Acute Myeloid LeukemiaPhase 3NCT04168502
Gemtuzumab Chemotherapy MRD Levels; Adult Untreated, de Novo, Fav Interm Risk AML
A Phase 3 study testing Gemtuzumab Ozogamicin in people with Acute Myeloid Leukemia, run by Gruppo Italiano Malattie EMatologiche dell'Adulto at 48 sites in Italy.
Trial summary
MRD driven study. Addition of gemtuzumab to conventional chemotherapy to reduce MRD of patients with favorable/intermediate-risk AML. Post-consolidation assessment of MRD. Read more about this study
- Who is it for?
- Ages 18 to 60 years
- Conditions the study is for
- Acute Myeloid Leukemia
- What is being tested?
- Gemtuzumab Ozogamicin
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 414 participants
- Where
- 48 sitesItaly
- Study dates
- 24 Sep 2020to Apr 2027
- Phase
- Phase 3
- Are there results?
- Not yet: the study is under way
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 to 60 years
- All sexes
- No healthy volunteers
- Adult
Who may be able to join
- Signed written informed consent according to ICH/EU/GCP and national/local laws
- Patients aged between 18 and 60 years
- Patients previously untreated for their AML by other chemotherapeutic agents (except for no more than 7 days HU) or radiotherapy
- Unequivocal diagnosis of de novo AML according to WHO diagnostic criteria (at least 20% blasts in the bone marrow), other than acute promyelocytic leukemia, documented by bone marrow aspiration (or biopsy in case of dry tap) (not supervening after other myeloproliferative disease or myelodysplastic syndromes of ≥ 6 months duration)
- Patients with favorable-intermediate AML according to ELN 2017 (except for FLT3-ITD/TKD positive AML)
- WHO performance status 0-3
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- Adequate renal (serum creatinine ≤ 2 x the institutional ULN) and liver (total serum bilirubin ≤ 2 x ULN; serum ALT and AST ≤ 2.5 x ULN) function, unless considered due to organ leukemic involvement
- Left Ventricular Ejection Fraction (LVEF) ≥ 50%, as determined by echocardiogram
- Absence of severe concomitant neurological or psychiatric diseases and congestive heart failure or active uncontrolled infection
- Absence of any psychological, familial, sociological and geographical condition potentially hampering compliance with the study protocol and the follow-up schedule.
Who cannot join
- Patients already treated for their AML by other chemotherapeutic agents (except for no more than 7 days HU) or radiotherapy
- Acute promyelocytic leukemia
- Blast crisis of chronic myeloid leukemia
- FLT3-ITD/TKD positive AML
- AML supervening after other myeloproliferative disease
- AML supervening after antecedent myelodysplastic syndromes ≥ 6 months duration
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- Therapy-related AML
- Other active or progressive malignant diseases.
- Inadequate renal or liver function (metabolic abnormalities > 2-2.5 times the normal upper limit)
- Severe heart failure requiring diuretics
- Ejection fraction < 50%
- Uncontrolled infections
- Severe concomitant neurological or psychiatric diseases
- Patients who are pregnant or adults of reproductive potential not employing an effective method of birth control. Women of childbearing potential must have a negative serum pregnancy test within 48 hours prior to administration of chemotherapy. Post-menopausal women must be amenorrheic for at least 12 months to be considered of non-childbearing potential. Male and female patients must agree to employ an effective barrier method of birth control throughout the study and for at least 6 months following discontinuation of study drug.
Trial locations and contacts
48 sites in 1 country. Contact the study team or a site near you to ask about taking part.
48 sites in 1 country
Italy48 sites, 48 recruiting
- Recruiting
A.O. - SS. Antonio e Biagio e Cesare Arrigo - SC Ematologia
Alessandria
Zallio
- Recruiting
Aou Ospedali Riuniti "Umberto I - G.M. Lancisi - G. Salesi"- Ancona - Sod Clinica Ematologica
Ancona
Attilio Olivieri, a.olivieri@univpm.it
- Recruiting
Area Vasta N. 5 Ascoli Piceno - S. Benedetto Del Tronto, Presidio Ospedaliero Av5 Osp. Gen. Prov.Le "C.G.Mazzoni" - Uoc Ematologia
Ascoli Piceno
Piero Galieni, 3388149974, piero.galieni@sanita.marche.it
- Recruiting
AO "San Giuseppe Moscati" - UOC Ematologia con unità di trapianto
Avellino
Storti
- Recruiting
AOU Consorziale Policlinico "Aldo Moro" - UO Ematologia con trapianto
Bari
Carluccio
- Recruiting
Policlinico S. Orsola - Malpighi - UOC Ematologia
Bologna
Curti
- Recruiting
Ao Sant'Anna E San Sebastiano - Caserta - Uoc Onco Ematologia
Caserta
Andrea Camera, 330344420, ancamera@unina.it
- Recruiting
U.O.C. Oncoematologia - Istituto Oncologico Veneto Irccs, Presidio Ospedaliero S. Giacomo Apostolo
Castelfranco Veneto
Michele Gottardi, 3476260749, michele.gottardi@aulss2.veneto.it
- Recruiting
Asur Marche Area Vasta 3 - Presidio Ospedaliero Civitanova Marche - Uods Ematologia
Civitanova Marche
Milena Mirabile, milena.mirabile@hotmail.it
- Recruiting
Aou Arcispedale Sant'Anna - Cona (Fe) - Uoc Ematologia E Fisiopatologia Della Coagulazione
Cona
Maria Ciccone, m.ciccone@ospfe.it
- Recruiting
Asst Di Cremona - Ospedale Di Cremona - Uo Ematologia
Cremona
Alfredo Molteni, 338/3169286, alfredo.molteni@asst-cremona.it
- Recruiting
Aou Careggi - Firenze - Sod Ematologia
Florence
Barbara Scappini, scappinib@aou-careggi.toscana.it
- Recruiting
Asl Frosinone, Ospedale F. Spaziani - Ematologia
Frosinone
Vincenza Martini, vincenzamartini@inwind.it
- Recruiting
Irccs Aou San Martino - Genova - Uo Ematologia E Trapianti
Genova
Germana Beltrami, germana.beltrami@hsanmartino.it
- Recruiting
Presidio Ospedaliero Nord "Santa Maria Goretti" - UOC Ematologia
Latina
Cimino
- Recruiting
ASL Le/1 P.O. Vito Fazzi - UO Ematologia
Lecce
Di Renzo
- Recruiting
Aulss 3 Serenissima, Ospedale Dell'Angelo - Mestre - Uo Ematologia
Mestre
Renato Bassan, Renato.Bassan@aulss3.veneto.it
- Recruiting
Asst Grande Ospedale Metropolitano Niguarda - Milano - Sc Ematologia
Milan
Roberto Cairoli, roberto.cairoli@ospedaleniguarda.it
- Recruiting
Irccs Ospedale S. Raffaele - Milano - Uo Oncoematologia
Milan
Fabio Ciceri, ciceri.clinicaltrials@hsr.it
- Recruiting
ISTITUTO EUROPEO DI ONCOLOGIA IRCCS - MILANO - DIVISIONE DI ONCOEMATOLOGIA 176 Milano Divisione di Onco-Ematologia Istituto Europeo
Milan
Elisabetta Todisco, Elisabetta.Todisco@ieo.it
- Recruiting
Aou Di Modena - Sc Ematologia
Modena
Mario Luppi, mario.luppi@unimore.it
- Recruiting
Ao Di Rilievo Nazionale Antonio Cardarelli - Napoli - Uoc Ematologia Con Trapianto Di Midollo
Naples
Felicetto Ferrara, 3388272964, felicettoferrara@katamail.com
- Recruiting
Aou Federico Ii - Napoli - Uoc Ematologia
Naples
Fabrizio Pane, fabrizio.pane@unina.it
- Recruiting
Aou San Luigi Gonzaga - Orbassano - Scdu Ematologia Generale E Oncoematologia
Orbassano
Daniela Cilloni, daniela.cilloni@unito.it
- Recruiting
Asl Salerno, Presidio Ospedaliero Tortora Pagani - Ematologia
Pagani
Catello Califano, c.califano@aslsalerno.it
- Recruiting
Ao Ospedali Riuniti Villa Sofia Cervello - Palermo - Uo Ematologia Con Utmo
Palermo
Antonino Mulè, a.mule@villasofia.it
- Recruiting
Aou Policlinico P. Giaccone - Palermo - Uo Ematologia
Palermo
Maria Enza Mitra, memitra@yahoo.com
- Recruiting
Fondazione Ircss Policlinico San Matteo - Pavia - Uo Ematologia
Pavia
Patrizia Zappasodi, p.zappasodi@smatteo.pv.it
- Recruiting
Ao Di Perugia, Ospedale S. Maria Della Misericordia - Ematologia E Trapianto Midollo Osseo
Perugia
Maria Paola Martelli, mpmartelli@libero.it
- Recruiting
Ao Ospedali Riuniti Marche Nord - Ospedale San Salvatore - Pesaro - Uoc Ematologia E Centro Trapianti
Pesaro
Giuseppe Visani, giuseppe.visani@ospedalimarchenord.it
- Recruiting
Asl Pescara, Presidio Ospedaliero 'Spirito Santo' - Uoc Ematologia Clinica
Pescara
Prassede Salutari, prassede.salutari@gmail.com
- Recruiting
Asl Di Piacenza, Ospedale "Guglielmo Da Saliceto" - Ematologia E Centro Trapianti
Piacenza
Daniele Vallisa, d.vallisa@ausl.pc.it
- Recruiting
Ausl Della Romagna, Ospedale "Santa Maria Delle Croci" - Ravenna - Ematologia
Ravenna
Michela Rondoni, michela.rondoni@auslromagna.it
- Recruiting
Ausl Di Reggio Emilia - Arcispedale Santa Maria Nuova, Irccs - Sc Ematologia
Reggio Emilia
Alessia Tieghi, alessia.tieghi@ausl.re.it
- Recruiting
Ausl Della Romagna, Ospedale "Infermi" - Rimini - Uo Ematologia
Rimini
Anna Maria Mianulli, annamariamianulli@libero.it
- Recruiting
Ao Complesso Ospedaliero San Giovanni / Addolorata - Roma - Uoc Ematologia
Roma
Laura Cudillo, lcudillo@hsangiovanni.roma.it
- Recruiting
AOU Policlinico Tor Vergata- UOC Trapianto cellule staminali
Roma
Adriano Venditti, adriano.venditti@uniroma2.it
- Recruiting
Aou Sant'Andrea - Roma - Uoc Ematologia
Roma
Agostino Tafuri, agostino.tafuri@ospedalesantandrea.it
- Recruiting
Fondazione Policlinico Universitario Agostino Gemelli Irccs - Roma - Area Ematologica
Roma
Patrizia Chiusolo, patrizia.chiusolo@Unicatt.it
- Recruiting
Istituti Fisioterapici Ospitalieri - Ifo - Istituto Regina Elena - Roma - Uosd Ematologia
Roma
Andrea Mengarelli, andreamengarelli@libero.it
- Recruiting
Policlinico Universitario Campus Bio Medico - Roma - Uoc Ematologia E Trapianto Di Cellule Staminali
Roma
Giuseppe Avvisati, g.avvisati@unicampus.it
- Recruiting
Università Degli Studi Di Roma "Sapienza" - Dipartimento Di Medicina Traslazionale E Di Precisione - U.O.C. Ematologia
Roma
Maurizio Martelli, martelli@bce.uniroma1.it
- Recruiting
Ente Ecclesiastico Casa Sollievo Della Sofferenza - San Giovanni Rotondo - Ematologia
San Giovanni Rotondo
Nicola Cascavilla, n.cascavilla@operapadrepio.it
- Recruiting
Aou Di Sassari - Cliniche Universitarie - Stabilimento Cliniche Di San Pietro - Uoc Ematologia
Sassari
Claudio Fozza, cfozza@uniss.it
- Recruiting
Aou Città Della Salute E Della Scienza, Ospedale S. Giovanni Battista Molinette - Torino - Sc Ematologia 2
Torino
Ernesta Audisio, eaudisio@cittadellasalute.to.it
- Recruiting
Unità Operativa Di Ematologia - Presidio Ospedaliero Di Treviso - Azienda Ulss N.2 Marca Trevigiana
Treviso
Endri Mauro, endri.mauro@aas5.sanita.fvg.it
- Recruiting
Azienda Sanitaria Universitaria Integrata Di Trieste - Sc Ematologia
Trieste
Francesco Zaja, francesco.zaja@asuits.sanita.fvg.it
- Recruiting
Asui Di Udine - Presidio Ospedaliero "Santa Maria Della Misericordia" - Clinica Ematologica
Udine
Anna Candoni, candoni.anna@aoud.sanita.fvg.it
About this study
Official title: Phase 3 Study to Assess Gemtuzumab, in Combination With Standard Chemotherapy, on MRD Levels, in Adult, 18-60 Years, With Previously Untreated de Novo Fav-interm Risk AML
MRD driven study. Addition of gemtuzumab to conventional chemotherapy to reduce MRD of patients with favorable/intermediate-risk AML. Post-consolidation assessment of MRD.
Read the detailed description
Setting up a multicenter, MRD (Minimal Residual Disease)-driven study that relies on addition of gemtuzumab ozogamicin to conventional chemotherapy to reduce the pre-transplant levels of MRD of patients with favorable/intermediate-risk (according to ELN 2017) AML. Post-consolidation assessment of MRD will be exploited to establish the final risk assignment and to verify whether the delivery of a post remission therapy intensity (AuSCT, Autologous Stem Cell Transplant, vs ASCT, Allogeneic Stem Cell Transplant) of which is MRD-driven will improve the outcome in terms of anti-leukemic efficacy.
- Conditions
- Acute Myeloid Leukemia
- Being tested
- Gemtuzumab Ozogamicin
- Keywords
- De-novo, Favorable risk, Intermediate risk, Gemtuzumab ozogamicin, Acute Myeloid Leukemia
- 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.
Gemtuzumab OzogamicinDrug
Patients will receive induction and consolidation with Gemtuzumab ozogamicin, Daunorubicin and Cytarabine
| Study group | Role | What they receive |
|---|---|---|
| Experimental arm | Experimental | Induction:
Gemtuzumab 3 mg/m2 day 1,4,7 Daunorubicin 60 mg/m2 day 1-3 Cytosine arabinoside 200 mg/m2 day 1-7
Consolidation:
Gemtuzumab 3 mg/m2 day 1 Daunorubicin 50 mg/m2 day 4-6 Cytosine arabinoside 500 mg/m2 twice a day, day 1-6
Allogeneic transplantation or Autologous transplantation according to MRD level
clinical observation Receives: Drug: Gemtuzumab Ozogamicin |
What is being measured
The primary outcome is the main question the study is designed to answer.
Activity of GO in combination with chemotherapy in terms of MRD negativity achievement
Percentage of MRD negativity after consolidation in patients treated in induction and consolidation with GO
Measured: 2 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted19 Nov 2019
- Study start24 Sep 2020
- Primary completionApr 2025 (estimated)
- Study completionApr 2027 (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
- Interventional
- Phase
- Phase 3
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Enrolment
- 414 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Gruppo Italiano Malattie EMatologiche dell'Adulto
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT04168502
- Sponsor's protocol ID
- AML1819
- Status last verified
- Oct 2024
- First submitted
- 11 Nov 2019
- Last updated
- 8 Nov 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
Study at a glance
From the registry record, last updated by the sponsor on 8 Nov 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Phase 3 Study to Assess Gemtuzumab, in Combination With Standard Chemotherapy, on MRD Levels, in Adult, 18-60 Years, With Previously Untreated de Novo Fav-interm Risk AML
- ClinicalTrials.gov ID
- NCT04168502
- Acronym / sponsor ID
- AML1819
- Conditions
- Acute Myeloid Leukemia
- Keywords
- De-novo, Favorable risk, Intermediate risk, Gemtuzumab ozogamicin, Acute Myeloid Leukemia
- Phase
- Phase 3
- Study type
- Interventional
- Recruitment status
- Recruiting
- Enrolment
- 414 participants (estimated)
- Lead sponsor
- Gruppo Italiano Malattie EMatologiche dell'AdultoUniversity, hospital or other
- Study start
- 24 Sep 2020 (actual)
- Primary completion
- Apr 2025 (estimated)
- Study completion
- Apr 2027 (estimated)
- First posted
- 19 Nov 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.
MRD driven study. Addition of gemtuzumab to conventional chemotherapy to reduce MRD of patients with favorable/intermediate-risk AML. Post-consolidation assessment of MRD.
Detailed description
Setting up a multicenter, MRD (Minimal Residual Disease)-driven study that relies on addition of gemtuzumab ozogamicin to conventional chemotherapy to reduce the pre-transplant levels of MRD of patients with favorable/intermediate-risk (according to ELN 2017) AML. Post-consolidation assessment of MRD will be exploited to establish the final risk assignment and to verify whether the delivery of a post remission therapy intensity (AuSCT, Autologous Stem Cell Transplant, vs ASCT, Allogeneic Stem Cell Transplant) of which is MRD-driven will improve the outcome in terms of anti-leukemic efficacy.
Study design
- Primary purpose
- Treatment
- Allocation
- Not applicable
- Intervention model
- Single group
- Masking
- None (open label)
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| Experimental arm | Experimental | Drug: Gemtuzumab OzogamicinInduction: Gemtuzumab 3 mg/m2 day 1,4,7 Daunorubicin 60 mg/m2 day 1-3 Cytosine arabinoside 200 mg/m2 day 1-7 Consolidation: Gemtuzumab 3 mg/m2 day 1 Daunorubicin 50 mg/m2 day 4-6 Cytosine arabinoside 500 mg/m2 twice a day, day 1-6 Allogeneic transplantation or Autologous transplantation according to MRD level clinical observation |
Who may qualify
- Ages
- 18 to 60 years
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult
Key inclusion criteria (10 listed)
- Signed written informed consent according to ICH/EU/GCP and national/local laws
- Patients aged between 18 and 60 years
- Patients previously untreated for their AML by other chemotherapeutic agents (except for no more than 7 days HU) or radiotherapy
- Unequivocal diagnosis of de novo AML according to WHO diagnostic criteria (at least 20% blasts in the bone marrow), other than acute promyelocytic leukemia, documented by bone marrow aspiration (or biopsy in case of dry tap) (not supervening after other myeloproliferative disease or myelodysplastic syndromes of ≥ 6 months duration)
- Patients with favorable-intermediate AML according to ELN 2017 (except for FLT3-ITD/TKD positive AML)
Key exclusion criteria (14 listed)
- Patients already treated for their AML by other chemotherapeutic agents (except for no more than 7 days HU) or radiotherapy
- Acute promyelocytic leukemia
- Blast crisis of chronic myeloid leukemia
- FLT3-ITD/TKD positive AML
- AML supervening after other myeloproliferative disease
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 |
|---|---|---|
| Gemtuzumab OzogamicinPatients will receive induction and consolidation with Gemtuzumab ozogamicin, Daunorubicin and Cytarabine | Drug | Experimental arm |
Primary outcome
Activity of GO in combination with chemotherapy in terms of MRD negativity achievement
Time frame: 2 months
Percentage of MRD negativity after consolidation in patients treated in induction and consolidation with GO
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 8 Nov 2024.
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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.
48 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 3 study testing Gemtuzumab Ozogamicin in people with Acute Myeloid Leukemia, run by Gruppo Italiano Malattie EMatologiche dell'Adulto at 48 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 10 inclusion and 14 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: looking for participants now, as of the sponsor's last update on 8 Nov 2024. 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 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.
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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Paola Fazi (0670390528, p.fazi@gimema.it), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Activity of GO in combination with chemotherapy in terms of MRD negativity achievement (time frame: 2 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 8 Nov 2024.