frame: 18 months
Collection of days of hospitalizations
Time frame: 18 months
Collection of number of clinical visits per patient
Time frame: 18 months
Collection of number of accesses Day Hospital per patient
Time frame: 18 months
Collection of number of accesses in Emergency Care Units per patient
Time frame: 18 months
Results and safety
Results are not available in the source record.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 21 Apr 2020.
- Individual participant dataSharing planned: No
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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.
Giovanni Martinelli, MD principal investigator
IRST IRCCS
20 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Acute Myeloid Leukemia, run by Istituto Romagnolo per lo Studio dei Tumori Dino Amadori IRST S.r.l. IRCCS at 20 sites in Italy.
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 2 inclusion and 1 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: status not confirmed, as of the sponsor's last update on 21 Apr 2020. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 20 sites in Italy. 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.
Are results available for this study?
Results are not available in the source record.
How can a doctor refer a patient or contact the research team?
Contact Bernadette Verogen, DR (+390544286058, cc.ubsc@irst.emr.it), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Incidence of Adverse Events of grade 3 and 4 (NCTCAE version 5.0) (time frame: up to 18 months). 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 21 Apr 2020.